Month Paid In	For The Month Of	BC/BS Fam		BC/BS Ind		Dental Emp		Dental ES		Dental Fam		Paycheck Date
July-07	August-07	Billed	320.92	Billed	138.53	Billed	35.43	Billed	64.99	Billed	95.26
August-07	September-07	Billed	320.92	Billed	138.53	Billed	35.43	Billed	64.99	Billed	95.26
September-07	October-07	192.55		83.12		21.26		38.99		57.16		9/20/2007
October-07	November-07	192.55		83.12		21.26		38.99		57.16		10/4/2007
		192.55		83.12		21.26		38.99		57.16		10/18/2007
November-07	December-07	192.55		83.12		21.26		38.99		57.16		11/1/2007
		192.55		83.12		21.26		38.99		57.16		11/15/2007
		192.55		83.12		21.26		38.99		57.16		11/29/2007
December-07	January-08	192.55		83.12		21.26		38.99		57.16		12/13/2007
		192.55		83.12		21.26		38.99		57.16		12/27/2007
January-08	February-08	192.55		83.12		21.26		38.99		57.16		1/10/2008
		192.55		83.12		21.26		38.99		57.16		1/24/2008
February-08	March-08	192.55		83.12		21.26		38.99		57.16		2/7/2008
		192.55		83.12		21.26		38.99		57.16		2/21/2008
March-08	April-08	192.55		83.12		21.26		38.99		57.16		3/6/2008
		192.55		83.12		21.26		38.99		57.16		3/20/2008
April-08	May-08	192.55		83.12		21.26		38.99		57.16		4/3/2008
		192.55		83.12		21.26		38.99		57.16		4/17/2008
May-08	June-08	192.55		83.12		21.26		38.99		57.16		5/1/2008
		192.55		83.12		21.26		38.99		57.16		5/15/2008
		192.55		83.12		21.26		38.99		57.16		5/29/2008
		192.55		83.12		21.26		38.99		57.16		6/12/2008
Total Premium		3,851.00	Total	1,662.40	Total	425.20	Total	779.80	Total	1,143.20	Total
Make up difference												6/26/2008
Make up difference												7/10/2008
June-08	July-08	Paid
July-08	August-08	Paid
August-08	September-08	Paid
New Year 08-09
September-08	October-08