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U.S. Group Health Insurance Market Size, Share & Trends Analysis Report by Plan Type (HMO, PPO, POS, HDHP/SO), Firm Size (Small Firm, Large Firm), Region (Northeast, Midwest) with Growth Forecasts, 2025-2030- Product Image
U.S. Group Health Insurance Market Size, Share & Trends Analysis Report by Plan Type (HMO, PPO, POS, HDHP/SO), Firm Size (Small Firm, Large Firm), Region (Northeast, Midwest) with Growth Forecasts, 2025-2030- Product Image
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U.S. Group Health Insurance Market Size, Share & Trends Analysis Report by Plan Type (HMO, PPO, POS, HDHP/SO), Firm Size (Small Firm, Large Firm), Region (Northeast, Midwest) with Growth Forecasts, 2025-2030

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  • 100 Pages
  • May 2025
  • Region: United States
  • Grand View Research
  • ID: 5767786
Description Jump to:
The U.S. Group Health Insurance Market was valued at USD 1.41 trillion in 2024, and is projected to reach USD 1.61 trillion by 2030, rising at a CAGR of 2.20%. The availability of group health insurance enables the advantage for companies with an advantage in the hiring phases that aids in retaining qualified personnel, and increases engagement and productivity at work as a whole. According to statistics from the Kaiser Family Foundation's Health Insurance Coverage of the Total Population data for 2021, 48.5% of Americans rely on a group health plan chosen by their employer for insurance coverage, showcasing the high demand for group health insurance.

In 2022, the South area owned the biggest proportion of the U.S. market, followed by the Midwest region. This is due to the presence of prominent insurance plans and a sizable population with standard group health insurance. Florida State has the largest revenue share for the South in 2022, while Illinois has a sizable revenue share supporting the Midwest region. Additionally, the market is aided by the growing popularity of Preferred Provider Organization (PPO), High-Deductible Health Plans with a Savings Option (HDHP/SO) plans. According to the Employer Health Benefits 2022 Annual Survey Report from the Kaiser Family Foundation (KFF), the PPO and HDHP/SO plans accounted for 49% and 29% of covered workers' enrolment in 2022, reflecting the rising demand for these plans.

The U.S. market for group health insurance is affected to some extent by the overall consolidation of the healthcare sector. For instance, at the start of 2020, Cigna and Oscar collaborated to sell health insurance policies to small businesses. The plans use member-focused technologies from Oscar and the regional and national provider networks of Cigna. As a result, Cigna and Oscar are able to provide small group health insurance across the nation in more than a dozen of the most important areas, including Kansas City, Georgia, Connecticut, Tennessee, and Arizona.

U.S. Group Health Insurance Market Report Highlights

  • The PPO plan segment held the largest revenue share of 49.46% in 2024 and is expected to grow at the fastest CAGR over the forecast period.
  • The High-Deductible Health Plans with a Savings Option (HDHP/SO) segment is expected to grow at a significant CAGR over the forecast period.
  • The large firm segment held the largest revenue share of 92.92% in 2024. The small firm segment is expected to grow at a lucrative CAGR over the forecast period.
  • The South region held the largest share of the U.S. market in 2024 due to the presence of noteworthy insurance plans and the substantial population covered by overall group health insurance.
  • Midwest region continued to hold the second-largest share of the U.S. group health insurance market.

This report addresses:

  • Market intelligence to enable effective decision-making
  • Market estimates and forecasts from 2018 to 2030
  • Growth opportunities and trend analyses
  • Segment and regional revenue forecasts for market assessment
  • Competition strategy and market share analysis
  • Product innovation listings for you to stay ahead of the curve

Why Should You Buy This Report?

  • Comprehensive Market Analysis: Gain detailed insights into the market across major regions and segments.
  • Competitive Landscape: Explore the market presence of key players.
  • Future Trends: Discover the pivotal trends and drivers shaping the future of the market.
  • Actionable Recommendations: Utilize insights to uncover new revenue streams and guide strategic business decisions.

This product will be delivered within 1-3 business days.

Table of Contents

Chapter 1. Methodology and Scope
1.1. Market Segmentation & Scope
1.1.1. Segment Definitions
1.2. Estimates and Forecast Timeline
1.3. Research Methodology
1.4. Information Procurement
1.4.1. Purchased Database
1.4.2. Internal Database
1.4.3. Secondary Sources
1.4.4. Primary Research
1.4.5. Details of Primary Research
1.4.6. Research Assumption
1.5. Information or Data Analysis
1.5.1. Data Analysis Models
1.6. Market Formulation & Data Visualization
1.7. Model Details
1.7.1. Volume Price Analysis
1.8. Objectives
1.8.1. Objective - 1
1.8.2. Objective - 2
1.8.3. Objective - 3
1.9. List of Secondary Sources
1.10. List of Abbreviations
Chapter 2. Executive Summary
2.1. U.S. Group Health Insurance Market
2.1.1. Market Snapshot
2.1.2. Segment Snapshot
2.1.2.1. Plan type segment outlook
2.1.2.2. Firm size segment outlook
2.1.2.3. Plan funding segment outlook
2.1.2.4. Regional segment outlook
2.1.3. Competitive Landscape Snapshot
Chapter 3. Market Variables, Trends, & Scope
3.1. Market Lineage Outlook
3.1.1. Parent Market Outlook
3.1.2. Related/Ancillary Market Outlook
3.2. Market Dynamics
3.2.1. Market Driver Analysis
3.2.2. Market Restraint Analysis
3.3. Regulatory Framework
3.4. Business Environment Analysis Tools
3.4.1. Industry Analysis - Porter’s Five Forces Analysis
3.4.1.1. Supplier power
3.4.1.2. Buyer power
3.4.1.3. Substitution threat
3.4.1.4. Threat of new entrant
3.4.1.5. Competitive rivalry
3.4.2. PESTEL Analysis
3.4.3. Regulatory Framework
3.4.4. Employer-sponsored Insured Population, by state, from 2008-2024
Chapter 4. Plan Type Business Analysis
4.1. U.S. Group Health Insurance Market: Plan Type Movement Analysis
4.2. U.S. Group Health Insurance Market: Plan Type Segment Dashboard
4.3. Plan Type Movement & Market Share Analysis, 2024 & 2030
4.4. U.S. Group Health Insurance Market Estimates & Forecast, by Plan Type
4.5. Health Maintenance Organization (HMO)
4.5.1. Health Maintenance Organization (HMO) Market, 2018-2030 (USD Billion)
4.6. Preferred Provider Organization (PPO)
4.6.1. Preferred Provider Organization (PPO) Market, 2018-2030 (USD Billion)
4.7. Point of Service (POS)
4.7.1. Point of Service (POS) Market, 2018-2030 (USD Billion)
4.8. High-Deductible Health Plans with a Savings Option (HDHP/SO)
4.8.1. High-Deductible Health Plans with a Savings Option (HDHP/SO) Market, 2018-2030 (USD Billion)
4.9. Conventional (Indemnity plans)
4.9.1. Conventional (Indemnity plans) Market, 2018-2030 (USD Billion)
Chapter 5. Firm size Business Analysis
5.1. U.S. Group Health Insurance Market: Firm size Movement Analysis
5.2. U.S. Group Health Insurance Market: Firm size Segment Dashboard
5.3. Firm size Movement & Market Share Analysis, 2024 & 2030
5.4. U.S. Group Health Insurance Market Estimates & Forecast, by Firm size
5.5. Small Firm
5.5.1. Small Firm Market, 2018-2030 (USD Billion)
5.5.2. Self-Funded Plan
5.5.2.1. Self-Funded Plan Market, 2018-2030 (USD Billion)
5.5.3. Level-Funded Plan
5.5.3.1. Level-Funded Plan Market, 2018-2030 (USD Billion)
5.5.4. Fully Insured
5.5.4.1. Fully Insured Market, 2018-2030 (USD Billion)
5.6. Large Firm
5.6.1. Large Firm Market, 2018-2030 (USD Billion)
Chapter 6. Regional Business Analysis
6.1. U.S. Group Health Insurance Market: Regional Movement Analysis, 2024 & 2030
6.2. Key Country Dynamics
6.3. Competitive Scenario
6.4. Regulatory Framework
6.5. South
6.5.1. South U.S. Group Health Insurance Market Estimates And Forecasts, 2018-2030 (Billion)
6.5.2. Florida
6.5.2.1. Florida Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.5.3. Georgia
6.5.3.1. Georgia Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.5.4. Maryland
6.5.4.1. Maryland Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.5.5. North Carolina
6.5.5.1. North Carolina Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.5.6. Virginia
6.5.6.1. Virginia Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.5.7. Alabama
6.5.7.1. Alabama Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.5.8. Kentucky
6.5.8.1. Kentucky Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.5.9. Tennessee
6.5.9.1. Tennessee Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.5.10. Louisiana
6.5.10.1. Louisiana Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.5.11. Oklahoma
6.5.11.1. Oklahoma Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.5.12. Texas
6.5.12.1. Texas Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.5.13. Others (Delaware, West Virginia, Mississippi, Arkansas)
6.5.13.1. Others Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.6. Northeast
6.6.1. Northeast U.S. Group Health Insurance Market Estimates And Forecasts, 2018-2030 (Billion)
6.6.2. Connecticut
6.6.2.1. Connecticut Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.6.3. Massachusetts
6.6.3.1. Massachusetts Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.6.4. Pennsylvania
6.6.4.1. Pennsylvania Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.6.5. New Jersey
6.6.5.1. New Jersey Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.6.6. New York
6.6.6.1. New York Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.6.7. Others (New Hampshire, Rhode Island, Vermont, Maine)
6.6.7.1. Others Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.7. Midwest
6.7.1. Midwest U.S. Group Health Insurance Market Estimates And Forecasts, 2018-2030 (Billion)
6.7.2. Illinois
6.7.2.1. Illinois Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.7.3. Indiana
6.7.3.1. Indiana Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.7.4. Michigan
6.7.4.1. Michigan Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.7.5. Ohio
6.7.5.1. Ohio Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.7.6. Wisconsin
6.7.6.1. Wisconsin Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.7.7. Lowa
6.7.7.1. Iowa Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.7.8. Kansas
6.7.8.1. Kansas Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.7.9. Minnesota
6.7.9.1. Minnesota Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.7.10. Missouri
6.7.10.1. Missouri Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.7.11. Nebraska
6.7.11.1. Nebraska Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.7.12. Others (North Dakota, South Dakota)
6.7.12.1. Others Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.8. West
6.8.1. West U.S. Group Health Insurance Market Estimates And Forecasts, 2018-2030 (Billion)
6.8.2. Arizona
6.8.2.1. Arizona Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.8.3. Colorado
6.8.3.1. Colorado Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.8.4. Nevada
6.8.4.1. Nevada Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.8.5. Utah
6.8.5.1. Utah Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.8.6. California
6.8.6.1. California Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.8.7. Oregon
6.8.7.1. Oregon Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.8.8. Washington
6.8.8.1. Washington Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
6.8.9. Others (Idaho, Montana, New Mexico, Wyoming, Alaska, Hawaii)
6.8.9.1. Others Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
Chapter 7. Competitive Landscape
7.1. Company Categorization
7.2. Company Market Position Analysis
7.3. Estimated Company Market Share Analysis, 2024
7.4. Strategy Mapping
7.4.1. Partnership/Collaboration/Alliance
7.4.2. New Service Launch
7.4.3. Mergers & Acquisitions
7.4.4. Others
7.5. Company Profiles/Listing
7.5.1. Health Care Service Corporation
7.5.1.1. Overview
7.5.1.2. Financial performance
7.5.1.3. Service benchmarking
7.5.1.4. Strategic initiatives
7.5.2. Unitedhealth Group
7.5.2.1. Overview
7.5.2.2. Financial performance
7.5.2.3. Service benchmarking
7.5.2.4. Strategic initiatives
7.5.3. Kaiser Foundation Health Plan, Inc.
7.5.3.1. Overview
7.5.3.2. Financial performance
7.5.3.3. Service benchmarking
7.5.3.4. Strategic initiatives
7.5.4. Blue Cross Blue Shield Association
7.5.4.1. Overview
7.5.4.2. Financial performance
7.5.4.3. Service benchmarking
7.5.4.4. Strategic initiatives
7.5.5. Anthem, Inc. (Now Elevance Health)
7.5.5.1. Overview
7.5.5.2. Financial performance
7.5.5.3. Service benchmarking
7.5.5.4. Strategic initiatives
7.5.6. The IHC Group
7.5.6.1. Overview
7.5.6.2. Financial performance
7.5.6.3. Service benchmarking
7.5.6.4. Strategic initiatives
7.5.7. Health Partners Group Ltd
7.5.7.1. Overview
7.5.7.2. Financial performance
7.5.7.3. Service benchmarking
7.5.7.4. Strategic initiatives
7.5.8. Mississippi Insurance Group, LLC
7.5.8.1. Overview
7.5.8.2. Financial performance
7.5.8.3. Service benchmarking
7.5.8.4. Strategic initiatives
7.5.9. Providence Health Plan
7.5.9.1. Overview
7.5.9.2. Financial performance
7.5.9.3. Service benchmarking
7.5.9.4. Strategic initiatives
7.5.10. Harvard Pilgrim Health Care, Inc.
7.5.10.1. Overview
7.5.10.2. Financial performance
7.5.10.3. Service benchmarking
7.5.10.4. Strategic initiatives
List of Tables
Table 1 List of secondary sources
Table 2 List of abbreviations
Table 3 U.S. Group Health Insurance Market estimates and forecasts, by Plan Type, 2018-2030 (Billion)
Table 4 U.S. Group Health Insurance Market estimates and forecasts, by Firm Size, 2018-2030 (Billion)
Table 4 U.S. Group Health Insurance Market estimates and forecasts, by Plan Funding, 2018-2030 (Billion)
Table 5 Northeast U.S. Group Health Insurance Market, by Plan Type, 2018-2030 (Billion)
Table 6 Northeast U.S. Group Health Insurance Market, by Firm Size, 2018-2030 (Billion)
Table 7 Northeast U.S. Group Health Insurance Market, by Plan Funding, 2018-2030 (Billion)
Table 8 Midwest U.S. Group Health Insurance Market, by Plan Type, 2018-2030 (Billion)
Table 9 Midwest U.S. Group Health Insurance Market, by Firm Size, 2018-2030 (Billion)
Table 10 Midwest U.S. Group Health Insurance Market, by Plan Funding, 2018-2030 (Billion)
Table 11 South U.S. Group Health Insurance Market, by Plan Type, 2018-2030 (Billion)
Table 12 South U.S. Group Health Insurance Market, by Firm Type, 2018-2030 (Billion)
Table 13 South U.S. Group Health Insurance Market, by Plan Funding, 2018-2030 (Billion)
Table 14 West U.S. Group Health Insurance Market, by Plan Type, 2018-2030 (Billion)
Table 15 West U.S. Group Health Insurance Market, by Firm Type, 2018-2030 (Billion)
Table 16 West U.S. Group Health Insurance Market, by Plan Funding, 2018-2030 (Billion)
Table 17 Participant’s overview
Table 18 Financial performance
Table 19 Key companies undergoing expansions
Table 20 Key companies undergoing acquisitions
Table 21 Key companies undergoing collaborations
Table 22 Key companies launching new products/services
Table 23 Key companies undergoing partnerships
Table 24 Key companies undertaking other strategies
List of Figures
Figure 1 Market research process
Figure 2 Data triangulation techniques
Figure 3 Primary research pattern
Figure 4 Market research approaches
Figure 5 Value-chain-based sizing & forecasting
Figure 6 QFD modeling for market share assessment
Figure 7 Market formulation & validation
Figure 8 Market snapshot
Figure 9 Market segment snapshot
Figure 10 Competitive Snapshot
Figure 11 Market driver impact
Figure 12 Market restraint impact
Figure 13 Porter’s five force’s analysis
Figure 14 PESTLE analysis
Figure 15 U.S. Group Health Insurance market: Plan type outlook and key takeaways
Figure 16 U.S. Group Health Insurance market: Plan type movement analysis
Figure 17 Health maintenance organization (HMO) Market, 2018-2030 (USD Billion)
Figure 18 Preferred provider organization (PPO) Market, 2018-2030 (USD Billion)
Figure 19 Point of service (POS) Market, 2018-2030 (USD Billion)
Figure 20 High-Deductible Health Plans with a Savings Option (HDHP/SO) Market, 2018-2030 (USD Billion)
Figure 21 Conventional (Indemnity plans) Market, 2018-2030 (USD Billion)
Figure 22 U.S. Group Health Insurance market: Firm Size outlook and key takeaways
Figure 23 U.S. Group Health Insurance market: Firm Size movement analysis
Figure 24 Small Firm Market, 2018-2030 (USD Billion)
Figure 27 Large Firm Market, 2018-2030 (USD Billion)
Figure 22 U.S. Group Health Insurance market: Plan funding outlook and key takeaways
Figure 23 U.S. Group Health Insurance market: Plan funding movement analysis
Figure 24 Self-Funded Plan Market, 2018-2030 (USD Billion)
Figure 25 Level-Funded Plan Market, 2018-2030 (USD Billion)
Figure 26 Fully Insured Market, 2018-2030 (USD Billion)
Figure 27 U.S. Group Health Insurance market: key takeaways
Figure 28 Northeast U.S. Group Health Insurance Market, 2018-2030 (Billion)
Figure 29 Connecticut Group Health Insurance Market, 2018-2030 (Billion)
Figure 30 Massachusetts Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
Figure 31 Pennsylvania Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)2018-2030 (Billion)
Figure 32 New Jersey Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
Figure 33 Others Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
Figure 34 Midwest U.S. Group Health Insurance Market, 2018-2030 (Billion)
Figure 35 Illinois Group Health Insurance Market estimates and forecasts, 2018-2030 (Billion)
Figure 36 Indiana Group Health Insurance Market, 2018-2030 (Billion)
Figure 37 Michigan Group Health Insurance Market, 2018-2030 (Billion)
Figure 38 Ohio Group Health Insurance Market, 2018-2030 (Billion)
Figure 39 Wisconsin Group Health Insurance Market, 2018-2030 (Billion)
Figure 40 Iowa Group Health Insurance Market, 2018-2030 (Billion)
Figure 41 Kansas Group Health Insurance Market, 2018-2030 (Billion)
Figure 42 Minnesota Group Health Insurance Market, 2018-2030 (Billion)
Figure 43 Missouri Group Health Insurance Market, 2018-2030 (Billion)
Figure 44 Nebraska Group Health Insurance Market, 2018-2030 (Billion)
Figure 45 Others Group Health Insurance Market, 2018-2030 (Billion)
Figure 46 West U.S. Group Health Insurance Market, 2018-2030 (Billion)
Figure 47 Arizona Group Health Insurance Market, 2018-2030 (Billion)
Figure 48 Colorado Group Health Insurance Market, 2018-2030 (Billion)
Figure 49 Nevada Group Health Insurance Market, 2018-2030 (Billion)
Figure 50 Utah Group Health Insurance Market, 2018-2030 (Billion)
Figure 51 California Group Health Insurance Market, 2018-2030 (Billion)
Figure 52 Oregon Group Health Insurance Market, 2018-2030 (Billion)
Figure 53 Washington Group Health Insurance Market, 2018-2030 (Billion)
Figure 54 Others (Idaho, Montana, New Mexico, Wyoming, Alaska, Hawaii) Group Health Insurance Market, 2018-2030 (Billion)
Figure 55 South U.S. Group Health Insurance Market, 2018-2030 (Billion)
Figure 56 Florida Group Health Insurance Market, 2018-2030 (Billion)
Figure 57 Georgia Group Health Insurance Market, 2018-2030 (Billion)
Figure 58 Maryland Group Health Insurance Market, 2018-2030 (Billion)
Figure 59 North Carolina Group Health Insurance Market, 2018-2030 (Billion)
Figure 60 Virginia Group Health Insurance Market, 2018-2030 (Billion)
Figure 61 Alabama Group Health Insurance Market, 2018-2030 (Billion)
Figure 62 Kentucky Group Health Insurance Market, 2018-2030 (Billion)
Figure 63 Tennessee Group Health Insurance Market, 2018-2030 (Billion)
Figure 64 Louisiana Group Health Insurance Market, 2018-2030 (Billion)
Figure 65 Oklahoma Group Health Insurance Market, 2018-2030 (Billion)
Figure 66 Texas Group Health Insurance Market, 2018-2030 (Billion)
Figure 67 Others (Delaware, West Virginia, Mississippi, Arkansas) Group Health Insurance Market Estimates and Forecasts, 2018-2030 (Billion)
Figure 68 Company Market Position Analysis
Figure 69 Market Participant Categorization
Figure 70 U.S. Group Health Insurance Market Share Analysis, 2022
Figure 71 Strategy Framework

Companies Mentioned

The major companies featured in this U.S. Group Health Insurance market report include:
  • Health Care Service Corporation
  • Unitedhealth Group
  • Kaiser Foundation Health Plan, Inc.
  • Blue Cross Blue Shield Association
  • Anthem, Inc. (Now Elevance Health)
  • The IHC Group
  • Health Partners Group Ltd
  • Mississippi Insurance Group, LLC
  • Providence Health Plan
  • Harvard Pilgrim Health Care, Inc.

Table Information

Report AttributeDetails
No. of Pages100
PublishedMay 2025
Forecast Period2024 - 2030
Estimated Market Value ( USD ) in 2024 $ 1.41 Trillion
Forecasted Market Value ( USD ) by 2030 $ 1.61 Trillion
Compound Annual Growth Rate2.2%
Regions CoveredUnited States
No. of Companies Mentioned11

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