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Blue Cross Blue Shield of Georgia - 04/2002


Plan Name Policy Number Number of
Enrolled Employees
Premium
HMO 23952 100 20,375.00
PPO 34522 74 22,75.10
Dental 93423 103 2,175.00
Basic Life 305212 175 2,620.00
Basic AD&D 92312 175 698.00
Adjustments 0 0


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Summary - Locations (1) - Divisions (1) - Subtotaled by Plan
Summary - Locations (All) - Divisions (All) - Subtotaled by Division
Summary - Locations (All) - Divisions (All) - Subtotaled by Location
Summary - Locations (All) - Divisions (All) - Subtotaled by Location (age band)

List Bill - Locations (all) - Divisions (all) - Subtotaled by Plan
List Bill - Locations (1) - Divisions (1) - Subtotaled by Plan
List Bill - Locations (2) - Divisions (2) - Subtotaled by Plan
List Bill - Locations (all) - Divisions (all) - Subtotaled by Division
List Bill - Locations (all) - Divisions (all) - Subtotaled by Location

Changes - all - Subtotaled by plan
Changes - all - Subtotaled by location
Changes - all - Subtotaled by division

Adjustments - all - subtotaled by plan
Adjustments - all - subtotaled by location
Adjustments - all - subtotaled by division



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