Sat, 13 Dec 2025
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Group ID Type Plan No Category Benefit Type Vendor Code Benefit Description Contract ID EE EE+ 1 Child EE+SP Family Product Screen
fbb78160-ba00-4463-bfa4-42d31ec7360c Medical 1 Agent 1 || Agent 1% a X00000 Agent 3 || Agent 3 % Y2501582026 100.00 100.00 100.00 100.00 Medical BAC Edit
fbf3d76a-42d9-4cde-a3bc-3ca1d9e04d12 Medical 2 Agent 4 || Agent 4% a2 Agent 3 || Agent 3 % Y2403502025 0.00 0.00 0.00 0.00 Medical BAC Edit
298237c6-48d4-42a9-b2b3-b5cedc7b1b5b Dental 2 Agent 7 || Agent 7% c2 Agent 3 || Agent 3 % Y9900082099 0.00 0.00 0.00 0.00 Dental BGRM Edit
298237c6-48d4-42a9-b2b3-b5cedc7b1b5b Dental 2 Agent 1 || Agent 1% c2 M2211335 Agent 3 || Agent 3 % Y9900082099 100.00 100.00 100.00 100.00 Dental BGRM Edit
a68beb3d-99a9-4a38-b4f3-f66c418284ee Medical 1 Agent 2 || Agent 2% a W0000034 Agent 3 || Agent 3 % Y2500002025 35.44 35.44 35.44 35.44 Medical BGRM Edit
d7206e43-2f93-4343-ad9b-0d20bc0eefb9 Dental 1 Agent 2 || Agent 2% c1 W0000108 Dnt Comms P1 Y9900872099 100.00 100.00 100.00 100.00 Dental BAC Edit
f126300d-85fa-490c-8c90-71e50f8dc4f5 Medical 1 Agent 3 || Agent 3% a Agent 3 || Agent 3 % Y9900322099 0.00 0.00 0.00 0.00 Medical BGRM Edit
56f5ba16-7e7b-4040-a43b-ad738d843b85 Medical 2 Agent 6 || Agent 6% a2 Agent 3 || Agent 3 % Y2300022023 0.00 0.00 0.00 0.00 Medical BGRM Edit
66fe1bee-7b7d-40f0-ba1f-c5759bd55608 Medical 2 Agent 6 || Agent 6% a2 Agent 3 || Agent 3 % Y9900092099 0.00 0.00 0.00 0.00 Medical BGRM Edit
0d30caf8-a7f2-44ef-ac06-87bd82ce4ceb Dental 3 Stop Loss Premium D3 OPT001 Dnt Stoploss P3 Y2400162024 13.67 24.61 28.71 41.01 Dental BRM Edit
ed70c2bf-95fc-48ea-85ad-6e045e734bc5 Medical 1 Agent 4 || Agent 4% a Agent 3 || Agent 3 % 1 0.00 0.00 0.00 0.00 Medical BAC Edit
0a5f4ca2-a5dd-4a4c-8458-31c4aec5218f Medical 3 Agent 7 || Agent 7% a3 Agent 3 || Agent 3 % Y2600072026 0.00 0.00 0.00 0.00 Medical BGRM Edit
fbf3d76a-42d9-4cde-a3bc-3ca1d9e04d12 Medical 2 HSA XX OPT40207 HSA Mellon Y2403502024 0.00 0.00 0.00 0.00 Medical BRM Edit
fbb78160-ba00-4463-bfa4-42d31ec7360c Dental 1 Stop Loss Premium D1 OPT003 Dnt Stoploss P1 Y2501582025 6.53 13.06 17.63 22.20 Dental BRM Edit
76e3fc57-fe35-4503-aac3-3a102550691d Dental 2 Agent 5 || Agent 5% c2 Agent 3 || Agent 3 % Y9900942099 0.00 0.00 0.00 0.00 Dental BAC Edit
e43e7273-5735-4518-afee-11489026e604 Medical 1 HSA XX OPT40207 HSA Mellon Y2300402023 3.75 3.75 3.75 3.75 Medical BRM Edit
51353b55-f02b-4213-a55b-cc367fe1399d Medical 1 Admin, Sales and General Expenses A OPT002 ADM/RSK PLN1 Y9900302099 167.71 335.43 452.82 570.22 Medical BRM Edit
005f804b-4eff-4965-bd48-7b716551141a Medical 2 Agent 3 || Agent 3% a2 G1326554 Agent 3 || Agent 3 % Y9900102099 38.46 38.46 38.46 38.46 Medical BGRM Edit
e6a980d7-28a5-4cf7-bcfe-2b61c1b30ce8 Medical 1 Agent 3 || Agent 3% a Agent 3 || Agent 3 % Y2300522023 0.00 0.00 0.00 0.00 Medical BAC Edit
fbf3d76a-42d9-4cde-a3bc-3ca1d9e04d12 Medical 1 Commission Dollars to Agent(s) a Agent 3 || Agent 3 % Y2403502025 79.66 159.33 215.09 270.85 Medical BRM Edit
51353b55-f02b-4213-a55b-cc367fe1399d Medical 2 Stop Loss Premium S2 OPT001 Stoploss Pln 2 Y9900302099 176.95 353.90 477.76 601.63 Medical BRM Edit
edf547aa-bacc-4c5c-801f-6e58570864f0 Medical 1 Stop Loss Premium sp OPT001 Stoploss Pln 1 Y2501712025 330.52 892.42 1057.69 1322.11 Medical BRM Edit
964c616f-5370-46f3-bbb4-e3aafe457081 Medical 1 Agent 7 || Agent 7% a Agent 3 || Agent 3 % Y2400292025 0.00 0.00 0.00 0.00 Medical BAC Edit
0d30caf8-a7f2-44ef-ac06-87bd82ce4ceb Dental 5 Agent 1 || Agent 1% c5 W0000068 Agent 3 || Agent 3 % Y2400162024 100.00 100.00 100.00 100.00 Dental BAC Edit
0d30caf8-a7f2-44ef-ac06-87bd82ce4ceb Medical 4 Agent 5 || Agent 5% a5 Agent 3 || Agent 3 % Y2400162024 0.00 0.00 0.00 0.00 Medical BGRM Edit
76e3fc57-fe35-4503-aac3-3a102550691d Dental 2 Agent 3 || Agent 3% c2 Agent 3 || Agent 3 % Y9900942099 0.00 0.00 0.00 0.00 Dental BAC Edit
005f804b-4eff-4965-bd48-7b716551141a Medical 1 HRA 1S OPT40207 HRA Fee Y9900102099 0.00 0.00 0.00 0.00 Medical BRM Edit
dd539ab6-add7-458b-a479-9097f40bd15e Dental 4 PPO Fee BAC (Allied) n/a n/a n/a Y2400222099 0.00 0.00 0.00 0.00 Dental BAC Edit
4e0bb5b1-c3a0-4984-a88b-7343eb1e0355 Dental 1 PPO Fee BRM n/a Billed Fee n/a Y9900882099 0.00 0.00 0.00 0.00 Dental BRM Edit
fbf3d76a-42d9-4cde-a3bc-3ca1d9e04d12 Medical 1 Agent 5 || Agent 5% a Agent 3 || Agent 3 % Y2403502025 0.00 0.00 0.00 0.00 Medical BAC Edit
a6c9b639-64c0-4e02-a2fd-c98e7088e6c5 Medical 1 PPO Fee BGRM (Allied) n/a n/a n/a Y2300542023 0.00 0.00 0.00 0.00 Medical BGRM Edit
005f804b-4eff-4965-bd48-7b716551141a Medical 1 Agent 7 || Agent 7% a Agent 3 || Agent 3 % Y9900102099 0.00 0.00 0.00 0.00 Medical BGRM Edit
582b279a-e16a-400f-9e7b-2927ee2ebb2f Medical 1 Admin, Sales and General Expenses A OPT002 ADM/RSK PLN1 Y2200352022 39.12 86.42 104.15 157.36 Medical BRM Edit
d7206e43-2f93-4343-ad9b-0d20bc0eefb9 Dental 1 Agent 1 || Agent 1% c1 G0000107 Dnt Comms P1 Y9900872099 0.00 0.00 0.00 0.00 Dental BAC Edit
0d30caf8-a7f2-44ef-ac06-87bd82ce4ceb Dental 6 Agent 5 || Agent 5% c6 Agent 3 || Agent 3 % Y2400162024 0.00 0.00 0.00 0.00 Dental BAC Edit
6aade604-c9a6-4c88-829d-44e586d06185 Medical 1 Agent 1 || Agent 1% a G0000000 Agent 3 || Agent 3 % Y9900822099 100.00 100.00 100.00 100.00 Medical BAC Edit
56f5ba16-7e7b-4040-a43b-ad738d843b85 Medical 1 Agent 1 || Agent 1% a 09988388735555 Agent 3 || Agent 3 % Y2300022023 80.00 80.00 80.00 80.00 Medical BAC Edit
edfb030b-c645-47c0-9970-f02a84c5d5ea Medical 1 PPO Fee BAC n/a n/a n/a Y2403462024 0.00 0.00 0.00 0.00 Medical BAC Edit
56f5ba16-7e7b-4040-a43b-ad738d843b85 Vision 1 Stop Loss Premium V1 OPT001 Vis Stoploss P1 Y2300022023 57.00 30.00 55.00 112.00 Vision BRM Edit
fbb78160-ba00-4463-bfa4-42d31ec7360c Medical 2 Agent 5 || Agent 5% a2 Agent 3 || Agent 3 % Y2501582025 0.00 0.00 0.00 0.00 Medical BGRM Edit
505efe54-c061-465d-bc5b-66856fef5942 Medical 1 Agent 6 || Agent 6% a Agent 3 || Agent 3 % Y2300532023 0.00 0.00 0.00 0.00 Medical BAC Edit
425450d2-d775-4910-a6c1-35ee8890ab39 Medical 1 Agent 3 || Agent 3% a Agent 3 || Agent 3 % Y9900632099 0.00 0.00 0.00 0.00 Medical BGRM Edit
c17f6265-622d-4800-bd58-7e07df1e1a81 Dental 2 Admin, Sales and General Expenses E2 OPT002 Dnt Admin P2 Y2400242024 30.00 30.00 30.00 30.00 Dental BRM Edit
76e3fc57-fe35-4503-aac3-3a102550691d Dental 6 Agent 5 || Agent 5% c6 Agent 3 || Agent 3 % Y9900942099 0.00 0.00 0.00 0.00 Dental BAC Edit
cb0f78f9-de4b-4c96-9fe4-d13155939bd9 Medical 1 Agent 4 || Agent 4% a Agent 3 || Agent 3 % Y2400342024 0.00 0.00 0.00 0.00 Medical BAC Edit
005f804b-4eff-4965-bd48-7b716551141a Medical 1 TOTAL TOTAL TOTAL Y9900102099 138.65 334.12 390.95 481.87 Medical BRM Edit
76e3fc57-fe35-4503-aac3-3a102550691d Medical 2 Claim Funding 2A, 2X Y990094 Y9900942099 157.75 362.82 410.14 709.86 Medical BRM Edit
fbf3d76a-42d9-4cde-a3bc-3ca1d9e04d12 Medical 1 PPO Fee BAC n/a n/a n/a Y2403502025 0.00 0.00 0.00 0.00 Medical BAC Edit
425450d2-d775-4910-a6c1-35ee8890ab39 Medical 1 Agent 1 || Agent 1% a W0000017 Agent 3 || Agent 3 % Y9900632099 60.00 60.00 60.00 60.00 Medical BGRM Edit
29658915-8cd7-4c7e-93b5-74cf7247d9be Medical 1 Agent 1 || Agent 1% a G0000001 Agent 3 || Agent 3 % Y9900382099 100.00 100.00 100.00 100.00 Medical BGRM Edit
3,345 items found, displaying 1 to 50. 1, 2, 3, 4, 5, 6, 7, 8
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