of that is because there is going to be more people in the two or more tier than was originally estimatessed at this time last year for access plus. >> hasn't it been historically true dependents are less closely in term -- costly in terms of claims? >> absolutely true. there is more of them. completely agree they are less costly than adults. relative to this time last year where estimates were made for access plus versus trio. there are more dependents. >> the class is driven by the number, not utilization? >> yes higher dependent content in the 2019 column. >> to follow up. these are mostly fixed fees paid to the doctors. that is my good example. why 12.5% increase. i could increase more on the medical prescription claims. computation fees, why is there 12.5 increase? >> again, so the 2018 caption itation feet was on the aggregates access plus population from 2017. what happened going to 2019 a higher risk individual was more likely too take access plus versus trio. you will see on the next page, page 18, blue shield did not outline a specific estimate for capitation fee in 2018. in to 19