2016 Employer Health Benefits Survey

    Section One: Cost of Health Insurance
    View Exhibits
    1. Exhibit 1.1: Average Monthly and Annual Premiums for Covered Workers, Single and Family Coverage, by Plan Type, 2016
    2. Exhibit 1.2: Average Monthly and Annual Premiums for Covered Workers, by Plan Type and Firm Size, 2016
    3. Exhibit 1.3: Average Monthly and Annual Premiums for Covered Workers, by Plan Type and Region, 2016
    4. Exhibit 1.4: Average Monthly and Annual Premiums for Covered Workers, by Plan Type and Industry, 2016
    5. Exhibit 1.5: Average Annual Premiums for Covered Workers with Single Coverage, by Firm Characteristics and Firm Size, 2016
    6. Exhibit 1.6: Average Annual Premiums for Covered Workers with Family Coverage, by Firm Characteristics and Firm Size, 2016
    7. Exhibit 1.7: Distribution of Annual Premiums for Single and Family Coverage Relative to the Average Annual Single or Family Premium, 2016
    8. Exhibit 1.8: Distribution of Premiums for Single and Family Coverage Relative to the Average Annual Single or Family Premium, 2016
    9. Exhibit 1.9: Distribution of Annual Premiums for Covered Workers with Single Coverage, 2016
    10. Exhibit 1.10: Distribution of Annual Premiums for Covered Workers with Family Coverage, 2016
    11. Exhibit 1.11: Average Annual Premiums for Single and Family Coverage, 1999-2016
    12. Exhibit 1.12: Average Annual Premiums for Covered Workers with Family Coverage, by Firm Size, 1999-2016
    13. Exhibit 1.13: Average Annual Premiums for Covered Workers with Family Coverage, by Firm Size, 1999-2016
    14. Exhibit 1.14: Average Annual Premiums for Covered Workers with Single Coverage, by Firm Wage Level, 1999-2016
    15. Exhibit 1.15: Average Annual Premiums for Covered Workers with Family Coverage, by Firm Wage Level, 1999-2016
    16. Exhibit 1.16: Total Premium Increases for Covered Workers with Family Coverage, 2001-2016
    17. Exhibit 1.17: Among Workers in Large Firms (200 or More Workers), Average Annual Health Insurance Premiums for Family Coverage, by Funding Arrangement, 1999-2016
    Section Two: Health Benefits Offer Rates
    View Exhibits
    1. Exhibit 2.1: Percentage of Firms Offering Health Benefits, 1999-2016
    2. Exhibit 2.2: Percentage of Firms Offering Health Benefits, by Firm Size, 1999-2016
    3. Exhibit 2.3: Percentage of Firms Offering Health Benefits, by Firm Size, Region, and Industry, 2016
    4. Exhibit 2.4: Percentage of Firms Offering Health Benefits to At Least Some of Their Workers, by Firm Size, 2016
    5. Exhibit 2.5: Percentage of Firms Offering Health Benefits, by Firm Size, 1999-2016
    6. Exhibit 2.6: Among Firms Offering Health Benefits, Percentage That Offer Health Benefits to Part-Time Workers, by Firm Size, 1999-2016
    7. Exhibit 2.7: Among Firms Offering Health Benefits, Percentage of Firms That Offer to Part-Time Workers, by Firm Size, 2016
    8. Exhibit 2.8: Among Firms Offering Health Benefits, Percentage of Firms That Offer to Temporary Workers, by Firm Size, 1999-2016
    9. Exhibit 2.9: Among Firms Offering Health Benefits, Percentage of Firms That Offer to Part-Time Workers, by Firm Size, 1999-2016
    10. Exhibit 2.10: Among Firms Offering Health Benefits, Percentage of Firms That Offer to Temporary Workers, by Firm Size, 1999-2016
    11. Exhibit 2.11: Among Firms Offering Health Benefits, Percentage of Firms That Offer to Spouses, Dependents and Partners, 2016
    12. Exhibit 2.12: Among Firms Offering Benefits, Percentage of Firms That Offer to Same-Sex and Opposite-Sex Domestic Partners, By Firm Size, Region and Industry, 2016
    13. Exhibit 2.13: Among Firms Offering Health Benefits, Percentage of Firms That Offer to Unmarried Same-Sex and Opposite-Sex Domestic Partners, by Firm Size, 2008-2016
    14. Exhibit 2.14: Among Firms Offering Health Benefits to Spouses, Firm’s Approach to Spousal Coverage, by Firm Size, 2016
    15. Exhibit 2.15: Among Firms Offering Health Benefits to Spouses, Percentage of Firms That Have Made a Significant Reduction in the Amount They Contribute to Cover an Employee's Spouse in the Last Year, by Firm Size, Region, and Industry, 2016
    16. Exhibit 2.16: Among Firms Offering Benefits, Percentage of Firms That Provide Additional Incentives to Employees for Various Enrollment Decisions, by Firm Size, 2016
    17. Exhibit 2.17: Among Small Firms Not Offering Health Benefits, Most Important Reason for Not Offering, 2016
    18. Exhibit 2.18: Among Small Firms (3-199 Workers) Not Offering Health Benefits, Percentage of Firms That Report the Following Actions, 2009-2016
    19. Exhibit 2.19: Among Small Firms Not Offering Health Benefits, Percentage of Firms That Provide Employees Funds to Purchase Non-Group Insurance, by Firm Size, 2012-2016
    20. Exhibit 2.20: Among Firms With 3-50 Full-Time Equivalents (FTEs) Not Offering and Offering Health Benefits, Percentage of Firms That Looked at Coverage Through a SHOP Exchange, by Firm Size, 2016
    21. Exhibit 2.21: Among Firms With 3-50 Full-Time Equivalents (FTEs) Not Offering Health Benefits Who Looked at Coverage Through a SHOP Exchange, Reasons Why They Did Not Purchase a Plan, 2016
    22. Exhibit 2.22: Among Firms With 3-50 Full-Time Equivalents (FTEs) Offering Health Benefits Who Looked at Coverage Through a SHOP Exchange, Reasons Why They Did Not Purchase a Plan, 2016
    Section Six: Worker and Employer Contributions for Premiums
    View Exhibits
    1. Exhibit 6.1: Average Percentage of Premium Paid by Covered Workers for Single and Family Coverage, 1999-2016
    2. Exhibit 6.2: Average Monthly Worker Premium Contributions Paid by Covered Workers for Single and Family Coverage, 1999-2016
    3. Exhibit 6.3: Average Annual Worker and Employer Contributions to Premiums and Total Premiums for Single Coverage, 1999-2016
    4. Exhibit 6.4: Average Annual Worker and Employer Contributions to Premiums and Total Premiums for Family Coverage, 1999-2016
    5. Exhibit 6.5: Average Annual Firm and Worker Premium Contributions and Total Premiums for Covered Workers for Single and Family Coverage, by Plan Type, 2016
    6. Exhibit 6.6: Average Annual Firm and Worker Premium Contributions and Total Premiums for Covered Workers for Single and Family Coverage, by Firm Size, 2016
    7. Exhibit 6.7: Average Annual Firm and Worker Premium Contributions and Total Premiums for Covered Workers for Single and Family Coverage, by Firm Wage Level, 2016
    8. Exhibit 6.8: Average Annual Worker Premium Contributions Paid by Covered Workers for Single Coverage, by Firm Size, 1999-2016
    9. Exhibit 6.9: Average Annual Worker Premium Contributions Paid by Covered Workers for Family Coverage, by Firm Size, 1999-2016
    10. Exhibit 6.10: Average Annual Worker Premium Contributions Paid by Covered Workers for Single and Family Coverage, by Firm Size, 1999-2016
    11. Exhibit 6.11: Average Annual Firm and Worker Premium Contributions and Total Premiums for Covered Workers for Single Coverage, by Plan Type and Firm Size, 2016
    12. Exhibit 6.12: Average Annual Firm and Worker Premium Contributions and Total Premiums for Covered Workers for Family Coverage, by Plan Type and Firm Size, 2016
    13. Exhibit 6.13: Average Monthly and Annual Worker Premium Contributions Paid by Covered Workers for Single and Family Coverage, by Plan Type and Firm Size, 2016
    14. Exhibit 6.14: Average Monthly and Annual Worker Premium Contributions Paid by Covered Workers for Single and Family Coverage, by Plan Type and Region, 2016
    15. Exhibit 6.15: Average Annual Premium Contribution Paid by Covered Workers for Single and Family Coverage, by Firm Characteristics, 2016
    16. Exhibit 6.16: Distribution of Worker Premium Contributions for Single and Family Coverage Relative to the Average Annual Worker Premium Contribution, 2016
    17. Exhibit 6.17: Distribution of Percentage of Premium Paid by Covered Workers for Single and Family Coverage, 2002-2016.
    18. Exhibit 6.18: Distribution of Percentage of Premium Paid by Covered Workers for Single Coverage, by Firm Size, 2002-2016
    19. Exhibit 6.19: Distribution of Percentage of Premium Paid by Covered Workers for Family Coverage, by Firm Size, 2002-2016
    20. Exhibit 6.20: Distribution of the Percentage of Total Premium Paid by Covered Workers for Single and Family Coverage, by Firm Wage Level, 2016
    21. Exhibit 6.21: Average Percentage of Premium Paid by Covered Workers for Single Coverage, by Firm Characteristics and Size, 2016
    22. Exhibit 6.22: Average Percentage of Premium Paid by Covered Workers for Family Coverage, by Firm Characteristics and Size, 2016
    23. Exhibit 6.23: Average Percentage of Premium Paid by Covered Workers for Single and Family Coverage, by Plan Type and Firm Size, 2016
    24. Exhibit 6.24: Average Percentage of Premium Paid by Covered Workers for Single and Family Coverage, by Plan Type and Region, 2016
    25. Exhibit 6.25: Average Percentage of Premium Paid by Covered Workers, by Plan Type and Industry, 2016
    26. Exhibit 6.26: Among Firms Offering Family Coverage, Percentage of Firms Using Various Approaches to Family Premium Contributions, by Firm Size, 2016
    27. Exhibit 6.27: Average Annual Worker Contributions for Covered Workers with Family Coverage, by Firm Wage Level, 1999-2016
    28. Exhibit 6.28: Among Firms Offering Health Benefits, Percentage of Firms That Require Employees Who Use Tobacco to Contribute More to the Premium or Cost-Sharing, by Firm Size and Region, 2016
    Section Seven: Employee Cost Sharing
    View Exhibits
    1. Exhibit 7.1: Percentage of Covered Workers with No General Annual Health Plan Deductible for Single and Family Coverage, by Plan Type and Firm Size, 2016
    2. Exhibit 7.2: Percentage of Covered Workers in a Plan that Includes a General Annual Deductible for Single Coverage, By Firm Size, 2006-2016
    3. Exhibit 7.3: Percentage of Covered Workers in a Plan that Includes a General Annual Deductible and Average Deductible for Single Coverage, By Firm Characteristics, 2016
    4. Exhibit 7.4: Among Covered Workers with No General Annual Health Plan Deductible for Single and Family Coverage, Percentage of Workers Who Have the Following Types of Cost Sharing, by Plan Type, 2016
    5. Exhibit 7.5: Among Covered Workers with a General Annual Health Plan Deductible for Single Coverage, Average Deductible, by Plan Type and Firm Size, 2016
    6. Exhibit 7.6: Among Covered Workers with a General Annual Health Plan Deductible for Single Coverage, Average Deductible, by Plan Type and Region, 2016
    7. Exhibit 7.7: Among Covered Workers with a General Annual Health Plan Deductible for Single Coverage, Average Deductible, by Plan Type, 2006-2016
    8. Exhibit 7.8: Percentage of Covered Workers Enrolled in a Plan with a High General Annual Deductible for Single Coverage, By Firm Size, 2016
    9. Exhibit 7.9: Prevalence and Value of Average General Annual Deductible for Single Coverage by Firm Size, 2006-2016
    10. Exhibit 7.10: Percentage of Covered Workers Enrolled in a Plan with a General Annual Deductible of $1,000 or More for Single Coverage, By Firm Size, 2009-2016
    11. Exhibit 7.11: Percentage of Covered Workers Enrolled in a Plan with a General Annual Deductible of $1,000 or More for Single Coverage After Any HRA/HSA Contributions, by Firm Size, 2009-2016
    12. Exhibit 7.12: Percentage of Covered Workers Enrolled in a Plan with a General Annual Deductible of $2,000 or More for Single Coverage, By Firm Size, 2009-2016
    13. Exhibit 7.13: Percentage of Covered Workers Enrolled in a Plan with a General Annual Deductible of $2,000 or More for Single Coverage After Any HRA/HSA Contributions, by Firm Size, 2009-2016
    14. Exhibit 7.14: Among Covered Workers Enrolled in an HDHP/SO, Average General Annual Deductibles for Single Coverage After Any HRA/HSA Contributions, by Firm Size, 2016
    15. Exhibit 7.15: Distribution of General Annual Deductibles for Single Coverage After any HRA/HSA Contributions, By Firm Size, 2007- 2016
    16. Exhibit 7.16: Among Covered Workers with a General Annual Health Plan Deductible for Single PPO Coverage, Distribution of Deductibles, 2006-2016
    17. Exhibit 7.17: Among Covered Workers with a General Annual Health Plan Deductible for Single POS Coverage, Distribution of Deductibles, 2006-2016
    18. Exhibit 7.18: Distribution of Type of General Annual Deductible for Covered Workers with Family Coverage, by Plan Type and Firm Size, 2016
    19. Exhibit 7.19: Among Covered Workers with a General Annual Health Plan Deductible, Average Deductibles for Family Coverage, by Deductible Type, Plan Type, and Firm Size, 2016
    20. Exhibit 7.20: Among Covered Workers with an Aggregate General Annual Health Plan Deductible for Family Coverage, Average Deductibles, by Plan Type, 2006-2016
    21. Exhibit 7.21: Among Covered Workers with a Separate Per Person General Annual Health Plan Deductible for Family Coverage, Distribution of Deductibles, by Plan Type, 2016
    22. Exhibit 7.22: Among Covered Workers with an Aggregate General Annual Health Plan Deductible for Family Coverage, Distribution of Deductibles, By Plan Type, 2016
    23. Exhibit 7.23: Among Covered Workers with a Separate Per Person General Annual Health Plan Deductible for Family Coverage, Structure of Deductible Limits, By Plan Type, 2016
    24. Exhibit 7.24: Among Covered Workers with a Separate Per Person General Annual Health Plan Deductible for Family Coverage and a Per Person Limit, Distribution of Maximum Number of Family Members Required to Meet the Deductible, by Plan Type, 2016
    25. Exhibit 7.25: Among Covered Workers with an Aggregate General Annual Health Plan Deductible for Family Coverage, Distribution of Aggregate Deductibles, by Plan Type, 2006-2016
    26. Exhibit 7.26: Among Covered Workers with a General Annual Health Plan Deductible, Percentage with Coverage for the Following Services Without Having to First Meet the Deductible, by Plan Type, 2016
    27. Exhibit 7.27: Distribution of Covered Workers with Separate Cost Sharing for a Hospital Admission in Addition to Any General Annual Deductible, by Plan Type, 2016
    28. Exhibit 7.28: Distribution of Covered Workers with Separate Cost Sharing for an Outpatient Surgery Episode in Addition to Any General Annual Deductible, by Plan Type, 2016
    29. Exhibit 7.29: Among Covered Workers with Separate Cost Sharing for a Hospital Admission or Outpatient Surgery Episode in Addition to Any General Annual Deductible, Average Cost Sharing, by Plan Type, 2016
    30. Exhibit 7.30: In Addition to Any General Annual Plan Deductible, Percentage of Covered Workers with the Following Types of Cost Sharing for Physician Office Visits, by Plan Type, 2016
    31. Exhibit 7.31: Among Covered Workers with Copayments and/or Coinsurance for In-Network Physician Office Visits, Average Copayments and Coinsurance, by Plan Type, 2016
    32. Exhibit 7.32: Among Covered Workers with Copayments for a Primary Care Physician Office Visit, Distribution of Copayments, by Plan Type, 2016
    33. Exhibit 7.33: Among Covered Workers with Copayments for a Specialist Physician Office Visit, Distribution of Copayments, by Plan Type, 2016
    34. Exhibit 7.34: Among Covered Workers with Copayments for a Primary Care Physician Office Visit, Distribution of Copayments, 2006-2016
    35. Exhibit 7.35: Among Covered Workers with Copayments for a Specialist Physician Office Visit, Distribution of Copayments, 2006-2016
    36. Exhibit 7.36: Among Covered Workers with an Out-of-Pocket Maximum for Single Coverage, Distribution of Out-of-Pocket Maximums, by Plan Type, 2016
    37. Exhibit 7.37: Among Covered Workers with an Out-of-Pocket Maximum for Single Coverage, Percentage of Workers Whose Plan Has Any Cost Sharing for In-Network Covered Benefits That Do Not Count Toward the Out-of-Pocket Maximum, by Firm Size and Plan Type, 2016
    Section Eight: High-Deductible Health Plans with Savings Option
    View Exhibits
    1. Exhibit 8.1: Among Firms Offering Health Benefits, Percentage that Offer an HDHP/HRA and/or an HSA-Qualified HDHP, 2005-2016
    2. Exhibit 8.2: Among Firms Offering Health Benefits, Percentage of Firms that Offer an HDHP/SO, by Firm Size, 2016
    3. Exhibit 8.3: Among Firms Offering Health Benefits, Percentage of Firms that Offer an HDHP/SO, by Firm Size, 2005-2016
    4. Exhibit 8.4: Percentage of Covered Workers Enrolled in an HDHP/SO, by Firm Size, 2006-2016
    5. Exhibit 8.5: Percentage of Covered Workers Enrolled in an HDHP/HRA or HSA-Qualified HDHP, 2006-2016
    6. Exhibit 8.6: Percentage of Covered Workers Enrolled in an HDHP/HRA or HSA-Qualified HDHP, by Firm Size, 2016
    7. Exhibit 8.7: HDHP/HRA and HSA-Qualified HDHP Features for Covered Workers, 2016
    8. Exhibit 8.8: Average Annual Premiums and Contributions to Savings Accounts for Covered Workers in HDHP/HRAs or HSA-Qualified HDHPs, Compared to All Non-HDHP/SO Plans, 2016
    9. Exhibit 8.9: Distribution of Covered Workers with the Following General Annual Deductible Amounts for Single Coverage, HSA-Qualified HDHPs and HDHP/HRAs, 2016
    10. Exhibit 8.10: Among Covered Workers, Distribution of Type of General Annual Deductible for Family Coverage, HDHP/HRAs and HSA-Qualified HDHPs, 2016
    11. Exhibit 8.11: Distribution of Covered Workers with the Following Aggregate Family Deductible Amounts, HDHP/HRAs and HSA-Qualified HDHPs, 2016
    12. Exhibit 8.12: General Annual Deductible for Workers with Single Coverage in an HDHP/SO Plan After Any Employer Account Contributions, by Firm Size, 2007-2016
    13. Exhibit 8.13: Percentage of Covered Workers with Coverage for the Following Services Without Having to First Meet the Deductible, HDHP/HRAs, by Firm Size, 2016
    14. Exhibit 8.14: Distribution of Covered Workers with the Following Annual Employer Contributions to Their HRA or HSA, for Single Coverage, 2016
    15. Exhibit 8.15: Distribution of Covered Workers with the Following Annual Employer Contributions to Their HRA or HSA, for Family Coverage, 2016
    16. Exhibit 8.16: Distribution of Firm Contributions to the HRA for Single and Family Coverage Relative to the Average Annual Firm Contribution to the HRA, 2016
    17. Exhibit 8.17: Distribution of Firm Contributions to the HSA for Single and Family Coverage Relative to the Average Annual Firm Contribution to the HSA, 2016
    18. Exhibit 8.18: Among Firms Offering Family Coverage and an HSA-Qualified HDHP, Percentage of Firms that Vary Their HSA Contribution on Anything Other Than Number of Dependents, by Firm Size, 2016
    19. Exhibit 8.19: Distribution of Covered Workers in HDHP/HRAs and HSA-Qualified HDHPs with the Following Types of Cost Sharing in Addition to the General Annual Deductible, 2016
    20. Exhibit 8.20: Average Annual Premiums for Covered Workers with Single Coverage, by Plan Type, 2007-2016
    21. Exhibit 8.21: Average Annual Premiums for Covered Workers with Family Coverage, by Plan Type, 2007-2016
    Section Nine: Prescription Drug Benefits
    View Exhibits
    1. Exhibit 9.1: Distribution of Covered Workers Facing Different Cost-Sharing Formulas for Prescription Drug Benefits, 2000-2016
    2. Exhibit 9.2: Distribution of Covered Workers at Large Firms Facing Different Cost-Sharing Formulas for Prescription Drug Benefits, by Plan Type, 2016
    3. Exhibit 9.3: Among Workers with Three, Four, or More Tiers of Cost Sharing, Distribution of Covered Workers with the Following Types of Cost Sharing for Prescription Drugs, by Drug Tier and Plan Type, 2016
    4. Exhibit 9.4: Among Covered Workers with Three, Four, or More Tiers of Prescription Cost Sharing, Average Copayments and Average Coinsurance, 2000-2016
    5. Exhibit 9.5: Among Covered Workers with Three, Four, or More Tiers of Prescription Cost Sharing, Distribution of Covered Workers with the Following Types of Cost Sharing for Prescription Drugs, by Largest Plan Type, 2016
    6. Exhibit 9.6: Among Covered Workers with Two Tiers of Cost Sharing for Prescription Drugs, Distribution of Covered Workers with the Following Types of Cost Sharing for Prescription Drugs, by Drug Tier and Firm Size, 2016
    7. Exhibit 9.7: Among Covered Workers with Two Tiers of Prescription Drug Cost Sharing, Average Copayments and Average Coinsurance, by Drug Type, 2000-2016
    8. Exhibit 9.8: Among Covered Workers with the Same Cost Sharing Regardless of Drug Type, Distribution of Covered Workers with the Following Types of Cost Sharing for Prescription Drugs, by Firm Size, 2016
    9. Exhibit 9.9: Among Covered Workers with the Same Cost Sharing Regardless of Type of Drug, Average Copayments and Average Coinsurance, 2000-2016
    10. Exhibit 9.10: Among Covered Workers with Cost-Sharing for Prescription Drug Coverage, Percentage of Covered Workers Enrolled in a Plan Where the Firm's Prescription Drug Benefits Cover Only Generic Drugs, by Drug Tier, 2016
    11. Exhibit 9.11: Among Covered Workers with a Separate Tier for Generic Drugs, Average Copay and Coinsurance, by Firm Size, 2016
    12. Exhibit 9.12: Distribution of Coinsurance Structures for Covered Workers Facing a Coinsurance for Prescription Drugs, by Drug Tier, 2016
    13. Exhibit 9.13: Percentage of Covered Workers at Large Firms Whose Plan with the Largest Enrollment Includes Coverage for Specialty Drugs, by Firm Size, Region, and Industry, 2016
    14. Exhibit 9.14: Among Large Firms Whose Prescription Drug Coverage Includes Specialty Drugs, Percentage of Covered Workers Enrolled in a Plan That Has a Separate Tier for Specialty Drugs, by Firm Size, 2016
    15. Exhibit 9.15: Among Covered Workers at Large Firms Enrolled in a Plan with a Separate Tier for Specialty Drugs, Distribution of Covered Workers with the Following Types of Cost Sharing, by Firm Size, 2016
    16. Exhibit 9.16: Among Covered Workers at Large Firms Enrolled in a Plan with a Specific Tier for Specialty Drugs, Average Copayments and Average Coinsurance, by Firm Size, 2016
    17. Exhibit 9.17: Among Large Firms Whose Plan with the Largest Enrollment Covers Specialty Drugs, Percentage of Firms That Use the Following Strategies to Contain Specialty Drug Costs, 2016
    Section Ten: Plan Funding
    View Exhibits
    1. Exhibit 10.1: Percentage of Covered Workers in Partially or Completely Self-Funded Plans, by Firm Size, 1999-2016
    2. Exhibit 10.2: Percentage of Covered Workers in Partially or Completely Self-Funded Plans, by Firm Size, 1999-2016
    3. Exhibit 10.3: Percentage of Covered Workers in Partially or Completely Self-Funded Plans, by Plan Type, 1999-2016
    4. Exhibit 10.4: Percentage of Covered Workers in Partially or Completely Self-Funded Plans, by Firm Size, Region, and Industry, 2016
    5. Exhibit 10.5: Percentage of Covered Workers in Partially or Completely Self-Funded Plans, by Plan Type and Firm Size, 2016
    6. Exhibit 10.6: Percentage of Covered Workers in Partially or Completely Self-Funded HMO Plans, by Firm Size, 1999-2016
    7. Exhibit 10.7: Percentage of Covered Workers in Partially or Completely Self-Funded PPO Plans, by Firm Size, 1999-2016
    8. Exhibit 10.8: Percentage of Covered Workers in Partially or Completely Self-Funded POS Plans, by Firm Size, 1999-2016
    9. Exhibit 10.9: Percentage of Covered Workers in Partially or Completely Self-Funded HDHP/SOs, by Firm Size, 2006-2016
    10. Exhibit 10.10: Percentage of Covered Workers Enrolled in a Partially or Completely Self-Funded Plan Covered by Stoploss Insurance, by Firm Size, Region, and Industry, 2016
    11. Exhibit 10.11: Prevalence and Average Attachment Points of Stoploss Insurance, by Firm Size and Region, 2016
    12. Exhibit 10.12: Percentage of Covered Workers Enrolled in Partially or Completely Self-Insured Plans that Purchase Different Types of Stoploss Insurance, by Firm Size, 2016
    13. Exhibit 10.13: Percentage of Covered Workers Enrolled in a Partially or Completely Self-Funded Plan Covered by Stop Loss Insurance, by Firm Size, 2011-2016
    14. Exhibit 10.14: Among Firms that Purchase Insurance Underwritten by an Insurer, The Percentage of Firms which plan to Self-Insure because of Any Provision of the Affordable Care Act, by Firm Size and Region, 2016
    Section Eleven: Retiree Health Benefits
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    1. Exhibit 11.1: Among Large Firms Offering Health Benefits to Active Workers, Percentage of Firms Offering Retiree Health Benefits, 1991-2016
    2. Exhibit 11.2: Among Large Firms Offering Health Benefits to Active Workers, Percentage of Firms Offering Retiree Health Benefits, by Firm Size, Region, and Industry, 2016
    3. Exhibit 11.3: Among Large Firms Offering Health Benefits to Active Workers, Percentage of Firms Offering Retiree Health Benefits, by Firm Characteristics, 2016
    4. Exhibit 11.4: Among Large Firms Offering Health Benefits to Active Workers and Offering Retiree Coverage, Percentage of Firms Offering Health Benefits to Early and Medicare-Age Retirees, 2000–2016
    5. Exhibit 11.5: Among Large Firms Offering Health Benefits to Active Workers and Offering Retiree Coverage, Percentage of Firms Offering Retiree Health Benefits to Early and Medicare-Age Retirees, by Firm Size and Region, 2016
    6. Exhibit 11.6: Among Large Firms Offering Health Benefits to Active Workers and Retirees, Percentage of Firms Who Offer Retiree Coverage Through a Private Exchange, by Firm Size and Region, 2016
    7. Exhibit 11.7: Among Large Firms Offering Health Benefits to Active Workers and Retirees, Percentage of Firms that Offer Retiree Coverage through a Private Exchange, by Firm Size, 2014-2016
    8. Exhibit 11.8: Among Large Firms Offering Health Benefits to Active Workers and Retirees, Percentage of Firms Considering Changing the Way They Offer Retiree Coverage Because of Healthcare Exchanges Established Under the ACA, by Firm Size and Region, 2016
    9. Exhibit 11.9: Among Large Firms Offering Health Benefits to Active Workers and Retirees, Percentage of Firms Considering Changing the Way They Offer Retiree Coverage Because of Healthcare Exchanges Established under the ACA, by Firm Size, 2014-2016
    Section Twelve: Health Risk Assessment, Biometrics Screening and Wellness Programs
    View Exhibits
    1. Exhibit 12.1: Among Firms Offering Health Benefits, Percentage of Firms that Offer Employees an Opportunity to Complete a Health Risk Assessment, by Firm Size, 2016
    2. Exhibit 12.2: Among Firms Offering Health Benefits, Percentage of Firms that Offer Employees an Opportunity to Complete a Health Risk Assessment, by Firm Size, 2009-2016Among Firms Offering Health Benefits, Percentage of Firms that Offer Employees an Opportunity to Complete a Health Risk Assessment, by Firm Size, 2009-2016
    3. Exhibit 12.3: In Large Firms Offering Health Benefits and Either Offering Employees an Opportunity to Complete a Health Risk Assessment, Percentage of Employees Who Complete the Assessment, by Firm Size, 2016
    4. Exhibit 12.4: Among Large Firms Offering Health Benefits and Offering Employees an Opportunity to Complete a Health Risk Assessment, Percentage of Firms that Offer Employees Incentives to Complete the Assessment, by Firm Size, 2016
    5. Exhibit 12.5: Among Large Firms Offering Employees an Incentive to Complete a Health Risk Assessment, Percentage of Firms Using Different Types of Incentives, by Firm Size, 2016
    6. Exhibit 12.6: Among Large Firms Offering Family Coverage and Offering Employees an Incentive to Complete a Health Risk Assessment, Percentage of Firms Where Dependents and/or Spouses are Eligible for the Incentives, 2016
    7. Exhibit 12.7: Among Firms Offering Health Benefits, Percentage of Firms that Offer Employees an Opportunity to Complete a Biometric Screening, by Firm Size, 2016
    8. Exhibit 12.8: Among Firms Offering Health Benefits, Percentage of Firms that Offer Employees an Opportunity to Complete a Biometric Screening, by Firm Size, 2012-2016
    9. Exhibit 12.9: Among Large Firms Offering Health Benefits, Percentage of Firms That Offer Employees the Opportunity to Complete Either a Health Risk Assessment or a Biometric Screening, by Region and Industry, 2016
    10. Exhibit 12.10: Among Large Firms Offering Health Benefits and Offering Employees an Opportunity to Complete a Biometric Screening, Percentage of Firms that Offer Employees Incentives Related to Biometric Screening, by Firm Size, 2016
    11. Exhibit 12.11: Among Large Firms Offering Employees an Incentive to Complete a Biometric Screening, Percentage of Firms Using Different Types of Incentives, by Firm Size, 2016
    12. Exhibit 12.12: Among Large Firms Offering Family Coverage and Offering Employees an Incentive to Complete a Biometric Screening, Percentage of Firms in which Dependents and/or Spouses are Eligible for the Incentives, 2016
    13. Exhibit 12.13: Among Large Firms that Offer Employees an Incentive Based on Whether They Achieve Biometric Outcomes, Maximum Financial Reward an Employee Can Receive for Achieving Outcomes, 2016
    14. Exhibit 12.14: Among Firms Offering Health Benefits, Percentage of Firms Offering a Specific Wellness Program to Their Employees, by Firm Size, Region, and Industry, 2016
    15. Exhibit 12.15: Among Firms Offering Health Benefits, Percentage of Firms Offering a Specific Wellness Program to Their Employees, by Firm Size, 2016
    16. Exhibit 12.16: Among Firms Offering Specific Wellness Programs, Percentage of Firms that Offer Employees Incentives to Participate in or Complete Wellness Programs, by Firm Size, 2016
    17. Exhibit 12.17: Among Large Firms Offering Employees an Incentive to Participate in or Complete Wellness Programs, Percentage of Firms Using Different Types of Incentives, by Firm Size, 2016
    18. Exhibit 12.18: Among Large Firms that Offer Employees an Incentive to Participate in or Complete Any Health Promotion Programs, Maximum Annual Value of the Incentive for All Programs Combined, 2016
    19. Exhibit 12.19: Among Large Firms that Offer Employees an Incentive to Participate in or Complete Any Health Promotion Programs, Firms’ Opinions on How Effective Incentives are for Employee Participation, by Firm Size, 2016
    20. Exhibit 12.20: Among Large Firms Offering Health Benefits, Percentage of Firms Offering Incentives for Various Health and Wellness Promotion Activities, by Firm Size, 2016
    21. Exhibit 12.21: Among Firms Offering Health Benefits, Percentage of Firms Whose Wellness Program Collects Information from Employees' Mobile Apps or Wearable Technologies‡, by Firm Size, 2016
    Section Fourteen: Employer Opinions and Health Plan Practices
    View Exhibits
    1. Exhibit 14.1: Percentage of Firms Offering Health Benefits that Shopped for a New Plan or Health Insurance Carrier in the Past Year, by Firm Size, 2016
    2. Exhibit 14.2: Among Firms Offering Health Benefits That Shopped for a New Plan or Insurance Carrier, Percentage of Firms that Changed Insurance Carriers in the Past Year, by Firm Size, 2016
    3. Exhibit 14.3: Among Firms Offering Health Benefits, Percentage of Firms Who Offer a Narrow Network Plan or Have Eliminated a Hospital or Health System, by Firm Size, 2016
    4. Exhibit 14.4: Among Firms with 50 or More Employees Offering Health Benefits, Percentage of Firms Who Offer a Narrow Network Plan or Have Eliminated a Hospital or Health System, by Firm Size, 2014-2016
    5. Exhibit 14.5: Among Firms Offering Health Benefits, Percentage of Firms Whose Largest Plan Includes a High-Performance or Tiered Provider Network by Firm Size, 2016
    6. Exhibit 14.6: Among Firms Offering Health Benefits, Percentage of Firms Whose Largest Plan Includes a High-Performance or Tiered Provider Network, by Firm Size, 2007-2016
    7. Exhibit 14.7: Among Large Firms Offering Health Benefits, Percentage of Firms Whose Plan with the Largest Enrollment Covers Telemedicine, by Firm Size, 2016
    8. Exhibit 14.8: Among Large Firms Whose Plan with the Largest Enrollment Includes Coverage for Telemedicine, Percentage Whose Telemedicine Coverage Includes Various Features, 2016
    9. Exhibit 14.9: Among Firms Offering Health Benefits, Percentage of Firms Whose Plan with the Largest Enrollment Covers Care at Retail Clinics, by Firm Size, 2016
    10. Exhibit 14.10: Among Firms Offering Health Benefits, Percentage of Firms Whose Plan with the Largest Enrollment Covers Care at Retail Clinics, by Firm Size, 2010-2016
    11. Exhibit 14.11: Among Firms with 50 or More Employees Offering Health Benefits, Percentage of Firms that Have an On-Site Health Clinic at any of their Major Locations, by Firm Size, 2016
    12. Exhibit 14.12: Among Firms Offering Health Benefits with Over 1,000 Employees, Percentage of Firms that Have an On-Site Health Clinic at Any of Their Major Locations, 2009-2016
    13. Exhibit 14.13: Among Firms Offering Health Benefits, Percentage of Firms Whose Plans Include Various Features, by Firm Size, 2016
    14. Exhibit 14.14: Among Offering Firms with 50 or More Employees, Percentage of Firms Considering Offering Benefits Through a Private Exchange, by Firm Size, Region, and Industry, 2016
    15. Exhibit 14.15: Among Firms Offering Health Benefits with More Than 50 Employees, Percentage of Covered Workers Enrolled at a Firms that Offers Benefits Through a Private or Corporate Exchange, by Firm Size, 2016
    16. Exhibit 14.16: Among Firms Offering and Not Offering Health Benefits, Percentage of Firms Offering Flexible Spending Accounts, by Firm Size, 2016
    17. Exhibit 14.17: Among Firms Offering and Not Offering Health Benefits, Percentage of Firms Offering Flexible Spending Accounts, by Firm Size, 2007-2016
    18. Exhibit 14.18: Among Firms Offering a Flexible Spending Account, Average Maximum Contribution That an Employee Can Make to the FSA Each Year, by Firm Size, 2016
    19. Exhibit 14.19: Among Firms Offering Health Benefits, Percentage of Firms that Have Taken Various Actions in Anticipation of the Excise Tax on High Cost Plans, by Firm Size, 2016
    20. Exhibit 14.20: Among Firms Who Have Conducted an Analysis to Determine Their Liability Under the High Cost Excise Tax, Percentage of Firms that Believe that Their Plan with the Largest Enrollment Will Exceed the Thresholds in 2018 and 2020, by Firm Size, 2016
    21. Exhibit 14.21: Among Firms that Have Conducted an Analysis to Determine Their Liability Under the High Cost Excise, Percentage that Reconsidered or is Postponing Changes Because of the Delay from 2018 to 2020, 2016
    22. Exhibit 14.22: Among Firms with 50 or More Full-Time-Equivalents, Percentage of Firms that Offer Health Benefits to At Least 95% of Their Full-Time Employees and that Would Meet Affordability and Minimum Value Requirements, by Firm Size, 2016
    23. Exhibit 14.23: Among Offering Firms with 50 or More Full-Time Equivalentsǂ, Percentage that Took Various Actions in Response to the Employer Shared Responsibility Provision of the ACA, by Firm Size, 2016
    24. Exhibit 14.24: Among Firms Offering Health Benefits, Percentage of Firms that Adjust the COBRA Premium for Qualified Former Employees Based on the Age of Enrollees, by Firm Size, 2016
    x

    Exhibit 1.1

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    Exhibit 1.9

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    Exhibit 2.1

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    Exhibit 2.22

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    Exhibit 3.1

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    Exhibit 3.9

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    Exhibit 4.1

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    Exhibit 5.1

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    Exhibit 6.1

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    Exhibit 6.6

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    Exhibit 6.7

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    Exhibit 6.8

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    Exhibit 6.9

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    Exhibit 6.10

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    Exhibit 6.11

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    Exhibit 6.12

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    Exhibit 6.13

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    Exhibit 6.14

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    Exhibit 6.15

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    Exhibit 6.16

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    Exhibit 6.17

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    Exhibit 6.18

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    Exhibit 6.19

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    Exhibit 6.20

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    Exhibit 6.21

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    Exhibit 6.22

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    Exhibit 6.23

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    Exhibit 6.24

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    Exhibit 6.25

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    Exhibit 6.26

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    Exhibit 6.27

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    Exhibit 6.28

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    Exhibit 7.1

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    Exhibit 7.3

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    Exhibit 7.4

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    Exhibit 7.5

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    Exhibit 7.6

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    Exhibit 7.7

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    Exhibit 7.8

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    Exhibit 7.9

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    Exhibit 7.10

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    Exhibit 7.11

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    Exhibit 7.12

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    Exhibit 7.13

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    Exhibit 7.14

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    Exhibit 7.15

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    Exhibit 7.16

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    Exhibit 7.17

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    Exhibit 7.18

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    Exhibit 7.19

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    Exhibit 7.20

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    Exhibit 7.21

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    Exhibit 7.22

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    Exhibit 7.23

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    Exhibit 7.24

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    Exhibit 7.25

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    Exhibit 7.26

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    Exhibit 7.27

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    Exhibit 7.28

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    Exhibit 7.29

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    Exhibit 7.30

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    Exhibit 7.31

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    Exhibit 7.32

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    Exhibit 7.33

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    Exhibit 7.34

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    Exhibit 7.35

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    Exhibit 7.36

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    Exhibit 7.37

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    Exhibit 8.1

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    Exhibit 8.3

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    Exhibit 8.6

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    Exhibit 8.7

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    Exhibit 8.8

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    Exhibit 8.9

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    Exhibit 8.10

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    Exhibit 8.13

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    Exhibit 8.14

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    Exhibit 8.18

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    Exhibit 8.19

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    Exhibit 8.20

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    Exhibit 8.21

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    Exhibit 9.1

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    Exhibit 9.13

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    Exhibit 9.14

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    Exhibit 9.15

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    Exhibit 9.16

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    Exhibit 9.17

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    Exhibit 10.1

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    Exhibit 10.9

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    Exhibit 10.11

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    Exhibit 10.12

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    Exhibit 10.13

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    Exhibit 10.14

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    Exhibit 11.1

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    Exhibit 11.7

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    Exhibit 11.9

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    Exhibit 12.1

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    Exhibit 12.3

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    Exhibit 12.4

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    Exhibit 12.5

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    Exhibit 12.6

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    Exhibit 12.7

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    Exhibit 12.8

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    Exhibit 12.9

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    Exhibit 12.10

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    Exhibit 12.11

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    Exhibit 12.12

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    Exhibit 12.13

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    Exhibit 12.14

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    Exhibit 12.15

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    Exhibit 12.16

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    Exhibit 12.17

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    Exhibit 12.18

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    Exhibit 12.19

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    Exhibit 12.20

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    Exhibit 12.21

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    Exhibit 13.1

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    Exhibit 13.3

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    Exhibit 13.4

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    Exhibit 14.1

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    Exhibit 14.4

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    Exhibit 14.5

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    Exhibit 14.6

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    Exhibit 14.7

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    Exhibit 14.8

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    Exhibit 14.9

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    Exhibit 14.11

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    Exhibit 14.12

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    Exhibit 14.13

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    Exhibit 14.14

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    Exhibit 14.15

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    Exhibit 14.16

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    Exhibit 14.17

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    Exhibit 14.18

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    Exhibit 14.19

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    Exhibit 14.20

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    Exhibit 14.21

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    Exhibit 14.22

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    Exhibit 14.23

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    Exhibit 14.24

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