Section J - List of Exhibits.xlsx

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Health & Life Insurance Services for U. S. Embassy Panama
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19PM0722R0001
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EXHIBIT A - EMPLOYEE STATISTIC

FEMALEMALE
AgeAnnual SalaryAgeAnnual Salary
2213,845.00238,793.00
2420,121.00249,655.00
2921,965.002710,673.00
3021,965.002710,673.00
3021,965.00279,655.00
3033,512.002711,865.00
3028,679.002910,539.00
3127,523.002925,211.00
3213,845.002944,157.00
328,793.003026,367.00
3226,367.003130,696.00
3323,809.003116,385.00
3415,826.00319,655.00
3429,835.003214,480.00
3530,991.003229,835.00
3628,679.003316,385.00
3621,965.003416,551.00
3648,029.003433,512.00
3739,083.003517,276.00
3725,211.003515,826.00
3725,653.003527,523.00
3746,093.003551,348.00
3820,121.003510,673.00
3815,826.003547,592.00
3942,221.003510,673.00
4020,121.003520,121.00
4065,478.003617,276.00
4136,771.003616,041.00
4121,965.003733,512.00
4221,965.003717,655.00
428,793.003728,679.00
4213,845.003733,512.00
4279,608.003717,020.00
4334,459.003814,959.00
438,793.003815,173.00
4325,211.003820,901.00
4372,543.003847,592.00
4339,144.003811,161.00
4524,526.003818,925.00
4619,451.00398,793.00
4625,211.003915,553.00
4642,221.003927,497.00
4739,083.003910,673.00
478,793.003925,211.00
478,793.004020,901.00
4739,083.004053,703.00
4824,731.004013,845.00
4855,773.004027,523.00
4825,211.004027,523.00
4930,263.004115,750.00
4945,533.004113,845.00
4945,533.004165,453.00
4947,592.004216,041.00
4927,497.004214,577.00
5044,776.004213,113.00
5065,453.004219,135.00
5061,581.004243,368.00
5021,043.004212,909.00
508,793.004335,615.00
5034,459.004311,423.00
5042,221.004332,147.00
52109,018.004320,195.00
5225,653.004351,901.00
5251,901.004316,041.00
5230,263.004344,776.00
5226,575.004314,577.00
5257,709.004316,529.00
5228,679.004328,419.00
5351,901.004411,423.00
5365,453.004410,673.00
5319,451.004413,601.00
5344,776.004416,041.00
5436,328.004535,165.00
5465,453.004512,137.00
5447,592.004533,521.00
5444,776.004525,211.00
54109,018.004514,041.00
5535,615.004613,475.00
558,793.004617,437.00
5621,965.004623,809.00
5623,809.004623,801.00
5647,592.004633,303.00
5639,083.004628,679.00
5779,608.004622,351.00
5744,776.004722,887.00
5731,185.004759,645.00
5728,679.004783,226.00
57105,794.004819,135.00
5839,083.004824,731.00
5831,185.004853,703.00
5847,592.004824,526.00
5851,901.004918,569.00
5939,083.00498,793.00
6046,093.004911,865.00
6057,709.004914,041.00
6143,368.004922,351.00
6139,083.004939,083.00
6174,898.004946,184.00
6431,185.004965,453.00
6530,263.004961,581.00
6565,453.005015,115.00
6765,453.005016,385.00
6831,185.005013,601.00
7039,083.005136,771.00
5124,731.00
5147,592.00
5122,351.00
5112,625.00
5239,083.00
5216,041.00
5212,137.00
5211,161.00
5211,649.00
5374,898.00
5334,459.00
5325,656.00
5315,750.00
5416,529.00
5425,653.00
5559,645.00
5565,453.00
5516,529.00
5523,076.00
5521,465.00
5529,835.00
5533,303.00
5561,581.00
5614,959.00
5621,465.00
5719,135.00
5719,135.00
5713,601.00
5724,526.00
5712,625.00
5714,959.00
5765,453.00
5739,083.00
5719,135.00
5821,626.00
5821,465.00
5820,830.00
5819,135.00
5914,959.00
5931,185.00
598,793.00
5915,826.00
5914,959.00
5919,135.00
6035,615.00
6020,176.00
608,793.00
6016,529.00
6165,453.00
6115,826.00
6111,649.00
6121,465.00
6247,592.00
6221,465.00
6216,529.00
6221,465.00
6217,020.00
6279,608.00
6319,135.00
6321,465.00
6321,465.00
6311,865.00
6419,135.00
6420,830.00
6423,076.00
6479,608.00
6422,960.00
6612,625.00
6721,626.00

&14

&"Calibri"&11&K000000 &1#&"Times New Roman"&10&K000000SENSITIVE BUT UNCLASSIFIED

EXHIBIT B-ORE EMPLOYEES RIDER

AMB Residence Staff
GenderAgeAnnual Salaries
F52$18,540.00
M56$12,360.00
M70$9,900.00
M52$25,200.00
M58$7,512.00
Future Staff
M57$11,124.00
F$7,512.00

DCM Residence Staff

M53$13,596.00
F54$9,579.00
F56$8,652.00

EXHIBIT C-AERA EMPLOYEES RIDER

FEMALE
AgeAnnual Salaries
21$7,380.00
30$4,900.00
33$23,640.00
45$9,600.00

EXHIBIT D–GRANDFATHERED RETIREE

MALEFEMALE
AgeAge
6259
6562
6665
66
68
69
71
71
73
74
79

&14

&"Calibri"&11&K000000 &1#&"Times New Roman"&10&K000000SENSITIVE BUT UNCLASSIFIED

EXHIBIT E – CLAIMS PAID

EMBASSY OF THE UNITED STATES OF AMERICA, PANAMA
GROUP LIFE AND HEALTH
CLAIMS PAID REPORT

CLAIMS PAID PER CATEGORY

2018 - 2019EMPLOYEESRETIREES
MonthLife Insurance ReimbursementHealth Insurance ReimbursementHealth Insurance ReimbursementHealth Insurance Reimbursement
Dec-2018- 017,481.0616,125.741,355.32
Jan-2019- 040,359.7736,838.593,521.18
Feb-2019- 048,645.7847,232.131,413.65
Mar-2019- 026,250.7825,854.63396.15
Apr-2019- 030,421.0730,253.19167.88
May-2019- 061,653.2760,726.07927.20
Jun-2019- 038,725.5736,005.702,719.87
Jul-2019- 037,214.0836,971.35242.73
Aug-2019- 042,059.0941,542.22516.87
Sep-2019- 029,742.6827,059.422,683.26
Oct-2019- 036,899.5435,788.431,111.11
Nov-2019- 022,108.0821,685.45422.63
TOTAL- 0431,560.77416,082.9215,477.85
2019 - 2020EMPLOYEESRETIREES
MonthLife Insurance ReimbursementHealth Insurance ReimbursementHealth Insurance ReimbursementHealth Insurance Reimbursement
Dec-2019- 025,500.2518,451.177,049.08
Jan-2020- 073,670.6569,074.574,596.08
Feb-2020- 024,402.5621,011.513,391.05
Mar-2020- 069,996.2366,140.733,855.50
Apr-2020- 053,779.0152,814.38964.63
May-2020- 024,045.4023,532.38513.02
Jun-2020- 027,245.1726,958.72286.45
Jul-2020- 029,128.4423,016.896,111.55
Aug-2020- 030,017.8027,380.422,637.38
Sep-2020- 042,042.4938,099.463,943.03
Oct-2020- 030,761.4825,430.765,330.72
Nov-2020- 050,231.3743,066.137,165.24
TOTAL- 0480,820.85434,977.1245,843.73
2020 - 2021EMPLOYEESRETIREES
MonthLife Insurance ReimbursementHealth Insurance ReimbursementHealth Insurance ReimbursementHealth Insurance Reimbursement
Dec-2020- 061,387.1428,614.7932,772.35
Jan-2021- 041,933.0236,338.205,594.82
Feb-2021- 034,775.0424,911.599,863.45
Mar-2021- 029,232.6614,932.8814,299.78
Apr-2021- 07,616.666,310.031,306.63
May-2021- 094,129.2484,976.999,152.25
Jun-2021- 0116,558.06110,793.905,764.16
Jul-2021- 091,340.4778,856.8912,483.58
Aug-2021- 0129,833.6170,922.3958,911.22
Sep-2021- 041,203.0138,608.012,595.00
Oct-2021- 060,742.0158,587.002,155.01
Nov-2021- 040,558.8039,171.211,387.59
TOTAL- 0749,309.72593,023.88156,285.84
2021 - 2022EMPLOYEESRETIREES
MonthLife Insurance ReimbursementHealth Insurance ReimbursementHealth Insurance ReimbursementHealth Insurance Reimbursement
Dec-2021- 064,029.5760,419.563,610.01
Jan-2022- 063,712.4362,547.761,164.67
Feb-2022- 057,873.2955,774.032,099.26
Mar-2022- 041,652.9839,109.892,543.09
Apr-2022- 037,893.4134,887.793,005.62
May-2022- 034,884.6131,067.543,817.07
Jun-2022- 0169,959.99166,656.783,303.21
TOTAL- 0470,006.28450,463.3519,542.93

TOTAL - 0 2,131,697.62

&1#&"Times New Roman"&10&K000000SENSITIVE BUT UNCLASSIFIED

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