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<row _id="1"><Company Name>AETNA LIFE INSURANCE COMPANY</Company Name><NAIC Code>60054</NAIC Code><Domicile State>CT</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>9512777</WA Dental Premiums><WA Dental Payments>6548635</WA Dental Payments><WA Dental Members>20493</WA Dental Members><WA Dental Member Months>272530</WA Dental Member Months><WA Dental Loss Ratio>0.688</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>34.91</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>33.49</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.042</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="2"><Company Name>American Family Life Assurance Company of Columbus (AFLAC)</Company Name><NAIC Code>60380</NAIC Code><Domicile State>NE</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>2884655</WA Dental Premiums><WA Dental Payments>1243272</WA Dental Payments><WA Dental Members>9582</WA Dental Members><WA Dental Member Months>112969</WA Dental Member Months><WA Dental Loss Ratio>0.431</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>25.53</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>25.57</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>-0.001</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="3"><Company Name>AMERICAN PUBLIC LIFE INS CO</Company Name><NAIC Code>60801</NAIC Code><Domicile State>OK</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>17268</WA Dental Premiums><WA Dental Payments>7783</WA Dental Payments><WA Dental Members>124</WA Dental Members><WA Dental Member Months>1488</WA Dental Member Months><WA Dental Loss Ratio>0.451</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>11.60</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>12.22</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>-0.051</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="4"><Company Name>Ameritas Life Insurance Corp.</Company Name><NAIC Code>61301</NAIC Code><Domicile State>NE</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>21136364</WA Dental Premiums><WA Dental Payments>15230465</WA Dental Payments><WA Dental Members>30361</WA Dental Members><WA Dental Member Months>364332</WA Dental Member Months><WA Dental Loss Ratio>0.721</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>58.01</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>55.09</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.053</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="5"><Company Name>ASURIS NORTHWEST HEALTH</Company Name><NAIC Code>47350</NAIC Code><Domicile State>WA</Domicile State><Business Type>X</Business Type><Year>2025</Year><WA Dental Premiums>731692</WA Dental Premiums><WA Dental Payments>456057</WA Dental Payments><WA Dental Members>1422</WA Dental Members><WA Dental Member Months>18057</WA Dental Member Months><WA Dental Loss Ratio>0.623</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>40.52</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>41.41</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>-0.021</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="6"><Company Name>BCS Insurance Company</Company Name><NAIC Code>38245</NAIC Code><Domicile State>OH</Domicile State><Business Type>P</Business Type><Year>2025</Year><WA Dental Premiums>103891</WA Dental Premiums><WA Dental Payments>23155</WA Dental Payments><WA Dental Members>599</WA Dental Members><WA Dental Member Months>2928</WA Dental Member Months><WA Dental Loss Ratio>0.223</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>35.48</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>35.87</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>-0.011</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="7"><Company Name>BEST LIFE AND HEALTH INSURANCE COMPANY</Company Name><NAIC Code>90638</NAIC Code><Domicile State>TX</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>1626473</WA Dental Premiums><WA Dental Payments>1261989</WA Dental Payments><WA Dental Members>3528</WA Dental Members><WA Dental Member Months>42336</WA Dental Member Months><WA Dental Loss Ratio>0.776</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>38.42</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>42.83</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>-0.103</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="8"><Company Name>CIGNA HEALTH AND LIFE INSURANCE COMPANY</Company Name><NAIC Code>67369</NAIC Code><Domicile State>CT</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>27120919</WA Dental Premiums><WA Dental Payments>23686389</WA Dental Payments><WA Dental Members>72096</WA Dental Members><WA Dental Member Months>841481</WA Dental Member Months><WA Dental Loss Ratio>0.873</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>32.23</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>32.97</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>-0.022</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="9"><Company Name>COLONIAL LIFE &amp; ACCIDENT INSURANCE COMPANY</Company Name><NAIC Code>62049</NAIC Code><Domicile State>SC</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>3781827</WA Dental Premiums><WA Dental Payments>2317412</WA Dental Payments><WA Dental Members>6403</WA Dental Members><WA Dental Member Months>73990</WA Dental Member Months><WA Dental Loss Ratio>0.613</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>51.11</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>51.64</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>-0.01</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="10"><Company Name>Companion Life Insurance Company</Company Name><NAIC Code>77828</NAIC Code><Domicile State>SC</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>4797552</WA Dental Premiums><WA Dental Payments>3899125</WA Dental Payments><WA Dental Members>17221</WA Dental Members><WA Dental Member Months>185792</WA Dental Member Months><WA Dental Loss Ratio>0.813</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>25.82</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>14.88</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.736</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="11"><Company Name>CONTINENTAL GENERAL INSURANCE COMPANY</Company Name><NAIC Code>71404</NAIC Code><Domicile State>TX</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>597</WA Dental Premiums><WA Dental Payments>2030</WA Dental Payments><WA Dental Members>0</WA Dental Members><WA Dental Member Months>20</WA Dental Member Months><WA Dental Loss Ratio>3.4</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>29.85</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>30.38</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>-0.017</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="12"><Company Name>Delta Dental of Washington</Company Name><NAIC Code>47341</NAIC Code><Domicile State>WA</Domicile State><Business Type>X</Business Type><Year>2025</Year><WA Dental Premiums>514467752</WA Dental Premiums><WA Dental Payments>426690294</WA Dental Payments><WA Dental Members>546266</WA Dental Members><WA Dental Member Months>11695480</WA Dental Member Months><WA Dental Loss Ratio>0.829</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>43.99</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>42.73</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.029</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="13"><Company Name>Dental Health Services, Inc.</Company Name><NAIC Code>47490</NAIC Code><Domicile State>WA</Domicile State><Business Type>X</Business Type><Year>2025</Year><WA Dental Premiums>3896380</WA Dental Premiums><WA Dental Payments>1681912</WA Dental Payments><WA Dental Members>5648</WA Dental Members><WA Dental Member Months>69504</WA Dental Member Months><WA Dental Loss Ratio>0.432</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>56.06</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>59.45</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>-0.057</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="14"><Company Name>Equitable Financial Life Insurance Company of America</Company Name><NAIC Code>78077</NAIC Code><Domicile State>AZ</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>303027</WA Dental Premiums><WA Dental Payments>269567</WA Dental Payments><WA Dental Members>699</WA Dental Members><WA Dental Member Months>8460</WA Dental Member Months><WA Dental Loss Ratio>0.89</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>35.82</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>39.88</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>-0.102</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="15"><Company Name>FAMILY LIFE INSURANCE COMPANY</Company Name><NAIC Code>63053</NAIC Code><Domicile State>TX</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>21</WA Dental Premiums><WA Dental Payments>146</WA Dental Payments><WA Dental Members>8</WA Dental Members><WA Dental Member Months>70</WA Dental Member Months><WA Dental Loss Ratio>6.952</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>0.30</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>42.06</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>-0.993</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="16"><Company Name>Golden Rule Insurance Company</Company Name><NAIC Code>62286</NAIC Code><Domicile State>IN</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>3172541</WA Dental Premiums><WA Dental Payments>1865086</WA Dental Payments><WA Dental Members>5956</WA Dental Members><WA Dental Member Months>67946</WA Dental Member Months><WA Dental Loss Ratio>0.588</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>46.69</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>41.58</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.123</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="17"><Company Name>GUARDIAN LIFE INSURANCE COMPANY OF AMERICA</Company Name><NAIC Code>64246</NAIC Code><Domicile State>NY</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>16124688</WA Dental Premiums><WA Dental Payments>11110028</WA Dental Payments><WA Dental Members>25908</WA Dental Members><WA Dental Member Months>410037</WA Dental Member Months><WA Dental Loss Ratio>0.689</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>39.32</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>39.10</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.006</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="18"><Company Name>Humana Insurance Company</Company Name><NAIC Code>73288</NAIC Code><Domicile State>KY</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>168027</WA Dental Premiums><WA Dental Payments>74101</WA Dental Payments><WA Dental Members>294</WA Dental Members><WA Dental Member Months>2815</WA Dental Member Months><WA Dental Loss Ratio>0.441</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>59.69</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month xsi:nil="true" /><Percentage Change in WA Average Premum per Member per Month fro xsi:nil="true" /></row>
<row _id="19"><Company Name>INDEPENDENCE AMERICAN INSURANCE COMPANY</Company Name><NAIC Code>26581</NAIC Code><Domicile State>DE</Domicile State><Business Type>P</Business Type><Year>2025</Year><WA Dental Premiums>41061</WA Dental Premiums><WA Dental Payments>28842</WA Dental Payments><WA Dental Members>64</WA Dental Members><WA Dental Member Months>864</WA Dental Member Months><WA Dental Loss Ratio>0.702</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>47.52</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>37.94</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.253</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="20"><Company Name>KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST</Company Name><NAIC Code>95540</NAIC Code><Domicile State>OR</Domicile State><Business Type>X</Business Type><Year>2025</Year><WA Dental Premiums>21078945</WA Dental Premiums><WA Dental Payments>16054796</WA Dental Payments><WA Dental Members>47956</WA Dental Members><WA Dental Member Months>578212</WA Dental Member Months><WA Dental Loss Ratio>0.762</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>36.46</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>36.20</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.007</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="21"><Company Name>Kansas City Life Insurance Company</Company Name><NAIC Code>65129</NAIC Code><Domicile State>MO</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>194934</WA Dental Premiums><WA Dental Payments>140877</WA Dental Payments><WA Dental Members>360</WA Dental Members><WA Dental Member Months>3240</WA Dental Member Months><WA Dental Loss Ratio>0.723</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>60.16</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>61.25</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>-0.018</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="22"><Company Name>LifeWise Assurance Company</Company Name><NAIC Code>94188</NAIC Code><Domicile State>WA</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>2804851</WA Dental Premiums><WA Dental Payments>2441959</WA Dental Payments><WA Dental Members>9983</WA Dental Members><WA Dental Member Months>118545</WA Dental Member Months><WA Dental Loss Ratio>0.871</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>23.66</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>34.82</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>-0.32</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="23"><Company Name>LifeWise Health Plan of Washington</Company Name><NAIC Code>52633</NAIC Code><Domicile State>WA</Domicile State><Business Type>X</Business Type><Year>2025</Year><WA Dental Premiums>4503211</WA Dental Premiums><WA Dental Payments>2984341</WA Dental Payments><WA Dental Members>9845</WA Dental Members><WA Dental Member Months>131745</WA Dental Member Months><WA Dental Loss Ratio>0.663</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>34.18</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>30.07</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.137</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="24"><Company Name>ManhattanLife Insurance and Annuity Company</Company Name><NAIC Code>61883</NAIC Code><Domicile State>TX</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>101797</WA Dental Premiums><WA Dental Payments>96928</WA Dental Payments><WA Dental Members>168</WA Dental Members><WA Dental Member Months>1994</WA Dental Member Months><WA Dental Loss Ratio>0.952</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>51.05</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>46.85</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.09</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="25"><Company Name>Metropolitan Life Insurance Company</Company Name><NAIC Code>65978</NAIC Code><Domicile State>NY</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>47302768</WA Dental Premiums><WA Dental Payments>53434872</WA Dental Payments><WA Dental Members>103372</WA Dental Members><WA Dental Member Months>1269360</WA Dental Member Months><WA Dental Loss Ratio>1.13</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>37.27</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>41.00</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>-0.091</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="26"><Company Name>MID-WEST NATIONAL LIFE INSURANCE COMPANY OF TENNESSEE</Company Name><NAIC Code>66087</NAIC Code><Domicile State>TX</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>10922</WA Dental Premiums><WA Dental Payments>3381</WA Dental Payments><WA Dental Members>73</WA Dental Members><WA Dental Member Months>913</WA Dental Member Months><WA Dental Loss Ratio>0.31</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>11.96</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>12.90</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>-0.072</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="27"><Company Name>MUTUAL OF OMAHA INSURANCE COMPANY</Company Name><NAIC Code>71412</NAIC Code><Domicile State>NE</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>2118962</WA Dental Premiums><WA Dental Payments>1494459</WA Dental Payments><WA Dental Members>4742</WA Dental Members><WA Dental Member Months>45824</WA Dental Member Months><WA Dental Loss Ratio>0.705</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>46.24</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>45.80</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.01</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="28"><Company Name>National Health Insurance Company</Company Name><NAIC Code>82538</NAIC Code><Domicile State>TX</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>80852</WA Dental Premiums><WA Dental Payments>21957</WA Dental Payments><WA Dental Members>270</WA Dental Members><WA Dental Member Months>3245</WA Dental Member Months><WA Dental Loss Ratio>0.272</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>24.92</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>24.56</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.015</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="29"><Company Name>NGL Insurance Company</Company Name><NAIC Code>66583</NAIC Code><Domicile State>WI</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>3513687</WA Dental Premiums><WA Dental Payments>2465177</WA Dental Payments><WA Dental Members>8066</WA Dental Members><WA Dental Member Months>86514</WA Dental Member Months><WA Dental Loss Ratio>0.702</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>40.61</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>39.70</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.023</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="30"><Company Name>Pan-American Life Insurance Company</Company Name><NAIC Code>67539</NAIC Code><Domicile State>LA</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>643</WA Dental Premiums><WA Dental Payments>-477</WA Dental Payments><WA Dental Members>2</WA Dental Members><WA Dental Member Months>23</WA Dental Member Months><WA Dental Loss Ratio>-0.742</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>27.96</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>24.47</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.143</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="31"><Company Name>PHYSICIANS MUTUAL INSURANCE COMPANY, INC.</Company Name><NAIC Code>80578</NAIC Code><Domicile State>NE</Domicile State><Business Type>P</Business Type><Year>2025</Year><WA Dental Premiums>151617</WA Dental Premiums><WA Dental Payments>129128</WA Dental Payments><WA Dental Members>293</WA Dental Members><WA Dental Member Months>3480</WA Dental Member Months><WA Dental Loss Ratio>0.852</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>43.57</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>42.38</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.028</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="32"><Company Name>Premera Blue Cross</Company Name><NAIC Code>47570</NAIC Code><Domicile State>WA</Domicile State><Business Type>X</Business Type><Year>2025</Year><WA Dental Premiums>30853248</WA Dental Premiums><WA Dental Payments>27446422</WA Dental Payments><WA Dental Members>67487</WA Dental Members><WA Dental Member Months>806526</WA Dental Member Months><WA Dental Loss Ratio>0.89</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>38.25</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>36.64</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.044</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="33"><Company Name>PRINCIPAL LIFE INSURANCE COMPANY</Company Name><NAIC Code>61271</NAIC Code><Domicile State>IA</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>36085365</WA Dental Premiums><WA Dental Payments>25902340</WA Dental Payments><WA Dental Members>66124</WA Dental Members><WA Dental Member Months>813876</WA Dental Member Months><WA Dental Loss Ratio>0.718</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>44.34</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>43.08</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.029</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="34"><Company Name>PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY</Company Name><NAIC Code>68209</NAIC Code><Domicile State>TN</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>60730</WA Dental Premiums><WA Dental Payments>0</WA Dental Payments><WA Dental Members>0</WA Dental Members><WA Dental Member Months>515</WA Dental Member Months><WA Dental Loss Ratio>0</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>117.92</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>135.64</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>-0.131</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="35"><Company Name>Regence BlueCross BlueShield of Oregon</Company Name><NAIC Code>54933</NAIC Code><Domicile State>OR</Domicile State><Business Type>X</Business Type><Year>2025</Year><WA Dental Premiums>4260316</WA Dental Premiums><WA Dental Payments>3825263</WA Dental Payments><WA Dental Members>6959</WA Dental Members><WA Dental Member Months>86596</WA Dental Member Months><WA Dental Loss Ratio>0.898</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>49.20</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>47.28</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.041</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="36"><Company Name>Regence BlueShield</Company Name><NAIC Code>53902</NAIC Code><Domicile State>WA</Domicile State><Business Type>X</Business Type><Year>2025</Year><WA Dental Premiums>21027686</WA Dental Premiums><WA Dental Payments>16161557</WA Dental Payments><WA Dental Members>31770</WA Dental Members><WA Dental Member Months>392332</WA Dental Member Months><WA Dental Loss Ratio>0.769</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>53.60</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>53.31</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.005</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="37"><Company Name>Regence BlueShield of Idaho, Inc.</Company Name><NAIC Code>60131</NAIC Code><Domicile State>ID</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>268147</WA Dental Premiums><WA Dental Payments>143317</WA Dental Payments><WA Dental Members>378</WA Dental Members><WA Dental Member Months>4431</WA Dental Member Months><WA Dental Loss Ratio>0.534</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>60.52</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>59.28</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.021</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="38"><Company Name>Reliance Standard Life Insurance Company</Company Name><NAIC Code>68381</NAIC Code><Domicile State>IL</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>413192</WA Dental Premiums><WA Dental Payments>472397</WA Dental Payments><WA Dental Members>379</WA Dental Members><WA Dental Member Months>4548</WA Dental Member Months><WA Dental Loss Ratio>1.143</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>90.85</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>70.94</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.281</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="39"><Company Name>Renaissance Life &amp; Health Insurance Company of America</Company Name><NAIC Code>61700</NAIC Code><Domicile State>IN</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>1101502</WA Dental Premiums><WA Dental Payments>806138</WA Dental Payments><WA Dental Members>1656</WA Dental Members><WA Dental Member Months>20433</WA Dental Member Months><WA Dental Loss Ratio>0.732</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>53.91</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>50.58</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.066</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="40"><Company Name>RESERVE NATIONAL INSURANCE COMPANY</Company Name><NAIC Code>68462</NAIC Code><Domicile State>IL</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>3449</WA Dental Premiums><WA Dental Payments>2556</WA Dental Payments><WA Dental Members>4</WA Dental Members><WA Dental Member Months>80</WA Dental Member Months><WA Dental Loss Ratio>0.741</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>43.11</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>56.31</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>-0.234</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="41"><Company Name>STANDARD INSURANCE COMPANY</Company Name><NAIC Code>69019</NAIC Code><Domicile State>OR</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>3251081</WA Dental Premiums><WA Dental Payments>2298549</WA Dental Payments><WA Dental Members>5450</WA Dental Members><WA Dental Member Months>62864</WA Dental Member Months><WA Dental Loss Ratio>0.707</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>51.72</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>50.72</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.02</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="42"><Company Name>Starmount Life Insurance Company</Company Name><NAIC Code>68985</NAIC Code><Domicile State>ME</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>2676121</WA Dental Premiums><WA Dental Payments>2639927</WA Dental Payments><WA Dental Members>6298</WA Dental Members><WA Dental Member Months>69010</WA Dental Member Months><WA Dental Loss Ratio>0.986</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>38.78</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>34.03</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.14</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="43"><Company Name>THE CHESAPEAKE LIFE INSURANCE COMPANY</Company Name><NAIC Code>61832</NAIC Code><Domicile State>OK</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>1039504</WA Dental Premiums><WA Dental Payments>548297</WA Dental Payments><WA Dental Members>2165</WA Dental Members><WA Dental Member Months>30245</WA Dental Member Months><WA Dental Loss Ratio>0.527</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>34.37</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>34.53</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>-0.005</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="44"><Company Name>The Lincoln National Life Insurance Company</Company Name><NAIC Code>65676</NAIC Code><Domicile State>IN</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>1574131</WA Dental Premiums><WA Dental Payments>1665076</WA Dental Payments><WA Dental Members>2075</WA Dental Members><WA Dental Member Months>23379</WA Dental Member Months><WA Dental Loss Ratio>1.058</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>67.33</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>65.53</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.027</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="45"><Company Name>Timber Products Manufacturers Trust</Company Name><NAIC Code>12239</NAIC Code><Domicile State>WA</Domicile State><Business Type>X</Business Type><Year>2025</Year><WA Dental Premiums>1530950</WA Dental Premiums><WA Dental Payments>1420912</WA Dental Payments><WA Dental Members>3986</WA Dental Members><WA Dental Member Months>45634</WA Dental Member Months><WA Dental Loss Ratio>0.928</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>33.55</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>32.33</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.038</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="46"><Company Name>TRANSAMERICA LIFE INSURANCE COMPANY</Company Name><NAIC Code>86231</NAIC Code><Domicile State>IA</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>6152</WA Dental Premiums><WA Dental Payments>3471</WA Dental Payments><WA Dental Members>7</WA Dental Members><WA Dental Member Months>84</WA Dental Member Months><WA Dental Loss Ratio>0.564</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>73.24</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>24.11</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>2.038</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="47"><Company Name>United Concordia Insurance Company</Company Name><NAIC Code>85766</NAIC Code><Domicile State>AZ</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>933521</WA Dental Premiums><WA Dental Payments>638343</WA Dental Payments><WA Dental Members>1781</WA Dental Members><WA Dental Member Months>23037</WA Dental Member Months><WA Dental Loss Ratio>0.684</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>40.52</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>40.91</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>-0.009</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="48"><Company Name>United National Life Insurance Company of America</Company Name><NAIC Code>92703</NAIC Code><Domicile State>NE</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>115</WA Dental Premiums><WA Dental Payments>55</WA Dental Payments><WA Dental Members>1</WA Dental Members><WA Dental Member Months>12</WA Dental Member Months><WA Dental Loss Ratio>0.478</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>9.58</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month xsi:nil="true" /><Percentage Change in WA Average Premum per Member per Month fro xsi:nil="true" /></row>
<row _id="49"><Company Name>UNITED OF OMAHA LIFE INSURANCE COMPANY</Company Name><NAIC Code>69868</NAIC Code><Domicile State>NE</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>2986873</WA Dental Premiums><WA Dental Payments>1944406</WA Dental Payments><WA Dental Members>6668</WA Dental Members><WA Dental Member Months>71221</WA Dental Member Months><WA Dental Loss Ratio>0.651</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>41.94</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>35.14</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.194</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="50"><Company Name>UNITED STATES BRANCH OF THE SUN LIFE ASSURANCE COMPANY OF CANADA</Company Name><NAIC Code>80802</NAIC Code><Domicile State>MI</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>2489962</WA Dental Premiums><WA Dental Payments>1156047</WA Dental Payments><WA Dental Members>7045</WA Dental Members><WA Dental Member Months>78371</WA Dental Member Months><WA Dental Loss Ratio>0.464</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>31.77</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>16.73</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.9</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="51"><Company Name>UnitedHealthcare Insurance Company</Company Name><NAIC Code>79413</NAIC Code><Domicile State>CT</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>25623529</WA Dental Premiums><WA Dental Payments>19048266</WA Dental Payments><WA Dental Members>61589</WA Dental Members><WA Dental Member Months>706833</WA Dental Member Months><WA Dental Loss Ratio>0.743</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>36.25</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>36.08</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.005</Percentage Change in WA Average Premum per Member per Month fro></row>
<row _id="52"><Company Name>Western United Life Insurance Company</Company Name><NAIC Code>85189</NAIC Code><Domicile State>TX</Domicile State><Business Type>L</Business Type><Year>2025</Year><WA Dental Premiums>5007</WA Dental Premiums><WA Dental Payments>4992</WA Dental Payments><WA Dental Members>9</WA Dental Members><WA Dental Member Months>108</WA Dental Member Months><WA Dental Loss Ratio>0.997</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>46.36</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month xsi:nil="true" /><Percentage Change in WA Average Premum per Member per Month fro xsi:nil="true" /></row>
<row _id="53"><Company Name>Willamette Dental of Washington Inc.</Company Name><NAIC Code>47050</NAIC Code><Domicile State>WA</Domicile State><Business Type>X</Business Type><Year>2025</Year><WA Dental Premiums>68123767</WA Dental Premiums><WA Dental Payments>62193838</WA Dental Payments><WA Dental Members>122933</WA Dental Members><WA Dental Member Months>1483461</WA Dental Member Months><WA Dental Loss Ratio>0.913</WA Dental Loss Ratio><Average Amount of WA Premums per Member per Month>45.92</Average Amount of WA Premums per Member per Month><Previous Year Average Amount of WA Premums per Member per Month>44.01</Previous Year Average Amount of WA Premums per Member per Month><Percentage Change in WA Average Premum per Member per Month fro>0.043</Percentage Change in WA Average Premum per Member per Month fro></row>
</data>
