Infinity Resources, Inc.

Carrier Name - List Bill 04/2002 Location(s): All Division(s): All Subtotaled by: Plan

Basic Life Policy Number 139343 Name SSN Division Location Effective Date Coverage Volume Premium Edwards, Andrew 123-456-789 Marketing Quebec 04/12/2002 $10,000 $10,000.00 $475.59 Gallagher, Susan 987-456-123 Marketing Montreal 04/12/2002 1 x Salary $10,000.00 $182.03 Jackson, Melissa 234-567-890 Sales Montreal 04/12/2002 1 x Salary $10,000.00 $490.90 Basic Life Total $30,000.00 $1,150.00 HMO Policy Number 89343 Name SSN Division Location Effective Date Coverage   Premium Edwards, Andrew 123-456-789 Marketing Quebec 04/12/2002 Family   $475.59 Gallagher, Susan 987-456-123 Marketing Montreal 04/12/2002 Employee   $182.03 Jackson, Melissa 234-567-890 Sales Montreal 04/12/2002 Family   $490.90 HMO Total   $1,150.00 Long Term Disability Policy Number 21393 Name SSN Division Location Effective Date Coverage Volume Premium Edwards, Andrew 123-456-789 Marketing Quebec 04/12/2002 60% $5,000.00 $475.59 Gallagher, Susan 987-456-123 Marketing Montreal 04/12/2002 50% $4,000.00 $182.03 Jackson, Melissa 234-567-890 Sales Montreal 04/12/2002 40% $3,000.00 $490.90 Long Term Disability Total $12,000.00 $1,150.00 PPO Policy Number 349343 Name SSN Division Location Effective Date Coverage   Premium Edwards, Andrew 123-456-789 Marketing Quebec 04/12/2002 Family   $475.59 Gallagher, Susan 987-456-123 Marketing Montreal 04/12/2002 Employee   $182.03 Jackson, Melissa 234-567-890 Sales Montreal 04/12/2002 Family   $490.90 HMO Total   $1,150.00

Total Premium            $4,600.00

---

HTML version, Excel file would open instead.