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      <OrgDoesNotFollowSFAS117Ind>X</OrgDoesNotFollowSFAS117Ind>
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      <ReconcilationRevenueExpnssAmt>-276899</ReconcilationRevenueExpnssAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingOtherInd methodOfAccountingOtherDesc="STATUTORY">X</MethodOfAccountingOtherInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp />
      <EquipmentGrp />
      <OtherLandBuildingsGrp />
      <InvstProgramRelatedOrgGrp>
        <Desc>JP MORGAN</Desc>
        <BookValueAmt>4988541</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESERVE FOR LOSSES AND LAE</Desc>
        <Amt>1861080</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>UNEARNED PREMIUMS</Desc>
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      <TotalLiabilityAmt>1935267</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueSubtotalAmt>539634</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>17016</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>17016</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>556650</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>816533</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>816533</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>17016</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>17016</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>833549</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, QUESTION 2</FormAndLineReferenceDesc>
        <ExplanationTxt>TAX POSITIONS ARE EVALUATED AT THE REPORTING DATE TO DETERMINE WHETHER AN UNRECOGNIZED TAX BENEFIT SHOULD BE RECORDED. THE ASSOCIATION DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2016 OR 2015. THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2016 AND 2015.</ExplanationTxt>
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      <SupplementalInformationDetail />
      <SupplementalInformationDetail />
      <SupplementalInformationDetail />
      <SupplementalInformationDetail />
      <SupplementalInformationDetail />
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A</FormAndLineReferenceDesc>
        <ExplanationTxt>MISSOURI MEDICAL MALPRACTICE JOINT UNDERWRITING ASSOCIATIIN IS GOVERNED BY MISSOURI REVISED STATUTES 383.150-383.195. MISSOURI MEDICAL MALPRACTICE JOINT UNDERWRITING ASSOCIATION IS MANAGED BY THE BOARD OF DIRECTORS APPOINTED BY THE MISSOURI DEPARTMENT OF INSURANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HIRED HEALTHCARE SERVICES GROUP AS A SERVICING AGENT FOR MISSOURI MEDICAL MALPRACTICE JOINT UNDERWRITING ASSOCIATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, QUSTION 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN IS PREPARED BY BROWN SMITH WALLACE LLP, AN INDEPENDENT CPA FIRM AND IS REVIEWED BY HEALTHCARE SERVICES GROUP AND THE SIGNATORY, CHAIRMAN DENNIS SMITH BEFORE BEING FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION FILES ALL REQUIRED DOCUMENTS WITH THE MISSOURI DEPARTMENT OF INSURANCE, FINANCIAL INSTITUTIONS, AND PROFESSIONAL REGISTRATION WHICH ARE OPEN TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAXPAYER IS AN INSURANCE COMPANY WHICH UTILIZES THE STATUTORY ACCOUNTING METHOD TO PREPARE ITS FINANCIAL STATEMENTS AND FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>