Infinity Resources, Inc.

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

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

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

Total            6  


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