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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THAT GUIDANCE, ICA MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHROITIES BASED ON THE TECHNICAL MERTIS OF THE POSITION. EXAMPLES OF TAX PROVISIONS INCLUDE THE TAX-EXEMPT STATUS OF ICA AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNREALATED BUSINESS TAXABLE INCOME (UBTI). THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES FOR THE YEAR ENDED DECEMBER 31, 2021. ICA'S POLICY WOULD BE TO RECOGNIZE INTEREST AND PENALTIES, IF ANY, ON TAX POSITIONS REALTED TO ITS UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE IN THE FINANCIAL STATEMENTS. NO INTEREST AND PENALTIES WERE ASSESSED OR RECORDED DURING THE YEAR ENDED DECEMBER 31, 2021.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>AMS IS THE ORGANIZATION'S MANAGEMENT COMPANY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY COMPANY OR ASSOCIATION LICENSED, CHARTERED OR OTHERWISE AUTHORIZED BY ANY STATE OR PROVINCIAL GOVERNMENT OR ANY NATIONAL GOVERNMENT TO ENGAGE IN THE BUSINESS OF ADMINISTERING HEALTH, ACCIDENT, OR LIFE INSURANCE CLAIMS, INCLUDING HEALTH MAINTENANCE ORGANIZATIONS, PREFERRED PROVIDER ORGANIZATIONS, HEALTH AND HOSPITAL SERVICE CORPORATIONS, THIRD PARTY ADMINISTRATORS, FRATERNAL BENEFIT SOCIETIES, INSURANCE COMPANIES, AND REINSURANCE COMPANIES, SHALL BE ELIGIBLE FOR MEMBERSHIP IN THE ASSOCIATION. ANY INDIVIDUAL WHO (1) IS NOT EMPLOYED BY A COMPANY OR ASSOCIATION THAT IS ELIGIBLE FOR MEMBERSHIP IN THE ASSOCIATION, (2) IS ENGAGED IN A BUSINESS OR PROFESSIONAL ENTERPRISE IN WHICH HE OR SHE REGULARLY PROVIDES SERVICES TO ONE OR MORE COMPANIES OR ASSOCIATIONS ELIGIBLE FOR MEMBERSHIP, AND (3) IS SPONSORED BY AN EMPLOYEE OF A MEMBER COMPANY, SHALL BE ELIGIBLE FOR MEMBERSHIP IN THE ASSOCIATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>A NOMINATING COMMITTEE NOMINATES CANDIDATES FOR EACH OFFICE WHICH IS VOTED ON BY THE MEMBERS OF THE ASSOCIATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE ORGANIZATION'S ACCOUNT MANAGER, PRESIDENT, AND TREASURER BEFORE FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY IS ENFORCED AND MONITORED THROUGH A PARTICIPATION AGREEMENT WHICH EACH OFFICER, BOARD MEMBER, COMMITTEE CHAIR, COMMITTEE MEMBER AND STAFF MEMBER SIGN ANNUALLY.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ICA MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
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