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PEO Medical Underwriting Lead

Rippling · San Francisco, CA, United States · On Site · Active · $116,400–$194,000 / year · Rippling ATS

Job facts

FieldValue
CompanyRippling
TitlePEO Medical Underwriting Lead
Normalized title-
Department / teamPEO Management
LocationSan Francisco, CA, United States
Work modelOn Site
Employment typeFull Time
Salary$116,400–$194,000 / year
Statusactive
ATS providerRippling ATS
Posted / first seen2026-04-30 / 2026-05-29
Changed / last seen2026-06-22 / 2026-06-22

Related slices

PageWhat it containsOpen
Company jobsActive postings from Rippling.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through Rippling ATS.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in San Francisco.Open
Department jobsActive postings in PEO Management.Open
Work model jobsActive On Site postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyRippling
Source02062ba4-35e8-43e7-964f-b1ad299a2912
ATS providerRippling ATS

Description

company About Rippling Rippling gives businesses one place to run HR, IT, and Finance. It brings together all of the workforce systems that are normally scattered across a company, like payroll, expenses, benefits, and computers. For the first time ever, you can manage and automate every part of the employee lifecycle in a single system. Take onboarding, for example. With Rippling, you can hire a new employee anywhere in the world and set up their payroll, corporate card, computer, benefits, and even third-party apps like Slack and Microsoft 365—all within 90 seconds. Based in San Francisco, CA, Rippling has raised $1.4B+ from the world’s top investors—including Kleiner Perkins, Founders Fund, Sequoia, Greenoaks, and Bedrock—and was named one of America's best startup employers by Forbes. We prioritize candidate safety. Please be aware that all official communication will only be sent from @ Rippling.com addresses. role About the role Rippling PEO co-employs tens of thousands of worksite employees, and many of our clients join Rippling PEO for its top-notch benefits offerings. As we've scaled, managing our book of business has grown increasingly complex and the stakes have never been higher – medical costs continue to trend upward, and competitors are struggling to manage their portfolios effectively. This is a pivotal moment for Rippling PEO, and we're hiring our first dedicated in-house Medical Underwriting Lead to meet it. Until now, we've relied on third-party partners to own our underwriting strategy; we're ready to have expertise in-house. You'll own the underwriting policies that govern our thousands of RPEO clients, lead the annual renewal process, and directly shape how we price and win new business. This is a role with real financial accountability and the autonomy to build something that doesn't fully exist yet at Rippling. You'll partner closely with Aetna, Kaiser, third party underwriters and internal teams across Sales, Account Management, and Finance, but ultimately, the underwriting strategy is yours to define and defend. What you will do Drive achievement of business goals through articulation and application of sophisticated underwriting policies, initiatives, and long-term vision. Proactively identify, analyze, and mitigate complex risks that could materially affect financial results, driving sound, unbiased, and strategically informed actions. Serve as a subject matter expert and partner with our 3rd party underwriters, sales teams, Account Management teams, and other departments on the principles and practices of new business underwriting and rating. Own and maintain the underwriting guidelines that govern automation and decision frameworks Architect and lead high-impact, cross-functional strategic projects, fostering robust partnerships across the organization (ex: Deal Desk) Execute the annual renewal process and refine renewal approach; Work directly with all Rippling PEO brokers, benefits partners, and key PEO partners to best serve our shared members Use data to drive fact-based decision-making to optimize our PEO benefits offering and plan performance Autonomously execute special projects related to PEO benefits and managing our book of PEO customers Serve as a Rippling PEO benefits expert to support internal and external teams What you will need A minimum of 8+ years of strategic financial underwriting experience, demonstrating deep mastery and extensive insurance industry knowledge, including determining pricing and developing action plans to manage risks and changes during a policy period Proven track record of successfully leading and influencing large-scale, strategic cross-functional projects with significant organizational impact. Skilled in generating and formatting accurate reporting, as well as experience in analyzing and interpreting data to support strategic decision-making. Knowledge of other benefit programs (life, dental, medical, etc.) and pricing of related benefits is a plus. A resourceful self-starter with excellent organizational and time management skills Ability to execute with conviction and good judgment with limited guidance; require minimal direction in an ambiguous context to take action and then adapt quickly Excellent written and verbal communication skills; ability to easily distill complex topics into concise points A collaborative and cross-functional mindset with a great sense of humor Strong alignment with our leadership principles: in particular Go and See, and Are Right, a Lot. Experience working with PEOs is preferred but not required Additional Information Rippling is an equal opportunity employer. We are committed to building a diverse and inclusive workforce and do not discriminate based on race, religion, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other legally protected characteristics, Rippling is committed to providing reasonable accommodations for candidates with disabilities who need assistance during the hiring process. To request a reasonable accommodation, please email [email protected] Rippling highly values having employees working in-office to foster a collaborative work environment and company culture. For office-based employees (employees who live within a defined radius of a Rippling office), Rippling considers working in the office, at least three days a week under current policy, to be an essential function of the employee's role. This role will receive a competitive salary + benefits + equity. The salary for US-based employees will be aligned with one of the ranges below based on location; see which tier applies to your location here . A variety of factors are considered when determining someone’s compensation–including a candidate’s professional background, experience, and location. Final offer amounts may vary from the amounts listed below. #li-hybrid

Full job record

Job IDd66a5b0db035730d247367994de93adb02c7ca1a
Org ID95955af6-63d9-4202-8015-38114b0c4352
Source ID02062ba4-35e8-43e7-964f-b1ad299a2912
Board ID02062ba4-35e8-43e7-964f-b1ad299a2912
Providerrippling
Provider Job Keybc45b5f9-bd13-4886-b154-08992ab65c00
TitlePEO Medical Underwriting Lead
Normalized Title
Statusactive
Activeyes
Location TextSan Francisco, CA, United States
DepartmentPEO Management
Team
Employment Typefull_time
Workplace Typeon_site
Remote Policy
CountryUnited States
RegionCA
CitySan Francisco
Salary RawUSD 116400-194000 YEAR
Salary Min116,400
Salary Max194,000
Salary CurrencyUSD
Salary Periodyear
Source URLhttps://ats.rippling.com/rippling/jobs/bc45b5f9-bd13-4886-b154-08992ab65c00
Apply URLhttps://ats.rippling.com/rippling/jobs/bc45b5f9-bd13-4886-b154-08992ab65c00
First Seen At2026-05-29 07:06:04Z
Last Seen At2026-06-22 09:01:49Z
Last Checked At2026-06-22 09:01:49Z
Last Changed At2026-06-22 09:01:49Z
Inactive At
Source Posted At2026-04-30 23:49:45Z
Source Updated At
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=rippling/board=rippling/date=2026-06-22/2026-06-22T09-01-03-989Z-7ebcc3bd9cca1fb85dab3071d16d6ead00ba3a9431ce9b9d13a10843ae153f9e.json
Event Fields
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Extensions
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      "role": "<meta><h2 style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;line-height:1.6;font-size:15pt;font-weight:600;letter-spacing:0.5px;margin-top:18px;margin-bottom:4px;padding-left:0px;\"><b><strong style=\"white-space:pre-wrap;\">About the role</strong></b></h2><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11.25pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"font-size:11pt;white-space:pre-wrap;\">Rippling PEO co-employs tens of thousands of worksite employees, and many of our clients join Rippling PEO for its top-notch benefits offerings. As we've scaled, managing our book of business has grown increasingly complex and the stakes have never been higher – medical costs continue to trend upward, and competitors are struggling to manage their portfolios effectively.</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"white-space:pre-wrap;\">This is a pivotal moment for Rippling PEO, and we're hiring our first dedicated in-house Medical Underwriting Lead to meet it. Until now, we've relied on third-party partners to own our underwriting strategy; we're ready to have expertise in-house. You'll own the underwriting policies that govern our thousands of RPEO clients, lead the annual renewal process, and directly shape how we price and win new business. This is a role with real financial accountability and the autonomy to build something that doesn't fully exist yet at Rippling.</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"white-space:pre-wrap;\">You'll partner closely with Aetna, Kaiser, third party underwriters and internal teams across Sales, Account Management, and Finance, but ultimately, the underwriting strategy is yours to define and defend.</span><br><br></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><b><strong style=\"white-space:pre-wrap;\">What you will do</strong></b></p><ul data-pattern=\"discCircleSquare\" data-depth=\"1\" style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;margin:8px 0px;line-height:1.6;padding:0px 0px 0px 32px;list-style-type:disc;\"><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">Drive achievement of business goals through articulation and application of sophisticated underwriting policies, initiatives, and long-term vision. </span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">Proactively identify, analyze, and mitigate complex risks that could materially affect financial results, driving sound, unbiased, and strategically informed actions.</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">Serve as a subject matter expert and partner with our 3rd party underwriters, sales teams, Account Management teams, and other departments on the principles and practices of new business underwriting and rating.</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">Own and maintain the underwriting guidelines that govern automation and decision frameworks</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">Architect and lead high-impact, cross-functional strategic projects, fostering robust partnerships across the organization (ex: Deal Desk)</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">Execute  the annual renewal process and refine renewal approach;</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">Work directly with all Rippling PEO brokers, benefits partners, and key PEO partners to best serve our shared members</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">Use data to drive fact-based decision-making to optimize our PEO benefits offering and plan performance </span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">Autonomously execute special projects related to PEO benefits and managing our book of PEO customers</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">Serve as a Rippling PEO benefits expert to support internal and external teams</span></li></ul><h2 style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;line-height:1.6;font-size:15pt;font-weight:600;letter-spacing:0.5px;margin-top:18px;margin-bottom:4px;padding-left:0px;\"><b><strong style=\"white-space:pre-wrap;\">What you will need</strong></b></h2><ul data-pattern=\"discCircleSquare\" data-depth=\"1\" style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;margin:8px 0px;line-height:1.6;padding:0px 0px 0px 32px;list-style-type:disc;\"><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">A minimum of 8+ years of strategic financial underwriting experience, demonstrating deep mastery and extensive insurance industry knowledge, including determining pricing and developing action plans to manage risks and changes during a policy period</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">Proven track record of successfully leading and influencing large-scale, strategic cross-functional projects with significant organizational impact.</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">Skilled in generating and formatting accurate reporting, as well as experience in analyzing and interpreting data to support strategic decision-making. </span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">Knowledge of other benefit programs (life, dental, medical, etc.) and pricing of related benefits is a plus. </span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">A resourceful self-starter with excellent organizational and time management skills</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">Ability to execute with conviction and good judgment with limited guidance; require minimal direction in an ambiguous context to take action and then adapt quickly</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">Excellent written and verbal communication skills; ability to easily distill complex topics into concise points  </span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">A collaborative and cross-functional mindset with a great sense of humor</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">Strong alignment with our leadership principles: in particular Go and See, and Are Right, a Lot.</span></li><li style=\"font-size:11pt;margin:3px 0px;letter-spacing:0.25px;line-height:1.6;\"><span style=\"white-space:pre-wrap;\">Experience working with PEOs is preferred but not required</span></li></ul><h2 style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;line-height:1.6;font-size:15pt;font-weight:600;letter-spacing:0.5px;margin-top:18px;margin-bottom:4px;padding-left:0px;\"><b><strong style=\"white-space:pre-wrap;\">Additional Information</strong></b></h2><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"white-space:pre-wrap;\">Rippling is an equal opportunity employer. We are committed to building a diverse and inclusive workforce and do not discriminate based on race, religion, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other legally protected characteristics, Rippling is committed to providing reasonable accommodations for candidates with disabilities who need assistance during the hiring process. To request a reasonable accommodation, please email [email protected]</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"white-space:pre-wrap;\">Rippling highly values having employees working in-office to foster a collaborative work environment and company culture.  For office-based employees (employees who live within a defined radius of a Rippling office), Rippling considers working in the office, at least three days a week under current policy, to be an essential function of the employee's role.</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"white-space:pre-wrap;\">This role will receive a competitive salary + benefits + equity. The salary for US-based employees will be aligned with one of the ranges below based on location; see which tier applies to your location </span><a href=\"https://www.rippling.com/pay-transparency\" target=\"_blank\" class=\"css-173makr-linkStyle\" style=\"color:rgb(30,74,169);cursor:pointer;\"><span style=\"white-space:pre-wrap;\">here</span></a><span style=\"white-space:pre-wrap;\">.</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"white-space:pre-wrap;\">A variety of factors are considered when determining someone’s compensation–including a candidate’s professional background, experience, and location. Final offer amounts may vary from the amounts listed below.</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"white-space:pre-wrap;\">#li-hybrid</span></p>",
      "company": "<meta><h2 style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;line-height:1.6;font-size:15pt;font-weight:600;letter-spacing:0.5px;margin-top:18px;margin-bottom:4px;padding-left:0px;\"><b><strong style=\"white-space:pre-wrap;\">About Rippling</strong></b></h2><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"font-size:11pt;white-space:pre-wrap;\">Rippling gives businesses one place to run HR, IT, and Finance. It brings together all of the workforce systems that are normally scattered across a company, like payroll, expenses, benefits, and computers. For the first time ever, you can manage and automate every part of the employee lifecycle in a single system.</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"font-size:11pt;white-space:pre-wrap;\">Take onboarding, for example. With Rippling, you can hire a new employee anywhere in the world and set up their payroll, corporate card, computer, benefits, and even third-party apps like Slack and Microsoft 365—all within 90 seconds.</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"font-size:11pt;white-space:pre-wrap;\">Based in San Francisco, CA, </span><a href=\"https://www.rippling.com/careers#:~:text=GLOBAL%20EMPLOYEES-,%241.4B%2B,-RAISED%20TO%20DATE\" target=\"_blank\" class=\"css-173makr-linkStyle\" style=\"color:rgb(30,74,169);cursor:pointer;\"><span style=\"white-space:pre-wrap;\">Rippling has raised $1.4B+</span></a><span style=\"font-size:11pt;white-space:pre-wrap;\"> from the world’s top investors—including Kleiner Perkins, Founders Fund, Sequoia, Greenoaks, and Bedrock—and was named one of America's best startup employers by Forbes.</span></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br></p><p style=\"font-family:&quot;Basel Grotesk&quot;,Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"font-size:11pt;white-space:pre-wrap;\">We prioritize candidate safety. Please be aware that all official communication will only be sent from @</span><a href=\"http://www.Rippling.com\" target=\"_blank\" class=\"css-173makr-linkStyle\" style=\"color:rgb(30,74,169);cursor:pointer;\"><span style=\"font-size:11pt;white-space:pre-wrap;\">Rippling.com</span></a><span style=\"font-size:11pt;white-space:pre-wrap;\"> addresses.</span></p>"
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Get this page with API

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GET https://api.bluedoor.sh/job-postings/v1/jobs/d66a5b0db035730d247367994de93adb02c7ca1a?include=descriptionJSON
GET https://api.bluedoor.sh/job-postings/v1/orgs/95955af6-63d9-4202-8015-38114b0c4352JSON
GET https://api.bluedoor.sh/job-postings/v1/sources/02062ba4-35e8-43e7-964f-b1ad299a2912JSON
GET https://api.bluedoor.sh/job-postings/v1/jobs/d66a5b0db035730d247367994de93adb02c7ca1a/eventsJSON