22-Payments by Month 0825.xlsx
XLSX spreadsheet 24 KB Posted
- Attached to
- Stop Loss Insurance
- Solicitation number
- RFP 26-023KB
- Issued by
- Fort Bend County, Texas
About this file
This document is a detailed payments spreadsheet from UnitedHealthcare for Fort Bend Independent School District (FBIDS), covering medical and administrative payments from January through August 2025. The spreadsheet tracks various payment categories including medical, all other payments, and capitation payments across multiple plan options and population segments, with a total payment volume of approximately $13,306,059 during the tracked period.
The payment breakdown reveals granular financial details for different plan classifications (labeled A through AI), with medical payments constituting the largest expense category. The document appears to be supporting documentation for a stop loss insurance contract, which aligns with the related state and local contract opportunity describing FBIDS's solicitation for stop loss insurance services. The payment data suggests a comprehensive administrative services arrangement with UnitedHealthcare, demonstrating monthly variations in medical and administrative expenses across different plan options and population segments.
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Cover Page
| Payments by Month |
| September 16, 2025 |
Customer Name: Fort Bend Independent School District
Member Group ID: 000902915 902915
Originating Member Group Contract ID: 902915
All Filter Details: Report Filter:
{Benefit Type Category}=Dental Benefit, Managed Pharmacy Benefit, Medical Benefit, Vision Benefit, HRA Benefit - Medical, HRA Benefit - Pharmacy, Physician, Outpatient Facility, Pharmacy, Inpatient Facility, Unknown, HRA/HSA/FSA Benefit And {Member Group ID}=000902915 - Fort Bend Independent School District And {Book Year/Month}=2025-08, 2025-07, 2025-06, 2025-05, 2025-04, 2025-03, 2025-02, 2025-01 And {Funding Arrangement Category}=Administrative Services Only
Report Limits:
{All Other Payments} <> 0 Or {Dental Payments} <> 0 Or {Vision Payments} <> 0 Or {Medical Payments} <> 0 Or {Pharmacy Payments} <> 0 Or {Total Payments} <> 0 Or {Capitation Payments} <> 0
Prompt 1: SELECT A MEMBER GROUP ID {Member Group ID}=000902915 - Fort Bend Independent School District Prompt 2: SELECT A DATE TYPE Book Dates Prompt 3: ADD MORE DETAILS TO THIS REPORT Common Member Group ID, Common Member Group Contract ID Prompt 4: LIMIT THE REPORT'S CUSTOMER STRUCTURE
Prompt 5: LIMIT THE REPORT'S RESULTS.
Prompt 6: SELECT BOOK DATES 2025-08, 2025-07, 2025-06, 2025-05, 2025-04, 2025-03, 2025-02, 2025-01
This document contains UnitedHealthcare's confidential and/or proprietary business information (PBI). PBI may only be used by the recipient person/entity to which it is addressed. Recipient is liable for using and protecting UnitedHealthcare's PBI from further disclosure or misuse, consistent with recipient's contractual obligations under any applicable administrative services agreement, group policy contract, non-disclosure agreement or other applicable contract or law, including but not limited to the U.S. Freedom of Information Act and state freedom of information law exemptions for 'trade secrets'. The document may also contain protected health information (PHI) and must be handled according to applicable state and federal law, including, but not limited to HIPAA. Recipients who misuse information may be subject to both civil and criminal penalties.
Payments by Month
| Payments by Month | |||||||||
| Common Member Group ID | Common Member Group Contract ID | Book Year/Month | Dental Payments | Capitation Payments | All Other Payments | Medical Payments | Vision Payments | Pharmacy Payments | Total Payments |
| 902915 | A | 2025-01 | $0 | $0 | $0 | $3 | $0 | $0 | $3 |
| 2025-02 | $0 | $0 | $0 | ($157) | $0 | $0 | ($157) | ||
| 2025-06 | $0 | $0 | $0 | ($2,036) | $0 | $0 | ($2,036) | ||
| 2025-07 | $0 | $0 | $0 | ($108) | $0 | $0 | ($108) | ||
| 2025-08 | $0 | $0 | $0 | ($48) | $0 | $0 | ($48) | ||
| Total | $0 | $0 | $0 | ($2,347) | $0 | $0 | ($2,347) | ||
| AA | 2025-02 | $0 | $0 | $0 | ($432) | $0 | $0 | ($432) | |
| Total | $0 | $0 | $0 | ($432) | $0 | $0 | ($432) | ||
| AB | 2025-02 | $0 | $0 | $0 | ($182) | $0 | $0 | ($182) | |
| Total | $0 | $0 | $0 | ($182) | $0 | $0 | ($182) | ||
| AC | 2025-01 | $0 | $0 | $122,140 | $1,292,321 | $0 | $0 | $1,414,461 | |
| 2025-02 | $0 | $0 | $101,230 | $1,016,460 | $0 | $0 | $1,117,690 | ||
| 2025-03 | $0 | $0 | $107,485 | $1,469,962 | $0 | $0 | $1,577,447 | ||
| 2025-04 | $0 | $0 | $83,698 | $1,406,191 | $0 | $0 | $1,489,889 | ||
| 2025-05 | $0 | $0 | $61,129 | $1,207,367 | $0 | $0 | $1,268,496 | ||
| 2025-06 | $0 | $0 | $63,488 | $2,412,579 | $0 | $0 | $2,476,067 | ||
| 2025-07 | $0 | $0 | $57,355 | $2,479,976 | $0 | $0 | $2,537,330 | ||
| 2025-08 | $0 | $0 | $29,905 | $1,394,773 | $0 | $0 | $1,424,678 | ||
| Total | $0 | $0 | $626,429 | $12,679,630 | $0 | $0 | $13,306,059 | ||
| AD | 2025-01 | $0 | $0 | $0 | $38 | $0 | $0 | $38 | |
| Total | $0 | $0 | $0 | $38 | $0 | $0 | $38 | ||
| AE | 2025-01 | $0 | $0 | $6,600 | $11,130 | $0 | $0 | $17,730 | |
| 2025-02 | $0 | $0 | $3,855 | $3,770 | $0 | $0 | $7,625 | ||
| 2025-03 | $0 | $0 | $5,911 | $28 | $0 | $0 | $5,939 | ||
| 2025-04 | $0 | $0 | $4,517 | $2,167 | $0 | $0 | $6,684 | ||
| 2025-05 | $0 | $0 | $4,017 | $2,614 | $0 | $0 | $6,631 | ||
| 2025-06 | $0 | $0 | $3,497 | $1,592 | $0 | $0 | $5,089 | ||
| 2025-07 | $0 | $0 | $3,223 | $20,904 | $0 | $0 | $24,128 | ||
| 2025-08 | $0 | $0 | $1,618 | $314 | $0 | $0 | $1,932 | ||
| Total | $0 | $0 | $33,237 | $42,520 | $0 | $0 | $75,756 | ||
| AF | 2025-01 | $0 | $0 | $8,466 | $1,210,645 | $0 | $0 | $1,219,111 | |
| 2025-02 | $0 | $0 | $5,278 | $1,150,975 | $0 | $0 | $1,156,253 | ||
| 2025-03 | $0 | $0 | $3,937 | $904,430 | $0 | $0 | $908,367 | ||
| 2025-04 | $0 | $0 | $2,145 | $1,722,001 | $0 | $0 | $1,724,147 | ||
| 2025-05 | $0 | $0 | $3,409 | $788,713 | $0 | $0 | $792,122 | ||
| 2025-06 | $0 | $0 | $2,370 | $926,850 | $0 | $0 | $929,220 | ||
| 2025-07 | $0 | $0 | $2,444 | $1,657,719 | $0 | $0 | $1,660,162 | ||
| 2025-08 | $0 | $0 | $3,888 | $1,070,372 | $0 | $0 | $1,074,261 | ||
| Total | $0 | $0 | $31,938 | $9,431,705 | $0 | $0 | $9,463,643 | ||
| AG | 2025-01 | $0 | $0 | $41,082 | $14,536 | $0 | $0 | $55,619 | |
| 2025-02 | $0 | $0 | $28,647 | $10,083 | $0 | $0 | $38,730 | ||
| 2025-03 | $0 | $0 | $28,094 | $383 | $0 | $0 | $28,477 | ||
| 2025-04 | $0 | $0 | $28,332 | $4,395 | $0 | $0 | $32,727 | ||
| 2025-05 | $0 | $0 | $20,043 | $1,060 | $0 | $0 | $21,103 | ||
| 2025-06 | $0 | $0 | $22,325 | $1,587 | $0 | $0 | $23,912 | ||
| 2025-07 | $0 | $0 | $26,245 | $1,620 | $0 | $0 | $27,865 | ||
| 2025-08 | $0 | $0 | $12,593 | $257 | $0 | $0 | $12,850 | ||
| Total | $0 | $0 | $207,361 | $33,921 | $0 | $0 | $241,282 | ||
| AI | 2025-01 | $0 | $0 | $24,973 | $12,976 | $0 | $0 | $37,949 | |
| 2025-02 | $0 | $0 | $24,357 | $2,658 | $0 | $0 | $27,015 | ||
| 2025-03 | $0 | $0 | $24,827 | ($4,147) | $0 | $0 | $20,680 | ||
| 2025-04 | $0 | $0 | $18,567 | $4,399 | $0 | $0 | $22,966 | ||
| 2025-05 | $0 | $0 | $14,292 | ($2,873) | $0 | $0 | $11,419 | ||
| 2025-06 | $0 | $0 | $20,203 | $35,507 | $0 | $0 | $55,710 | ||
| 2025-07 | $0 | $0 | $11,851 | $81,261 | $0 | $0 | $93,112 | ||
| 2025-08 | $0 | $0 | $7,863 | $2,095 | $0 | $0 | $9,958 | ||
| Total | $0 | $0 | $146,933 | $131,876 | $0 | $0 | $278,809 |
This document contains UnitedHealthcare's confidential and/or proprietary business information (PBI). PBI may only be used by the recipient person/entity to which it is addressed. Recipient is liable for using and protecting UnitedHealthcare's PBI from further disclosure or misuse, consistent with recipient's contractual obligations under any applicable administrative services agreement, group policy contract, non-disclosure agreement or other applicable contract or law, including but not limited to the U.S. Freedom of Information Act and state freedom of information law exemptions for 'trade secrets'. The document may also contain protected health information (PHI) and must be handled according to applicable state and federal law, including, but not limited to HIPAA. Recipients who misuse information may be subject to both civil and criminal penalties.
Payments by Month - Detail
| Common Member Group ID | Member Group ID | Common Member Group Contract ID | Common Plan Option ID | Common Population ID | Common Plan Option Name | Common Population Name | Customer Attribute 1 | Customer Attribute 2 | Customer Attribute 3 | Customer Attribute 4 | Book Year/Month | Dental Payments | Capitation Payments | All Other Payments | Medical Payments | Vision Payments | Pharmacy Payments | Total Payments |
| 902915 | 000902915 | A | 001 | 0000 | 0000 | 2025-02 | $0 | $0 | $0 | ($157) | $0 | $0 | ($157) | |||||
| 902915 | 000902915 | A | 001 | 0000 | 0000 | 2025-06 | $0 | $0 | $0 | ($2,036) | $0 | $0 | ($2,036) | |||||
| 902915 | 000902915 | A | 001 | 0001 | 0001 | 2025-08 | $0 | $0 | $0 | ($49) | $0 | $0 | ($49) | |||||
| 902915 | 000902915 | A | 004 | 0004 | 0004 | 2025-01 | $0 | $0 | $0 | $3 | $0 | $0 | $3 | |||||
| 902915 | 000902915 | A | 004 | 0004 | 0004 | 2025-07 | $0 | $0 | $0 | ($108) | $0 | $0 | ($108) | |||||
| 902915 | 000902915 | A | 004 | 0004 | 0004 | 2025-08 | $0 | $0 | $0 | $1 | $0 | $0 | $1 | |||||
| 902915 | 000902915 | AA | 001 | 0000 | 0000 | 2025-02 | $0 | $0 | $0 | ($432) | $0 | $0 | ($432) | |||||
| 902915 | 000902915 | AB | 001 | 0000 | 0000 | 2025-02 | $0 | $0 | $0 | ($182) | $0 | $0 | ($182) | |||||
| 902915 | 000902915 | AC | 007 | 0000 | 0000 | 2025-04 | $0 | $0 | $0 | $458 | $0 | $0 | $458 | |||||
| 902915 | 000902915 | AC | 007 | 0001 | 0001 | 2025-01 | $0 | $0 | $0 | ($583) | $0 | $0 | ($583) | |||||
| 902915 | 000902915 | AC | 007 | 0007 | 0007 | 2025-01 | $0 | $0 | $122,140 | $1,285,469 | $0 | $0 | $1,407,609 | |||||
| 902915 | 000902915 | AC | 007 | 0007 | 0007 | 2025-02 | $0 | $0 | $101,230 | $1,017,755 | $0 | $0 | $1,118,985 | |||||
| 902915 | 000902915 | AC | 007 | 0007 | 0007 | 2025-03 | $0 | $0 | $107,485 | $1,469,962 | $0 | $0 | $1,577,447 | |||||
| 902915 | 000902915 | AC | 007 | 0007 | 0007 | 2025-04 | $0 | $0 | $83,698 | $1,405,734 | $0 | $0 | $1,489,432 | |||||
| 902915 | 000902915 | AC | 007 | 0007 | 0007 | 2025-05 | $0 | $0 | $61,129 | $1,207,367 | $0 | $0 | $1,268,496 | |||||
| 902915 | 000902915 | AC | 007 | 0007 | 0007 | 2025-06 | $0 | $0 | $63,488 | $2,412,579 | $0 | $0 | $2,476,067 | |||||
| 902915 | 000902915 | AC | 007 | 0007 | 0007 | 2025-07 | $0 | $0 | $57,355 | $2,478,507 | $0 | $0 | $2,535,862 | |||||
| 902915 | 000902915 | AC | 007 | 0007 | 0007 | 2025-08 | $0 | $0 | $29,905 | $1,393,205 | $0 | $0 | $1,423,109 | |||||
| 902915 | 000902915 | AC | 008 | 0008 | 0008 | 2025-01 | $0 | $0 | $0 | $7,436 | $0 | $0 | $7,436 | |||||
| 902915 | 000902915 | AC | 008 | 0008 | 0008 | 2025-02 | $0 | $0 | $0 | ($8) | $0 | $0 | ($8) | |||||
| 902915 | 000902915 | AC | 008 | 0008 | 0008 | 2025-07 | $0 | $0 | $0 | $1,469 | $0 | $0 | $1,469 | |||||
| 902915 | 000902915 | AC | 008 | 0008 | 0008 | 2025-08 | $0 | $0 | $0 | $1,568 | $0 | $0 | $1,568 | |||||
| 902915 | 000902915 | AC | 915 | 0007 | 0007 | 2025-02 | $0 | $0 | $0 | ($1,287) | $0 | $0 | ($1,287) | |||||
| 902915 | 000902915 | AD | 009 | 0009 | 0009 | 2025-01 | $0 | $0 | $0 | $38 | $0 | $0 | $38 | |||||
| 902915 | 000902915 | AE | 010 | 0010 | 0010 | 2025-01 | $0 | $0 | $6,600 | $11,130 | $0 | $0 | $17,730 | |||||
| 902915 | 000902915 | AE | 010 | 0010 | 0010 | 2025-02 | $0 | $0 | $3,855 | $7,993 | $0 | $0 | $11,848 | |||||
| 902915 | 000902915 | AE | 010 | 0010 | 0010 | 2025-03 | $0 | $0 | $5,911 | $23 | $0 | $0 | $5,935 | |||||
| 902915 | 000902915 | AE | 010 | 0010 | 0010 | 2025-04 | $0 | $0 | $4,517 | $2,192 | $0 | $0 | $6,709 | |||||
| 902915 | 000902915 | AE | 010 | 0010 | 0010 | 2025-05 | $0 | $0 | $4,017 | $2,606 | $0 | $0 | $6,623 | |||||
| 902915 | 000902915 | AE | 010 | 0010 | 0010 | 2025-06 | $0 | $0 | $3,497 | $1,592 | $0 | $0 | $5,089 | |||||
| 902915 | 000902915 | AE | 010 | 0010 | 0010 | 2025-07 | $0 | $0 | $3,223 | $20,904 | $0 | $0 | $24,128 | |||||
| 902915 | 000902915 | AE | 010 | 0010 | 0010 | 2025-08 | $0 | $0 | $1,618 | $314 | $0 | $0 | $1,932 | |||||
| 902915 | 000902915 | AE | 012 | 0012 | 0012 | 2025-03 | $0 | $0 | $0 | $4 | $0 | $0 | $4 | |||||
| 902915 | 000902915 | AE | 012 | 0012 | 0012 | 2025-04 | $0 | $0 | $0 | ($4) | $0 | $0 | ($4) | |||||
| 902915 | 000902915 | AE | 019 | 0019 | 0019 | 2025-04 | $0 | $0 | $0 | ($21) | $0 | $0 | ($21) | |||||
| 902915 | 000902915 | AE | 019 | 0019 | 0019 | 2025-05 | $0 | $0 | $0 | $8 | $0 | $0 | $8 | |||||
| 902915 | 000902915 | AE | 915 | 0010 | 0010 | 2025-02 | $0 | $0 | $0 | ($4,223) | $0 | $0 | ($4,223) | |||||
| 902915 | 000902915 | AF | 013 | 0000 | 0000 | 2025-02 | $0 | $0 | $0 | $373 | $0 | $0 | $373 | |||||
| 902915 | 000902915 | AF | 013 | 0013 | 0013 | 2025-01 | $0 | $0 | $8,466 | $1,196,966 | $0 | $0 | $1,205,431 | |||||
| 902915 | 000902915 | AF | 013 | 0013 | 0013 | 2025-02 | $0 | $0 | $5,278 | $1,134,062 | $0 | $0 | $1,139,340 | |||||
| 902915 | 000902915 | AF | 013 | 0013 | 0013 | 2025-03 | $0 | $0 | $3,937 | $891,350 | $0 | $0 | $895,287 | |||||
| 902915 | 000902915 | AF | 013 | 0013 | 0013 | 2025-04 | $0 | $0 | $2,145 | $1,718,059 | $0 | $0 | $1,720,204 | |||||
| 902915 | 000902915 | AF | 013 | 0013 | 0013 | 2025-05 | $0 | $0 | $3,409 | $786,348 | $0 | $0 | $789,757 | |||||
| 902915 | 000902915 | AF | 013 | 0013 | 0013 | 2025-06 | $0 | $0 | $2,370 | $846,035 | $0 | $0 | $848,405 | |||||
| 902915 | 000902915 | AF | 013 | 0013 | 0013 | 2025-07 | $0 | $0 | $2,444 | $1,635,626 | $0 | $0 | $1,638,070 | |||||
| 902915 | 000902915 | AF | 013 | 0013 | 0013 | 2025-08 | $0 | $0 | $3,888 | $1,038,532 | $0 | $0 | $1,042,420 | |||||
| 902915 | 000902915 | AF | 014 | 0014 | 0014 | 2025-01 | $0 | $0 | $0 | $13,679 | $0 | $0 | $13,679 | |||||
| 902915 | 000902915 | AF | 014 | 0014 | 0014 | 2025-02 | $0 | $0 | $0 | $16,655 | $0 | $0 | $16,655 | |||||
| 902915 | 000902915 | AF | 014 | 0014 | 0014 | 2025-03 | $0 | $0 | $0 | $13,080 | $0 | $0 | $13,080 | |||||
| 902915 | 000902915 | AF | 014 | 0014 | 0014 | 2025-04 | $0 | $0 | $0 | $3,943 | $0 | $0 | $3,943 | |||||
| 902915 | 000902915 | AF | 014 | 0014 | 0014 | 2025-05 | $0 | $0 | $0 | $2,365 | $0 | $0 | $2,365 | |||||
| 902915 | 000902915 | AF | 014 | 0014 | 0014 | 2025-06 | $0 | $0 | $0 | $80,815 | $0 | $0 | $80,815 | |||||
| 902915 | 000902915 | AF | 014 | 0014 | 0014 | 2025-07 | $0 | $0 | $0 | $22,093 | $0 | $0 | $22,093 | |||||
| 902915 | 000902915 | AF | 014 | 0014 | 0014 | 2025-08 | $0 | $0 | $0 | $31,840 | $0 | $0 | $31,840 | |||||
| 902915 | 000902915 | AF | 915 | 0013 | 0013 | 2025-02 | $0 | $0 | $0 | ($115) | $0 | $0 | ($115) | |||||
| 902915 | 000902915 | AG | 015 | 0000 | 0000 | 2025-01 | $0 | $0 | $0 | $131 | $0 | $0 | $131 | |||||
| 902915 | 000902915 | AG | 015 | 0015 | 0015 | 2025-01 | $0 | $0 | $41,082 | $14,431 | $0 | $0 | $55,514 | |||||
| 902915 | 000902915 | AG | 015 | 0015 | 0015 | 2025-02 | $0 | $0 | $28,647 | $21,233 | $0 | $0 | $49,880 | |||||
| 902915 | 000902915 | AG | 015 | 0015 | 0015 | 2025-03 | $0 | $0 | $28,094 | $744 | $0 | $0 | $28,838 | |||||
| 902915 | 000902915 | AG | 015 | 0015 | 0015 | 2025-04 | $0 | $0 | $28,332 | $4,401 | $0 | $0 | $32,733 | |||||
| 902915 | 000902915 | AG | 015 | 0015 | 0015 | 2025-05 | $0 | $0 | $20,043 | $1,082 | $0 | $0 | $21,125 | |||||
| 902915 | 000902915 | AG | 015 | 0015 | 0015 | 2025-06 | $0 | $0 | $22,325 | $1,587 | $0 | $0 | $23,912 | |||||
| 902915 | 000902915 | AG | 015 | 0015 | 0015 | 2025-07 | $0 | $0 | $26,245 | $1,620 | $0 | $0 | $27,865 | |||||
| 902915 | 000902915 | AG | 015 | 0015 | 0015 | 2025-08 | $0 | $0 | $12,593 | $257 | $0 | $0 | $12,849 | |||||
| 902915 | 000902915 | AG | 016 | 0016 | 0016 | 2025-01 | $0 | $0 | $0 | ($26) | $0 | $0 | ($26) | |||||
| 902915 | 000902915 | AG | 016 | 0016 | 0016 | 2025-02 | $0 | $0 | $0 | $15 | $0 | $0 | $15 | |||||
| 902915 | 000902915 | AG | 016 | 0016 | 0016 | 2025-03 | $0 | $0 | $0 | ($361) | $0 | $0 | ($361) | |||||
| 902915 | 000902915 | AG | 016 | 0016 | 0016 | 2025-04 | $0 | $0 | $0 | ($6) | $0 | $0 | ($6) | |||||
| 902915 | 000902915 | AG | 016 | 0016 | 0016 | 2025-05 | $0 | $0 | $0 | ($22) | $0 | $0 | ($22) | |||||
| 902915 | 000902915 | AG | 016 | 0016 | 0016 | 2025-08 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |||||
| 902915 | 000902915 | AG | 915 | 0015 | 0015 | 2025-02 | $0 | $0 | $0 | ($11,165) | $0 | $0 | ($11,165) | |||||
| 902915 | 000902915 | AI | 020 | 0020 | 0020 | 2025-01 | $0 | $0 | $24,973 | $13,015 | $0 | $0 | $37,988 | |||||
| 902915 | 000902915 | AI | 020 | 0020 | 0020 | 2025-02 | $0 | $0 | $24,357 | $7,398 | $0 | $0 | $31,755 | |||||
| 902915 | 000902915 | AI | 020 | 0020 | 0020 | 2025-03 | $0 | $0 | $24,827 | ($4,120) | $0 | $0 | $20,707 | |||||
| 902915 | 000902915 | AI | 020 | 0020 | 0020 | 2025-04 | $0 | $0 | $18,567 | $4,394 | $0 | $0 | $22,962 | |||||
| 902915 | 000902915 | AI | 020 | 0020 | 0020 | 2025-05 | $0 | $0 | $14,292 | ($2,882) | $0 | $0 | $11,411 | |||||
| 902915 | 000902915 | AI | 020 | 0020 | 0020 | 2025-06 | $0 | $0 | $20,203 | $35,507 | $0 | $0 | $55,710 | |||||
| 902915 | 000902915 | AI | 020 | 0020 | 0020 | 2025-07 | $0 | $0 | $11,851 | $81,261 | $0 | $0 | $93,112 | |||||
| 902915 | 000902915 | AI | 020 | 0020 | 0020 | 2025-08 | $0 | $0 | $7,863 | $2,099 | $0 | $0 | $9,962 | |||||
| 902915 | 000902915 | AI | 021 | 0021 | 0021 | 2025-01 | $0 | $0 | $0 | ($39) | $0 | $0 | ($39) | |||||
| 902915 | 000902915 | AI | 021 | 0021 | 0021 | 2025-02 | $0 | $0 | $0 | $15 | $0 | $0 | $15 | |||||
| 902915 | 000902915 | AI | 021 | 0021 | 0021 | 2025-03 | $0 | $0 | $0 | ($27) | $0 | $0 | ($27) | |||||
| 902915 | 000902915 | AI | 021 | 0021 | 0021 | 2025-04 | $0 | $0 | $0 | $4 | $0 | $0 | $4 | |||||
| 902915 | 000902915 | AI | 021 | 0021 | 0021 | 2025-05 | $0 | $0 | $0 | $9 | $0 | $0 | $9 | |||||
| 902915 | 000902915 | AI | 021 | 0021 | 0021 | 2025-08 | $0 | $0 | $0 | ($4) | $0 | $0 | ($4) | |||||
| 902915 | 000902915 | AI | 915 | 0020 | 0020 | 2025-02 | $0 | $0 | $0 | ($4,755) | $0 | $0 | ($4,755) |
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