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[null,"                           Instructions: Enter responses in yellow highlighted fields.\nNote:  This eList Tool contains imbedded macros to ensure automated Installation.  DO NOT REMOVE PROTECTION. Do not attempt to alter, hide, move or delete any columns on the Tool’s Entry Tab or change the file type as these actions will corrupt the macros; if this happens you will be asked to provide a replacement Tool which will delay the Underwriting and Installation/Enrollment processes.   After opening the eList tool, it is important that you “Enable Content” first.  The ‘Enable Content’ button is found toward the top of the Tool on the yellow Security Warning strip.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0 days"]
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[null,null,"Waive waiting period for present employees enrolling with the group?",null,null,null,null,null,"No",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TN"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AC353=\"\",\"\",IF(AC353=\"Subscriber\",AB352+1,AB352))","v":""},{"$f":"IF('Entry Tab'!A353=\"\",\"\",IF(TRIM('Entry Tab'!E353)=\"\",\"Subscriber\",IF(OR(TRIM('Entry Tab'!E353)=\"Wife\",TRIM('Entry Tab'!E353)=\"Husband\"),\"Spouse\",\"Child\")))","v":""}]

{"sheet":"Trad Master","index":4,"n_rows":1,"n_cols":61,"rows_kept":1,"cut":false,"hidden":true,"merged":[]}
[null,"EE Transaction Type","Dependent Transaction Type","Effective Date","EE Signature","EE Signature Date","Control","Suffix","Account","Plan Number","Claim Office","Network ID Number","Customer Code","EE SSN","Dependent SSN","Dependent Relationship","Last Name","First Name","Middle Initial","DOB","Gender","Ethnicity","PCP/PCD","PCP/PCD Current Patient","Provider Cap Office Number","COB","Dep Student Indicator","Dep OOA Indicator","EE Prior Coverage Indicator","EE Late Entrant","EE Language Indicator","Hire Date","Earnings","Earnings Frequency","Beneficiary (Last Name, First Name MI)","Beneficiary Relationship","Continuation of Coverage Expiration Date","Continuation of Coverage Event Date","Continuation of Coverage Length of Coverage","Work Location Zip Code","Street Address Line 1","Street Address Line 2","City","State","Zip Code","Home Phone Number","Work Phone Number","Accept Code","Evidence Code","EE Email Address","Communication Disability Code","EE Alternate ID","Dep Alternate ID","Old Control","Old Suffix","Old Account","New Control","New Suffix","New Account","Tobacco Indicator","Name Prefix"]

{"sheet":"Waiver Master","index":5,"n_rows":2,"n_cols":3,"rows_kept":2,"cut":false,"hidden":true,"merged":[]}
["Please list all employees waiving Medical coverage, complete all areas highlighted in gray."]
["Last Name","First Name ","Insert Reason for Waiving Health Coverage  (select one from the list below):\nSpousal group coverage\nParental group coverage\nCOBRA coverage\nMedicare\nMedicaid\nTricare Military coverage\nAnother group plan provided by my employer \nIndividual coverage\nRetiree coverage\nDo not want\nOther - provide reason if not listed"]

{"sheet":"Locations","index":6,"n_rows":351,"n_cols":8,"rows_kept":351,"cut":false,"hidden":true,"merged":[]}
["Address Line1*","Address Line2","City*","State*","Zip Code*","Business Phone #","Business Fax","For Sort"]
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{"sheet":"ID","index":7,"n_rows":1,"n_cols":13,"rows_kept":1,"cut":false,"hidden":true,"merged":[]}
["ID","TPAID","Employer ID","Employee ID","Last Name","First Name","Address Line 1","Address Line 2","City","State","Zip","Country","Dependent ID"]

{"sheet":"IC","index":8,"n_rows":1,"n_cols":18,"rows_kept":1,"cut":false,"hidden":true,"merged":[]}
["IC","TPAID","Employer ID","Employee ID","Plan Start Date","Plan End Date","Act Status","Cov Tier","Plan ID","Act type code","eff date","term date","ER per pay period","EE per pay period","Annual Election","Calendar ID","First Payroll date","Auto Link Dependents"]

{"sheet":"IB","index":9,"n_rows":1,"n_cols":14,"rows_kept":1,"cut":false,"hidden":true,"merged":[]}
["IB","TPAID","Employer ID","Employee ID","Last Name","First Name","Address Line 1","Address Line 2","City","State","Zip","Country","DOB","SSN"]

{"sheet":"IZ","index":10,"n_rows":1,"n_cols":8,"rows_kept":1,"cut":false,"hidden":true,"merged":[]}
["IZ","TPA ID","Employer ID","Employee ID","Employee SSN","Effective Date","Termination Date","Division"]

{"sheet":"Springboard","index":11,"n_rows":1,"n_cols":22,"rows_kept":1,"cut":false,"hidden":true,"merged":[]}
["*Relationship Change","Employment Status","*Last Name","*First Name","SSN","*Date of Birth","*Gender","Address Line 1","Address Line 2","City","State","Zip","Hire Date","Work Email","*Medical Tier","*Dental Tier","Last 4 SSN","EE SSN","Tier Step 1","Tier Step 2","Medical Plan","Medical Enrollments By Plan Key"]

{"sheet":"Medical Enrollments By Plans","index":12,"n_rows":8,"n_cols":12,"rows_kept":8,"cut":false,"hidden":true,"merged":[]}
[null,null,"Plan 1","Plan 2","Plan 3","Plan 4","Plan 5","Plan 6","Plan 7","Plan 8","Plan 9","Plan 10"]
[]
["Employee Only",{"$f":"SUM(C3:L3)","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!C$2,\":\",'Medical Enrollments By Plans'!$A3))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!D$2,\":\",'Medical Enrollments By Plans'!$A3))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!E$2,\":\",'Medical Enrollments By Plans'!$A3))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!F$2,\":\",'Medical Enrollments By Plans'!$A3))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!G$2,\":\",'Medical Enrollments By Plans'!$A3))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!H$2,\":\",'Medical Enrollments By Plans'!$A3))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!I$2,\":\",'Medical Enrollments By Plans'!$A3))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!J$2,\":\",'Medical Enrollments By Plans'!$A3))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!K$2,\":\",'Medical Enrollments By Plans'!$A3))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!L$2,\":\",'Medical Enrollments By Plans'!$A3))","v":0}]
["Employee + Spouse",{"$f":"SUM(C4:L4)","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!C$2,\":\",'Medical Enrollments By Plans'!$A4))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!D$2,\":\",'Medical Enrollments By Plans'!$A4))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!E$2,\":\",'Medical Enrollments By Plans'!$A4))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!F$2,\":\",'Medical Enrollments By Plans'!$A4))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!G$2,\":\",'Medical Enrollments By Plans'!$A4))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!H$2,\":\",'Medical Enrollments By Plans'!$A4))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!I$2,\":\",'Medical Enrollments By Plans'!$A4))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!J$2,\":\",'Medical Enrollments By Plans'!$A4))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!K$2,\":\",'Medical Enrollments By Plans'!$A4))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!L$2,\":\",'Medical Enrollments By Plans'!$A4))","v":0}]
["Employee + Children",0,{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!C$2,\":\",'Medical Enrollments By Plans'!$A5))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!D$2,\":\",'Medical Enrollments By Plans'!$A5))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!E$2,\":\",'Medical Enrollments By Plans'!$A5))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!F$2,\":\",'Medical Enrollments By Plans'!$A5))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!G$2,\":\",'Medical Enrollments By Plans'!$A5))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!H$2,\":\",'Medical Enrollments By Plans'!$A5))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!I$2,\":\",'Medical Enrollments By Plans'!$A5))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!J$2,\":\",'Medical Enrollments By Plans'!$A5))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!K$2,\":\",'Medical Enrollments By Plans'!$A5))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!L$2,\":\",'Medical Enrollments By Plans'!$A5))","v":0}]
["Employee + Family",0,{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!C$2,\":\",'Medical Enrollments By Plans'!$A6))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!D$2,\":\",'Medical Enrollments By Plans'!$A6))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!E$2,\":\",'Medical Enrollments By Plans'!$A6))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!F$2,\":\",'Medical Enrollments By Plans'!$A6))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!G$2,\":\",'Medical Enrollments By Plans'!$A6))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!H$2,\":\",'Medical Enrollments By Plans'!$A6))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!I$2,\":\",'Medical Enrollments By Plans'!$A6))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!J$2,\":\",'Medical Enrollments By Plans'!$A6))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!K$2,\":\",'Medical Enrollments By Plans'!$A6))","v":0},{"$f":"COUNTIF(Springboard!$V:$V,CONCATENATE('Medical Enrollments By Plans'!L$2,\":\",'Medical Enrollments By Plans'!$A6))","v":0}]
["Total Subscribers",0,{"$f":"SUM(C3:C6)","v":0},{"$f":"SUM(D3:D6)","v":0},0,0,0,{"$f":"SUM(H3:H6)","v":0},{"$f":"SUM(I3:I6)","v":0},{"$f":"SUM(J3:J6)","v":0},{"$f":"SUM(K3:K6)","v":0},{"$f":"SUM(L3:L6)","v":0}]
["Total Members",0,{"$f":"COUNTIF(Springboard!$U:$U,'Medical Enrollments By Plans'!C2)","v":0},{"$f":"COUNTIF(Springboard!$U:$U,'Medical Enrollments By Plans'!D2)","v":0},{"$f":"COUNTIF(Springboard!$U:$U,'Medical Enrollments By Plans'!E2)","v":0},{"$f":"COUNTIF(Springboard!$U:$U,'Medical Enrollments By Plans'!F2)","v":0},{"$f":"COUNTIF(Springboard!$U:$U,'Medical Enrollments By Plans'!G2)","v":0},{"$f":"COUNTIF(Springboard!$U:$U,'Medical Enrollments By Plans'!H2)","v":0},{"$f":"COUNTIF(Springboard!$U:$U,'Medical Enrollments By Plans'!I2)","v":0},{"$f":"COUNTIF(Springboard!$U:$U,'Medical Enrollments By Plans'!J2)","v":0},{"$f":"COUNTIF(Springboard!$U:$U,'Medical Enrollments By Plans'!K2)","v":0},{"$f":"COUNTIF(Springboard!$U:$U,'Medical Enrollments By Plans'!L2)","v":0}]