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[null,null,null,null,null,null,null,null,"Maximum Out of Pocket for Medical and Drug EHB Benefits (Total)",null,null,null,null,null,null,null,"Medical EHB Deductible",null,null,null,null,null,null,null,null,null,"Drug EHB Deductible",null,null,null,null,null,null,null,null,null,"Combined Medical and Drug EHB Deductible",null,null,null,null,null,null,null,null,null,"AV Calculator Additional Benefit Design",null,null,null,"Primary Care Visit to Treat an Injury or Illness",null,null,null,null,null,"Specialist Visit",null,null,null,null,null,"Outpatient Facility Fee (e.g., Ambulatory Surgery Center)",null,null,null,null,null,"Outpatient Surgery Physician/Surgical Services",null,null,null,null,null,"Urgent Care Centers or Facilities",null,null,null,null,null,"Emergency Room Services",null,null,null,null,null,"Inpatient Hospital Services (e.g., Hospital Stay)",null,null,null,null,null,"Skilled Nursing Facility",null,null,null,null,null,"Mental/Behavioral Health Outpatient Services",null,null,null,null,null,"Mental/Behavioral Health Inpatient Services",null,null,null,null,null,"Substance Abuse Disorder Outpatient Services",null,null,null,null,null,"Substance Abuse Disorder Inpatient Services",null,null,null,null,null,"Generic Drugs",null,null,null,null,null,"Preferred Brand Drugs",null,null,null,null,null,"Non-Preferred Brand Drugs",null,null,null,null,null,"Specialty Drugs",null,null,null,null,null,"Imaging (CT/PET Scans, MRIs)",null,null,null,null,null,"Preventive Care/Screening/Immunization",null,null,null,null,null,"Rehabilitative Speech Therapy",null,null,null,null,null,"Rehabilitative Occupational and Rehabilitative Physical Therapy",null,null,null,null,null,"Laboratory Outpatient and Professional Services",null,null,null,null,null,"X-rays and Diagnostic Imaging",null,null,null,null,null,"Biofeedback",null,null,null,null,null,"Cardiac Rehabilitation",null,null,null,null,null,"Diabetes Education",null,null,null,null,null,"Nutritional Counseling",null,null,null,null,null,"Diabetic Supplies",null,null,null,null,null,"Acupuncture",null,null,null,null,null,"Chiropractic Care"]
[null,null,null,null,null,null,null,null,"In Network",null,"In Network (Tier 2)",null,"Out of Network",null,"Combined In/Out Network",null,"In Network",null,null,"In Network (Tier 2)\n(Tier 2)",null,null,"Out of Network",null,"Combined In/Out Network",null,"In Network",null,null,"In Network (Tier 2)",null,null,"Out of Network",null,"Combined In/Out Network",null,"In Network",null,null,"In Network (Tier 2)",null,null,"Out of Network",null,"Combined In/Out Network",null,null,null,null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance",null,null,"Copay",null,null,"Coinsurance"]
["Set","Metal Level","AV Calculator Output Number*","Medical & Drug Deductibles Integrated?*","Medical & Drug Maximum Out of Pocket Integrated?*","Multiple In Network Tiers?*","1st Tier Utilization*","2nd Tier Utilization","Individual","Family","Individual","Family","Individual","Family","Individual","Family","Individual","Family","Default Coinsurance","Individual","Family","Default Coinsurance","Individual","Family","Individual","Family","Individual","Family","Default Coinsurance","Individual","Family","Default Coinsurance","Individual","Family","Individual","Family","Individual","Family","Default Coinsurance","Individual","Family","Default Coinsurance","Individual","Family","Individual","Family","Maximum Coinsurance for Specialty Drugs","Maximum Number of Days for Charging an Inpatient Copay?","Begin Primary Care Cost-Sharing After a Set Number of Visits?","Begin Primary Care Deductible/ Coinsurance After a Set Number of Copays?","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network","In Network (Tier 1)","In Network (Tier 2)","Out of Network"]
["Set One","Bronze"]
["Set One","Expanded Bronze",0.6381,"Yes","Yes","No",1,null,9200,"$9200 per person | $18400 per group",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,7500,"$7500 per person | $15000 per group",0.5,null,null,null,null,null,null,null,null,null,null,null,50,null,null,"Not Applicable",null,null,100,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible",null,null,75,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible",null,null,50,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible",null,null,50,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible",null,null,25,null,null,"Not Applicable",null,null,"$50.00 Copay after deductible",null,null,"Not Applicable",null,null,"$100.00 Copay after deductible",null,null,"Not Applicable",null,null,"$500.00 Copay after deductible",null,null,"Not Applicable",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,0,null,null,50,null,null,"Not Applicable",null,null,50,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible"]
["Set One","Silver Standard",0.70009999999999994,"Yes","Yes","No",1,null,8000,"$8000 per person | $16000 per group",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,5000,"$5000 per person | $10000 per group",0.4,null,null,null,null,null,null,null,null,null,null,null,40,null,null,"Not Applicable",null,null,80,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,60,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,40,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,40,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,20,null,null,"Not Applicable",null,null,40,null,null,"Not Applicable",null,null,"$80.00 Copay after deductible",null,null,"Not Applicable",null,null,"$350.00 Copay after deductible",null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,0,null,null,40,null,null,"Not Applicable",null,null,40,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible"]
["Set One","Silver 73",0.73089999999999999,"Yes","Yes","No",1,null,6400,"$6400 per person | $12800 per group",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,3000,"$3000 per person | $6000 per group",0.4,null,null,null,null,null,null,null,null,null,null,null,40,null,null,"Not Applicable",null,null,80,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,60,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,40,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,40,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,20,null,null,"Not Applicable",null,null,40,null,null,"Not Applicable",null,null,"$80.00 Copay after deductible",null,null,"Not Applicable",null,null,"$350.00 Copay after deductible",null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,0,null,null,40,null,null,"Not Applicable",null,null,40,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible"]
["Set One","Silver 87",0.87329999999999997,"Yes","Yes","No",1,null,3000,"$3000 per person | $6000 per group",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,500,"$500 per person | $1000 per group",0.3,null,null,null,null,null,null,null,null,null,null,null,20,null,null,"Not Applicable",null,null,40,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible",null,null,30,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible",null,null,20,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible",null,null,20,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible",null,null,10,null,null,"Not Applicable",null,null,20,null,null,"Not Applicable",null,null,"$60.00 Copay after deductible",null,null,"Not Applicable",null,null,"$250.00 Copay after deductible",null,null,"Not Applicable",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,0,null,null,20,null,null,"Not Applicable",null,null,20,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible"]
["Set One","Silver 94",0.94140000000000001,"Yes","Yes","No",1,null,2000,"$2000 per person | $4000 per group",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,0,"$0 per person | $0 per group",0.25,null,null,null,null,null,null,null,null,null,null,null,0,null,null,"Not Applicable",null,null,10,null,null,"Not Applicable",null,null,"Not Applicable",null,null,0.25,null,null,"Not Applicable",null,null,0.25,null,null,5,null,null,"Not Applicable",null,null,"Not Applicable",null,null,0.25,null,null,"Not Applicable",null,null,0.25,null,null,"Not Applicable",null,null,0.25,null,null,0,null,null,"Not Applicable",null,null,"Not Applicable",null,null,0.25,null,null,0,null,null,"Not Applicable",null,null,"Not Applicable",null,null,0.25,null,null,0,null,null,"Not Applicable",null,null,15,null,null,"Not Applicable",null,null,50,null,null,"Not Applicable",null,null,150,null,null,"Not Applicable",null,null,"Not Applicable",null,null,0.25,null,null,"Not Applicable",null,null,0,null,null,0,null,null,"Not Applicable",null,null,0,null,null,"Not Applicable",null,null,"Not Applicable",null,null,0.25,null,null,"Not Applicable",null,null,0.25]
["Set One","Gold",0.78059999999999996,"Yes","Yes","No",1,null,7800,"$7800 per person | $15600 per group",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,1500,"$1500 per person | $3000 per group",0.25,null,null,null,null,null,null,null,null,null,null,null,30,null,null,"Not Applicable",null,null,60,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible",null,null,45,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible",null,null,30,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible",null,null,30,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible",null,null,15,null,null,"Not Applicable",null,null,30,null,null,"Not Applicable",null,null,60,null,null,"Not Applicable",null,null,250,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,0,null,null,30,null,null,"Not Applicable",null,null,30,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible"]
["Set One","Platinum",0.88039999999999996,"Yes","Yes","No",1,null,4300,"$4300 per person | $8600 per group",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,0,"$0 per person | $0 per group",null,null,null,null,null,null,null,null,null,null,null,null,10,null,null,"Not Applicable",null,null,20,null,null,"Not Applicable",null,null,150,null,null,"Not Applicable",null,null,150,null,null,"Not Applicable",null,null,15,null,null,"Not Applicable",null,null,100,null,null,"Not Applicable",null,null,"$350.00 Copay per Stay",null,null,"Not Applicable",null,null,"$150.00 Copay per Stay",null,null,"Not Applicable",null,null,10,null,null,"Not Applicable",null,null,"$350.00 Copay per Stay",null,null,"Not Applicable",null,null,10,null,null,"Not Applicable",null,null,"$350.00 Copay per Stay",null,null,"Not Applicable",null,null,5,null,null,"Not Applicable",null,null,10,null,null,"Not Applicable",null,null,50,null,null,"Not Applicable",null,null,150,null,null,"Not Applicable",null,null,100,null,null,"Not Applicable",null,null,"Not Applicable",null,null,0,null,null,10,null,null,"Not Applicable",null,null,10,null,null,"Not Applicable",null,null,30,null,null,"Not Applicable",null,null,30,null,null,"Not Applicable"]
["Set Two","Bronze"]
["Set Two","Expanded Bronze",0.6381,"Yes","Yes","No",1,null,9200,"$9200 per person | $18400 per group",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,7500,"$7500 per person | $15000 per group",0.5,null,null,null,null,null,null,null,null,null,null,null,50,null,null,"Not Applicable",null,null,100,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible",null,null,75,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible",null,null,50,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible",null,null,50,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible",null,null,25,null,null,"Not Applicable",null,null,"$50.00 Copay after deductible",null,null,"Not Applicable",null,null,"$100.00 Copay after deductible",null,null,"Not Applicable",null,null,"$150.00 Copay after deductible",null,null,"Not Applicable",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,0,null,null,50,null,null,"Not Applicable",null,null,50,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"50.00% Coinsurance after deductible"]
["Set Two","Silver Standard",0.70009999999999994,"Yes","Yes","No",1,null,8000,"$8000 per person | $16000 per group",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,5000,"$5000 per person | $10000 per group",0.4,null,null,null,null,null,null,null,null,null,null,null,40,null,null,"Not Applicable",null,null,80,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,60,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,40,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,40,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,20,null,null,"Not Applicable",null,null,40,null,null,"Not Applicable",null,null,"$80.00 Copay after deductible",null,null,"Not Applicable",null,null,"$125.00 Copay after deductible",null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,0,null,null,40,null,null,"Not Applicable",null,null,40,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible"]
["Set Two","Silver 73",0.73099999999999998,"Yes","Yes","No",1,null,6400,"$6400 per person | $12800 per group",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,3000,"$3000 per person | $6000 per group",0.4,null,null,null,null,null,null,null,null,null,null,null,40,null,null,"Not Applicable",null,null,80,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,60,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,40,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,40,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,20,null,null,"Not Applicable",null,null,40,null,null,"Not Applicable",null,null,"$80.00 Copay after deductible",null,null,"Not Applicable",null,null,"$125.00 Copay after deductible",null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,0,null,null,40,null,null,"Not Applicable",null,null,40,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"40.00% Coinsurance after deductible"]
["Set Two","Silver 87",0.87360000000000004,"Yes","Yes","No",1,null,3000,"$3000 per person | $6000 per group",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,500,"$500 per person | $1000 per group",0.3,null,null,null,null,null,null,null,null,null,null,null,20,null,null,"Not Applicable",null,null,40,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible",null,null,30,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible",null,null,20,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible",null,null,20,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible",null,null,10,null,null,"Not Applicable",null,null,20,null,null,"Not Applicable",null,null,"$60.00 Copay after deductible",null,null,"Not Applicable",null,null,"$100.00 Copay after deductible",null,null,"Not Applicable",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,0,null,null,20,null,null,"Not Applicable",null,null,20,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"30.00% Coinsurance after deductible"]
["Set Two","Silver 94",0.94369999999999998,"Yes","Yes","No",1,null,2000,"$2000 per person | $4000 per group",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,0,"$0 per person | $0 per group",0.25,null,null,null,null,null,null,null,null,null,null,null,0,null,null,"Not Applicable",null,null,10,null,null,"Not Applicable",null,null,"Not Applicable",null,null,0.25,null,null,"Not Applicable",null,null,0.25,null,null,5,null,null,"Not Applicable",null,null,"Not Applicable",null,null,0.25,null,null,"Not Applicable",null,null,0.25,null,null,"Not Applicable",null,null,0.25,null,null,0,null,null,"Not Applicable",null,null,"Not Applicable",null,null,0.25,null,null,0,null,null,"Not Applicable",null,null,"Not Applicable",null,null,0.25,null,null,0,null,null,"Not Applicable",null,null,5,null,null,"Not Applicable",null,null,10,null,null,"Not Applicable",null,null,20,null,null,"Not Applicable",null,null,"Not Applicable",null,null,0.25,null,null,"Not Applicable",null,null,0,null,null,0,null,null,"Not Applicable",null,null,0,null,null,"Not Applicable",null,null,"Not Applicable",null,null,0.25,null,null,"Not Applicable",null,null,0.25]
["Set Two","Gold",0.78100000000000003,"Yes","Yes","No",1,null,7800,"$7800 per person | $15600 per group",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,1500,"$1500 per person | $3000 per group",0.25,null,null,null,null,null,null,null,null,null,null,null,30,null,null,"Not Applicable",null,null,60,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible",null,null,45,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible",null,null,30,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible",null,null,30,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible",null,null,15,null,null,"Not Applicable",null,null,30,null,null,"Not Applicable",null,null,60,null,null,"Not Applicable",null,null,100,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,0,null,null,30,null,null,"Not Applicable",null,null,30,null,null,"Not Applicable",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible",null,null,"Not Applicable",null,null,"25.00% Coinsurance after deductible"]
["Set Two","Platinum",0.88070000000000004,"Yes","Yes","No",1,null,4300,"$4300 per person | $8600 per group",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,0,"$0 per person | $0 per group",null,null,null,null,null,null,null,null,null,null,null,null,10,null,null,"Not Applicable",null,null,20,null,null,"Not Applicable",null,null,150,null,null,"Not Applicable",null,null,150,null,null,"Not Applicable",null,null,15,null,null,"Not Applicable",null,null,100,null,null,"Not Applicable",null,null,"$350.00 Copay per Stay",null,null,"Not Applicable",null,null,"$150.00 Copay per Stay",null,null,"Not Applicable",null,null,10,null,null,"Not Applicable",null,null,"$350.00 Copay per Stay",null,null,"Not Applicable",null,null,10,null,null,"Not Applicable",null,null,"$350.00 Copay per Stay",null,null,"Not Applicable",null,null,5,null,null,"Not Applicable",null,null,10,null,null,"Not Applicable",null,null,50,null,null,"Not Applicable",null,null,75,null,null,"Not Applicable",null,null,100,null,null,"Not Applicable",null,null,"Not Applicable",null,null,0,null,null,10,null,null,"Not Applicable",null,null,10,null,null,"Not Applicable",null,null,30,null,null,"Not Applicable",null,null,30,null,null,"Not Applicable"]

{"sheet":"Covered Benefits","index":1,"n_rows":29,"n_cols":3,"rows_kept":29,"cut":false,"hidden":false,"merged":[]}
["AVC Benefits",null,"Design Type 3 AVC Additional Benefits"]
["Primary Care Visit to Treat an Injury or Illness",null,"Primary Care Visit to Treat an Injury or Illness"]
["Specialist Visit",null,"Specialist Visit"]
["Outpatient Facility Fee (e.g., Ambulatory Surgery Center)",null,"Outpatient Facility Fee (e.g., Ambulatory Surgery Center)"]
["Outpatient Surgery Physician/Surgical Services",null,"Outpatient Surgery Physician/Surgical Services"]
["Emergency Room Services",null,"Emergency Room Services"]
["Inpatient Hospital Services (e.g., Hospital Stay)",null,"Inpatient Hospital Services (e.g., Hospital Stay)"]
["Skilled Nursing Facility",null,"Skilled Nursing Facility"]
["Mental/Behavioral Health Outpatient Services",null,"Mental/Behavioral Health Outpatient Services"]
["Mental/Behavioral Health Inpatient Services",null,"Mental/Behavioral Health Inpatient Services"]
["Substance Abuse Disorder Outpatient Services",null,"Substance Abuse Disorder Outpatient Services"]
["Substance Abuse Disorder Inpatient Services",null,"Substance Abuse Disorder Inpatient Services"]
["Generic Drugs",null,"Generic Drugs"]
["Preferred Brand Drugs",null,"Preferred Brand Drugs"]
["Non-Preferred Brand Drugs",null,"Non-Preferred Brand Drugs"]
["Specialty Drugs",null,"Specialty Drugs"]
["Imaging (CT/PET Scans, MRIs)",null,"Imaging (CT/PET Scans, MRIs)"]
["Preventive Care/Screening/Immunization",null,"Preventive Care/Screening/Immunization"]
["Rehabilitative Speech Therapy",null,"Rehabilitative Speech Therapy"]
["Rehabilitative Occupational and Rehabilitative Physical Therapy",null,"Rehabilitative Occupational and Rehabilitative Physical Therapy"]
["Laboratory Outpatient and Professional Services",null,"Laboratory Outpatient and Professional Services"]
["X-rays and Diagnostic Imaging",null,"X-rays and Diagnostic Imaging"]
[null,null,"Biofeedback"]
[null,null,"Cardiac Rehabilitation"]
[null,null,"Diabetes Education"]
[null,null,"Nutritional Counseling"]
[null,null,"Diabetic Supplies"]
[null,null,"Acupuncture"]
[null,null,"Chiropractic Care"]