Blue Plus (HMO Minnesota dba Blue Plus) Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 Public Information, Minnesota Statutes § 62D.08 Type of Product: Commercial Age of Enrollees Members at End of Period Male Female Member Months Total Male Female Total <1 23 36 59 119 205 324 1-4 128 97 225 1,425 1,094 2,519 5-9 166 162 328 1,969 1,837 3,806 10-14 207 170 377 2,396 1,983 4,379 15-17 107 116 223 1,232 1,320 2,552 18-19 79 61 140 907 697 1,604 20-24 181 217 398 2,030 2,447 4,477 25-29 143 156 299 1,527 1,653 3,180 30-34 169 191 360 1,841 2,123 3,964 35-39 187 186 373 2,103 2,129 4,232 40-44 195 213 408 2,296 2,468 4,763 45-49 229 280 509 2,615 3,232 5,847 50-54 259 258 517 3,040 3,002 6,042 55-59 194 234 428 2,277 2,731 5,008 60-64 181 226 407 2,149 2,692 4,841 65-69 25 16 41 292 184 476 70-74 5 6 11 60 69 129 75-79 80-84 NR - 1 NR 1 - 12 12 85-89 NR NR 90+ NR NR Unknown NR NR Total 2,478 2,626 5,104 28,275 29,877 58,152 Blue Plus (HMO Minnesota dba Blue Plus) Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 Public Information, Minnesota Statutes § 62D.08 Type of Product: Medicare + Choice Age of Enrollees Members at End of Period Male Female Total Member Months Male Female Total <1 NR NR 1-4 NR NR 5-9 NR NR 10-14 NR NR 15-17 NR NR 18-19 NR NR 20-24 NR NR 25-29 NR NR 30-34 NR NR 35-39 NR NR 40-44 NR NR 45-49 NR NR 50-54 NR NR 55-59 NR NR 60-64 NR NR 65-69 NR NR 70-74 NR NR 75-79 NR NR 80-84 NR NR 85-89 NR NR 90+ NR NR Unknown NR NR Total NR NR NR NR NR NR Blue Plus (HMO Minnesota dba Blue Plus) Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 Public Information, Minnesota Statutes § 62D.08 Type of Product: Medicare Cost Age of Enrollees Members at End of Period Male Female Member Months Total Male Female Total <1 NR NR 1-4 NR NR 5-9 NR NR 10-14 1 - 15-17 1 4 - NR 4 NR 18-19 1 - 1 4 - 4 20-24 4 2 6 48 20 68 25-29 10 4 14 86 48 134 30-34 16 17 33 143 143 286 35-39 23 36 59 236 349 585 40-44 54 47 101 542 454 996 45-49 103 92 195 1,086 982 2,068 50-54 206 247 453 2,009 2,495 4,504 55-59 417 397 814 4,172 3,973 8,145 60-64 725 641 1,366 7,395 6,532 13,927 65-69 11,952 13,448 25,400 120,482 134,970 255,452 70-74 7,525 8,368 15,893 86,213 96,026 182,239 75-79 5,842 6,897 12,739 67,208 79,889 147,097 80-84 4,069 5,310 9,379 47,048 61,564 108,612 85-89 2,090 3,088 5,178 24,072 35,320 59,392 90+ 819 1,674 2,493 9,391 19,043 28,434 Unknown Total NR 33,857 40,268 74,125 NR 370,139 441,808 811,947 Blue Plus (HMO Minnesota dba Blue Plus) Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 Public Information, Minnesota Statutes § 62D.08 Type of Product: Minnesota Senior Health Options (MSHO) Age of Enrollees Members at End of Period Male Female Total Member Months Male Female Total <1 NR NR 1-4 NR NR 5-9 NR NR 10-14 NR NR 15-17 NR NR 18-19 NR NR 20-24 NR NR 25-29 NR NR 30-34 NR NR 35-39 NR NR 40-44 NR NR 45-49 NR NR 50-54 NR NR 55-59 NR NR 60-64 NR NR 65-69 384 631 1,015 3,899 6,613 10,512 70-74 478 910 1,388 5,464 10,574 16,038 75-79 459 948 1,407 5,207 10,831 16,038 80-84 423 1,170 1,593 4,639 13,094 17,733 85-89 348 1,359 1,707 3,746 15,063 18,809 90+ 294 1,905 2,199 3,156 21,190 24,346 Unknown Total NR 2,386 6,923 9,309 NR 26,111 77,365 103,476 Blue Plus (HMO Minnesota dba Blue Plus) Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 Public Information, Minnesota Statutes § 62D.08 Type of Product: Special Needs Basic Care (MA only) Age of Enrollees Members at End of Period Male Female Total Member Months Male Female Total <1 NR NR 1-4 NR NR 5-9 NR NR 10-14 NR NR 15-17 NR NR 18-19 NR NR 20-24 NR NR 25-29 NR NR 30-34 NR NR 35-39 NR NR 40-44 NR NR 45-49 NR NR 50-54 NR NR 55-59 NR NR 60-64 NR NR 65-69 NR NR 70-74 NR NR 75-79 NR NR 80-84 NR NR 85-89 NR NR 90+ NR NR Unknown NR NR Total NR NR NR NR NR NR Blue Plus (HMO Minnesota dba Blue Plus) Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 Public Information, Minnesota Statutes § 62D.08 Type of Product: Special Needs Basic Care Integrated Age of Enrollees Members at End of Period Male Female Total Member Months Male Female Total <1 NR NR 1-4 NR NR 5-9 NR NR 10-14 NR NR 15-17 NR NR 18-19 NR NR 20-24 NR NR 25-29 NR NR 30-34 NR NR 35-39 NR NR 40-44 NR NR 45-49 NR NR 50-54 NR NR 55-59 NR NR 60-64 NR NR 65-69 NR NR 70-74 NR NR 75-79 NR NR 80-84 NR NR 85-89 NR NR 90+ NR NR Unknown NR NR Total NR NR NR NR NR NR Blue Plus (HMO Minnesota dba Blue Plus) Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 Public Information, Minnesota Statutes § 62D.08 Type of Product: Prepaid Medical Assistance Program (PMAP) Age of Enrollees Members at End of Period Male Female Member Months Total Male Female Total <1 2,188 2,039 4,227 13,111 12,486 25,597 1-4 6,370 6,067 12,437 61,656 59,032 120,688 5-9 6,486 6,456 12,942 63,035 62,377 125,412 10-14 5,043 5,017 10,060 49,784 49,061 98,845 15-17 2,407 2,390 4,797 23,705 23,417 47,122 18-19 971 1,340 2,311 8,792 11,589 20,381 20-24 1,638 3,911 5,549 11,925 31,533 43,458 25-29 1,679 4,254 5,933 12,921 37,071 49,992 30-34 1,872 3,802 5,674 15,326 34,283 49,609 35-39 1,339 2,583 3,922 11,214 23,734 34,948 40-44 1,298 1,837 3,135 11,273 16,929 28,202 45-49 1,280 1,424 2,704 11,397 12,837 24,234 50-54 1,196 1,177 2,373 10,736 10,632 21,368 55-59 778 707 1,485 7,073 6,384 13,457 60-64 402 355 757 3,733 3,204 6,937 65-69 9 18 27 34 95 129 70-74 4 4 8 4 4 8 75-79 - 3 3 - 3 3 80-84 1 2 3 1 2 3 85-89 - 1 1 - 1 1 90+ 2 - 2 3 - 3 Unknown Total NR 34,963 43,387 78,350 NR 315,723 394,674 710,397 Blue Plus (HMO Minnesota dba Blue Plus) Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 Public Information, Minnesota Statutes § 62D.08 Type of Product: MNCare Age of Enrollees Members at End of Period Male Female Member Months Total Male Female Total <1 216 200 416 1,375 1,236 2,611 1-4 1,371 1,335 2,706 12,840 12,739 25,579 5-9 2,139 2,035 4,174 21,533 20,301 41,834 10-14 2,229 2,075 4,304 22,931 21,397 44,328 15-17 1,308 1,285 2,593 13,775 13,419 27,194 18-19 884 920 1,804 8,890 9,070 17,960 20-24 1,013 1,572 2,585 9,153 14,050 23,203 25-29 1,055 1,620 2,675 9,283 14,811 24,094 30-34 1,309 1,718 3,027 12,149 16,541 28,690 35-39 1,045 1,401 2,446 10,077 13,941 24,018 40-44 1,109 1,607 2,716 10,715 15,850 26,565 45-49 1,237 1,879 3,116 12,192 18,841 31,033 50-54 1,310 2,000 3,310 12,908 19,850 32,758 55-59 1,179 1,639 2,818 11,674 16,354 28,028 60-64 943 1,390 2,333 9,425 14,084 23,509 65-69 15 23 38 157 235 392 70-74 2 7 9 20 61 81 75-79 2 - 2 23 - 23 80-84 1 - 1 9 - 9 85-89 1 1 2 12 12 24 90+ NR NR Unknown NR NR Total 18,368 22,707 41,075 179,141 222,791 401,932 Blue Plus (HMO Minnesota dba Blue Plus) Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 Public Information, Minnesota Statutes § 62D.08 Type of Product: Other: Age of Enrollees Members at End of Period Male Female Total Member Months Male Female Total <1 NR NR 1-4 NR NR 5-9 NR NR 10-14 NR NR 15-17 NR NR 18-19 NR NR 20-24 NR NR 25-29 NR NR 30-34 NR NR 35-39 NR NR 40-44 NR NR 45-49 NR NR 50-54 NR NR 55-59 NR NR 60-64 NR NR 65-69 NR NR 70-74 NR NR 75-79 NR NR 80-84 NR NR 85-89 NR NR 90+ NR NR Unknown NR NR Total NR NR NR NR NR NR Blue Plus (HMO Minnesota dba Blue Plus) Minnesota Supplement Report #6 ENROLLMENT BY DEMOGRAPHIC GROUPS, AGE, GENDER AND ENROLLEE MONTHS OF PARTICIPATION As of December 31, 2012 Public Information, Minnesota Statutes § 62D.08 Type of Product: Administrative Services Only Age of Enrollees Members at End of Period Male Female Member Months Total Male Female Total <1 98 79 177 583 416 998 1-4 396 382 778 4,226 4,075 8,301 5-9 602 583 1,185 6,460 6,162 12,621 10-14 699 639 1,338 7,742 6,849 14,590 15-17 460 444 904 5,073 4,840 9,913 18-19 325 311 636 3,420 3,297 6,717 20-24 760 843 1,603 8,158 8,622 16,780 25-29 407 713 1,120 4,066 7,100 11,166 30-34 477 665 1,142 5,000 7,102 12,102 35-39 516 711 1,227 5,546 7,658 13,204 40-44 671 890 1,561 7,455 9,600 17,055 45-49 652 946 1,598 7,272 10,482 17,754 50-54 783 1,086 1,869 8,719 12,057 20,775 55-59 788 1,261 2,049 8,755 14,071 22,826 60-64 756 1,134 1,890 8,400 12,497 20,896 65-69 96 117 213 1,053 1,344 2,397 70-74 26 14 40 294 150 444 75-79 8 3 11 96 28 124 80-84 - 3 3 - 30 30 85-89 1 - 1 12 - 12 90+ - 1 1 - 10 10 Unknown Total NR 8,521 10,825 19,346 NR 92,327 116,385 208,712 Blue Plus (HMO Minnesota dba Blue Plus) Minnesota Supplement Report #6 ENROLLMENT BY COUNTY AND PRODUCT TYPE As of December 31, 2012 Public Information, Minnesota Statutes § 62D.08 Other: County (code) Medicare + Choice Commercial Medicare Cost MN Senior Health Options (MSHO) Special Needs Basic Care (MA Only) Special Needs Basic Care Integrated Prepaid Medical Assistance Program (PMAP) Please Specify on Demog Page MNCare Administrative Services Only Total Enrollees Aitkin 1 22 - 506 98 - - 732 492 45 Anoka 2 145 - 2,187 247 - - 60 44 253 1,895 2,936 Becker 3 27 - 989 204 - - 1,572 603 415 3,810 Beltrami 4 5 - 851 15 - - 18 1,169 119 2,177 Benton 5 30 - 574 105 - - 1,296 439 306 2,750 Big Stone 6 - - 151 5 - - 12 89 4 261 Blue Earth 7 39 - 1,329 35 - - 966 610 1,212 4,191 Brown 8 18 - 826 5 - - 26 237 86 1,198 Carlton 9 56 - 704 154 - - 633 258 222 2,027 Carver 10 21 - 733 87 - - 8 9 111 969 Cass 11 21 - 507 103 - - 1,492 924 92 3,139 Chippewa 12 41 - 460 135 - - 662 272 33 1,603 Chisago 13 41 - 680 66 - - 796 541 88 2,212 Clay 14 6 - 730 249 - - 2,447 537 470 4,439 Clearwater 15 3 - 221 4 - - 4 335 - 567 Cook 16 5 - 176 26 - - 101 120 113 541 Cottonwood 17 2 - 350 41 - - 465 140 9 1,007 Crow Wing 18 58 - 1,450 220 - - 2,625 1,899 42 6,294 Dakota 19 1,203 - 4,249 288 - - 6,474 2,928 1,106 16,248 Dodge 20 10 - 311 9 - - 12 171 26 539 Douglas 21 23 - 911 38 - - 8 531 287 1,798 Faribault 22 34 - 656 94 - - 626 224 135 1,769 Fillmore 23 4 - 758 177 - - 1,065 453 48 2,505 Freeborn 24 137 - 1,043 4 - - 1,327 474 87 3,072 Goodhue 25 12 - 990 6 - - 63 358 86 1,515 Grant 26 2 - 181 11 - - 11 160 92 457 Hennepin 27 454 - 9,229 189 - - 108 77 1,405 11,462 Houston 28 2 - 368 83 - - 626 232 5 1,316 Hubbard 29 33 - 583 14 - - 68 692 72 1,462 Isanti 30 1 - 334 40 - - 870 464 11 1,720 Itasca 31 26 - 886 9 - - 24 392 487 1,824 Jackson 32 7 - 123 59 - - 423 143 2 757 Kanabec 33 4 - 233 8 - - 49 366 16 676 Kandiyohi 34 100 - 1,694 300 - - 3,313 961 107 6,475 Kittson 35 - - 151 58 - - 184 186 29 608 Blue plus 2012 Page 11 of 15 Blue Plus (HMO Minnesota dba Blue Plus) Minnesota Supplement Report #6 ENROLLMENT BY COUNTY AND PRODUCT TYPE As of December 31, 2012 Public Information, Minnesota Statutes § 62D.08 Other: County (code) Medicare + Choice Commercial Medicare Cost MN Senior Health Options (MSHO) Special Needs Basic Care (MA Only) Special Needs Basic Care Integrated Prepaid Medical Assistance Program (PMAP) Please Specify on Demog Page MNCare Administrative Services Only Total Enrollees Koochiching 36 18 - 420 40 - - 185 151 2 816 Lac Qui Parle 37 11 - 341 93 - - 320 129 18 912 Lake 38 13 - 291 50 - - 287 162 89 892 Lake of the Woods 39 - - 54 2 - - 264 220 72 612 Le Sueur 40 38 - 784 161 - - 921 348 455 2,707 Lincoln 41 - - 220 54 - - 273 130 4 681 Lyon 42 32 - 559 219 - - 1,296 411 14 2,531 McLeod 43 2 - 1,143 12 - - 6 405 35 1,603 Mahnomen 44 1 - 135 45 - - 140 86 12 419 Marshall 45 1 - 212 106 - - 370 229 31 949 Martin 46 13 - 621 145 - - 1,022 324 62 2,187 Meeker 47 12 - 666 6 - - 29 289 264 1,266 Mille Lacs 48 20 - 490 74 - - 819 631 21 2,055 Morrison 49 245 - 619 86 - - 90 757 48 1,845 Mower 50 31 - 768 109 - - 2,252 591 10 3,761 Murray 51 3 - 185 91 - - 427 174 16 896 Nicollett 52 24 - 768 66 - - 792 283 608 2,541 2,598 Nobles 53 4 - 272 153 - - 1,869 270 30 Norman 54 1 - 129 45 - - 334 167 106 782 Olmsted 55 21 - 1,597 334 - - 5,006 1,357 32 8,347 Otter Tail 56 17 - 1,892 371 - - 1,916 1,215 570 5,981 Pennington 57 18 - 374 124 - - 957 308 164 1,945 Pine 58 9 - 373 86 - - 1,067 502 128 2,165 Pipestone 59 20 - 119 5 - - 39 137 32 352 Polk 60 12 - 588 282 - - 1,902 699 25 3,508 Pope 61 3 - 308 10 - - 4 197 31 553 Ramsey 62 677 - 3,661 422 - - 10,053 2,997 888 18,698 Red Lake 63 25 - 209 50 - - 204 104 76 668 Redwood 64 5 - 516 86 - - 558 359 29 1,553 Renville 65 48 - 344 8 - - 27 204 12 643 Rice 66 46 - 832 122 - - 1,197 443 100 2,740 Rock 67 2 - 252 48 - - 305 155 7 769 Roseau 68 4 - 339 140 - - 470 269 15 1,237 Saint Louis 69 400 - 4,151 286 - - 2,938 1,619 1,521 10,915 Scott 70 201 - 1,125 93 - - 15 8 229 1,671 Blue plus 2012 Page 12 of 15 Blue Plus (HMO Minnesota dba Blue Plus) Minnesota Supplement Report #6 ENROLLMENT BY COUNTY AND PRODUCT TYPE As of December 31, 2012 Public Information, Minnesota Statutes § 62D.08 Other: County (code) Medicare + Choice Commercial Medicare Cost MN Senior Health Options (MSHO) Special Needs Basic Care (MA Only) Special Needs Basic Care Integrated Prepaid Medical Assistance Program (PMAP) Please Specify on Demog Page MNCare Administrative Services Only Total Enrollees Sherburne 71 39 - 665 98 - - 1,208 771 179 Sibley 72 3 - 337 10 - - 6 186 63 2,960 605 Stearns 73 59 - 2,716 346 - - 3,724 1,695 1,354 9,894 Steele 74 7 - 817 14 - - 25 287 95 1,245 Stevens 75 9 - 141 1 - - 1 127 5 284 Swift 76 13 - 271 133 - - 628 232 7 1,284 Todd 77 15 - 635 83 - - 23 774 54 1,584 Traverse 78 1 - 92 2 - - - 78 39 212 Wabasha 79 3 - 669 14 - - 21 229 103 1,039 Wadena 80 6 - 443 88 - - 164 524 48 1,273 Waseca 81 6 - 622 4 - - 19 219 122 992 Washington 82 173 - 2,246 168 - - 65 43 1,785 4,480 Watonwan 83 7 - 329 57 - - 363 119 141 1,016 Wilkin 84 - - 136 57 - - 390 86 6 675 Winona 85 31 - 638 265 - - 1,983 657 89 3,663 Wright 86 26 - 1,361 201 - - 1,649 926 894 5,057 Yellow Medicine 87 31 - 315 127 - - 490 214 62 1,239 18,423 225,519 State Total 88 4,998 - 73,914 8,878 - - 78,279 41,027 Outside State 89 106 - 211 431 - - 71 48 923 Unknown 90 - - - - - - - - 0 SUBTOTAL 91 5,104 - 74,125 9,309 - - 78,350 41,075 Blue plus 2012 Page 13 of 15 NR NR 19,346 1,790 227,309 Addie Aitkin Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook Cottonwoo d Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson Koochichin g Lac qui Parle Lake Lake of the Woods Le Sueur Lincoln Lyon McLeod Mahnome n Marshall Martin Meeker Mille Lacs Morrison template Aitkin Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Cottonwoo 1 Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Koochichin 1 Lac Qui Pa Lake 1 1 Lake of the Le Sueur Lincoln Lyon McLeod 1 1 1 1 1 Mahnomen Marshall Martin Meeker Mille Lacs Morrison 1 1 1 1 1 1 Aitkin Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook Cottonwoo d 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson Koochichin g Lac qui Parle Lake Lake of the Woods Le Sueur Lincoln Lyon McLeod Mahnome n Marshall Martin Meeker Mille Lacs Morrison 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Mower Murray Nicollet Nobles Norman Olmsted Otter Tail Penningto n Pine Pipestone Polk Pope Ramsey Red Lake Redwood Renville Rice Rock Roseau Mower Murray Nicollett Nobles Norman Olmsted Otter Tail 1 1 0 1 1 1 1 Pennington Pine Pipestone Polk Pope Ramsey Red Lake Redwood Renville Rice Rock Roseau 1 1 1 1 1 1 1 1 1 1 1 1 Saint Louis Scott Sherburne Sibley Stearns Steele Stevens Swift Todd Traverse Wabasha Wadena Waseca Washingto n Watonwan Wilkin Winona Wright Yellow Medicine Saint Louis Scott Sherburne Sibley Stearns Steele Stevens Swift Todd Traverse Wabasha Wadena Waseca 1 1 1 1 1 1 1 1 1 1 1 1 1 Washingto Watonwan Wilkin Winona Wright 1 1 1 1 1 Yellow Me 1 1 STATE TOTAL State Tota OUTSIDE STATE Outside St TOTAL Unknown SUBTOTA 1 1 0 0 Mower Murray Nicollet Nobles Norman Olmsted Otter Tail Penningto n Pine Pipestone Polk Pope Ramsey Red Lake Redwood Renville Rice Rock Roseau 1 1 1 1 1 1 1 Saint Louis Scott Sherburne Sibley Stearns Steele Stevens Swift Todd Traverse Wabasha Wadena Waseca Washingto n Watonwan Wilkin Winona Wright Yellow Medicine 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
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