Infinity Resources, Inc.

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

Montreal Name SSN Division Action Effective Date HMO Policy Number 34243 Edwards, Andrew 123-456-789 Marketing New Enrollment 04/15/2002 PPO Policy Number 32343 Gallagher, Susan 987-456-123 Marketing Termination 04/15/2002 Jackson, Melissa 234-567-890 Sales Dependent Addition 04/15/2002 Montrel Total Changes            3

Pomona Name SSN Division Action Effective Date HMO Policy Number 34243 Edwards, Andrew 123-456-789 Marketing New Enrollment 04/15/2002 Gallagher, Susan 987-456-123 Marketing Termination 04/15/2002 PPO Policy Number 32343 Jackson, Melissa 234-567-890 Sales Dependent Addition 04/15/2002 Pomona Total Changes            3

Total            6

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