ESBD_379720_1729885561966_Attachment I - MetLife Invoice 11.24.xlsx
XLSX spreadsheet 126 KB Posted
- Solicitation number
- 2510-006
- Issued by
- Travis County, Austin City, Texas
About this file
This document is a Request for Proposals (RFP) issued by the Travis County Healthcare District d/b/a Central Health for basic life & AD&D, voluntary life & AD&D, employer paid short-term disability, voluntary short-term disability, and employer paid long-term disability insurance coverage. The RFP seeks qualified vendors to provide these benefits to approximately 1,900 Central Health employees, with the goal of offering high-quality and valuable benefits at affordable pricing. The RFP provides a procurement schedule, with a proposal due date of November 14, 2024, and allows for a one-time open enrollment for all employees with no underwriting up to the guarantee issue amount. Central Health is seeking to bundle the life and disability coverages with the same vendor, but will contract with separate vendors if that is most advantageous.
The RFP does not mention any set-aside designations or restrictions on the types of organizations that can respond. There are no listed incumbent vendors or current contractors, and no specific details on existing infrastructure or technology that requires integration. The RFP does not provide any information on possible award values or budget ranges, though the historical claims data and premium information suggests this is a significant employee benefits contract for the Travis County Healthcare District.
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Text version
1003 - 11.24 MetLife - SLA
| Customer Name: | TRAVIS COUNTY HEALTHCARE DISTRICT | |||||||||
| Division Name: | TRAVIS COUNTY HEALTHCARE DISTRICT | |||||||||
| Customer Number: | Division: | 0003 | ||||||||
| Billing Period: | 11/01/2024 - 11/30/2024 | |||||||||
| Summary Totals | ||||||||||
| Insureds | Dependents | |||||||||
| Coverage Type | EE Count | Volume | Premium | Dep. Count | Premium | |||||
| LTD | 618 | 2672485 | 23374.42 | 0 | 0 | |||||
| STD | 350 | 357381 | 14652.46 | 0 | 0 | |||||
| Adjustments | ||||||||||
| Insured Last Name | Insured First Name | Insured ID | Division | Department | Class | Coverage Type | Adjustment Date | Adjust. Code | Premium | Total Premium |
| 0003 | 0001 | LTD | 10/1/24 | A | 34.07 | 34.07 | ||||
| 0003 | 0001 | LTD | 10/1/24 | $ | 3.95 | |||||
| 0003 | 0001 | STD | 10/1/24 | $ | 4.39 | 8.34 | ||||
| 0003 | 0001 | LTD | 10/1/24 | A | 51.1 | 51.1 | ||||
| 0003 | 0001 | LTD | 10/1/24 | $ | 3.95 | |||||
| 0003 | 0001 | STD | 10/1/24 | $ | 4.39 | 8.34 | ||||
| 0003 | 0001 | LTD | 10/1/24 | A | 23.47 | 23.47 | ||||
| 0003 | 0001 | LTD | 9/1/24 | X | 102.2 | 102.2 | ||||
| 0003 | 0001 | LTD | 10/1/24 | T | -15.06 | -15.06 | ||||
| 0003 | 0001 | LTD | 10/1/24 | T | -15.06 | -15.06 | ||||
| 0003 | 0001 | LTD | 10/1/24 | T | -15.06 | -15.06 | ||||
| 0003 | 0001 | LTD | 10/1/24 | A | 51.1 | 51.1 | ||||
| 0003 | 0001 | LTD | 10/1/24 | A | 39.22 | |||||
| 0003 | 0001 | STD | 10/1/24 | A | 43.26 | 82.48 | ||||
| 0003 | 0001 | LTD | 10/1/24 | A | 51.1 | 51.1 | ||||
| 0003 | 0001 | LTD | 9/22/24 | A | 12.2 | |||||
| 0003 | 0001 | STD | 9/22/24 | A | 13.47 | 25.67 | ||||
| 0003 | 0001 | LTD | 10/1/24 | A | 26.35 | 26.35 | ||||
| 0003 | 0001 | LTD | 10/1/24 | A | 21.03 | 21.03 | ||||
| 0003 | 0001 | LTD | 10/1/24 | $ | 3.95 | |||||
| 0003 | 0001 | STD | 10/1/24 | $ | 4.39 | 8.34 | ||||
| 0003 | 0001 | LTD | 10/1/24 | $ | 4.39 | 4.39 | ||||
| 0003 | 0001 | LTD | 10/1/24 | T | -29.23 | |||||
| 0003 | 0001 | STD | 10/1/24 | T | -32.23 | -61.46 | ||||
| 0003 | 0001 | LTD | 10/1/24 | A | 47.71 | 47.71 | ||||
| 0003 | 0001 | LTD | 10/1/24 | T | -19.01 | -19.01 | ||||
| 0003 | 0001 | LTD | 10/1/24 | A | 47.27 | |||||
| 0003 | 0001 | STD | 10/1/24 | A | 52.14 | 99.41 | ||||
| 0003 | 0001 | LTD | 10/1/24 | T | -51.1 | |||||
| 0003 | 0001 | STD | 10/1/24 | T | -56.98 | -108.08 | ||||
| 0003 | 0001 | LTD | 10/1/24 | Y | 3.95 | |||||
| 0003 | 0001 | STD | 10/1/24 | Y | 4.39 | 8.34 | ||||
| 0003 | 0001 | LTD | 10/1/24 | T | -15.06 | -15.06 | ||||
| 0003 | 0001 | LTD | 10/1/24 | A | 24.64 | 24.64 | ||||
| 0003 | 0001 | LTD | 10/1/24 | A | 31.35 | 31.35 | ||||
| 0003 | 0001 | LTD | 10/1/24 | A | 45.99 | 45.99 | ||||
| 0003 | 0001 | LTD | 10/1/24 | A | 31 | |||||
| 0003 | 0001 | STD | 10/1/24 | A | 34.19 | 65.19 | ||||
| 0003 | 0001 | LTD | 10/1/24 | A | 22.92 | 22.92 | ||||
| 0003 | 0001 | LTD | 10/1/24 | A | 47.27 | |||||
| 0003 | 0001 | STD | 10/1/24 | A | 52.14 | 99.41 | ||||
| 0003 | 0001 | LTD | 10/1/24 | T | -15.06 | |||||
| 0003 | 0001 | STD | 10/1/24 | T | -16.61 | -31.67 | ||||
| 0003 | 0001 | LTD | 10/1/24 | T | -15.06 | -15.06 | ||||
| 0003 | 0001 | LTD | 10/1/24 | A | 23.18 | 23.18 | ||||
| 0003 | 0001 | LTD | 10/1/24 | A | 51.1 | 51.1 | ||||
| Bill Detail | ||||||||||
| Insured Last Name | Insured First Name | Insured ID | Division | Department | Class | Coverage Type | Coverage Tier | Premium | Volume | Total Premium |
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 28.71 | 3371 | 28.71 | ||||
| 0003 | 0001 | LTD | Member only | 22.13 | 2598 | |||||
| 0003 | 0001 | STD | Member only | 24.42 | 600 | 46.55 | ||||
| 0003 | 0001 | LTD | Member only | 34.07 | 4000 | 34.07 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 38.71 | 4545 | |||||
| 0003 | 0001 | STD | Member only | 42.69 | 1049 | 81.4 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 35.79 | 4203 | |||||
| 0003 | 0001 | STD | Member only | 39.48 | 970 | 75.27 | ||||
| 0003 | 0001 | LTD | Member only | 32.68 | 3838 | |||||
| 0003 | 0001 | STD | Member only | 36.06 | 886 | 68.74 | ||||
| 0003 | 0001 | LTD | Member only | 22.75 | 2671 | |||||
| 0003 | 0001 | STD | Member only | 25.11 | 617 | 47.86 | ||||
| 0003 | 0001 | LTD | Member only | 43.08 | 5059 | |||||
| 0003 | 0001 | STD | Member only | 47.54 | 1168 | 90.62 | ||||
| 0003 | 0001 | LTD | Member only | 23.91 | 2808 | |||||
| 0003 | 0001 | STD | Member only | 26.37 | 648 | 50.28 | ||||
| 0003 | 0001 | LTD | Member only | 21.61 | 2538 | 21.61 | ||||
| 0003 | 0001 | LTD | Member only | 19.01 | 2232 | |||||
| 0003 | 0001 | STD | Member only | 21 | 516 | 40.01 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 24.14 | 2834 | 24.14 | ||||
| 0003 | 0001 | LTD | Member only | 45.63 | 5358 | |||||
| 0003 | 0001 | STD | Member only | 50.35 | 1237 | 95.98 | ||||
| 0003 | 0001 | LTD | Member only | 24.64 | 2894 | 24.64 | ||||
| 0003 | 0001 | LTD | Member only | 24.63 | 2893 | |||||
| 0003 | 0001 | STD | Member only | 27.19 | 668 | 51.82 | ||||
| 0003 | 0001 | LTD | Member only | 44.16 | 5185 | |||||
| 0003 | 0001 | STD | Member only | 48.72 | 1197 | 92.88 | ||||
| 0003 | 0001 | LTD | Member only | 29.18 | 3426 | |||||
| 0003 | 0001 | STD | Member only | 32.19 | 791 | 61.37 | ||||
| 0003 | 0001 | LTD | Member only | 17.12 | 2011 | 17.12 | ||||
| 0003 | 0001 | LTD | Member only | 21.86 | 2567 | |||||
| 0003 | 0001 | STD | Member only | 24.14 | 593 | 46 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 42.29 | 4965 | 42.29 | ||||
| 0003 | 0001 | LTD | Member only | 36.2 | 4250 | |||||
| 0003 | 0001 | STD | Member only | 39.93 | 981 | 76.13 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 33.09 | 3885 | 33.09 | ||||
| 0003 | 0001 | LTD | Member only | 29.25 | 3435 | |||||
| 0003 | 0001 | STD | Member only | 32.28 | 793 | 61.53 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 25.05 | 2942 | |||||
| 0003 | 0001 | STD | Member only | 27.64 | 679 | 52.69 | ||||
| 0003 | 0001 | LTD | Member only | 26.12 | 3067 | |||||
| 0003 | 0001 | STD | Member only | 28.82 | 708 | 54.94 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 29.8 | 3500 | 29.8 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 36.2 | 4250 | |||||
| 0003 | 0001 | STD | Member only | 39.93 | 981 | 76.13 | ||||
| 0003 | 0001 | LTD | Member only | 23.56 | 2767 | 23.56 | ||||
| 0003 | 0001 | LTD | Member only | 50.04 | 5875 | 50.04 | ||||
| 0003 | 0001 | LTD | Member only | 25.69 | 3016 | |||||
| 0003 | 0001 | STD | Member only | 28.33 | 696 | 54.02 | ||||
| 0003 | 0001 | LTD | Member only | 44.41 | 5215 | 44.41 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 22.14 | 2600 | 22.14 | ||||
| 0003 | 0001 | LTD | Member only | 49.24 | 5782 | |||||
| 0003 | 0001 | STD | Member only | 54.33 | 1335 | 103.57 | ||||
| 0003 | 0001 | LTD | Member only | 45.75 | 5372 | |||||
| 0003 | 0001 | STD | Member only | 50.47 | 1240 | 96.22 | ||||
| 0003 | 0001 | LTD | Member only | 23.19 | 2723 | |||||
| 0003 | 0001 | STD | Member only | 25.6 | 629 | 48.79 | ||||
| 0003 | 0001 | LTD | Member only | 44.61 | 5238 | |||||
| 0003 | 0001 | STD | Member only | 49.21 | 1209 | 93.82 | ||||
| 0003 | 0001 | LTD | Member only | 43.09 | 5060 | 43.09 | ||||
| 0003 | 0001 | LTD | Member only | 32.86 | 3859 | 32.86 | ||||
| 0003 | 0001 | LTD | Member only | 38.24 | 4490 | 38.24 | ||||
| 0003 | 0001 | LTD | Member only | 23.18 | 2722 | 23.18 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 22.91 | 2690 | |||||
| 0003 | 0001 | STD | Member only | 25.27 | 621 | 48.18 | ||||
| 0003 | 0001 | LTD | Member only | 31.94 | 3750 | 31.94 | ||||
| 0003 | 0001 | LTD | Member only | 47.09 | 5530 | |||||
| 0003 | 0001 | STD | Member only | 51.97 | 1277 | 99.06 | ||||
| 0003 | 0001 | LTD | Member only | 24.04 | 2823 | 24.04 | ||||
| 0003 | 0001 | LTD | Member only | 41.21 | 4839 | |||||
| 0003 | 0001 | STD | Member only | 45.46 | 1117 | 86.67 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 22.91 | 2690 | |||||
| 0003 | 0001 | STD | Member only | 25.27 | 621 | 48.18 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 26.1 | 3065 | 26.1 | ||||
| 0003 | 0001 | LTD | Member only | 46.84 | 5500 | |||||
| 0003 | 0001 | STD | Member only | 51.69 | 1270 | 98.53 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 37.9 | 4450 | |||||
| 0003 | 0001 | STD | Member only | 41.8 | 1027 | 79.7 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 35.8 | 4204 | |||||
| 0003 | 0001 | STD | Member only | 39.52 | 971 | 75.32 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 23.97 | 2815 | 23.97 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 26.49 | 3111 | |||||
| 0003 | 0001 | STD | Member only | 29.22 | 718 | 55.71 | ||||
| 0003 | 0001 | LTD | Member only | 38.33 | 4500 | 38.33 | ||||
| 0003 | 0001 | LTD | Member only | 19.01 | 2232 | 19.01 | ||||
| 0003 | 0001 | LTD | Member only | 21.91 | 2573 | 21.91 | ||||
| 0003 | 0001 | LTD | Member only | 29.22 | 3431 | |||||
| 0003 | 0001 | STD | Member only | 32.23 | 792 | 61.45 | ||||
| 0003 | 0001 | LTD | Member only | 32.54 | 3821 | |||||
| 0003 | 0001 | STD | Member only | 35.9 | 882 | 68.44 | ||||
| 0003 | 0001 | LTD | Member only | 24.19 | 2841 | |||||
| 0003 | 0001 | STD | Member only | 26.7 | 656 | 50.89 | ||||
| 0003 | 0001 | LTD | Member only | 40.62 | 4770 | |||||
| 0003 | 0001 | STD | Member only | 44.81 | 1101 | 85.43 | ||||
| 0003 | 0001 | LTD | Member only | 22.14 | 2600 | |||||
| 0003 | 0001 | STD | Member only | 24.42 | 600 | 46.56 | ||||
| 0003 | 0001 | LTD | Member only | 32.28 | 3790 | 32.28 | ||||
| 0003 | 0001 | LTD | Member only | 26.11 | 3066 | |||||
| 0003 | 0001 | STD | Member only | 28.82 | 708 | 54.93 | ||||
| 0003 | 0001 | LTD | Member only | 37.96 | 4457 | |||||
| 0003 | 0001 | STD | Member only | 41.88 | 1029 | 79.84 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 19.01 | 2232 | |||||
| 0003 | 0001 | STD | Member only | 21 | 516 | 40.01 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 39.17 | 4600 | 39.17 | ||||
| 0003 | 0001 | LTD | Member only | 31.43 | 3690 | 31.43 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 35.73 | 4196 | |||||
| 0003 | 0001 | STD | Member only | 39.44 | 969 | 75.17 | ||||
| 0003 | 0001 | LTD | Member only | 22.59 | 2652 | 22.59 | ||||
| 0003 | 0001 | LTD | Member only | 36.2 | 4250 | |||||
| 0003 | 0001 | STD | Member only | 39.93 | 981 | 76.13 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 21.77 | 2557 | |||||
| 0003 | 0001 | STD | Member only | 24.01 | 590 | 45.78 | ||||
| 0003 | 0001 | LTD | Member only | 23.91 | 2808 | 23.91 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 44.9 | 5273 | |||||
| 0003 | 0001 | STD | Member only | 49.53 | 1217 | 94.43 | ||||
| 0003 | 0001 | LTD | Member only | 34.28 | 4025 | 34.28 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 23.91 | 2808 | 23.91 | ||||
| 0003 | 0001 | LTD | Member only | 35.3 | 4145 | |||||
| 0003 | 0001 | STD | Member only | 38.95 | 957 | 74.25 | ||||
| 0003 | 0001 | LTD | Member only | 20.84 | 2448 | |||||
| 0003 | 0001 | STD | Member only | 23 | 565 | 43.84 | ||||
| 0003 | 0001 | LTD | Member only | 32.92 | 3865 | |||||
| 0003 | 0001 | STD | Member only | 36.3 | 892 | 69.22 | ||||
| 0003 | 0001 | LTD | Member only | 37.05 | 4350 | 37.05 | ||||
| 0003 | 0001 | LTD | Member only | 23.47 | 2756 | 23.47 | ||||
| 0003 | 0001 | LTD | Member only | 45.9 | 5390 | 45.9 | ||||
| 0003 | 0001 | LTD | Member only | 38.24 | 4490 | 38.24 | ||||
| 0003 | 0001 | LTD | Member only | 41.44 | 4867 | |||||
| 0003 | 0001 | STD | Member only | 45.71 | 1123 | 87.15 | ||||
| 0003 | 0001 | LTD | Member only | 27.19 | 3193 | 27.19 | ||||
| 0003 | 0001 | LTD | Member only | 35.77 | 4200 | |||||
| 0003 | 0001 | STD | Member only | 39.48 | 970 | 75.25 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 26.47 | 3109 | |||||
| 0003 | 0001 | STD | Member only | 29.22 | 718 | 55.69 | ||||
| 0003 | 0001 | LTD | Member only | 21.98 | 2581 | |||||
| 0003 | 0001 | STD | Member only | 24.26 | 596 | 46.24 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 44.71 | 5250 | 44.71 | ||||
| 0003 | 0001 | LTD | Member only | 45.14 | 5300 | |||||
| 0003 | 0001 | STD | Member only | 49.82 | 1224 | 94.96 | ||||
| 0003 | 0001 | LTD | Member only | 41.08 | 4824 | |||||
| 0003 | 0001 | STD | Member only | 45.3 | 1113 | 86.38 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 25.05 | 2942 | |||||
| 0003 | 0001 | STD | Member only | 27.64 | 679 | 52.69 | ||||
| 0003 | 0001 | LTD | Member only | 29.72 | 3490 | 29.72 | ||||
| 0003 | 0001 | LTD | Member only | 22.36 | 2626 | 22.36 | ||||
| 0003 | 0001 | LTD | Member only | 31.29 | 3675 | |||||
| 0003 | 0001 | STD | Member only | 34.51 | 848 | 65.8 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 47.99 | 5635 | |||||
| 0003 | 0001 | STD | Member only | 52.95 | 1301 | 100.94 | ||||
| 0003 | 0001 | LTD | Member only | 23.16 | 2720 | 23.16 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 35.3 | 4145 | |||||
| 0003 | 0001 | STD | Member only | 38.95 | 957 | 74.25 | ||||
| 0003 | 0001 | LTD | Member only | 21.38 | 2511 | 21.38 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 23.16 | 2720 | |||||
| 0003 | 0001 | STD | Member only | 25.56 | 628 | 48.72 | ||||
| 0003 | 0001 | LTD | Member only | 36.97 | 4341 | |||||
| 0003 | 0001 | STD | Member only | 40.78 | 1002 | 77.75 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 44.71 | 5250 | |||||
| 0003 | 0001 | STD | Member only | 49.33 | 1212 | 94.04 | ||||
| 0003 | 0001 | LTD | Member only | 23.03 | 2704 | 23.03 | ||||
| 0003 | 0001 | LTD | Member only | 40.91 | 4804 | |||||
| 0003 | 0001 | STD | Member only | 45.14 | 1109 | 86.05 | ||||
| 0003 | 0001 | LTD | Member only | 35.3 | 4145 | 35.3 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 22.53 | 2646 | |||||
| 0003 | 0001 | STD | Member only | 24.87 | 611 | 47.4 | ||||
| 0003 | 0001 | LTD | Member only | 26.14 | 3070 | |||||
| 0003 | 0001 | STD | Member only | 28.86 | 709 | 55 | ||||
| 0003 | 0001 | LTD | Member only | 28.53 | 3350 | 28.53 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 45.99 | 5400 | 45.99 | ||||
| 0003 | 0001 | LTD | Member only | 46.53 | 5464 | 46.53 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 24.38 | 2863 | |||||
| 0003 | 0001 | STD | Member only | 26.9 | 661 | 51.28 | ||||
| 0003 | 0001 | LTD | Member only | 31.09 | 3651 | |||||
| 0003 | 0001 | STD | Member only | 34.31 | 843 | 65.4 | ||||
| 0003 | 0001 | LTD | Member only | 39.89 | 4684 | 39.89 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 46.84 | 5500 | |||||
| 0003 | 0001 | STD | Member only | 51.69 | 1270 | 98.53 | ||||
| 0003 | 0001 | LTD | Member only | 33.59 | 3944 | |||||
| 0003 | 0001 | STD | Member only | 37.08 | 911 | 70.67 | ||||
| 0003 | 0001 | LTD | Member only | 21.2 | 2490 | 21.2 | ||||
| 0003 | 0001 | LTD | Member only | 45.35 | 5325 | |||||
| 0003 | 0001 | STD | Member only | 50.02 | 1229 | 95.37 | ||||
| 0003 | 0001 | LTD | Member only | 35.56 | 4175 | 35.56 | ||||
| 0003 | 0001 | LTD | Member only | 37.3 | 4380 | |||||
| 0003 | 0001 | STD | Member only | 41.15 | 1011 | 78.45 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 47.3 | 5555 | 47.3 | ||||
| 0003 | 0001 | LTD | Member only | 43.37 | 5092 | |||||
| 0003 | 0001 | STD | Member only | 47.86 | 1176 | 91.23 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 39.22 | 4605 | |||||
| 0003 | 0001 | STD | Member only | 43.26 | 1063 | 82.48 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 37.22 | 4370 | |||||
| 0003 | 0001 | STD | Member only | 41.07 | 1009 | 78.29 | ||||
| 0003 | 0001 | LTD | Member only | 30.81 | 3619 | |||||
| 0003 | 0001 | STD | Member only | 33.98 | 835 | 64.79 | ||||
| 0003 | 0001 | LTD | Member only | 26.45 | 3106 | |||||
| 0003 | 0001 | STD | Member only | 29.18 | 717 | 55.63 | ||||
| 0003 | 0001 | LTD | Member only | 23.18 | 2722 | 23.18 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 17.12 | 2011 | 17.12 | ||||
| 0003 | 0001 | LTD | Member only | 38.92 | 4571 | 38.92 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 42.3 | 4967 | |||||
| 0003 | 0001 | STD | Member only | 46.68 | 1147 | 88.98 | ||||
| 0003 | 0001 | LTD | Member only | 23.42 | 2750 | |||||
| 0003 | 0001 | STD | Member only | 25.84 | 635 | 49.26 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 40.03 | 4700 | |||||
| 0003 | 0001 | STD | Member only | 44.16 | 1085 | 84.19 | ||||
| 0003 | 0001 | LTD | Member only | 24.63 | 2893 | |||||
| 0003 | 0001 | STD | Member only | 27.19 | 668 | 51.82 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 43.69 | 5130 | 43.69 | ||||
| 0003 | 0001 | LTD | Member only | 24.63 | 2893 | 24.63 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 48.8 | 5730 | |||||
| 0003 | 0001 | STD | Member only | 53.85 | 1323 | 102.65 | ||||
| 0003 | 0001 | LTD | Member only | 15.06 | 1768 | 15.06 | ||||
| 0003 | 0001 | LTD | Member only | 36.22 | 4254 | |||||
| 0003 | 0001 | STD | Member only | 39.97 | 982 | 76.19 | ||||
| 0003 | 0001 | LTD | Member only | 27.04 | 3176 | 27.04 | ||||
| 0003 | 0001 | LTD | Member only | 19.96 | 2344 | |||||
| 0003 | 0001 | STD | Member only | 22.02 | 541 | 41.98 | ||||
| 0003 | 0001 | LTD | Member only | 41.65 | 4890 | |||||
| 0003 | 0001 | STD | Member only | 45.95 | 1129 | 87.6 | ||||
| 0003 | 0001 | LTD | Member only | 23.52 | 2762 | |||||
| 0003 | 0001 | STD | Member only | 25.97 | 638 | 49.49 | ||||
| 0003 | 0001 | LTD | Member only | 45.95 | 5395 | |||||
| 0003 | 0001 | STD | Member only | 50.67 | 1245 | 96.62 | ||||
| 0003 | 0001 | LTD | Member only | 48.26 | 5667 | 48.26 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 29.42 | 3455 | 29.42 | ||||
| 0003 | 0001 | LTD | Member only | 20.37 | 2392 | 20.37 | ||||
| 0003 | 0001 | LTD | Member only | 25.35 | 2977 | |||||
| 0003 | 0001 | STD | Member only | 27.96 | 687 | 53.31 | ||||
| 0003 | 0001 | LTD | Member only | 43.44 | 5100 | |||||
| 0003 | 0001 | STD | Member only | 47.9 | 1177 | 91.34 | ||||
| 0003 | 0001 | LTD | Member only | 24.63 | 2893 | |||||
| 0003 | 0001 | STD | Member only | 27.19 | 668 | 51.82 | ||||
| 0003 | 0001 | LTD | Member only | 33.62 | 3948 | |||||
| 0003 | 0001 | STD | Member only | 37.12 | 912 | 70.74 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 30.75 | 3610 | 30.75 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 22.53 | 2646 | |||||
| 0003 | 0001 | STD | Member only | 24.87 | 611 | 47.4 | ||||
| 0003 | 0001 | LTD | Member only | 24.52 | 2879 | |||||
| 0003 | 0001 | STD | Member only | 27.07 | 665 | 51.59 | ||||
| 0003 | 0001 | LTD | Member only | 32.67 | 3837 | 32.67 | ||||
| 0003 | 0001 | LTD | Member only | 31.94 | 3751 | 31.94 | ||||
| 0003 | 0001 | LTD | Member only | 50.66 | 5949 | |||||
| 0003 | 0001 | STD | Member only | 55.88 | 1373 | 106.54 | ||||
| 0003 | 0001 | LTD | Member only | 30.2 | 3547 | |||||
| 0003 | 0001 | STD | Member only | 33.33 | 819 | 63.53 | ||||
| 0003 | 0001 | LTD | Member only | 33.45 | 3929 | |||||
| 0003 | 0001 | STD | Member only | 36.91 | 907 | 70.36 | ||||
| 0003 | 0001 | LTD | Member only | 25.26 | 2967 | |||||
| 0003 | 0001 | STD | Member only | 27.88 | 685 | 53.14 | ||||
| 0003 | 0001 | LTD | Member only | 45.73 | 5370 | |||||
| 0003 | 0001 | STD | Member only | 50.47 | 1240 | 96.2 | ||||
| 0003 | 0001 | LTD | Member only | 29.18 | 3426 | 29.18 | ||||
| 0003 | 0001 | LTD | Member only | 12.2 | 1433 | |||||
| 0003 | 0001 | STD | Member only | 13.47 | 331 | 25.67 | ||||
| 0003 | 0001 | LTD | Member only | 20.28 | 2382 | 20.28 | ||||
| 0003 | 0001 | LTD | Member only | 49.69 | 5835 | 49.69 | ||||
| 0003 | 0001 | LTD | Member only | 44.37 | 5211 | |||||
| 0003 | 0001 | STD | Member only | 48.96 | 1203 | 93.33 | ||||
| 0003 | 0001 | LTD | Member only | 26.35 | 3094 | 26.35 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 18.91 | 2221 | |||||
| 0003 | 0001 | STD | Member only | 20.88 | 513 | 39.79 | ||||
| 0003 | 0001 | LTD | Member only | 32.92 | 3865 | |||||
| 0003 | 0001 | STD | Member only | 36.3 | 892 | 69.22 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 42.3 | 4967 | |||||
| 0003 | 0001 | STD | Member only | 46.68 | 1147 | 88.98 | ||||
| 0003 | 0001 | LTD | Member only | 44.12 | 5180 | |||||
| 0003 | 0001 | STD | Member only | 48.68 | 1196 | 92.8 | ||||
| 0003 | 0001 | LTD | Member only | 24.8 | 2912 | |||||
| 0003 | 0001 | STD | Member only | 27.35 | 672 | 52.15 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 48.42 | 5685 | 48.42 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 22.53 | 2646 | |||||
| 0003 | 0001 | STD | Member only | 24.87 | 611 | 47.4 | ||||
| 0003 | 0001 | LTD | Member only | 45.39 | 5330 | 45.39 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 21.03 | 2469 | 21.03 | ||||
| 0003 | 0001 | LTD | Member only | 17.8 | 2091 | 17.8 | ||||
| 0003 | 0001 | LTD | Member only | 21.2 | 2490 | 21.2 | ||||
| 0003 | 0001 | LTD | Member only | 21.95 | 2578 | |||||
| 0003 | 0001 | STD | Member only | 24.22 | 595 | 46.17 | ||||
| 0003 | 0001 | LTD | Member only | 20.69 | 2430 | 20.69 | ||||
| 0003 | 0001 | LTD | Member only | 19.01 | 2232 | 19.01 | ||||
| 0003 | 0001 | LTD | Member only | 26.4 | 3100 | |||||
| 0003 | 0001 | STD | Member only | 29.14 | 716 | 55.54 | ||||
| 0003 | 0001 | LTD | Member only | 25.21 | 2960 | 25.21 | ||||
| 0003 | 0001 | LTD | Member only | 24.83 | 2916 | |||||
| 0003 | 0001 | STD | Member only | 27.39 | 673 | 52.22 | ||||
| 0003 | 0001 | LTD | Member only | 32.15 | 3775 | |||||
| 0003 | 0001 | STD | Member only | 35.49 | 872 | 67.64 | ||||
| 0003 | 0001 | LTD | Member only | 32.19 | 3780 | 32.19 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 44.23 | 5194 | |||||
| 0003 | 0001 | STD | Member only | 48.8 | 1199 | 93.03 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 29.32 | 3443 | |||||
| 0003 | 0001 | STD | Member only | 32.36 | 795 | 61.68 | ||||
| 0003 | 0001 | LTD | Member only | 48.72 | 5720 | |||||
| 0003 | 0001 | STD | Member only | 53.72 | 1320 | 102.44 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 30.57 | 3590 | 30.57 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 44.29 | 5200 | |||||
| 0003 | 0001 | STD | Member only | 48.84 | 1200 | 93.13 | ||||
| 0003 | 0001 | LTD | Member only | 28.34 | 3328 | 28.34 | ||||
| 0003 | 0001 | LTD | Member only | 17.8 | 2091 | 17.8 | ||||
| 0003 | 0001 | LTD | Member only | 26.13 | 3068 | |||||
| 0003 | 0001 | STD | Member only | 28.82 | 708 | 54.95 | ||||
| 0003 | 0001 | LTD | Member only | 19.01 | 2232 | |||||
| 0003 | 0001 | STD | Member only | 21 | 516 | 40.01 | ||||
| 0003 | 0001 | LTD | Member only | 20.04 | 2353 | 20.04 | ||||
| 0003 | 0001 | LTD | Member only | 25.37 | 2979 | |||||
| 0003 | 0001 | STD | Member only | 28 | 688 | 53.37 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 45.44 | 5335 | |||||
| 0003 | 0001 | STD | Member only | 50.14 | 1232 | 95.58 | ||||
| 0003 | 0001 | LTD | Member only | 33.59 | 3944 | |||||
| 0003 | 0001 | STD | Member only | 37.08 | 911 | 70.67 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.86 | 1397 | 107.96 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 47.71 | 5602 | 47.71 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 37.22 | 4370 | 37.22 | ||||
| 0003 | 0001 | LTD | Member only | 35.56 | 4175 | 35.56 | ||||
| 0003 | 0001 | LTD | Member only | 51.08 | 5998 | 51.08 | ||||
| 0003 | 0001 | LTD | Member only | 36.77 | 4318 | |||||
| 0003 | 0001 | STD | Member only | 40.58 | 997 | 77.35 | ||||
| 0003 | 0001 | LTD | Member only | 28.23 | 3315 | |||||
| 0003 | 0001 | STD | Member only | 31.14 | 765 | 59.37 | ||||
| 0003 | 0001 | LTD | Member only | 25.69 | 3016 | 25.69 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 23.5 | 2760 | 23.5 | ||||
| 0003 | 0001 | LTD | Member only | 21.03 | 2469 | 21.03 | ||||
| 0003 | 0001 | LTD | Member only | 23.18 | 2722 | |||||
| 0003 | 0001 | STD | Member only | 25.6 | 629 | 48.78 | ||||
| 0003 | 0001 | LTD | Member only | 22.54 | 2647 | 22.54 | ||||
| 0003 | 0001 | LTD | Member only | 28.56 | 3354 | 28.56 | ||||
| 0003 | 0001 | LTD | Member only | 25.55 | 3001 | 25.55 | ||||
| 0003 | 0001 | LTD | Member only | 16.44 | 1931 | |||||
| 0003 | 0001 | STD | Member only | 18.15 | 446 | 34.59 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 37.47 | 4400 | |||||
| 0003 | 0001 | STD | Member only | 41.35 | 1016 | 78.82 | ||||
| 0003 | 0001 | LTD | Member only | 25.67 | 3014 | 25.67 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 18.91 | 2221 | 18.91 | ||||
| 0003 | 0001 | LTD | Member only | 45.38 | 5329 | 45.38 | ||||
| 0003 | 0001 | LTD | Member only | 21.03 | 2469 | 21.03 | ||||
| 0003 | 0001 | LTD | Member only | 23.18 | 2722 | 23.18 | ||||
| 0003 | 0001 | LTD | Member only | 38.28 | 4495 | 38.28 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 49.16 | 5773 | |||||
| 0003 | 0001 | STD | Member only | 54.25 | 1333 | 103.41 | ||||
| 0003 | 0001 | LTD | Member only | 46.8 | 5495 | 46.8 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 26.57 | 3120 | |||||
| 0003 | 0001 | STD | Member only | 29.3 | 720 | 55.87 | ||||
| 0003 | 0001 | LTD | Member only | 29.77 | 3496 | 29.77 | ||||
| 0003 | 0001 | LTD | Member only | 43.55 | 5114 | |||||
| 0003 | 0001 | STD | Member only | 48.07 | 1181 | 91.62 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 29.42 | 3454 | 29.42 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 41.45 | 4868 | |||||
| 0003 | 0001 | STD | Member only | 45.75 | 1124 | 87.2 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 44.03 | 5170 | |||||
| 0003 | 0001 | STD | Member only | 48.6 | 1194 | 92.63 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 47.27 | 5550 | |||||
| 0003 | 0001 | STD | Member only | 52.14 | 1281 | 99.41 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 19.01 | 2232 | |||||
| 0003 | 0001 | STD | Member only | 21 | 516 | 40.01 | ||||
| 0003 | 0001 | LTD | Member only | 28.38 | 3333 | 28.38 | ||||
| 0003 | 0001 | LTD | Member only | 38.33 | 4500 | 38.33 | ||||
| 0003 | 0001 | LTD | Member only | 41.35 | 4856 | 41.35 | ||||
| 0003 | 0001 | LTD | Member only | 32.95 | 3869 | |||||
| 0003 | 0001 | STD | Member only | 36.35 | 893 | 69.3 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 18.16 | 2132 | 18.16 | ||||
| 0003 | 0001 | LTD | Member only | 17.8 | 2091 | 17.8 | ||||
| 0003 | 0001 | LTD | Member only | 46.33 | 5440 | |||||
| 0003 | 0001 | STD | Member only | 51.12 | 1256 | 97.45 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 31.76 | 3730 | |||||
| 0003 | 0001 | STD | Member only | 35.04 | 861 | 66.8 | ||||
| 0003 | 0001 | LTD | Member only | 19.01 | 2232 | |||||
| 0003 | 0001 | STD | Member only | 21 | 516 | 40.01 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 23.03 | 2704 | |||||
| 0003 | 0001 | STD | Member only | 25.4 | 624 | 48.43 | ||||
| 0003 | 0001 | LTD | Member only | 46.84 | 5500 | |||||
| 0003 | 0001 | STD | Member only | 51.69 | 1270 | 98.53 | ||||
| 0003 | 0001 | LTD | Member only | 24.52 | 2879 | |||||
| 0003 | 0001 | STD | Member only | 27.07 | 665 | 51.59 | ||||
| 0003 | 0001 | LTD | Member only | 45.53 | 5346 | 45.53 | ||||
| 0003 | 0001 | LTD | Member only | 26.69 | 3134 | |||||
| 0003 | 0001 | STD | Member only | 29.47 | 724 | 56.16 | ||||
| 0003 | 0001 | LTD | Member only | 35.13 | 4126 | |||||
| 0003 | 0001 | STD | Member only | 38.75 | 952 | 73.88 | ||||
| 0003 | 0001 | LTD | Member only | 20.69 | 2430 | |||||
| 0003 | 0001 | STD | Member only | 22.83 | 561 | 43.52 | ||||
| 0003 | 0001 | LTD | Member only | 23.83 | 2798 | 23.83 | ||||
| 0003 | 0001 | LTD | Member only | 19.96 | 2344 | |||||
| 0003 | 0001 | STD | Member only | 22.02 | 541 | 41.98 | ||||
| 0003 | 0001 | LTD | Member only | 45.06 | 5291 | |||||
| 0003 | 0001 | STD | Member only | 49.69 | 1221 | 94.75 | ||||
| 0003 | 0001 | LTD | Member only | 42.01 | 4933 | |||||
| 0003 | 0001 | STD | Member only | 46.36 | 1139 | 88.37 | ||||
| 0003 | 0001 | LTD | Member only | 41.01 | 4816 | |||||
| 0003 | 0001 | STD | Member only | 45.26 | 1112 | 86.27 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 27.17 | 3190 | |||||
| 0003 | 0001 | STD | Member only | 30 | 737 | 57.17 | ||||
| 0003 | 0001 | LTD | Member only | 29.85 | 3505 | 29.85 | ||||
| 0003 | 0001 | LTD | Member only | 23.52 | 2762 | |||||
| 0003 | 0001 | STD | Member only | 25.97 | 638 | 49.49 | ||||
| 0003 | 0001 | LTD | Member only | 44.84 | 5265 | |||||
| 0003 | 0001 | STD | Member only | 49.45 | 1215 | 94.29 | ||||
| 0003 | 0001 | LTD | Member only | 32.57 | 3825 | 32.57 | ||||
| 0003 | 0001 | LTD | Member only | 29.42 | 3454 | |||||
| 0003 | 0001 | STD | Member only | 32.48 | 798 | 61.9 | ||||
| 0003 | 0001 | LTD | Member only | 30.4 | 3570 | 30.4 | ||||
| 0003 | 0001 | LTD | Member only | 11.18 | 1313 | |||||
| 0003 | 0001 | STD | Member only | 12.33 | 303 | 23.51 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.53 | 1389 | 107.63 | ||||
| 0003 | 0001 | LTD | Member only | 22.04 | 2588 | 22.04 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 22.01 | 2585 | 22.01 | ||||
| 0003 | 0001 | LTD | Member only | 48.95 | 5748 | |||||
| 0003 | 0001 | STD | Member only | 54.01 | 1327 | 102.96 | ||||
| 0003 | 0001 | LTD | Member only | 22.56 | 2649 | 22.56 | ||||
| 0003 | 0001 | LTD | Member only | 31.51 | 3700 | 31.51 | ||||
| 0003 | 0001 | LTD | Member only | 23.22 | 2726 | 23.22 | ||||
| 0003 | 0001 | LTD | Member only | 23.54 | 2765 | |||||
| 0003 | 0001 | STD | Member only | 25.97 | 638 | 49.51 | ||||
| 0003 | 0001 | LTD | Member only | 21.77 | 2557 | |||||
| 0003 | 0001 | STD | Member only | 24.01 | 590 | 45.78 | ||||
| 0003 | 0001 | LTD | Member only | 30.5 | 3581 | 30.5 | ||||
| 0003 | 0001 | LTD | Member only | 24.64 | 2894 | 24.64 | ||||
| 0003 | 0001 | LTD | Member only | 29.23 | 3432 | |||||
| 0003 | 0001 | STD | Member only | 32.23 | 792 | 61.46 | ||||
| 0003 | 0001 | LTD | Member only | 26.81 | 3149 | |||||
| 0003 | 0001 | STD | Member only | 29.59 | 727 | 56.4 | ||||
| 0003 | 0001 | LTD | Member only | 27.32 | 3209 | |||||
| 0003 | 0001 | STD | Member only | 30.16 | 741 | 57.48 | ||||
| 0003 | 0001 | LTD | Member only | 24.85 | 2919 | |||||
| 0003 | 0001 | STD | Member only | 27.43 | 674 | 52.28 | ||||
| 0003 | 0001 | LTD | Member only | 45.38 | 5329 | 45.38 | ||||
| 0003 | 0001 | LTD | Member only | 47.93 | 5628 | |||||
| 0003 | 0001 | STD | Member only | 52.87 | 1299 | 100.8 | ||||
| 0003 | 0001 | LTD | Member only | 47.18 | 5540 | |||||
| 0003 | 0001 | STD | Member only | 52.06 | 1279 | 99.24 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 44.71 | 5250 | |||||
| 0003 | 0001 | STD | Member only | 49.33 | 1212 | 94.04 | ||||
| 0003 | 0001 | LTD | Member only | 19.94 | 2342 | |||||
| 0003 | 0001 | STD | Member only | 22.02 | 541 | 41.96 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 18.76 | 2203 | 18.76 | ||||
| 0003 | 0001 | LTD | Member only | 23.16 | 2720 | |||||
| 0003 | 0001 | STD | Member only | 25.56 | 628 | 48.72 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 45.44 | 5335 | |||||
| 0003 | 0001 | STD | Member only | 50.14 | 1232 | 95.58 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 41.65 | 4890 | |||||
| 0003 | 0001 | STD | Member only | 45.95 | 1129 | 87.6 | ||||
| 0003 | 0001 | LTD | Member only | 20.96 | 2461 | 20.96 | ||||
| 0003 | 0001 | LTD | Member only | 49.17 | 5774 | 49.17 | ||||
| 0003 | 0001 | LTD | Member only | 31.81 | 3735 | 31.81 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 41.65 | 4890 | |||||
| 0003 | 0001 | STD | Member only | 45.95 | 1129 | 87.6 | ||||
| 0003 | 0001 | LTD | Member only | 19.94 | 2342 | |||||
| 0003 | 0001 | STD | Member only | 22.02 | 541 | 41.96 | ||||
| 0003 | 0001 | LTD | Member only | 46.16 | 5420 | |||||
| 0003 | 0001 | STD | Member only | 50.92 | 1251 | 97.08 | ||||
| 0003 | 0001 | LTD | Member only | 44.71 | 5250 | 44.71 | ||||
| 0003 | 0001 | LTD | Member only | 38.24 | 4490 | |||||
| 0003 | 0001 | STD | Member only | 42.21 | 1037 | 80.45 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 21.34 | 2506 | |||||
| 0003 | 0001 | STD | Member only | 23.57 | 579 | 44.91 | ||||
| 0003 | 0001 | LTD | Member only | 25.55 | 3001 | |||||
| 0003 | 0001 | STD | Member only | 28.21 | 693 | 53.76 | ||||
| 0003 | 0001 | LTD | Member only | 25.37 | 2979 | |||||
| 0003 | 0001 | STD | Member only | 28 | 688 | 53.37 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 31.35 | 3682 | 31.35 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 36.76 | 4316 | 36.76 | ||||
| 0003 | 0001 | LTD | Member only | 35.09 | 4120 | 35.09 | ||||
| 0003 | 0001 | LTD | Member only | 47.61 | 5590 | 47.61 | ||||
| 0003 | 0001 | LTD | Member only | 38.62 | 4535 | |||||
| 0003 | 0001 | STD | Member only | 42.61 | 1047 | 81.23 | ||||
| 0003 | 0001 | LTD | Member only | 23.18 | 2722 | |||||
| 0003 | 0001 | STD | Member only | 25.6 | 629 | 48.78 | ||||
| 0003 | 0001 | LTD | Member only | 25.55 | 3001 | 25.55 | ||||
| 0003 | 0001 | LTD | Member only | 38.96 | 4575 | 38.96 | ||||
| 0003 | 0001 | LTD | Member only | 30.83 | 3621 | 30.83 | ||||
| 0003 | 0001 | LTD | Member only | 34.36 | 4035 | 34.36 | ||||
| 0003 | 0001 | LTD | Member only | 24.63 | 2893 | 24.63 | ||||
| 0003 | 0001 | LTD | Member only | 41.84 | 4913 | 41.84 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 21.98 | 2581 | 21.98 | ||||
| 0003 | 0001 | LTD | Member only | 36.86 | 4329 | |||||
| 0003 | 0001 | STD | Member only | 40.66 | 999 | 77.52 | ||||
| 0003 | 0001 | LTD | Member only | 35.3 | 4145 | |||||
| 0003 | 0001 | STD | Member only | 38.95 | 957 | 74.25 | ||||
| 0003 | 0001 | LTD | Member only | 23.69 | 2782 | 23.69 | ||||
| 0003 | 0001 | LTD | Member only | 25.05 | 2942 | 25.05 | ||||
| 0003 | 0001 | LTD | Member only | 47.29 | 5553 | 47.29 | ||||
| 0003 | 0001 | LTD | Member only | 29.88 | 3509 | |||||
| 0003 | 0001 | STD | Member only | 32.97 | 810 | 62.85 | ||||
| 0003 | 0001 | LTD | Member only | 23.18 | 2722 | 23.18 | ||||
| 0003 | 0001 | LTD | Member only | 39.99 | 4695 | |||||
| 0003 | 0001 | STD | Member only | 44.12 | 1084 | 84.11 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 23.42 | 2750 | |||||
| 0003 | 0001 | STD | Member only | 25.84 | 635 | 49.26 | ||||
| 0003 | 0001 | LTD | Member only | 44.71 | 5250 | |||||
| 0003 | 0001 | STD | Member only | 49.33 | 1212 | 94.04 | ||||
| 0003 | 0001 | LTD | Member only | 23.18 | 2722 | 23.18 | ||||
| 0003 | 0001 | LTD | Member only | 21.03 | 2469 | |||||
| 0003 | 0001 | STD | Member only | 23.2 | 570 | 44.23 | ||||
| 0003 | 0001 | LTD | Member only | 40.2 | 4721 | 40.2 | ||||
| 0003 | 0001 | LTD | Member only | 41.31 | 4850 | |||||
| 0003 | 0001 | STD | Member only | 45.58 | 1120 | 86.89 | ||||
| 0003 | 0001 | LTD | Member only | 19.81 | 2326 | 19.81 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 36.58 | 4295 | 36.58 | ||||
| 0003 | 0001 | LTD | Member only | 45.99 | 5400 | 45.99 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 35.23 | 4137 | |||||
| 0003 | 0001 | STD | Member only | 38.87 | 955 | 74.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 41.65 | 4890 | 41.65 | ||||
| 0003 | 0001 | LTD | Member only | 48.97 | 5750 | 48.97 | ||||
| 0003 | 0001 | LTD | Member only | 41.65 | 4890 | 41.65 | ||||
| 0003 | 0001 | LTD | Member only | 24.76 | 2907 | |||||
| 0003 | 0001 | STD | Member only | 27.31 | 671 | 52.07 | ||||
| 0003 | 0001 | LTD | Member only | 38.24 | 4490 | |||||
| 0003 | 0001 | STD | Member only | 42.21 | 1037 | 80.45 | ||||
| 0003 | 0001 | LTD | Member only | 46.97 | 5515 | 46.97 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 23.85 | 2801 | |||||
| 0003 | 0001 | STD | Member only | 26.33 | 647 | 50.18 | ||||
| 0003 | 0001 | LTD | Member only | 20.15 | 2366 | |||||
| 0003 | 0001 | STD | Member only | 22.22 | 546 | 42.37 | ||||
| 0003 | 0001 | LTD | Member only | 24.63 | 2893 | |||||
| 0003 | 0001 | STD | Member only | 27.19 | 668 | 51.82 | ||||
| 0003 | 0001 | LTD | Member only | 31 | 3640 | |||||
| 0003 | 0001 | STD | Member only | 34.19 | 840 | 65.19 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 15.06 | 1768 | 15.06 | ||||
| 0003 | 0001 | LTD | Member only | 25.55 | 3001 | 25.55 | ||||
| 0003 | 0001 | LTD | Member only | 19.01 | 2232 | |||||
| 0003 | 0001 | STD | Member only | 21 | 516 | 40.01 | ||||
| 0003 | 0001 | LTD | Member only | 19.96 | 2344 | |||||
| 0003 | 0001 | STD | Member only | 22.02 | 541 | 41.98 | ||||
| 0003 | 0001 | LTD | Member only | 36.92 | 4335 | |||||
| 0003 | 0001 | STD | Member only | 40.74 | 1001 | 77.66 | ||||
| 0003 | 0001 | LTD | Member only | 38.78 | 4554 | 38.78 | ||||
| 0003 | 0001 | LTD | Member only | 19.01 | 2232 | |||||
| 0003 | 0001 | STD | Member only | 21 | 516 | 40.01 | ||||
| 0003 | 0001 | LTD | Member only | 21.03 | 2469 | |||||
| 0003 | 0001 | STD | Member only | 23.2 | 570 | 44.23 | ||||
| 0003 | 0001 | LTD | Member only | 47.27 | 5550 | 47.27 | ||||
| 0003 | 0001 | LTD | Member only | 38.81 | 4557 | |||||
| 0003 | 0001 | STD | Member only | 42.82 | 1052 | 81.63 | ||||
| 0003 | 0001 | LTD | Member only | 47.27 | 5550 | |||||
| 0003 | 0001 | STD | Member only | 52.14 | 1281 | 99.41 | ||||
| 0003 | 0001 | LTD | Member only | 19.81 | 2326 | 19.81 | ||||
| 0003 | 0001 | LTD | Member only | 24.63 | 2893 | 24.63 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 29.8 | 3500 | 29.8 | ||||
| 0003 | 0001 | LTD | Member only | 22.54 | 2647 | 22.54 | ||||
| 0003 | 0001 | LTD | Member only | 24.6 | 2889 | |||||
| 0003 | 0001 | STD | Member only | 27.15 | 667 | 51.75 | ||||
| 0003 | 0001 | LTD | Member only | 19.96 | 2344 | |||||
| 0003 | 0001 | STD | Member only | 22.02 | 541 | 41.98 | ||||
| 0003 | 0001 | LTD | Member only | 24.11 | 2831 | |||||
| 0003 | 0001 | STD | Member only | 26.62 | 654 | 50.73 | ||||
| 0003 | 0001 | LTD | Member only | 49.65 | 5830 | |||||
| 0003 | 0001 | STD | Member only | 54.78 | 1346 | 104.43 | ||||
| 0003 | 0001 | LTD | Member only | 45.56 | 5350 | 45.56 | ||||
| 0003 | 0001 | LTD | Member only | 48.64 | 5711 | |||||
| 0003 | 0001 | STD | Member only | 53.64 | 1318 | 102.28 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 19.01 | 2232 | 19.01 | ||||
| 0003 | 0001 | LTD | Member only | 23.23 | 2728 | |||||
| 0003 | 0001 | STD | Member only | 25.64 | 630 | 48.87 | ||||
| 0003 | 0001 | LTD | Member only | 29.23 | 3432 | |||||
| 0003 | 0001 | STD | Member only | 32.23 | 792 | 61.46 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 21.61 | 2538 | |||||
| 0003 | 0001 | STD | Member only | 23.85 | 586 | 45.46 | ||||
| 0003 | 0001 | LTD | Member only | 38.09 | 4472 | 38.09 | ||||
| 0003 | 0001 | LTD | Member only | 41.18 | 4835 | |||||
| 0003 | 0001 | STD | Member only | 45.42 | 1116 | 86.6 | ||||
| 0003 | 0001 | LTD | Member only | 24.72 | 2903 | |||||
| 0003 | 0001 | STD | Member only | 27.27 | 670 | 51.99 | ||||
| 0003 | 0001 | LTD | Member only | 37.76 | 4434 | |||||
| 0003 | 0001 | STD | Member only | 41.68 | 1024 | 79.44 | ||||
| 0003 | 0001 | LTD | Member only | 35.9 | 4215 | |||||
| 0003 | 0001 | STD | Member only | 39.6 | 973 | 75.5 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 24.6 | 2889 | |||||
| 0003 | 0001 | STD | Member only | 27.15 | 667 | 51.75 | ||||
| 0003 | 0001 | LTD | Member only | 23.91 | 2808 | 23.91 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 27.25 | 3201 | 27.25 | ||||
| 0003 | 0001 | LTD | Member only | 27.63 | 3244 | 27.63 | ||||
| 0003 | 0001 | LTD | Member only | 36.2 | 4250 | |||||
| 0003 | 0001 | STD | Member only | 39.93 | 981 | 76.13 | ||||
| 0003 | 0001 | LTD | Member only | 35.56 | 4175 | 35.56 | ||||
| 0003 | 0001 | LTD | Member only | 30.75 | 3610 | 30.75 | ||||
| 0003 | 0001 | LTD | Member only | 19.96 | 2344 | |||||
| 0003 | 0001 | STD | Member only | 22.02 | 541 | 41.98 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 29.64 | 3480 | 29.64 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 25.37 | 2979 | 25.37 | ||||
| 0003 | 0001 | LTD | Member only | 19.01 | 2232 | |||||
| 0003 | 0001 | STD | Member only | 21 | 516 | 40.01 | ||||
| 0003 | 0001 | LTD | Member only | 15.06 | 1768 | 15.06 | ||||
| 0003 | 0001 | LTD | Member only | 25.21 | 2960 | |||||
| 0003 | 0001 | STD | Member only | 27.84 | 684 | 53.05 | ||||
| 0003 | 0001 | LTD | Member only | 46.16 | 5420 | 46.16 | ||||
| 0003 | 0001 | LTD | Member only | 36.2 | 4250 | |||||
| 0003 | 0001 | STD | Member only | 39.93 | 981 | 76.13 | ||||
| 0003 | 0001 | LTD | Member only | 21.2 | 2490 | |||||
| 0003 | 0001 | STD | Member only | 23.4 | 575 | 44.6 | ||||
| 0003 | 0001 | LTD | Member only | 35.34 | 4150 | 35.34 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 39.26 | 4610 | |||||
| 0003 | 0001 | STD | Member only | 43.3 | 1064 | 82.56 | ||||
| 0003 | 0001 | LTD | Member only | 35.26 | 4140 | |||||
| 0003 | 0001 | STD | Member only | 38.91 | 956 | 74.17 | ||||
| 0003 | 0001 | LTD | Member only | 21.79 | 2559 | |||||
| 0003 | 0001 | STD | Member only | 24.05 | 591 | 45.84 | ||||
| 0003 | 0001 | LTD | Member only | 31.88 | 3743 | |||||
| 0003 | 0001 | STD | Member only | 35.16 | 864 | 67.04 | ||||
| 0003 | 0001 | LTD | Member only | 25.55 | 3001 | 25.55 | ||||
| 0003 | 0001 | LTD | Member only | 12.9 | 1515 | |||||
| 0003 | 0001 | STD | Member only | 14.25 | 350 | 27.15 | ||||
| 0003 | 0001 | LTD | Member only | 45.99 | 5400 | |||||
| 0003 | 0001 | STD | Member only | 50.75 | 1247 | 96.74 | ||||
| 0003 | 0001 | LTD | Member only | 24.2 | 2842 | |||||
| 0003 | 0001 | STD | Member only | 26.7 | 656 | 50.9 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 35.39 | 4155 | 35.39 | ||||
| 0003 | 0001 | LTD | Member only | 33.73 | 3960 | 33.73 | ||||
| 0003 | 0001 | LTD | Member only | 24.3 | 2853 | |||||
| 0003 | 0001 | STD | Member only | 26.82 | 659 | 51.12 | ||||
| 0003 | 0001 | LTD | Member only | 42.72 | 5016 | 42.72 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 24.63 | 2893 | |||||
| 0003 | 0001 | STD | Member only | 27.19 | 668 | 51.82 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 25.55 | 3001 | 25.55 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 15.06 | 1768 | 15.06 | ||||
| 0003 | 0001 | LTD | Member only | 46.33 | 5440 | |||||
| 0003 | 0001 | STD | Member only | 51.12 | 1256 | 97.45 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 15.06 | 1768 | 15.06 | ||||
| 0003 | 0001 | LTD | Member only | 42.58 | 5000 | 42.58 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 15.43 | 1813 | |||||
| 0003 | 0001 | STD | Member only | 17.05 | 419 | 32.48 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 46.84 | 5500 | 46.84 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 25.64 | 3011 | 25.64 | ||||
| 0003 | 0001 | LTD | Member only | 41.07 | 4823 | |||||
| 0003 | 0001 | STD | Member only | 45.3 | 1113 | 86.37 | ||||
| 0003 | 0001 | LTD | Member only | 22.14 | 2600 | 22.14 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 36.24 | 4255 | 36.24 | ||||
| 0003 | 0001 | LTD | Member only | 22.13 | 2598 | |||||
| 0003 | 0001 | STD | Member only | 24.42 | 600 | 46.55 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 38.71 | 4545 | 38.71 | ||||
| 0003 | 0001 | LTD | Member only | 24.87 | 2921 | 24.87 | ||||
| 0003 | 0001 | LTD | Member only | 33.25 | 3905 | 33.25 | ||||
| 0003 | 0001 | LTD | Member only | 41.43 | 4865 | 41.43 | ||||
| 0003 | 0001 | LTD | Member only | 35.13 | 4125 | 35.13 | ||||
| 0003 | 0001 | LTD | Member only | 18.82 | 2210 | 18.82 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 23.18 | 2722 | 23.18 | ||||
| 0003 | 0001 | LTD | Member only | 42.29 | 4965 | |||||
| 0003 | 0001 | STD | Member only | 46.64 | 1146 | 88.93 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 40.91 | 4804 | |||||
| 0003 | 0001 | STD | Member only | 45.14 | 1109 | 86.05 | ||||
| 0003 | 0001 | LTD | Member only | 25.35 | 2977 | |||||
| 0003 | 0001 | STD | Member only | 27.96 | 687 | 53.31 | ||||
| 0003 | 0001 | LTD | Member only | 33.3 | 3911 | 33.3 | ||||
| 0003 | 0001 | LTD | Member only | 50.97 | 5985 | 50.97 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 50.5 | 5930 | |||||
| 0003 | 0001 | STD | Member only | 55.72 | 1369 | 106.22 | ||||
| 0003 | 0001 | LTD | Member only | 35.96 | 4223 | |||||
| 0003 | 0001 | STD | Member only | 39.68 | 975 | 75.64 | ||||
| 0003 | 0001 | LTD | Member only | 23.19 | 2723 | |||||
| 0003 | 0001 | STD | Member only | 25.6 | 629 | 48.79 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 36.83 | 4325 | |||||
| 0003 | 0001 | STD | Member only | 40.66 | 999 | 77.49 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 36.83 | 4325 | 36.83 | ||||
| 0003 | 0001 | LTD | Member only | 19.81 | 2326 | |||||
| 0003 | 0001 | STD | Member only | 21.86 | 537 | 41.67 | ||||
| 0003 | 0001 | LTD | Member only | 22.75 | 2671 | 22.75 | ||||
| 0003 | 0001 | LTD | Member only | 37.22 | 4370 | |||||
| 0003 | 0001 | STD | Member only | 41.07 | 1009 | 78.29 | ||||
| 0003 | 0001 | LTD | Member only | 21.7 | 2548 | 21.7 | ||||
| 0003 | 0001 | LTD | Member only | 50.12 | 5885 | 50.12 | ||||
| 0003 | 0001 | LTD | Member only | 34.2 | 4016 | |||||
| 0003 | 0001 | STD | Member only | 37.73 | 927 | 71.93 | ||||
| 0003 | 0001 | LTD | Member only | 19.01 | 2232 | 19.01 | ||||
| 0003 | 0001 | LTD | Member only | 22.53 | 2646 | |||||
| 0003 | 0001 | STD | Member only | 24.87 | 611 | 47.4 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 23.18 | 2722 | |||||
| 0003 | 0001 | STD | Member only | 25.6 | 629 | 48.78 | ||||
| 0003 | 0001 | LTD | Member only | 21.61 | 2538 | |||||
| 0003 | 0001 | STD | Member only | 23.85 | 586 | 45.46 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 32.6 | 3828 | |||||
| 0003 | 0001 | STD | Member only | 35.98 | 884 | 68.58 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 31 | 3640 | 31 | ||||
| 0003 | 0001 | LTD | Member only | 18.77 | 2204 | 18.77 | ||||
| 0003 | 0001 | LTD | Member only | 47.27 | 5550 | 47.27 | ||||
| 0003 | 0001 | LTD | Member only | 40.97 | 4810 | |||||
| 0003 | 0001 | STD | Member only | 45.18 | 1110 | 86.15 | ||||
| 0003 | 0001 | LTD | Member only | 15.06 | 1768 | 15.06 | ||||
| 0003 | 0001 | LTD | Member only | 28.75 | 3376 | |||||
| 0003 | 0001 | STD | Member only | 31.71 | 779 | 60.46 | ||||
| 0003 | 0001 | LTD | Member only | 22.12 | 2597 | |||||
| 0003 | 0001 | STD | Member only | 24.42 | 600 | 46.54 | ||||
| 0003 | 0001 | LTD | Member only | 29.88 | 3509 | |||||
| 0003 | 0001 | STD | Member only | 32.97 | 810 | 62.85 | ||||
| 0003 | 0001 | LTD | Member only | 43.86 | 5150 | |||||
| 0003 | 0001 | STD | Member only | 48.39 | 1189 | 92.25 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 40.98 | 4813 | 40.98 | ||||
| 0003 | 0001 | LTD | Member only | 30.55 | 3587 | |||||
| 0003 | 0001 | STD | Member only | 33.7 | 828 | 64.25 | ||||
| 0003 | 0001 | LTD | Member only | 22.53 | 2646 | |||||
| 0003 | 0001 | STD | Member only | 24.87 | 611 | 47.4 | ||||
| 0003 | 0001 | LTD | Member only | 20.73 | 2434 | |||||
| 0003 | 0001 | STD | Member only | 22.87 | 562 | 43.6 | ||||
| 0003 | 0001 | LTD | Member only | 51.06 | 5995 | |||||
| 0003 | 0001 | STD | Member only | 56.33 | 1384 | 107.39 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 23.91 | 2808 | 23.91 | ||||
| 0003 | 0001 | LTD | Member only | 30.75 | 3610 | |||||
| 0003 | 0001 | STD | Member only | 33.94 | 834 | 64.69 | ||||
| 0003 | 0001 | LTD | Member only | 26.1 | 3065 | |||||
| 0003 | 0001 | STD | Member only | 28.82 | 708 | 54.92 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 50.42 | 5920 | |||||
| 0003 | 0001 | STD | Member only | 55.64 | 1367 | 106.06 | ||||
| 0003 | 0001 | LTD | Member only | 22.2 | 2607 | 22.2 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0003 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0003 | 0001 | LTD | Member only | 28.96 | 3400 | |||||
| 0003 | 0001 | STD | Member only | 31.95 | 785 | 60.91 | ||||
| 0003 | 0001 | LTD | Member only | 25.41 | 2984 | 25.41 | ||||
| 0003 | 0001 | LTD | Member only | 44.69 | 5248 | |||||
| 0003 | 0001 | STD | Member only | 49.29 | 1211 | 93.98 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0003 | 0001 | LTD | Member only | 30.83 | 3621 | |||||
| 0003 | 0001 | STD | Member only | 34.03 | 836 | 64.86 | ||||
| Total for this billing period | 37305.18 | |||||||||
| Totals | ||||||||||
| Total for this billing period including adjustments | 38026.88 | |||||||||
| OUTSTANDING DUE AS OF 10/15/2024 | 38937.69 | |||||||||
| GRAND TOTAL DUE - PLEASE PAY THIS AMOUNT | 76964.57 |
1004 - 11.24 MetLife - L6Z
| Customer Name: | TRAVIS COUNTY HEALTHCARE DISTRICT | |||||||||
| Division Name: | COMMUNITY CARE | |||||||||
| Customer Number: | Division: | 0004 | ||||||||
| Billing Period: | 11/01/2024 - 11/30/2024 | |||||||||
| Summary Totals | ||||||||||
| Insureds | Dependents | |||||||||
| Coverage Type | EE Count | Volume | Premium | Dep. Count | Premium | |||||
| LTD | 1282 | 4479754 | 38714.16 | 0 | 0 | |||||
| STD | 816 | 680622 | 27883.41 | 0 | 0 | |||||
| Adjustments | ||||||||||
| Insured Last Name | Insured First Name | Insured ID | Division | Department | Class | Coverage Type | Adjustment Date | Adjust. Code | Premium | Total Premium |
| 0004 | 0001 | LTD | 10/1/24 | A | 16.44 | |||||
| 0004 | 0001 | STD | 10/1/24 | A | 18.15 | 34.59 | ||||
| 0004 | 0001 | LTD | 10/1/24 | T | -22.69 | |||||
| 0004 | 0001 | STD | 10/1/24 | T | -25.03 | -47.72 | ||||
| 0004 | 0001 | LTD | 10/1/24 | T | -43.82 | -43.82 | ||||
| 0004 | 0001 | LTD | 10/1/24 | T | -22.09 | |||||
| 0004 | 0001 | STD | 10/1/24 | T | -24.38 | -46.47 | ||||
| 0004 | 0001 | LTD | 9/1/24 | $ | 6.04 | 6.04 | ||||
| 0004 | 0001 | LTD | 10/1/24 | T | -15.56 | -15.56 | ||||
| 0004 | 0001 | LTD | 10/1/24 | T | -22.43 | |||||
| 0004 | 0001 | STD | 10/1/24 | T | -24.75 | -47.18 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 17.93 | 17.93 | ||||
| 0004 | 0001 | LTD | 9/22/24 | A | 17.93 | 17.93 | ||||
| 0004 | 0001 | LTD | 10/1/24 | $ | 1.12 | |||||
| 0004 | 0001 | STD | 10/1/24 | $ | 1.27 | 2.39 | ||||
| 0004 | 0001 | LTD | 10/1/24 | T | -32.68 | -32.68 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 51.1 | |||||
| 0004 | 0001 | STD | 10/1/24 | A | 56.98 | 108.08 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 51.1 | |||||
| 0004 | 0001 | STD | 10/1/24 | A | 56.98 | 108.08 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 51.1 | |||||
| 0004 | 0001 | STD | 10/1/24 | A | 56.98 | 108.08 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 17.93 | 17.93 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 16.44 | 16.44 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 51.1 | |||||
| 0004 | 0001 | STD | 10/1/24 | A | 56.98 | 108.08 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 31.18 | 31.18 | ||||
| 0004 | 0001 | LTD | 10/1/24 | T | -21.26 | |||||
| 0004 | 0001 | STD | 10/1/24 | T | -23.44 | -44.7 | ||||
| 0004 | 0001 | LTD | 10/1/24 | T | -12.2 | |||||
| 0004 | 0001 | STD | 10/1/24 | T | -13.47 | -25.67 | ||||
| 0004 | 0001 | LTD | 10/1/24 | T | -21.26 | -21.26 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 51.1 | 51.1 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 43.26 | 43.26 | ||||
| 0004 | 0001 | LTD | 10/1/24 | $ | 6.48 | |||||
| 0004 | 0001 | STD | 10/1/24 | $ | 7.16 | 13.64 | ||||
| 0004 | 0001 | LTD | 10/1/24 | T | -50.89 | -50.89 | ||||
| 0004 | 0001 | LTD | 10/1/24 | T | -17.8 | -17.8 | ||||
| 0004 | 0001 | LTD | 10/1/24 | T | -20.65 | -20.65 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 17.12 | 17.12 | ||||
| 0004 | 0001 | LTD | 10/1/24 | $ | -8.07 | |||||
| 0004 | 0001 | STD | 10/1/24 | $ | -9.48 | -17.55 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 16.44 | 16.44 | ||||
| 0004 | 0001 | LTD | 10/1/24 | $ | -4.42 | |||||
| 0004 | 0001 | STD | 10/1/24 | $ | -5.49 | -9.91 | ||||
| 0004 | 0001 | LTD | 10/1/24 | F | 36.22 | |||||
| 0004 | 0001 | STD | 10/1/24 | F | 39.97 | 76.19 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 17.93 | 17.93 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 17.8 | 17.8 | ||||
| 0004 | 0001 | LTD | 10/1/24 | Y | 2.78 | |||||
| 0004 | 0001 | STD | 10/1/24 | Y | 3.05 | 5.83 | ||||
| 0004 | 0001 | LTD | 10/1/24 | Y | -18.82 | -18.82 | ||||
| 0004 | 0001 | LTD | 10/1/24 | X | 21.26 | 21.26 | ||||
| 0004 | 0001 | LTD | 10/1/24 | T | -18.82 | |||||
| 0004 | 0001 | STD | 10/1/24 | T | -20.76 | -39.58 | ||||
| 0004 | 0001 | LTD | 10/1/24 | T | -34.44 | |||||
| 0004 | 0001 | STD | 10/1/24 | T | -38.01 | -72.45 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 25.1 | 25.1 | ||||
| 0004 | 0001 | LTD | 10/1/24 | T | -21.48 | -21.48 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 32.68 | 32.68 | ||||
| 0004 | 0001 | LTD | 10/1/24 | T | -22.56 | |||||
| 0004 | 0001 | STD | 10/1/24 | T | -24.91 | -47.47 | ||||
| 0004 | 0001 | LTD | 10/1/24 | T | -18.41 | |||||
| 0004 | 0001 | STD | 10/1/24 | T | -20.31 | -38.72 | ||||
| 0004 | 0001 | LTD | 7/1/24 | X | 71.72 | 71.72 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 16.44 | 16.44 | ||||
| 0004 | 0001 | LTD | 10/1/24 | $ | 5.93 | |||||
| 0004 | 0001 | STD | 10/1/24 | $ | 6.55 | 12.48 | ||||
| 0004 | 0001 | LTD | 5/1/24 | X | 117 | |||||
| 0004 | 0001 | STD | 5/1/24 | X | 129.18 | 246.18 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 34.07 | 34.07 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 51.1 | 51.1 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 40.71 | 40.71 | ||||
| 0004 | 0001 | LTD | 10/1/24 | $ | 2.25 | 2.25 | ||||
| 0004 | 0001 | LTD | 10/1/24 | T | -21.8 | |||||
| 0004 | 0001 | STD | 10/1/24 | T | -24.05 | -45.85 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 38.96 | |||||
| 0004 | 0001 | STD | 10/1/24 | A | 42.98 | 81.94 | ||||
| 0004 | 0001 | LTD | 10/1/24 | $ | 0.84 | |||||
| 0004 | 0001 | STD | 10/1/24 | $ | 0.93 | 1.77 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 26.57 | 26.57 | ||||
| 0004 | 0001 | LTD | 10/1/24 | T | -37.13 | |||||
| 0004 | 0001 | STD | 10/1/24 | T | -40.98 | -78.11 | ||||
| 0004 | 0001 | LTD | 10/1/24 | A | 51.1 | 51.1 | ||||
| Bill Detail | ||||||||||
| Insured Last Name | Insured First Name | Insured ID | Division | Department | Class | Coverage Type | Coverage Tier | Premium | Volume | Total Premium |
| 0004 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0004 | 0001 | LTD | Member only | 44.48 | 5223 | |||||
| 0004 | 0001 | STD | Member only | 49.08 | 1206 | 93.56 | ||||
| 0004 | 0001 | LTD | Member only | 21.88 | 2569 | 21.88 | ||||
| 0004 | 0001 | LTD | Member only | 22.52 | 2644 | |||||
| 0004 | 0001 | STD | Member only | 24.87 | 611 | 47.39 | ||||
| 0004 | 0001 | LTD | Member only | 22.49 | 2641 | |||||
| 0004 | 0001 | STD | Member only | 24.83 | 610 | 47.32 | ||||
| 0004 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0004 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0004 | 0001 | LTD | Member only | 34.99 | 4108 | |||||
| 0004 | 0001 | STD | Member only | 38.58 | 948 | 73.57 | ||||
| 0004 | 0001 | LTD | Member only | 23.44 | 2752 | 23.44 | ||||
| 0004 | 0001 | LTD | Member only | 29.68 | 3485 | |||||
| 0004 | 0001 | STD | Member only | 32.76 | 805 | 62.44 | ||||
| 0004 | 0001 | LTD | Member only | 51.1 | 6000 | 51.1 | ||||
| 0004 | 0001 | LTD | Member only | 51.1 | 6000 | |||||
| 0004 | 0001 | STD | Member only | 56.98 | 1400 | 108.08 | ||||
| 0004 | 0001 | LTD | Member only | 19.55 | 2296 | |||||
| 0004 | 0001 | STD | Member only | 21.57 | 530 | 41.12 | ||||
| 0004 | 0001 | LTD | Member only | 20.59 | 2418 | 20.59 | ||||
| 0004 | 0001 | LTD | Member only | 36.78 | 4320 | |||||
| 0004 | 0001 | STD | Member only | 40.58 | 997 | 77.36 | ||||
| 0004 | 0001 | LTD | Member only | 19.3 | 2267 | |||||
| 0004 | 0001 | STD | Member only | 21.29 | 523 | 40.59 | ||||
| 0004 | 0001 | LTD | Member only | 20.11 | 2361 |
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .