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        <ExplanationTxt>FIN 48 Footnote - The financial statements of Blue Plus are prepared in conformity with accounting practices prescribed or permitted by the Minnesota Department of Health, of which the NAIC Accounting Practices and Procedures Manual NAIC SAP has been adopted as a component. These accounting practices differ from GAAP and do not include FIN 48.</ExplanationTxt>
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        <PersonNm>Monica Engel</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>107</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>132593</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>Severance provides continuation of base salary if participant is separated from service under an involuntary separation. Listed are the individuals who received a severance payment from BCBSM, Inc. Jeff Snegosky 278,048 Marc Baer 157,088 and Andrea Christopherson 41,841.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Supplemental Retirement Plan SRP provides benefits for certain employees who participate in the Pension Equity Plan in excess of the limitation of benefit imposed by Section 401a17 and 415 of the Internal Revenue Code. Listed are the individuals who received an SRP Supplemental Retirement Plan payment from BCBSM, Inc. Jeff Snegosky 3,448.</ExplanationTxt>
      </SupplementalInformationDetail>
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    <IRS990ScheduleL documentId="990L" softwareId="24019898" softwareVersionNum="24.0.1.0"></IRS990ScheduleL>
    <IRS990ScheduleO documentId="990O" softwareId="24019898" softwareVersionNum="24.0.1.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>A regular member and enrollee members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole regular member BCBSM, Inc. elects regular directors. Enrollee members elect enrollee directors which comprise at least 40 of the board of directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Copies of the Form 990 were distributed in advance to members of the Blue Plus Board of Directors for review and discussion at their meeting prior to filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Annually directors and officers of HMO Minnesota and others who provide services pursuant to the administrative services agreement between HMO Minnesota and BCBSM, Inc. are required to complete a detailed questionnaire asking for information that could give rise to potential conflicts. All those persons are advised to provide updates with respect to circumstances that could give rise to potential conflicts. Information is reviewed by the Board chair, legal counsel and full Board of Directors to determine if conflicts exist and if any safeguards need to be taken. If conflicts were to be found, the person would recuse himself/herself from any board discussions and/or board actions if it became a board related matter and the corporation would follow applicable law for Minnesota nonprofit corporations in dealing with the situation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>HMO Minnesota does not pay any direct compensation to its officers except for outside directors whose compensation is established by the HMO Minnesota Board of Directors for their service as directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The following documents and information about the organization are available to the general public through the website mainained by the Minnesota Department of Health Form 990 and executive compensation financial examinations by state regulators annual statement of revenue, expenses, and net income quality and performance measurements. The general conflict of interest policy within the Code of Conduct is available on the BCBSM, Inc. website. Articles of Incorporation are available through the Minnesota Secretary of States office. Other governing documents, such as corporate bylaws, are not available to the public.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>The remaining balance of all current officers average hours per week worked are allocated to the related organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>1,540,504 tax adjustment for stock impairments plus 4,206,806 increase in non-admitted assets equals 2,666,302.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>BCBSM Foundation Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 64560</AddressLine1Txt>
          <CityNm>Saint Paul</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>Private Foundation</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <CityNm>Saint Paul</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55164</ZIPCd>
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        <EIN>411785972</EIN>
        <PrimaryActivitiesTxt>Health Care Benefits</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
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        <EntityTypeTxt>C Corp</EntityTypeTxt>
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          <AddressLine1Txt>PO Box 64560</AddressLine1Txt>
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          <StateAbbreviationCd>MN</StateAbbreviationCd>
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        <EIN>410984460</EIN>
        <PrimaryActivitiesTxt>Direct Insurance Carrier</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
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          <CityNm>Saint Paul</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
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        <EIN>411427596</EIN>
        <PrimaryActivitiesTxt>Other Insurance Related Activities</PrimaryActivitiesTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ClearStone Solutions Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO Box 64560</AddressLine1Txt>
          <CityNm>Saint Paul</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55164</ZIPCd>
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        <EIN>411768896</EIN>
        <PrimaryActivitiesTxt>Offices of Admin Support</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Employer Provided Network Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO Box 64560</AddressLine1Txt>
          <CityNm>Saint Paul</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55164</ZIPCd>
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        <EIN>411561266</EIN>
        <PrimaryActivitiesTxt>Other Insurance Related Activities</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>MII Life Insurance Incorporated</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO Box 64560</AddressLine1Txt>
          <CityNm>Saint Paul</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55164</ZIPCd>
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        <PrimaryActivitiesTxt>Other Insurance Related Activities</PrimaryActivitiesTxt>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
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        <USAddress>
          <AddressLine1Txt>PO Box 64560</AddressLine1Txt>
          <CityNm>Saint Paul</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55164</ZIPCd>
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          <AddressLine1Txt>PO Box 64560</AddressLine1Txt>
          <CityNm>Saint Paul</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Pharmacy Gold Inc</BusinessNameLine1Txt>
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          <CityNm>Saint Paul</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Stella Diversified Inc</BusinessNameLine1Txt>
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          <CityNm>Saint Paul</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55164</ZIPCd>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>Stella Resources Company Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 64560</AddressLine1Txt>
          <CityNm>Saint Paul</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55164</ZIPCd>
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        <EIN>822935829</EIN>
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        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>Aware Assurance Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO Box 64560</AddressLine1Txt>
          <CityNm>Saint Paul</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55164</ZIPCd>
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        <EIN>331812834</EIN>
        <PrimaryActivitiesTxt>Other Administrative Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
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</Return>