Infinity Resources, Inc.

Carrier Name - Changes to Billing
04/2002
Location(s): All
Division(s): All
Subtotaled by: Plan

Name SSN Division Location Action Effective Date
Edwards, Andrew 123-456-789 Marketing Quebec New Enrollment 04/15/2002
Gallagher, Susan 987-456-123 Marketing Montreal Termination 04/15/2002
Jackson, Melissa 234-567-890 Sales Montreal Dependent Addition 04/15/2002
HMO Total Changes            3

Name SSN Division Location Action Effective Date
Edwards, Andrew 123-456-789 Marketing Quebec New Enrollment 04/15/2002
Gallagher, Susan 987-456-123 Marketing Montreal Termination 04/15/2002
Jackson, Melissa 234-567-890 Sales Montreal Dependent Addition 04/15/2002
PPO Total Changes            3

Total            6  


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