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Data Drill Down for All Months & All Years

PAYMENT REQUEST
CATEGORY CONTRACTUALS
EXPENSE CATEGORY SERVICES-BENEFITS MANAGEMENT
DEPARTMENT HUMAN RESOURCES
FUND HEALTH INSURANCE FUND
PROGRAM RETIREE MEDICAL
ACTIVITY RETIREE WITHOUT MEDICARE HMO
PAYEE UNITED HEALTHCARE INSURANCE COMPANY
PAYMENT REQUEST Select a payment request.

Total:$889,458.68

Payment Requests | Select from Below
PAYMENT REQUEST DESCRIPTION CHECK DATE CHECK STATUS  AMOUNT
PRM 5800 13092035869 Health/Hospitalization (Including Dental and Vision) 09/23/2013 Paid $19,723.00
PRM 5800 13082733329 Health/Hospitalization (Including Dental and Vision) 08/28/2013 Paid $19,853.40
PRM 5800 13071829026 Health/Hospitalization (Including Dental and Vision) 07/19/2013 Paid $19,853.40
PRM 5800 13061926211 Health/Hospitalization (Including Dental and Vision) 06/20/2013 Paid $19,820.80
PRM 5800 13051522919 Health/Hospitalization (Including Dental and Vision) 05/16/2013 Paid $19,723.00
PRM 5800 13042320566 Health/Hospitalization (Including Dental and Vision) 04/24/2013 Paid $19,788.20
PRM 5800 13031316800 Health/Hospitalization (Including Dental and Vision) 03/14/2013 Paid $19,657.80
PRM 5800 13021514180 Health/Hospitalization (Including Dental and Vision) 02/19/2013 Paid $19,625.20
PRM 5800 13011610999 Health/Hospitalization (Including Dental and Vision) 01/17/2013 Paid $19,690.40
PRM 5800 12121707885 Health/Hospitalization (Including Dental and Vision) 12/18/2012 Paid $18,066.00
PRM 5800 12112705870 Health/Hospitalization (Including Dental and Vision) 11/28/2012 Paid $18,999.41
PRM 5800 12101802191 Health/Hospitalization (Including Dental and Vision) 10/19/2012 Paid $19,119.85
PRM 5800 12091433957 Health/Hospitalization (Including Dental and Vision) 09/17/2012 Paid $19,089.74
PRM 5800 12081530619 Health/Hospitalization (Including Dental and Vision) 08/16/2012 Paid $19,360.73
PRM 5800 12071727709 Health/Hospitalization (Including Dental and Vision) 07/18/2012 Paid $19,390.84
PRM 5800 12061524512 Health/Hospitalization (Including Dental and Vision) 06/18/2012 Paid $19,420.95
PRM 5800 12051521495 Health/Hospitalization (Including Dental and Vision) 05/16/2012 Paid $19,390.84
PRM 5800 12041718701 Health/Hospitalization (Including Dental and Vision) 04/18/2012 Paid $19,240.29
PRM 5800 12031515675 Health/Hospitalization (Including Dental and Vision) 03/16/2012 Paid $19,119.85
PRM 5800 12022112953 Health/Hospitalization (Including Dental and Vision) 02/22/2012 Paid $19,180.07
PRM 5800 12011309688 Health/Hospitalization (Including Dental and Vision) 01/17/2012 Paid $18,818.75
PRM 5800 11121607350 Health/Hospitalization (Including Dental and Vision) 12/19/2011 Paid $18,433.80
PRM 5800 11111604750 Health/Hospitalization (Including Dental and Vision) 11/17/2011 Paid $18,492.32
PRM 5800 11101801816 Health/Hospitalization (Including Dental and Vision) 10/19/2011 Paid $18,550.84
PRM 5800 11091934719 Health/Hospitalization (Including Dental and Vision) 09/20/2011 Paid $18,667.88
PRM 5800 11081731692 Health/Hospitalization (Including Dental and Vision) 08/18/2011 Paid $18,726.40
PRM 5800 11072128869 Health/Hospitalization (Including Dental and Vision) 07/22/2011 Paid $18,755.66
PRM 5800 11061725928 Health/Hospitalization (Including Dental and Vision) 06/20/2011 Paid $18,667.88
PRM 5800 11051722956 Health/Hospitalization (Including Dental and Vision) 05/18/2011 Paid $18,755.66
PRM 5800 11041920272 Health/Hospitalization (Including Dental and Vision) 04/20/2011 Paid $18,609.36
PRM 5800 11033018124 Health/Hospitalization (Including Dental and Vision) 03/31/2011 Paid $6,500.00
PRM 5800 11031616768 Health/Hospitalization (Including Dental and Vision) 03/17/2011 Paid $18,580.10
PRM 5800 11030315348 Health/Hospitalization (Including Dental and Vision) 03/04/2011 Paid $18,258.24
PRM 5800 11030315350 Health/Hospitalization (Including Dental and Vision) 03/04/2011 Paid $18,287.50
PRM 5800 10121007598 Health/Hospitalization (Including Dental and Vision) 12/13/2010 Paid $17,116.32
PRM 5800 10111805534 Health/Hospitalization (Including Dental and Vision) 11/19/2010 Paid $17,116.32
PRM 5800 10102603045 Health/Hospitalization (Including Dental and Vision) 10/27/2010 Paid $17,171.18
PRM 5800 10092338357 Health/Hospitalization (Including Dental and Visua 09/24/2010 Paid $17,171.18
PRM 5800 10082434848 Health/Hospitalization (Including Dental and Visua 08/25/2010 Paid $17,198.61
PRM 5800 10072731829 Health/Hospitalization (Including Dental and Visua 07/28/2010 Paid $17,171.18
PRM 5800 10062528506 Health/Hospitalization (Including Dental and Visua 06/28/2010 Paid $17,308.33
PRM 5800 10052725384 Health/Hospitalization (Including Dental and Visua 05/28/2010 Paid $17,280.90
PRM 5800 10042722276 Health/Hospitalization (Including Dental and Visua 04/28/2010 Paid $17,363.19
PRM 5800 10032318812 Health/Hospitalization (Including Dental and Visua 03/24/2010 Paid $17,171.18
PRM 5800 10030115741 Health/Hospitalization (Including Dental and Visua 03/02/2010 Paid $16,979.17
PRM 5800 10012712167 Health/Hospitalization (Including Dental and Visua 01/28/2010 Paid $16,732.30
PRM 5800 09123009222 Health/Hospitalization (Including Dental and Visua 12/31/2009 Paid $15,657.39
PRM 5800 09112305909 Health/Hospitalization (Including Dental and Visua 11/24/2009 Paid $15,811.65
PRM 5800 09102702976 Health/Hospitalization (Including Dental and Visua 10/28/2009 Paid $15,991.62
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