Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: ALL
Suffix: ALL
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	AF	0037	2011-07	$310,197	$75,053	$18,393	$403,644
000123456	AF	0037	2011-08	$452,555	$91,505	$12,889	$556,949
000123456	AG	0038	2011-09	$388,616	$76,326	$10,585	$475,527
000123456	AG	0100	2011-10	$400,430	$106,162	$9,123	$515,715
000123456	AG	0101	2011-11	$300,800	$101,145	$14,922	$416,867
000123456	AB	0001	2011-12	$550,635	$176,865	$8,141	$735,641
000123456	AG	0101	2012-01	$417,250	$39,009	$30,780	$487,039
000123456	AH	0128	2012-02	$358,633	$0	$24,727	$383,359
000123456	AH	0128	2012-03	$409,556	$0	$20,066	$429,622
000123456	AH	0128	2012-04	$445,726	$189	$16,025	$461,940
000123456	AG	0101	2012-05	$391,814	$0	$12,225	$404,040
000123456	AH	0131	2012-06	$403,382	$0	$13,097	$416,478
000123456	AB	0001	Total	$4,829,594	$666,254	$190,973	$5,686,821
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: ALL
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	AF	0037	2011-07	$310,197	$75,053	$0	$385,250
000123456	AF	0037	2011-08	$452,555	$91,505	$0	$544,060
000123456	AG	0038	2011-09	$388,616	$76,326	$0	$464,942
000123456	AG	0100	2011-10	$400,430	$106,162	$0	$506,592
000123456	AG	0101	2011-11	$300,800	$101,145	$0	$401,945
000123456	AB	0001	2011-12	$550,635	$176,865	$0	$727,500
000123456	AG	0101	2012-01	$417,250	$39,009	$0	$456,259
000123456	AH	0128	2012-02	$358,633	$0	$0	$358,633
000123456	AH	0128	2012-03	$409,556	$0	$0	$409,556
000123456	AH	0128	2012-04	$445,726	$189	$0	$445,915
000123456	AG	0101	2012-05	$391,814	$0	$0	$391,814
000123456	AH	0131	2012-06	$403,382	$0	$0	$403,382
000123456	AB	0001	Total	$4,829,594	$666,254	$0	$5,495,847
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: AB
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	AB	0001	2011-12	($1)	$0	$0	($1)
000123456	AB	0001	Total	($1)	$0	$0	($1)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: AB
Account: 0001
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	AB	0001	2011-12	($1)	$0	$0	($1)
000123456	AB	0001	Total	($1)	$0	$0	($1)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: AF
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	AF	0037	2011-07	$0	$0	$0	$0
000123456	AF	0037	2011-08	($90)	$0	$0	($90)
000123456	AF	0026	2011-12	$0	$50	$0	$50
000123456	AF	0026	Total	($90)	$50	$0	($40)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: AF
Account: 0026
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	AF	0026	2011-12	$0	$50	$0	$50
000123456	AF	0026	Total	$0	$50	$0	$50
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: AF
Account: 0037
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	AF	0037	2011-07	$0	$0	$0	$0
000123456	AF	0037	2011-08	($90)	$0	$0	($90)
000123456	AF	0037	Total	($90)	$0	$0	($90)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: AG
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	AG	0038	2011-07	$564	$91	$0	$655
000123456	AG	0100	2011-08	$661	$290	$0	$951
000123456	AG	0038	2011-09	$2,083	$115	$0	$2,198
000123456	AG	0100	2011-10	$1,925	$222	$0	$2,147
000123456	AG	0101	2011-11	$3,058	$105	$0	$3,162
000123456	AG	0101	2011-12	$3,197	$293	$0	$3,490
000123456	AG	0101	2012-01	$180	$98	$0	$278
000123456	AG	0101	2012-05	$20	$0	$0	$20
000123456	AG	0038	Total	$11,688	$1,214	$0	$12,902
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: AG
Account: 0038
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	AG	0038	2011-07	$190	$0	$0	$190
000123456	AG	0038	2011-09	$246	$0	$0	$246
000123456	AG	0038	Total	$436	$0	$0	$436
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: AG
Account: 0039
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	AG	0039	2011-07	$0	$0	$0	$0
000123456	AG	0039	Total	$0	$0	$0	$0
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: AG
Account: 0100
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	AG	0100	2011-07	$68	$0	$0	$68
000123456	AG	0100	2011-08	$61	$0	$0	$61
000123456	AG	0100	2011-10	$230	$0	$0	$230
000123456	AG	0100	Total	$359	$0	$0	$359
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: AG
Account: 0101
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	AG	0101	2011-07	$306	$91	$0	$397
000123456	AG	0101	2011-08	$600	$290	$0	$890
000123456	AG	0101	2011-09	$1,837	$115	$0	$1,952
000123456	AG	0101	2011-10	$1,695	$222	$0	$1,918
000123456	AG	0101	2011-11	$3,058	$105	$0	$3,162
000123456	AG	0101	2011-12	$3,197	$293	$0	$3,490
000123456	AG	0101	2012-01	$180	$98	$0	$278
000123456	AG	0101	2012-05	$20	$0	$0	$20
000123456	AG	0101	Total	$10,893	$1,214	$0	$12,107
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: AH
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	AH	0128	2011-07	$44,268	$27,384	$0	$71,652
000123456	AH	0128	2011-08	$119,183	$34,087	$0	$153,270
000123456	AH	0128	2011-09	$24,307	$21,679	$0	$45,986
000123456	AH	0128	2011-10	$46,453	$30,631	$0	$77,084
000123456	AH	0128	2011-11	$16,705	$34,863	$0	$51,567
000123456	AH	0128	2011-12	$24,978	$44,103	$0	$69,081
000123456	AH	0128	2012-01	$38,912	$11,679	$0	$50,591
000123456	AH	0128	2012-02	$49,043	$0	$0	$49,043
000123456	AH	0128	2012-03	($11,845)	$0	$0	($11,845)
000123456	AH	0128	2012-04	$3,749	$0	$0	$3,749
000123456	AH	0131	2012-05	$1,781	$0	$0	$1,781
000123456	AH	0131	2012-06	$5,586	$0	$0	$5,586
000123456	AH	0128	Total	$363,120	$204,426	$0	$567,546
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: AH
Account: 0128
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	AH	0128	2011-07	$23,412	$311	$0	$23,723
000123456	AH	0128	2011-08	$49,741	$690	$0	$50,431
000123456	AH	0128	2011-09	$463	$529	$0	$993
000123456	AH	0128	2011-10	$903	$412	$0	$1,315
000123456	AH	0128	2011-11	$328	$1,197	$0	$1,526
000123456	AH	0128	2011-12	$697	$781	$0	$1,479
000123456	AH	0128	2012-01	$4,118	$300	$0	$4,419
000123456	AH	0128	2012-02	$30,602	$0	$0	$30,602
000123456	AH	0128	2012-03	($24,192)	$0	$0	($24,192)
000123456	AH	0128	2012-04	($23)	$0	$0	($23)
000123456	AH	0128	Total	$86,051	$4,220	$0	$90,271
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: AH
Account: 0131
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	AH	0131	2011-07	$20,856	$27,073	$0	$47,929
000123456	AH	0131	2011-08	$69,441	$33,397	$0	$102,839
000123456	AH	0131	2011-09	$23,844	$21,150	$0	$44,993
000123456	AH	0131	2011-10	$45,549	$30,220	$0	$75,769
000123456	AH	0131	2011-11	$16,377	$33,665	$0	$50,042
000123456	AH	0131	2011-12	$24,281	$43,322	$0	$67,603
000123456	AH	0131	2012-01	$34,794	$11,379	$0	$46,173
000123456	AH	0131	2012-02	$18,440	$0	$0	$18,440
000123456	AH	0131	2012-03	$12,347	$0	$0	$12,347
000123456	AH	0131	2012-04	$3,773	$0	$0	$3,773
000123456	AH	0131	2012-05	$1,781	$0	$0	$1,781
000123456	AH	0131	2012-06	$5,586	$0	$0	$5,586
000123456	AH	0131	Total	$277,069	$200,206	$0	$477,275
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: AJ
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	AJ	0135	2011-07	$847	$650	$0	$1,497
000123456	AJ	0135	2011-08	$1,424	$738	$0	$2,162
000123456	AJ	0135	2011-09	$2,973	$229	$0	$3,202
000123456	AJ	0135	2011-10	$2,331	$1,174	$0	$3,505
000123456	AJ	0135	2011-11	$9,527	$1,388	$0	$10,915
000123456	AJ	0135	2011-12	$4,462	$3,958	$0	$8,420
000123456	AJ	0135	2012-01	$2,203	$641	$0	$2,844
000123456	AJ	0135	2012-02	$3,557	$0	$0	$3,557
000123456	AJ	0134	2012-03	$81,620	$0	$0	$81,620
000123456	AJ	0134	2012-04	$64,428	$0	$0	$64,428
000123456	AJ	0134	2012-05	$40,875	$0	$0	$40,875
000123456	AJ	0134	2012-06	$34,733	$0	$0	$34,733
000123456	AJ	0134	Total	$248,980	$8,777	$0	$257,758
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: AJ
Account: 0134
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	AJ	0134	2012-03	$78,635	$0	$0	$78,635
000123456	AJ	0134	2012-04	$62,657	$0	$0	$62,657
000123456	AJ	0134	2012-05	$38,748	$0	$0	$38,748
000123456	AJ	0134	2012-06	$33,012	$0	$0	$33,012
000123456	AJ	0134	Total	$213,052	$0	$0	$213,052
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: AJ
Account: 0135
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	AJ	0135	2011-07	$847	$650	$0	$1,497
000123456	AJ	0135	2011-08	$1,424	$738	$0	$2,162
000123456	AJ	0135	2011-09	$2,973	$229	$0	$3,202
000123456	AJ	0135	2011-10	$2,331	$1,174	$0	$3,505
000123456	AJ	0135	2011-11	$9,527	$1,388	$0	$10,915
000123456	AJ	0135	2011-12	$4,462	$3,958	$0	$8,420
000123456	AJ	0135	2012-01	$2,203	$641	$0	$2,844
000123456	AJ	0135	2012-02	$3,557	$0	$0	$3,557
000123456	AJ	0135	2012-03	$2,985	$0	$0	$2,985
000123456	AJ	0135	2012-04	$1,770	$0	$0	$1,770
000123456	AJ	0135	2012-05	$2,127	$0	$0	$2,127
000123456	AJ	0135	2012-06	$1,721	$0	$0	$1,721
000123456	AJ	0135	Total	$35,928	$8,777	$0	$44,705
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: BB
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	BB	0001	2011-12	($1)	$0	$0	($1)
000123456	BB	0001	Total	($1)	$0	$0	($1)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: BB
Account: 0001
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	BB	0001	2011-12	($1)	$0	$0	($1)
000123456	BB	0001	Total	($1)	$0	$0	($1)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: BLANK
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	BLANK	0001	2011-11	($2)	$0	$0	($2)
000123456	BLANK	0001	2011-12	($253)	$0	$0	($253)
000123456	BLANK	0000	2012-03	$42	$0	$0	$42
000123456	BLANK	0000	2012-04	($42)	$0	$0	($42)
000123456	BLANK	0000	Total	($255)	$0	$0	($255)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: BLANK
Account: 0000
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	BLANK	0000	2012-03	$42	$0	$0	$42
000123456	BLANK	0000	2012-04	($42)	$0	$0	($42)
000123456	BLANK	0000	Total	$0	$0	$0	$0
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: BLANK
Account: 0001
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	BLANK	0001	2011-11	($2)	$0	$0	($2)
000123456	BLANK	0001	2011-12	($253)	$0	$0	($253)
000123456	BLANK	0001	Total	($255)	$0	$0	($255)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: CB
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	CB	0001	2011-12	$0	$0	$0	$0
000123456	CB	0001	Total	$0	$0	$0	$0
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: CB
Account: 0001
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	CB	0001	2011-12	$0	$0	$0	$0
000123456	CB	0001	Total	$0	$0	$0	$0
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: CG
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	CG	0001	2011-11	$0	$0	$0	$0
000123456	CG	0001	2011-12	($34)	$0	$0	($34)
000123456	CG	0001	2012-01	($1)	$0	$0	($1)
000123456	CG	0001	2012-03	($1)	$0	$0	($1)
000123456	CG	0001	2012-04	($1)	$0	$0	($1)
000123456	CG	0001	2012-06	($2)	$0	$0	($2)
000123456	CG	0001	Total	($41)	$0	$0	($41)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: CG
Account: 0001
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	CG	0001	2011-11	$0	$0	$0	$0
000123456	CG	0001	2011-12	($34)	$0	$0	($34)
000123456	CG	0001	2012-01	($1)	$0	$0	($1)
000123456	CG	0001	2012-03	($1)	$0	$0	($1)
000123456	CG	0001	2012-04	($1)	$0	$0	($1)
000123456	CG	0001	2012-06	($2)	$0	$0	($2)
000123456	CG	0001	Total	($41)	$0	$0	($41)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: FA
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	FA	0055	2011-07	$6,471	$0	$0	$6,471
000123456	FA	0055	2011-08	$4,779	$0	$0	$4,779
000123456	FA	0055	2011-09	$1,456	$122	$0	$1,577
000123456	FA	0001	2011-10	$1,467	$0	$0	$1,467
000123456	FA	0001	2011-11	($113)	$0	$0	($113)
000123456	FA	0055	2011-12	$2,820	$1,200	$0	$4,020
000123456	FA	0055	2012-01	($3,108)	$144	$0	($2,964)
000123456	FA	0001	2012-02	$3,428	$0	$0	$3,428
000123456	FA	0001	2012-03	($492)	$0	$0	($492)
000123456	FA	0085	2012-04	($109)	$0	$0	($109)
000123456	FA	0055	2012-05	$1,146	$0	$0	$1,146
000123456	FA	0085	2012-06	($808)	$0	$0	($808)
000123456	FA	0001	Total	$16,936	$1,467	$0	$18,402
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: FA
Account: 0001
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	FA	0001	2011-10	$1	$0	$0	$1
000123456	FA	0001	2011-11	($69)	$0	$0	($69)
000123456	FA	0001	2012-02	($675)	$0	$0	($675)
000123456	FA	0001	2012-03	($145)	$0	$0	($145)
000123456	FA	0001	Total	($888)	$0	$0	($888)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: FA
Account: 0055
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	FA	0055	2011-07	$773	$0	$0	$773
000123456	FA	0055	2011-08	$420	$0	$0	$420
000123456	FA	0055	2011-09	($3)	$0	$0	($3)
000123456	FA	0055	2011-10	($175)	$0	$0	($175)
000123456	FA	0055	2011-11	$34	$0	$0	$34
000123456	FA	0055	2011-12	$1,934	$1,200	$0	$3,134
000123456	FA	0055	2012-01	($484)	$144	$0	($340)
000123456	FA	0055	2012-02	$2,546	$0	$0	$2,546
000123456	FA	0055	2012-03	($137)	$0	$0	($137)
000123456	FA	0055	2012-05	$1,128	$0	$0	$1,128
000123456	FA	0055	Total	$6,036	$1,345	$0	$7,381
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: FA
Account: 0058
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	FA	0058	2011-07	$409	$0	$0	$409
000123456	FA	0058	2011-08	$2,198	$0	$0	$2,198
000123456	FA	0058	Total	$2,607	$0	$0	$2,607
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: FA
Account: 0063
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	FA	0063	2011-09	$0	$122	$0	$122
000123456	FA	0063	2011-10	$72	$0	$0	$72
000123456	FA	0063	2011-12	$3	$0	$0	$3
000123456	FA	0063	Total	$75	$122	$0	$197
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: FA
Account: 0073
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	FA	0073	2011-08	$252	$0	$0	$252
000123456	FA	0073	Total	$252	$0	$0	$252
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: FA
Account: 0085
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	FA	0085	2011-07	$5,289	$0	$0	$5,289
000123456	FA	0085	2011-08	$1,909	$0	$0	$1,909
000123456	FA	0085	2011-09	$1,458	$0	$0	$1,458
000123456	FA	0085	2011-10	$1,569	$0	$0	$1,569
000123456	FA	0085	2011-11	($78)	$0	$0	($78)
000123456	FA	0085	2011-12	$883	$0	$0	$883
000123456	FA	0085	2012-01	($2,624)	$0	$0	($2,624)
000123456	FA	0085	2012-02	$1,557	$0	$0	$1,557
000123456	FA	0085	2012-03	($209)	$0	$0	($209)
000123456	FA	0085	2012-04	($109)	$0	$0	($109)
000123456	FA	0085	2012-05	$18	$0	$0	$18
000123456	FA	0085	2012-06	($808)	$0	$0	($808)
000123456	FA	0085	Total	$8,853	$0	$0	$8,853
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: FB
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	FB	0001	2011-11	($3)	$0	$0	($3)
000123456	FB	0001	Total	($3)	$0	$0	($3)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: FB
Account: 0001
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	FB	0001	2011-11	($3)	$0	$0	($3)
000123456	FB	0001	Total	($3)	$0	$0	($3)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: GA
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	GA	0056	2011-07	$110	$0	$0	$110
000123456	GA	0001	2011-08	$874	$0	$0	$874
000123456	GA	0056	2011-09	$0	$0	$0	$0
000123456	GA	0001	2011-11	$516	$0	$0	$516
000123456	GA	0001	2011-12	($115)	$1,524	$0	$1,410
000123456	GA	0056	2012-01	$1,044	$0	$0	$1,044
000123456	GA	0001	2012-02	($23)	$0	$0	($23)
000123456	GA	0001	2012-03	($45)	$0	$0	($45)
000123456	GA	0001	2012-04	($23)	$189	$0	$167
000123456	GA	0001	2012-05	($119)	$0	$0	($119)
000123456	GA	0001	2012-06	($23)	$0	$0	($23)
000123456	GA	0001	Total	$2,198	$1,714	$0	$3,912
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: GA
Account: 0001
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	GA	0001	2011-08	($23)	$0	$0	($23)
000123456	GA	0001	2011-11	($39)	$0	$0	($39)
000123456	GA	0001	2011-12	($90)	$0	$0	($90)
000123456	GA	0001	2012-02	($23)	$0	$0	($23)
000123456	GA	0001	2012-03	($45)	$0	$0	($45)
000123456	GA	0001	2012-04	($23)	$0	$0	($23)
000123456	GA	0001	2012-05	($23)	$0	$0	($23)
000123456	GA	0001	2012-06	($23)	$0	$0	($23)
000123456	GA	0001	Total	($287)	$0	$0	($287)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: GA
Account: 0056
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	GA	0056	2011-07	$110	$0	$0	$110
000123456	GA	0056	2011-09	$0	$0	$0	$0
000123456	GA	0056	2011-11	$554	$0	$0	$554
000123456	GA	0056	2011-12	($24)	$1,524	$0	$1,500
000123456	GA	0056	2012-01	$1,044	$0	$0	$1,044
000123456	GA	0056	2012-04	$0	$189	$0	$189
000123456	GA	0056	2012-05	($96)	$0	$0	($96)
000123456	GA	0056	Total	$1,588	$1,714	$0	$3,302
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: GA
Account: 0059
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	GA	0059	2011-08	$897	$0	$0	$897
000123456	GA	0059	Total	$897	$0	$0	$897
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: GC
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	GC	0001	2011-11	($1)	$0	$0	($1)
000123456	GC	0001	Total	($1)	$0	$0	($1)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: GC
Account: 0001
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	GC	0001	2011-11	($1)	$0	$0	($1)
000123456	GC	0001	Total	($1)	$0	$0	($1)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: GD
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	GD	0001	2011-11	($15)	$0	$0	($15)
000123456	GD	0001	Total	($15)	$0	$0	($15)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: GD
Account: 0001
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	GD	0001	2011-11	($15)	$0	$0	($15)
000123456	GD	0001	Total	($15)	$0	$0	($15)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: HB
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	HB	0086	2011-07	$43,991	$0	$0	$43,991
000123456	HB	0086	2011-08	$41,243	$0	$0	$41,243
000123456	HB	0086	2011-09	$57,981	$0	$0	$57,981
000123456	HB	0086	2011-10	$47,628	$0	$0	$47,628
000123456	HB	0086	2011-11	$57,572	$0	$0	$57,572
000123456	HB	0001	2011-12	$77,130	$0	$0	$77,130
000123456	HB	0086	2012-01	$66,530	$0	$0	$66,530
000123456	HB	0001	2012-02	$83,767	$0	$0	$83,767
000123456	HB	0086	2012-03	$84,838	$0	$0	$84,838
000123456	HB	0086	2012-04	$50,255	$0	$0	$50,255
000123456	HB	0086	2012-05	$92,544	$0	$0	$92,544
000123456	HB	0086	2012-06	$79,051	$0	$0	$79,051
000123456	HB	0001	Total	$782,529	$0	$0	$782,529
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: HB
Account: 0001
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	HB	0001	2011-12	$0	$0	$0	$0
000123456	HB	0001	2012-02	($255)	$0	$0	($255)
000123456	HB	0001	Total	($255)	$0	$0	($255)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: HB
Account: 0086
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	HB	0086	2011-07	$41,502	$0	$0	$41,502
000123456	HB	0086	2011-08	$39,277	$0	$0	$39,277
000123456	HB	0086	2011-09	$56,889	$0	$0	$56,889
000123456	HB	0086	2011-10	$46,399	$0	$0	$46,399
000123456	HB	0086	2011-11	$55,931	$0	$0	$55,931
000123456	HB	0086	2011-12	$75,633	$0	$0	$75,633
000123456	HB	0086	2012-01	$64,456	$0	$0	$64,456
000123456	HB	0086	2012-02	$83,275	$0	$0	$83,275
000123456	HB	0086	2012-03	$82,689	$0	$0	$82,689
000123456	HB	0086	2012-04	$48,706	$0	$0	$48,706
000123456	HB	0086	2012-05	$90,329	$0	$0	$90,329
000123456	HB	0086	2012-06	$76,771	$0	$0	$76,771
000123456	HB	0086	Total	$761,854	$0	$0	$761,854
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: HB
Account: 0087
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	HB	0087	2011-07	$2,490	$0	$0	$2,490
000123456	HB	0087	2011-08	$1,966	$0	$0	$1,966
000123456	HB	0087	2011-09	$1,091	$0	$0	$1,091
000123456	HB	0087	2011-10	$1,229	$0	$0	$1,229
000123456	HB	0087	2011-11	$1,642	$0	$0	$1,642
000123456	HB	0087	2011-12	$1,497	$0	$0	$1,497
000123456	HB	0087	2012-01	$2,074	$0	$0	$2,074
000123456	HB	0087	2012-02	$747	$0	$0	$747
000123456	HB	0087	2012-03	$2,149	$0	$0	$2,149
000123456	HB	0087	2012-04	$1,549	$0	$0	$1,549
000123456	HB	0087	2012-05	$2,216	$0	$0	$2,216
000123456	HB	0087	2012-06	$2,281	$0	$0	$2,281
000123456	HB	0087	Total	$20,931	$0	$0	$20,931
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: IA
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	IA	0091	2011-09	$63	$0	$0	$63
000123456	IA	0001	2011-11	$140	$5	$0	$145
000123456	IA	0091	2011-12	$97	$0	$0	$97
000123456	IA	0001	2012-01	($42)	$0	$0	($42)
000123456	IA	0001	2012-02	($257)	$0	$0	($257)
000123456	IA	0001	2012-03	($27)	$0	$0	($27)
000123456	IA	0001	Total	($25)	$5	$0	($20)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: IA
Account: 0001
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	IA	0001	2011-11	($19)	$0	$0	($19)
000123456	IA	0001	2012-01	($42)	$0	$0	($42)
000123456	IA	0001	2012-02	($257)	$0	$0	($257)
000123456	IA	0001	2012-03	($27)	$0	$0	($27)
000123456	IA	0001	Total	($344)	$0	$0	($344)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: IA
Account: 0091
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	IA	0091	2011-09	$63	$0	$0	$63
000123456	IA	0091	2011-11	$159	$5	$0	$163
000123456	IA	0091	2011-12	$97	$0	$0	$97
000123456	IA	0091	Total	$319	$5	$0	$324
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: IB
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	IB	0053	2011-07	$101	$0	$0	$101
000123456	IB	0053	2011-08	$18	$0	$0	$18
000123456	IB	0053	2011-09	($66)	$0	$0	($66)
000123456	IB	0053	2011-10	$0	$0	$0	$0
000123456	IB	0001	2011-11	($100)	$0	$0	($100)
000123456	IB	0053	2011-12	($196)	$0	$0	($196)
000123456	IB	0053	2012-04	$250	$0	$0	$250
000123456	IB	0001	Total	$7	$0	$0	$7
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: IB
Account: 0001
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	IB	0001	2011-11	($4)	$0	$0	($4)
000123456	IB	0001	Total	($4)	$0	$0	($4)
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: IB
Account: 0053
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	IB	0053	2011-07	$101	$0	$0	$101
000123456	IB	0053	2011-08	$18	$0	$0	$18
000123456	IB	0053	2011-09	($66)	$0	$0	($66)
000123456	IB	0053	2011-10	$0	$0	$0	$0
000123456	IB	0053	2011-11	($96)	$0	$0	($96)
000123456	IB	0053	2011-12	($196)	$0	$0	($196)
000123456	IB	0053	2012-04	$250	$0	$0	$250
000123456	IB	0053	Total	$11	$0	$0	$11
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: KA
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	KA	0102	2011-07	$56,521	$11,594	$0	$68,115
000123456	KA	0102	2011-08	$58,333	$14,963	$0	$73,296
000123456	KA	0102	2011-09	$62,780	$13,319	$0	$76,100
000123456	KA	0102	2011-10	$71,765	$15,213	$0	$86,977
000123456	KA	0102	2011-11	$39,579	$15,365	$0	$54,944
000123456	KA	0102	2011-12	$72,641	$26,418	$0	$99,059
000123456	KA	0102	2012-01	$86,674	$4,406	$0	$91,080
000123456	KA	0102	2012-02	$34,165	$0	$0	$34,165
000123456	KA	0102	2012-03	$26,550	$0	$0	$26,550
000123456	KA	0102	2012-04	$20,918	$0	$0	$20,918
000123456	KA	0102	2012-05	$17,746	$0	$0	$17,746
000123456	KA	0102	2012-06	$31,832	$0	$0	$31,832
000123456	KA	0102	Total	$579,504	$101,277	$0	$680,782
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: KA
Account: 0102
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	KA	0102	2011-07	$48,470	$8,671	$0	$57,141
000123456	KA	0102	2011-08	$31,347	$8,949	$0	$40,296
000123456	KA	0102	2011-09	$50,964	$9,917	$0	$60,881
000123456	KA	0102	2011-10	$61,013	$9,417	$0	$70,430
000123456	KA	0102	2011-11	$34,560	$13,368	$0	$47,929
000123456	KA	0102	2011-12	$63,960	$20,853	$0	$84,813
000123456	KA	0102	2012-01	$82,249	$3,367	$0	$85,615
000123456	KA	0102	2012-02	$24,590	$0	$0	$24,590
000123456	KA	0102	2012-03	$17,715	$0	$0	$17,715
000123456	KA	0102	2012-04	$13,001	$0	$0	$13,001
000123456	KA	0102	2012-05	$13,320	$0	$0	$13,320
000123456	KA	0102	2012-06	$16,469	$0	$0	$16,469
000123456	KA	0102	Total	$457,658	$74,542	$0	$532,199
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: KA
Account: 0103
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	KA	0103	2011-07	$1,103	$1,157	$0	$2,260
000123456	KA	0103	2011-08	$18,401	$2,838	$0	$21,239
000123456	KA	0103	2011-09	$1,611	$1,177	$0	$2,788
000123456	KA	0103	2011-10	$3,016	$1,018	$0	$4,033
000123456	KA	0103	2011-11	$206	$1,014	$0	$1,220
000123456	KA	0103	2011-12	$405	$384	$0	$790
000123456	KA	0103	2012-01	$348	$0	$0	$348
000123456	KA	0103	2012-02	$720	$0	$0	$720
000123456	KA	0103	2012-03	$1,333	$0	$0	$1,333
000123456	KA	0103	2012-04	$1,502	$0	$0	$1,502
000123456	KA	0103	2012-05	$1,294	$0	$0	$1,294
000123456	KA	0103	2012-06	$590	$0	$0	$590
000123456	KA	0103	Total	$30,529	$7,588	$0	$38,117
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: KA
Account: 0104
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	KA	0104	2011-07	$1,409	$135	$0	$1,543
000123456	KA	0104	2011-08	$1,135	$164	$0	$1,299
000123456	KA	0104	2011-09	$1,028	$324	$0	$1,352
000123456	KA	0104	2011-10	$1,941	$819	$0	$2,760
000123456	KA	0104	2011-11	$1,014	$433	$0	$1,447
000123456	KA	0104	2011-12	$2,009	$1,344	$0	$3,353
000123456	KA	0104	2012-01	$399	$14	$0	$413
000123456	KA	0104	2012-02	$1,428	$0	$0	$1,428
000123456	KA	0104	2012-03	$894	$0	$0	$894
000123456	KA	0104	2012-04	$361	$0	$0	$361
000123456	KA	0104	2012-05	$103	$0	$0	$103
000123456	KA	0104	2012-06	$854	$0	$0	$854
000123456	KA	0104	Total	$12,576	$3,234	$0	$15,809
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: KA
Account: 0106
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	KA	0106	2011-07	$5,539	$1,631	$0	$7,170
000123456	KA	0106	2011-08	$7,450	$3,012	$0	$10,462
000123456	KA	0106	2011-09	$9,178	$1,900	$0	$11,078
000123456	KA	0106	2011-10	$5,795	$3,958	$0	$9,754
000123456	KA	0106	2011-11	$3,799	$550	$0	$4,349
000123456	KA	0106	2011-12	$6,266	$3,837	$0	$10,103
000123456	KA	0106	2012-01	$3,678	$1,025	$0	$4,703
000123456	KA	0106	2012-02	$7,427	$0	$0	$7,427
000123456	KA	0106	2012-03	$6,608	$0	$0	$6,608
000123456	KA	0106	2012-04	$6,054	$0	$0	$6,054
000123456	KA	0106	2012-05	$3,029	$0	$0	$3,029
000123456	KA	0106	2012-06	$13,920	$0	$0	$13,920
000123456	KA	0106	Total	$78,742	$15,914	$0	$94,656
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: LA
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	LA	0108	2011-07	$37,601	$23,775	$0	$61,376
000123456	LA	0108	2011-08	$42,883	$28,171	$0	$71,054
000123456	LA	0108	2011-09	$91,420	$23,716	$0	$115,137
000123456	LA	0108	2011-10	$69,117	$32,410	$0	$101,528
000123456	LA	0108	2011-11	$68,891	$27,125	$0	$96,017
000123456	LA	0108	2011-12	$203,525	$49,591	$0	$253,116
000123456	LA	0108	2012-01	$84,667	$13,155	$0	$97,822
000123456	LA	0108	2012-02	$127,943	$0	$0	$127,943
000123456	LA	0108	2012-03	$127,940	$0	$0	$127,940
000123456	LA	0108	2012-04	$195,439	$0	$0	$195,439
000123456	LA	0001	2012-05	$118,427	$0	$0	$118,427
000123456	LA	0108	2012-06	$114,820	$0	$0	$114,820
000123456	LA	0001	Total	$1,282,674	$197,944	$0	$1,480,618
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: LA
Account: 0001
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	LA	0001	2012-05	$7	$0	$0	$7
000123456	LA	0001	Total	$7	$0	$0	$7
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: LA
Account: 0108
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	LA	0108	2011-07	$35,907	$23,524	$0	$59,431
000123456	LA	0108	2011-08	$42,013	$27,403	$0	$69,417
000123456	LA	0108	2011-09	$90,652	$23,673	$0	$114,325
000123456	LA	0108	2011-10	$66,728	$31,651	$0	$98,379
000123456	LA	0108	2011-11	$67,299	$26,278	$0	$93,577
000123456	LA	0108	2011-12	$203,070	$49,071	$0	$252,141
000123456	LA	0108	2012-01	$84,667	$13,021	$0	$97,687
000123456	LA	0108	2012-02	$127,902	$0	$0	$127,902
000123456	LA	0108	2012-03	$126,749	$0	$0	$126,749
000123456	LA	0108	2012-04	$194,461	$0	$0	$194,461
000123456	LA	0108	2012-05	$117,522	$0	$0	$117,522
000123456	LA	0108	2012-06	$106,800	$0	$0	$106,800
000123456	LA	0108	Total	$1,263,770	$194,621	$0	$1,458,391
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: LA
Account: 0109
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	LA	0109	2011-07	$1,109	$187	$0	$1,295
000123456	LA	0109	2011-08	$174	$745	$0	$920
000123456	LA	0109	2011-09	$0	$39	$0	$39
000123456	LA	0109	2011-10	$832	$754	$0	$1,586
000123456	LA	0109	2011-11	$571	$748	$0	$1,319
000123456	LA	0109	2011-12	$198	$401	$0	$600
000123456	LA	0109	2012-01	$0	$2	$0	$2
000123456	LA	0109	2012-02	$41	$0	$0	$41
000123456	LA	0109	2012-03	$35	$0	$0	$35
000123456	LA	0109	Total	$2,960	$2,876	$0	$5,837
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: LA
Account: 0110
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	LA	0110	2011-07	$118	$64	$0	$182
000123456	LA	0110	2011-08	$127	$0	$0	$127
000123456	LA	0110	2011-09	$74	$5	$0	$78
000123456	LA	0110	2011-10	$1,381	$0	$0	$1,381
000123456	LA	0110	2011-11	$916	$99	$0	$1,015
000123456	LA	0110	2011-12	$256	$119	$0	$375
000123456	LA	0110	2012-01	$0	$133	$0	$133
000123456	LA	0110	2012-03	$289	$0	$0	$289
000123456	LA	0110	2012-04	$978	$0	$0	$978
000123456	LA	0110	2012-05	$593	$0	$0	$593
000123456	LA	0110	2012-06	$8,020	$0	$0	$8,020
000123456	LA	0110	Total	$12,752	$418	$0	$13,171
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: LA
Account: 0112
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	LA	0112	2011-07	$467	$1	$0	$468
000123456	LA	0112	2011-08	$568	$22	$0	$590
000123456	LA	0112	2011-09	$695	$0	$0	$695
000123456	LA	0112	2011-10	$176	$5	$0	$182
000123456	LA	0112	2011-11	$105	$0	$0	$105
000123456	LA	0112	2012-03	$868	$0	$0	$868
000123456	LA	0112	2012-04	$0	$0	$0	$0
000123456	LA	0112	2012-05	$305	$0	$0	$305
000123456	LA	0112	Total	$3,184	$29	$0	$3,213
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: NA
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	NA	0114	2011-07	$111,078	$10,174	$0	$121,251
000123456	NA	0114	2011-08	$160,279	$12,834	$0	$173,113
000123456	NA	0114	2011-09	$135,446	$14,670	$0	$150,116
000123456	NA	0114	2011-10	$139,956	$25,325	$0	$165,281
000123456	NA	0114	2011-11	$86,540	$22,147	$0	$108,688
000123456	NA	0114	2011-12	$131,851	$47,726	$0	$179,577
000123456	NA	0114	2012-01	$133,254	$8,608	$0	$141,861
000123456	NA	0114	2012-02	$56,831	$0	$0	$56,831
000123456	NA	0114	2012-03	$100,447	$0	$0	$100,447
000123456	NA	0114	2012-04	$110,639	$0	$0	$110,639
000123456	NA	0114	2012-05	$117,174	$0	$0	$117,174
000123456	NA	0114	2012-06	$136,547	$0	$0	$136,547
000123456	NA	0114	Total	$1,420,040	$141,484	$0	$1,561,525
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: NA
Account: 0114
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	NA	0114	2011-07	$111,061	$9,877	$0	$120,937
000123456	NA	0114	2011-08	$159,660	$12,352	$0	$172,012
000123456	NA	0114	2011-09	$134,637	$14,054	$0	$148,691
000123456	NA	0114	2011-10	$139,428	$24,797	$0	$164,225
000123456	NA	0114	2011-11	$85,467	$22,017	$0	$107,483
000123456	NA	0114	2011-12	$130,561	$47,145	$0	$177,706
000123456	NA	0114	2012-01	$132,078	$8,432	$0	$140,510
000123456	NA	0114	2012-02	$56,831	$0	$0	$56,831
000123456	NA	0114	2012-03	$100,085	$0	$0	$100,085
000123456	NA	0114	2012-04	$110,168	$0	$0	$110,168
000123456	NA	0114	2012-05	$116,863	$0	$0	$116,863
000123456	NA	0114	2012-06	$136,014	$0	$0	$136,014
000123456	NA	0114	Total	$1,412,852	$138,673	$0	$1,551,525
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: NA
Account: 0116
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	NA	0116	2011-07	$17	$297	$0	$314
000123456	NA	0116	2011-08	$605	$482	$0	$1,087
000123456	NA	0116	2011-09	$782	$616	$0	$1,398
000123456	NA	0116	2011-10	$433	$528	$0	$962
000123456	NA	0116	2011-11	$1,074	$131	$0	$1,204
000123456	NA	0116	2011-12	$1,290	$581	$0	$1,871
000123456	NA	0116	2012-01	$1,175	$176	$0	$1,351
000123456	NA	0116	2012-03	$362	$0	$0	$362
000123456	NA	0116	2012-04	$471	$0	$0	$471
000123456	NA	0116	2012-05	$312	$0	$0	$312
000123456	NA	0116	2012-06	$533	$0	$0	$533
000123456	NA	0116	Total	$7,053	$2,811	$0	$9,864
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: NA
Account: 0117
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	NA	0117	2011-08	$13	$0	$0	$13
000123456	NA	0117	2011-09	$28	$0	$0	$28
000123456	NA	0117	2011-10	$94	$0	$0	$94
000123456	NA	0117	Total	$135	$0	$0	$135
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: QA
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	QA	0124	2011-07	$8,645	$1,385	$0	$10,030
000123456	QA	0124	2011-08	$22,968	$422	$0	$23,390
000123456	QA	0124	2011-09	$10,174	$2,475	$0	$12,649
000123456	QA	0124	2011-10	$19,789	$1,186	$0	$20,975
000123456	QA	0124	2011-11	$18,504	$148	$0	$18,652
000123456	QA	0124	2011-12	$30,534	$2,001	$0	$32,535
000123456	QA	0124	2012-01	$6,938	$278	$0	$7,216
000123456	QA	0124	2012-02	$179	$0	$0	$179
000123456	QA	0124	2012-03	$530	$0	$0	$530
000123456	QA	0124	2012-04	$223	$0	$0	$223
000123456	QA	0124	2012-05	$2,218	$0	$0	$2,218
000123456	QA	0124	2012-06	$1,645	$0	$0	$1,645
000123456	QA	0124	Total	$122,347	$7,895	$0	$130,242
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: QA
Account: 0124
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	QA	0124	2011-07	$8,645	$1,385	$0	$10,030
000123456	QA	0124	2011-08	$22,968	$369	$0	$23,337
000123456	QA	0124	2011-09	$10,174	$2,475	$0	$12,649
000123456	QA	0124	2011-10	$19,789	$596	$0	$20,385
000123456	QA	0124	2011-11	$15,481	$148	$0	$15,628
000123456	QA	0124	2011-12	$29,091	$2,001	$0	$31,092
000123456	QA	0124	2012-01	$6,938	$0	$0	$6,938
000123456	QA	0124	2012-02	$179	$0	$0	$179
000123456	QA	0124	2012-03	$530	$0	$0	$530
000123456	QA	0124	2012-04	$223	$0	$0	$223
000123456	QA	0124	2012-05	$1,009	$0	$0	$1,009
000123456	QA	0124	2012-06	$1,645	$0	$0	$1,645
000123456	QA	0124	Total	$116,671	$6,974	$0	$123,645
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number: 000123456
Suffix: QA
Account: 0125
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
000123456	QA	0125	2011-08	$0	$53	$0	$53
000123456	QA	0125	2011-10	$0	$590	$0	$590
000123456	QA	0125	2011-11	$3,024	$0	$0	$3,024
000123456	QA	0125	2011-12	$1,443	$0	$0	$1,443
000123456	QA	0125	2012-01	$0	$278	$0	$278
000123456	QA	0125	2012-05	$1,210	$0	$0	$1,210
000123456	QA	0125	Total	$5,676	$921	$0	$6,597
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number:
Suffix: ALL
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
	FP	0000	2011-07	$0	$0	$18,393	$18,393
	FP	0000	2011-08	$0	$0	$12,889	$12,889
	FP	0000	2011-09	$0	$0	$10,585	$10,585
	FP	0000	2011-10	$0	$0	$9,123	$9,123
	FP	0000	2011-11	$0	$0	$14,922	$14,922
	FP	0000	2011-12	$0	$0	$8,141	$8,141
	FP	0000	2012-01	$0	$0	$30,780	$30,780
	FP	0000	2012-02	$0	$0	$24,727	$24,727
	FP	0000	2012-03	$0	$0	$20,066	$20,066
	FP	0000	2012-04	$0	$0	$16,025	$16,025
	FP	0000	2012-05	$0	$0	$12,225	$12,225
	FP	0000	2012-06	$0	$0	$13,097	$13,097
	FP	0000	Total	$0	$0	$190,973	$190,973
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number:
Suffix: FP
Account: ALL
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
	FP	0000	2011-07	$0	$0	$18,393	$18,393
	FP	0000	2011-08	$0	$0	$12,889	$12,889
	FP	0000	2011-09	$0	$0	$10,585	$10,585
	FP	0000	2011-10	$0	$0	$9,123	$9,123
	FP	0000	2011-11	$0	$0	$14,922	$14,922
	FP	0000	2011-12	$0	$0	$8,141	$8,141
	FP	0000	2012-01	$0	$0	$30,780	$30,780
	FP	0000	2012-02	$0	$0	$24,727	$24,727
	FP	0000	2012-03	$0	$0	$20,066	$20,066
	FP	0000	2012-04	$0	$0	$16,025	$16,025
	FP	0000	2012-05	$0	$0	$12,225	$12,225
	FP	0000	2012-06	$0	$0	$13,097	$13,097
	FP	0000	Total	$0	$0	$190,973	$190,973
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number:
Suffix: FP
Account: 0000
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
	FP	0000	2011-07	$0	$0	$18,393	$18,393
	FP	0000	2011-08	$0	$0	$12,889	$12,889
	FP	0000	2011-09	$0	$0	$10,585	$10,585
	FP	0000	2011-10	$0	$0	$10,257	$10,257
	FP	0000	2011-11	$0	$0	$14,922	$14,922
	FP	0000	2011-12	$0	$0	$8,141	$8,141
	FP	0000	2012-01	$0	$0	$30,780	$30,780
	FP	0000	2012-02	$0	$0	$24,727	$24,727
	FP	0000	2012-03	$0	$0	$20,066	$20,066
	FP	0000	2012-04	$0	$0	$16,025	$16,025
	FP	0000	2012-05	$0	$0	$12,225	$12,225
	FP	0000	2012-06	$0	$0	$13,097	$13,097
	FP	0000	Total	$0	$0	$192,107	$192,107
Run Date: 7/17/2012 3:37:06 AM
Payments by Month
Report Filter:
-Policy Number = 000123456
And
Benefit Type Category = Dental Benefit, FSA Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit
And
Book Year/Month = 2012-06, 2012-05, 2012-04, 2012-03, 2012-02, 2012-01, 2011-12, 2011-11, 2011-10, 2011-09, 2011-08, 2011-07
And
Funding Arrangement Category = Administrative Services Only
-Policy Number:
Suffix: FP
Account: 0001
				Medical	Managed Pharmacy	All Other	Total
-Policy Number	Suffix	Account	Book Year/Month	Payments	Payments	Payments	Payments
	FP	0001	2011-10	$0	$0	($1,134)	($1,134)
	FP	0001	Total	$0	$0	($1,134)	($1,134)