ca87407e-be8f-403c-8f42-fe6454132fb2 |
Dental |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
202301 |
999999 |
1D |
D Claim Fund P1 |
Claim Funding |
0 |
999 |
88.00 |
888.00 |
8.00 |
888.00 |
n |
000 |
ca87407e-be8f-403c-8f42-fe6454132fb2 |
Medical |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
202301 |
999999 |
A |
ADM/RSK PLN1 |
Admin, Sales and General Expenses |
0 |
999 |
-19.36 |
-117.04 |
76.56 |
-188.24 |
n |
000 |
ca87407e-be8f-403c-8f42-fe6454132fb2 |
Dental |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
202301 |
999999 |
c1 |
Dnt Comms P1 |
Commission Dollars to Agent(s) |
0 |
999 |
19.36 |
205.04 |
11.44 |
196.24 |
n |
000 |
ca87407e-be8f-403c-8f42-fe6454132fb2 |
Medical |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
202301 |
999999 |
sp |
Stoploss Pln 1 |
Stop Loss Premium |
0 |
999 |
88.00 |
888.00 |
8.00 |
888.00 |
n |
000 |
ca87407e-be8f-403c-8f42-fe6454132fb2 |
Vision |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
202301 |
999999 |
V1 |
Vis Stoploss P1 |
Stop Loss Premium |
0 |
999 |
176.00 |
1864.00 |
104.00 |
1784.00 |
n |
000 |
ca87407e-be8f-403c-8f42-fe6454132fb2 |
Dental |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
202301 |
999999 |
E1 |
Dnt Admin P1 |
Admin, Sales and General Expenses |
0 |
999 |
-19.36 |
-117.04 |
76.56 |
-188.24 |
n |
000 |
ca87407e-be8f-403c-8f42-fe6454132fb2 |
Medical |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
202301 |
999999 |
a |
Agent 3 || Agent 3 % |
Commission Dollars to Agent(s) |
0 |
999 |
19.36 |
205.04 |
11.44 |
196.24 |
n |
000 |
ca87407e-be8f-403c-8f42-fe6454132fb2 |
Dental |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
202301 |
999999 |
D1 |
Dnt Stoploss P1 |
Stop Loss Premium |
0 |
999 |
88.00 |
888.00 |
8.00 |
888.00 |
n |
000 |
ca87407e-be8f-403c-8f42-fe6454132fb2 |
Medical |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
202301 |
999999 |
1A |
|
Claim Funding |
0 |
999 |
88.00 |
888.00 |
8.00 |
888.00 |
n |
000 |
ca87407e-be8f-403c-8f42-fe6454132fb2 |
Medical |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
202301 |
999999 |
1X |
|
Claim Funding |
0 |
999 |
88.00 |
888.00 |
8.00 |
888.00 |
n |
000 |