PDF: https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=2114810&amendid=3
| filing_id | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | 2114810 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| amend_id | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| line_item | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| rec_type | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | CVR2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| form_type | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | F603 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| tran_id | GFnArocRkJXc | WDa44ruCTwWx | ism4CtOMXnXw | ZMlTaZktbZor | zTmkoe9cSiPn | oLEVokCgMDbm | VndO7S69fDrK | Bx7rTtltUzd5 | y9thiKokhwlc | 8R6l73wNbMv7 | ywQzV6ay37vl | imlyqOfXvntb | Vp2mwff2TAeK | XoV21JGOsz91 | GFnArocRkJXc | WDa44ruCTwWx | obV1Px862UyV | ism4CtOMXnXw | ZMlTaZktbZor | zTmkoe9cSiPn | oLEVokCgMDbm | VndO7S69fDrK | Bx7rTtltUzd5 | y9thiKokhwlc | 8R6l73wNbMv7 | ywQzV6ay37vl | imlyqOfXvntb | Vp2mwff2TAeK | XoV21JGOsz91 | s5WUoLFT4Nwz | HwHiTYWd2vXE | GFnArocRkJXc | WDa44ruCTwWx | obV1Px862UyV | ism4CtOMXnXw | ZMlTaZktbZor | zTmkoe9cSiPn | oLEVokCgMDbm | VndO7S69fDrK | Bx7rTtltUzd5 | y9thiKokhwlc | 8R6l73wNbMv7 | ywQzV6ay37vl | imlyqOfXvntb | Vp2mwff2TAeK | XoV21JGOsz91 | GFnArocRkJXc | WDa44ruCTwWx | obV1Px862UyV | ism4CtOMXnXw | ZMlTaZktbZor | zTmkoe9cSiPn | VndO7S69fDrK | Bx7rTtltUzd5 | y9thiKokhwlc | 8R6l73wNbMv7 | ywQzV6ay37vl | imlyqOfXvntb | Vp2mwff2TAeK | XoV21JGOsz91 | s5WUoLFT4Nwz | HwHiTYWd2vXE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| entity_cd | FRM | FRM | EMP | EMP | EMP | EMP | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | FRM | FRM | FRM | EMP | EMP | EMP | EMP | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | FRM | FRM | FRM | EMP | EMP | EMP | EMP | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | FRM | FRM | FRM | EMP | EMP | EMP | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | AGY | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| entity_id | None | None | 1299583 | 1281542 | L25611 | 1362954 | None | None | None | None | None | None | None | None | None | None | None | 1299583 | 1281542 | L25611 | 1362954 | None | None | None | None | None | None | None | None | None | None | None | None | None | 1299583 | 1281542 | L25611 | 1362954 | None | None | None | None | None | None | None | None | None | None | None | 1299583 | 1281542 | L25611 | None | None | None | None | None | None | None | None | None | None | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| enty_naml | Sacramento Advocates, Inc. | The Crane Group | Gonzalez | Stark | Espinal | Robinson-Taylor | Department of Consumer Affairs | Department of Labor | Department of Mental Health | Governor | Managed Risk Medical Insurance Board (MRMIB) | Office of Statewide Health Planning and Development | Health & Human Services Agency | Department of Insurance | Sacramento Advocates, Inc. | The Crane Group | De Boo Communications, Inc. | Gonzalez | Stark | Espinal | Robinson-Taylor | Department of Consumer Affairs | Department of Labor | Department of Mental Health | Governor | Managed Risk Medical Insurance Board (MRMIB) | Office of Statewide Health Planning and Development | Health & Human Services Agency | Department of Insurance | Department of Managed Health Care | Department of Health Care Services | Sacramento Advocates, Inc. | The Crane Group | De Boo Communications, Inc. | Gonzalez | Stark | Espinal | Robinson-Taylor | Department of Consumer Affairs | Department of Labor | Department of Mental Health | Governor | Managed Risk Medical Insurance Board (MRMIB) | Office of Statewide Health Planning and Development | Health & Human Services Agency | Department of Insurance | Sacramento Advocates, Inc. | The Crane Group | De Boo Communications, Inc. | Gonzalez | Stark | Espinal | Department of Consumer Affairs | Department of Labor | Department of Mental Health | Governor | Managed Risk Medical Insurance Board (MRMIB) | Office of Statewide Health Planning and Development | Health & Human Services Agency | Department of Insurance | Department of Managed Health Care | Department of Health Care Services | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| enty_namf | None | None | Angelica V. | Teresa | Deborah | Tanya | None | None | None | None | None | None | None | None | None | None | None | Angelica V. | Teresa | Deborah | Tanya | None | None | None | None | None | None | None | None | None | None | None | None | None | Angelica V. | Teresa | Deborah | Tanya | None | None | None | None | None | None | None | None | None | None | None | Angelica V. | Teresa | Deborah | None | None | None | None | None | None | None | None | None | None | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| enty_namt | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| enty_nams | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None | None |
| filing_id | 2114810 | 2114810 | 2114810 | 2114810 | ||||
|---|---|---|---|---|---|---|---|---|
| amend_id | 0 | 1 | 3 | 2 | ||||
| rec_type | CVR | CVR | CVR | CVR | ||||
| form_type | F603 | F603 | F603 | F603 | ||||
| sender_id | E00550 | E00550 | E00550 | E00550 | ||||
| filer_id | E00550 | E00550 | E00550 | E00550 | ||||
| entity_cd | LEM | LEM | LEM | LEM | ||||
| filer_naml | Kaiser Foundation Health Plan, Inc. | Kaiser Foundation Health Plan, Inc. | Kaiser Foundation Health Plan, Inc. | Kaiser Foundation Health Plan, Inc. | ||||
| filer_namf | None | None | None | None | ||||
| filer_namt | None | None | None | None | ||||
| filer_nams | None | None | None | None | ||||
| report_num | 000 | 001 | 003 | 002 | ||||
| rpt_date | 2018-12-31 00:00:00 | 2017-09-05 00:00:00 | 2018-10-11 00:00:00 | 2018-01-01 00:00:00 | ||||
| ls_beg_yr | 2017 | 2017 | 2017 | 2017 | ||||
| ls_end_yr | 2018 | 2018 | 2018 | 2018 | ||||
| qual_date | None | None | None | None | ||||
| eff_date | None | None | None | None | ||||
| bus_city | Sacramento | Sacramento | Sacramento | Sacramento | ||||
| bus_st | CA | CA | CA | CA | ||||
| bus_zip4 | 95814 | 95814 | 95814 | 95814 | ||||
| bus_phon | 916 448-4912 | 916 448-4912 | 916 448-4912 | 916 448-4912 | ||||
| bus_fax | None | None | None | None | ||||
| bus_email | [email protected] | [email protected] | [email protected] | [email protected] | ||||
| mail_city | None | None | None | None | ||||
| mail_st | None | None | None | None | ||||
| mail_zip4 | None | None | None | None | ||||
| mail_phon | None | None | None | None | ||||
| sig_date | 2016-12-29 00:00:00 | 2017-09-05 00:00:00 | 2018-10-11 00:00:00 | 2018-01-22 00:00:00 | ||||
| sig_loc | Sacramento CA | Sacramento CA | Sacramento CA | Sacramento CA | ||||
| sig_naml | Garcia | Garcia | Garcia | Garcia | ||||
| sig_namf | John | John | John | John | ||||
| sig_namt | None | None | None | None | ||||
| sig_nams | None | None | None | None | ||||
| prn_naml | Garcia | Garcia | Garcia | Garcia | ||||
| prn_namf | John | John | John | John | ||||
| prn_namt | None | None | None | None | ||||
| prn_nams | None | None | None | None | ||||
| sig_title | Vice President, Legal & Government Relations | Vice President, Legal & Government Relations | Vice President, Legal / Government Relations | Vice President, Legal / Government Relations | ||||
| stmt_firm | None | None | None | None | ||||
| ind_cb | None | None | None | None | ||||
| bus_cb | X | X | X | X | ||||
| trade_cb | None | None | None | None | ||||
| oth_cb | None | None | None | None | ||||
| a_b_name | None | None | None | None | ||||
| a_b_city | None | None | None | None | ||||
| a_b_st | None | None | None | None | ||||
| a_b_zip4 | None | None | None | None | ||||
| descrip_1 | Health Care | Health Care | Health Care | Health Care | ||||
| descrip_2 | None | None | None | None | ||||
| c_less50 | None | None | None | None | ||||
| c_more50 | None | None | None | None | ||||
| ind_class | HEA | HEA | HEA | HEA | ||||
| ind_descr | None | None | None | None | ||||
| bus_class | FIN | FIN | FIN | FIN | ||||
| bus_descr | None | None | None | None | ||||
| auth_name | None | None | None | None | ||||
| auth_city | None | None | None | None | ||||
| auth_st | None | None | None | None | ||||
| auth_zip4 | None | None | None | None | ||||
| lobby_int | Health Care | Health Care | Health Care | Health Care | ||||
| influen_yn | Y | Y | Y | Y | ||||
| firm_name | None | None | None | None | ||||
| newcert_cb | None | None | None | None | ||||
| rencert_cb | None | None | None | None | ||||
| complet_dt | None | None | None | None | ||||
| lby_reg_cb | None | None | None | None | ||||
| lby_604_cb | None | None | None | None | ||||
| st_leg_yn | None | None | None | None | ||||
| st_agency | None | None | None | None | ||||
| lobby_cb | None | None | None | None | ||||
| l_firm_cb | None | None | None | None |
| filer_id | 1146826 | 1146826 | 1146826 | 1146826 | ||||
|---|---|---|---|---|---|---|---|---|
| filing_id | 2114810 | 2114810 | 2114810 | 2114810 | ||||
| period_id | 233 | 236 | 231 | 236 | ||||
| form_id | F603 | F603 | F603 | F603 | ||||
| filing_sequence | 2 | 0 | 1 | 3 | ||||
| filing_date | 2018-01-31 00:00:00 | 2016-12-29 00:00:00 | 2017-09-07 00:00:00 | 2018-11-29 00:00:00 | ||||
| stmnt_type | 10002 | 10001 | 10002 | 10002 | ||||
| stmnt_status | 11001 | 11001 | 11001 | 11001 | ||||
| session_id | 2017 | 2017 | 2017 | 2017 | ||||
| user_id | GPEREZ | YRODRIGU | GPEREZ | GPEREZ | ||||
| special_audit | 11003 | 11003 | 11003 | 11003 | ||||
| fine_audit | 11003 | 11001 | 11003 | 11003 | ||||
| rpt_start | 2018-01-01 00:00:00 | 2018-12-31 00:00:00 | 2017-09-05 00:00:00 | 2018-10-11 00:00:00 | ||||
| rpt_end | 2018-01-01 00:00:00 | 2018-12-31 00:00:00 | 2017-09-05 00:00:00 | 2018-10-11 00:00:00 | ||||
| rpt_date | None | None | None | None | ||||
| filing_type | 22001 | 22001 | 22001 | 22001 |
| filing_id | 2114810 | |
|---|---|---|
| filing_type | 22001 |
| filing_id | 2114810 | 2114810 | 2114810 | 2114810 | ||||
|---|---|---|---|---|---|---|---|---|
| amend_id | 0 | 1 | 2 | 3 | ||||
| rec_type | HDR | HDR | HDR | HDR | ||||
| ef_type | CAL | CAL | CAL | CAL | ||||
| state_cd | CA | CA | CA | CA | ||||
| cal_ver | 2.01 | 2.01 | 2.01 | 2.01 | ||||
| soft_name | NETFILE | NETFILE | NETFILE | NETFILE | ||||
| soft_ver | 39_0_736_CD44883 | 45_2_877_583C076 | 51_0_958_A7D5CA8 | 55_0_1200_22CE4B | ||||
| hdrcomment | None | None | None | None |
| filing_id | 2114810 | 2114810 | 2114810 | |||
|---|---|---|---|---|---|---|
| amend_id | 3 | 2 | 1 | |||
| rec_type | F605 | F605 | F605 | |||
| form_type | F603 | F603 | F603 | |||
| exec_date | 2018-10-11 00:00:00 | 2018-01-01 00:00:00 | 2017-09-05 00:00:00 | |||
| from_date | 2017-01-01 00:00:00 | 2017-01-01 00:00:00 | 2017-01-01 00:00:00 | |||
| thru_date | 2018-12-31 00:00:00 | 2018-12-31 00:00:00 | 2018-12-31 00:00:00 | |||
| add_l_cb | None | None | None | |||
| add_l_eff | None | None | None | |||
| a_l_naml | None | None | None | |||
| a_l_namf | None | None | None | |||
| a_l_namt | None | None | None | |||
| a_l_nams | None | None | None | |||
| del_l_cb | X | None | None | |||
| del_l_eff | 2018-09-30 00:00:00 | None | None | |||
| d_l_naml | Robinson-Taylor | None | None | |||
| d_l_namf | Tanya | None | None | |||
| d_l_namt | None | None | None | |||
| d_l_nams | None | None | None | |||
| add_le_cb | None | None | None | |||
| add_le_eff | None | None | None | |||
| a_le_naml | None | None | None | |||
| a_le_namf | None | None | None | |||
| a_le_namt | None | None | None | |||
| a_le_nams | None | None | None | |||
| del_le_cb | None | None | None | |||
| del_le_eff | None | None | None | |||
| d_le_naml | None | None | None | |||
| d_le_namf | None | None | None | |||
| d_le_namt | None | None | None | |||
| d_le_nams | None | None | None | |||
| add_lf_cb | None | None | X | |||
| add_lf_eff | None | None | 2017-09-05 00:00:00 | |||
| a_lf_name | None | None | De Boo Communications, Inc. | |||
| del_lf_cb | None | None | None | |||
| del_lf_eff | None | None | None | |||
| d_lf_name | None | None | None | |||
| other_cb | None | X | None | |||
| other_eff | None | 2018-01-01 00:00:00 | None | |||
| other_desc | None | See Attachment AMENDMENT INFO | None | |||
| f606_yes | X | None | None | |||
| f606_no | None | None | None |