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      <NetUnrlzdGainsLossesInvstAmt>149560</NetUnrlzdGainsLossesInvstAmt>
      <InvestmentExpenseAmt>-14318</InvestmentExpenseAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleD documentId="IRS990ScheduleD-01" softwareId="24020153">
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>0</BookValueAmt>
      </LandGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>27896</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>25944</DepreciationAmt>
        <BookValueAmt>1952</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>1952</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PREPAID EMPLOYER CONTRIBUTIONS</Desc>
        <Amt>0</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PREPAID PARTICIPANT CONTRIBUTIONS</Desc>
        <Amt>84223</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>IBNR CLAIMS</Desc>
        <Amt>5423000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>HEALTH CLAIMS PAYABLE</Desc>
        <Amt>499702</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>6006925</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>35985941</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>149560</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>149560</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>35836381</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>14318</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>1118769</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>1133087</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>36969468</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>35548507</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>35548507</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>2313000</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>2313000</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>37861507</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>ADDITIONAL FUNDING TO RE-ESTABLISH MINIMUM FUND BALANCE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN ESTIMATED HEALTH CLAIMS INCURRED BUT NOT REPORTED</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO-01" softwareId="24020153">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ACCOUNTANTS PREPARED THE FORM 990. A FINAL COPY OF THE FORM 990 IS PROVIDED TO EACH BOARD MEMBER. THE BOARD WILL REVIEW FORM 990 AND THE CHAIRMAN WILL SIGN THE RETURN TO BE FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>WE MAKE OUR FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>