711b148a-6ddc-48b6-a9ac-34c766877dcb |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
dental |
5 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
202209 |
999999 |
5D |
D Claim Fund P5 |
Claim Funding |
0 |
999 |
27.91 |
89.30 |
66.98 |
53.02 |
n |
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
medical |
1 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
202209 |
999999 |
b1 |
Comm Pln 1 - sp |
Commission Dollars to Agent(s) |
0 |
999 |
28.86 |
92.34 |
69.25 |
54.83 |
n |
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
dental |
2 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
202209 |
999999 |
D2 |
Dnt Stoploss P2 |
Stop Loss Premium |
0 |
999 |
10.35 |
33.13 |
24.85 |
19.67 |
n |
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
medical |
2 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
202209 |
999999 |
A2 |
ADM/RSK PLN2 |
Admin, Sales and General Expenses |
0 |
999 |
171.82 |
549.81 |
412.36 |
326.45 |
n |
000 |
4e528843-1653-491c-88b8-21db089ac028 |
4e528843-1653-491c-88b8-21db089ac028 |
medical |
1 |
L240041 |
Mokxa-New-Email 4-19-24 |
202209 |
999999 |
1A |
Claim Fund Pln1 |
Claim Funding |
0 |
999 |
208.34 |
791.67 |
625.00 |
520.84 |
n |
000 |
4e528843-1653-491c-88b8-21db089ac028 |
4e528843-1653-491c-88b8-21db089ac028 |
medical |
1 |
L240041 |
Mokxa-New-Email 4-19-24 |
202209 |
999999 |
1X |
Claim Fund Pln1 |
Claim Funding |
0 |
999 |
208.34 |
791.67 |
625.00 |
520.84 |
n |
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
medical |
4 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
202209 |
999999 |
4A |
Claim Fund Pln4 |
Claim Funding |
0 |
999 |
195.59 |
625.87 |
469.40 |
371.61 |
n |
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
medical |
4 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
202209 |
999999 |
4X |
Claim Fund Pln4 |
Claim Funding |
0 |
999 |
195.59 |
625.87 |
469.40 |
371.61 |
n |
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
vision |
2 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
202209 |
999999 |
v2 |
Vis Admin P2 |
Admin, Sales and General Expenses |
0 |
999 |
5.24 |
16.77 |
12.58 |
9.96 |
n |
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
medical |
1 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
202209 |
999999 |
1A |
Claim Fund Pln1 |
Claim Funding |
0 |
999 |
195.59 |
625.87 |
469.40 |
371.61 |
n |
000 |