PRM 5800 23121908879 |
Health/Hospitalization (Including Dental and Vision) |
12/21/2023 |
Paid |
$543.00 |
PRM 5800 23111605114 |
Health/Hospitalization (Including Dental and Vision) |
11/20/2023 |
Paid |
$537.00 |
PRM 5800 23102703244 |
Health/Hospitalization (Including Dental and Vision) |
10/31/2023 |
Paid |
$525.00 |
PRM 5800 23091835324 |
Health/Hospitalization (Including Dental and Vision) |
09/19/2023 |
Paid |
$516.00 |
PRM 5800 23081731880 |
Health/Hospitalization (Including Dental and Vision) |
08/21/2023 |
Paid |
$468.00 |
PRM 5800 23071928669 |
Health/Hospitalization (Including Dental and Vision) |
07/20/2023 |
Paid |
$447.00 |
PRM 5800 23071328070 |
Health/Hospitalization (Including Dental and Vision) |
07/17/2023 |
Paid |
$429.00 |
PRM 5800 23051822528 |
Health/Hospitalization (Including Dental and Vision) |
05/22/2023 |
Paid |
$420.00 |
PRM 5800 23041919554 |
Health/Hospitalization (Including Dental and Vision) |
04/20/2023 |
Paid |
$396.00 |
PRM 5800 23032216674 |
Health/Hospitalization (Including Dental and Vision) |
03/23/2023 |
Paid |
$378.00 |
PRM 5800 23021613190 |
Health/Hospitalization (Including Dental and Vision) |
02/21/2023 |
Paid |
$330.00 |
PRM 5800 23012010552 |
Health/Hospitalization (Including Dental and Vision) |
01/23/2023 |
Paid |
$258.00 |
PRM 5800 22121607656 |
Health/Hospitalization (Including Dental and Vision) |
12/20/2022 |
Paid |
$528.00 |
PRM 5800 22111604723 |
Health/Hospitalization (Including Dental and Vision) |
11/17/2022 |
Paid |
$522.00 |
PRM 5800 22101902356 |
Health/Hospitalization (Including Dental and Vision) |
10/20/2022 |
Paid |
$507.00 |
PRM 5800 22091932128 |
Health/Hospitalization (Including Dental and Vision) |
09/20/2022 |
Paid |
$495.00 |
PRM 5800 22081628991 |
Health/Hospitalization (Including Dental and Vision) |
08/18/2022 |
Paid |
$483.00 |
PRM 5800 22071826313 |
Health/Hospitalization (Including Dental and Vision) |
07/21/2022 |
Paid |
$483.00 |
PRM 5800 22062324049 |
Health/Hospitalization (Including Dental and Vision) |
06/24/2022 |
Paid |
$468.00 |
PRM 5800 22052021168 |
Health/Hospitalization (Including Dental and Vision) |
05/23/2022 |
Paid |
$456.00 |
PRM 5800 22041918422 |
Health/Hospitalization (Including Dental and Vision) |
04/21/2022 |
Paid |
$420.00 |
PRM 5800 22031815547 |
Health/Hospitalization (Including Dental and Vision) |
03/21/2022 |
Paid |
$402.00 |
PRM 5800 22021812799 |
Health/Hospitalization (Including Dental and Vision) |
02/22/2022 |
Paid |
$372.00 |
PRM 5800 22012010107 |
Health/Hospitalization (Including Dental and Vision) |
01/21/2022 |
Paid |
$336.00 |
PRM 5800 21121607336 |
Health/Hospitalization (Including Dental and Vision) |
12/20/2021 |
Paid |
$495.00 |
PRM 5800 21111604389 |
Health/Hospitalization (Including Dental and Vision) |
11/18/2021 |
Paid |
$513.00 |
PRM 5800 21101801599 |
Health/Hospitalization (Including Dental and Vision) |
10/19/2021 |
Paid |
$492.00 |
PRM 5800 21091732455 |
Health/Hospitalization (Including Dental and Vision) |
09/20/2021 |
Paid |
$480.00 |
PRM 5800 21082329916 |
Health/Hospitalization (Including Dental and Vision) |
08/26/2021 |
Paid |
$462.00 |
PRM 5800 21072026632 |
Health/Hospitalization (Including Dental and Vision) |
07/22/2021 |
Paid |
$417.00 |
PRM 5800 21062223728 |
Health/Hospitalization (Including Dental and Vision) |
06/24/2021 |
Paid |
$384.00 |
PRM 5800 21051920801 |
Health/Hospitalization (Including Dental and Vision) |
05/24/2021 |
Paid |
$348.00 |
PRM 5800 21042017810 |
Health/Hospitalization (Including Dental and Vision) |
04/22/2021 |
Paid |
$312.00 |
PRM 5800 21031814820 |
Health/Hospitalization (Including Dental and Vision) |
03/22/2021 |
Paid |
$303.00 |
PRM 5800 21022312319 |
Health/Hospitalization (Including Dental and Vision) |
02/24/2021 |
Paid |
$324.00 |
PRM 5800 21012910706 |
Health/Hospitalization (Including Dental and Vision) |
02/02/2021 |
Paid |
$252.00 |
PRM 5800 20122307488 |
Health/Hospitalization (Including Dental and Vision) |
12/28/2020 |
Paid |
$504.00 |
PRM 5800 20111804323 |
Health/Hospitalization (Including Dental and Vision) |
11/19/2020 |
Paid |
$501.00 |
PRM 5800 20101601603 |
Health/Hospitalization (Including Dental and Vision) |
10/19/2020 |
Paid |
$495.00 |
PRM 5800 20091533917 |
Health/Hospitalization (Including Dental and Vision) |
09/17/2020 |
Paid |
$492.00 |
PRM 5800 20081931579 |
Health/Hospitalization (Including Dental and Vision) |
08/24/2020 |
Paid |
$483.00 |
PRM 5800 20071728153 |
Health/Hospitalization (Including Dental and Vision) |
07/20/2020 |
Paid |
$471.00 |
PRM 5800 20061625506 |
Health/Hospitalization (Including Dental and Vision) |
06/18/2020 |
Paid |
$474.00 |
PRM 5800 20052623766 |
Health/Hospitalization (Including Dental and Vision) |
05/28/2020 |
Paid |
$474.00 |
PRM 5800 20052723881 |
Health/Hospitalization (Including Dental and Vision) |
05/28/2020 |
Paid |
$474.00 |
PRM 5800 20031817179 |
Health/Hospitalization (Including Dental and Vision) |
03/19/2020 |
Paid |
$465.00 |
PRM 5800 20021914159 |
Health/Hospitalization (Including Dental and Vision) |
02/21/2020 |
Paid |
$414.00 |
PRM 5800 20011610297 |
Health/Hospitalization (Including Dental and Vision) |
01/21/2020 |
Paid |
$360.00 |
PRM 5800 19123008162 |
Health/Hospitalization (Including Dental and Vision) |
12/31/2019 |
Paid |
$585.88 |
PRM 5800 19112005198 |
Health/Hospitalization (Including Dental and Vision) |
11/21/2019 |
Paid |
$567.76 |
PRM 5800 19102202225 |
Health/Hospitalization (Including Dental and Vision) |
10/23/2019 |
Paid |
$552.66 |
PRM 5800 19091632874 |
Health/Hospitalization (Including Dental and Vision) |
09/18/2019 |
Paid |
$564.74 |
PRM 5800 19081930208 |
Health/Hospitalization (Including Dental and Vision) |
08/20/2019 |
Paid |
$534.54 |
PRM 5800 19072427528 |
Health/Hospitalization (Including Dental and Vision) |
07/25/2019 |
Paid |
$522.46 |
PRM 5800 19061924356 |
Health/Hospitalization (Including Dental and Vision) |
06/20/2019 |
Paid |
$504.34 |
PRM 5800 19052221773 |
Health/Hospitalization (Including Dental and Vision) |
05/24/2019 |
Paid |
$486.22 |
PRM 5800 19041918461 |
Health/Hospitalization (Including Dental and Vision) |
04/22/2019 |
Paid |
$474.14 |
PRM 5800 19031814996 |
Health/Hospitalization (Including Dental and Vision) |
03/19/2019 |
Paid |
$443.94 |
PRM 5800 19022112644 |
Health/Hospitalization (Including Dental and Vision) |
02/22/2019 |
Paid |
$413.74 |
PRM 5800 19013009849 |
Health/Hospitalization (Including Dental and Vision) |
01/31/2019 |
Paid |
$350.32 |
PRM 5800 18123107493 |
Health/Hospitalization (Including Dental and Vision) |
01/02/2019 |
Paid |
$332.20 |
PRM 5800 18112004602 |
Health/Hospitalization (Including Dental and Vision) |
11/21/2018 |
Paid |
$326.16 |
PRM 5800 18101902210 |
Health/Hospitalization (Including Dental and Vision) |
10/22/2018 |
Paid |
$314.08 |
PRM 5800 18092131913 |
Health/Hospitalization (Including Dental and Vision) |
09/24/2018 |
Paid |
$295.96 |
PRM 5800 18082429169 |
Health/Hospitalization (Including Dental and Vision) |
08/27/2018 |
Paid |
$274.82 |
PRM 5800 18072426460 |
Health/Hospitalization (Including Dental and Vision) |
07/25/2018 |
Paid |
$265.76 |
PRM 5800 18062223770 |
Health/Hospitalization (Including Dental and Vision) |
06/25/2018 |
Paid |
$259.72 |
PRM 5800 18052120877 |
Health/Hospitalization (Including Dental and Vision) |
05/22/2018 |
Paid |
$268.78 |
PRM 5800 18042018287 |
Health/Hospitalization (Including Dental and Vision) |
04/23/2018 |
Paid |
$268.78 |
PRM 5800 18032115546 |
Health/Hospitalization (Including Dental and Vision) |
03/22/2018 |
Paid |
$256.70 |
PRM 5800 18022212873 |
Health/Hospitalization (Including Dental and Vision) |
02/23/2018 |
Paid |
$256.70 |
PRM 5800 18012610443 |
Health/Hospitalization (Including Dental and Vision) |
01/29/2018 |
Paid |
$244.62 |
PRM 5800 17122707796 |
Health/Hospitalization (Including Dental and Vision) |
12/28/2017 |
Paid |
$338.24 |
PRM 5800 17112805131 |
Health/Hospitalization (Including Dental and Vision) |
11/29/2017 |
Paid |
$332.20 |
PRM 5800 17101902137 |
Health/Hospitalization (Including Dental and Vision) |
10/20/2017 |
Paid |
$329.18 |
PRM 5800 17092134328 |
Health/Hospitalization (Including Dental and Vision) |
09/22/2017 |
Paid |
$317.10 |
PRM 5800 17082331473 |
Health/Hospitalization (Including Dental and Vision) |
08/24/2017 |
Paid |
$308.04 |
PRM 5800 17072528486 |
Health/Hospitalization (Including Dental and Vision) |
07/26/2017 |
Paid |
$298.98 |
PRM 5800 17062125512 |
Health/Hospitalization (Including Dental and Vision) |
06/22/2017 |
Paid |
$286.90 |
PRM 5800 17052322825 |
Health/Hospitalization (Including Dental and Vision) |
05/24/2017 |
Paid |
$286.90 |
PRM 5800 17042019857 |
Health/Hospitalization (Including Dental and Vision) |
04/21/2017 |
Paid |
$286.90 |
PRM 5800 17032016615 |
Health/Hospitalization (Including Dental and Vision) |
03/21/2017 |
Paid |
$283.88 |
PRM 5800 17021713650 |
Health/Hospitalization (Including Dental and Vision) |
02/21/2017 |
Paid |
$274.82 |
PRM 5800 17011710203 |
Health/Hospitalization (Including Dental and Vision) |
01/18/2017 |
Paid |
$271.80 |
PRM 5800 16121707381 |
Health/Hospitalization (Including Dental and Vision) |
12/19/2016 |
Paid |
$338.24 |
PRM 5800 16111804762 |
Health/Hospitalization (Including Dental and Vision) |
11/21/2016 |
Paid |
$335.22 |
PRM 5800 16101801468 |
Health/Hospitalization (Including Dental and Vision) |
10/19/2016 |
Paid |
$335.22 |
PRM 5800 16091637849 |
Health/Hospitalization (Including Dental and Vision) |
09/19/2016 |
Paid |
$326.16 |
PRM 5800 16082234740 |
Health/Hospitalization (Including Dental and Vision) |
08/23/2016 |
Paid |
$323.14 |
PRM 5800 16071931312 |
Health/Hospitalization (Including Dental and Vision) |
07/20/2016 |
Paid |
$317.10 |
PRM 5800 16062128065 |
Health/Hospitalization (Including Dental and Vision) |
06/22/2016 |
Paid |
$314.08 |
PRM 5800 16051624755 |
Health/Hospitalization (Including Dental and Vision) |
05/17/2016 |
Paid |
$314.08 |
PRM 5800 16041821914 |
Health/Hospitalization (Including Dental and Vision) |
04/19/2016 |
Paid |
$308.04 |
PRM 5800 16031718609 |
Health/Hospitalization (Including Dental and Vision) |
03/18/2016 |
Paid |
$295.96 |
PRM 5800 16022515648 |
Health/Hospitalization (Including Dental and Vision) |
02/26/2016 |
Paid |
$274.82 |
PRM 5800 16011911652 |
Health/Hospitalization (Including Dental and Vision) |
01/20/2016 |
Paid |
$274.82 |
PRM 5800 15122108577 |
Health/Hospitalization (Including Dental and Vision) |
12/22/2015 |
Paid |
$378.00 |
PRM 5800 15112305457 |
Health/Hospitalization (Including Dental and Vision) |
11/24/2015 |
Paid |
$375.00 |
PRM 5800 15102803282 |
Health/Hospitalization (Including Dental and Vision) |
10/29/2015 |
Paid |
$372.00 |
PRM 5800 15091638809 |
Health/Hospitalization (Including Dental and Vision) |
09/17/2015 |
Paid |
$372.00 |
PRM 5800 15081835351 |
Health/Hospitalization (Including Dental and Vision) |
08/19/2015 |
Paid |
$348.00 |
PRM 5800 15071731742 |
Health/Hospitalization (Including Dental and Vision) |
07/20/2015 |
Paid |
$345.00 |
PRM 5800 15062428975 |
Health/Hospitalization (Including Dental and Vision) |
06/25/2015 |
Paid |
$339.00 |
PRM 5800 15051524993 |
Health/Hospitalization (Including Dental and Vision) |
05/18/2015 |
Paid |
$336.00 |
PRM 5800 15042021832 |
Health/Hospitalization (Including Dental and Vision) |
04/21/2015 |
Paid |
$333.00 |
PRM 5800 15032018272 |
Health/Hospitalization (Including Dental and Vision) |
03/23/2015 |
Paid |
$330.00 |
PRM 5800 15022415331 |
Health/Hospitalization (Including Dental and Vision) |
02/25/2015 |
Paid |
$207.00 |
PRM 5800 15012111590 |
Health/Hospitalization (Including Dental and Vision) |
01/22/2015 |
Paid |
$444.00 |
PRM 5800 14122308706 |
Health/Hospitalization (Including Dental and Vision) |
12/26/2014 |
Paid |
$408.00 |
PRM 5800 14111905522 |
Health/Hospitalization (Including Dental and Vision) |
11/20/2014 |
Paid |
$399.00 |
PRM 5800 14102102628 |
Health/Hospitalization (Including Dental and Vision) |
10/22/2014 |
Paid |
$378.00 |
PRM 5800 14091937374 |
Health/Hospitalization (Including Dental and Vision) |
09/22/2014 |
Paid |
$363.00 |
PRM 5800 14082034074 |
Health/Hospitalization (Including Dental and Vision) |
08/21/2014 |
Paid |
$348.00 |
PRM 5800 14071629889 |
Health/Hospitalization (Including Dental and Vision) |
07/17/2014 |
Paid |
$333.00 |
PRM 5800 14062026974 |
Health/Hospitalization (Including Dental and Vision) |
06/23/2014 |
Paid |
$327.00 |
PRM 5800 14052023768 |
Health/Hospitalization (Including Dental and Vision) |
05/21/2014 |
Paid |
$315.00 |
PRM 5800 14041820499 |
Health/Hospitalization (Including Dental and Vision) |
04/21/2014 |
Paid |
$312.00 |
PRM 5800 14032417460 |
Health/Hospitalization (Including Dental and Vision) |
03/25/2014 |
Paid |
$300.00 |
PRM 5800 14022414435 |
Health/Hospitalization (Including Dental and Vision) |
02/25/2014 |
Paid |
$297.00 |
PRM 5800 14012911976 |
Health/Hospitalization (Including Dental and Vision) |
01/30/2014 |
Paid |
$294.00 |
PRM 5800 13121708176 |
Health/Hospitalization (Including Dental and Vision) |
12/18/2013 |
Paid |
$396.00 |
PRM 5800 13111905613 |
Health/Hospitalization (Including Dental and Vision) |
11/20/2013 |
Paid |
$387.00 |
PRM 5800 13102102160 |
Health/Hospitalization (Including Dental and Vision) |
10/22/2013 |
Paid |
$384.00 |
PRM 5800 13092436159 |
Health/Hospitalization (Including Dental and Vision) |
09/25/2013 |
Paid |
$378.00 |
PRM 5800 13082733323 |
Health/Hospitalization (Including Dental and Vision) |
08/28/2013 |
Paid |
$357.00 |
PRM 5800 13071829024 |
Health/Hospitalization (Including Dental and Vision) |
07/19/2013 |
Paid |
$357.00 |
PRM 5800 13061926207 |
Health/Hospitalization (Including Dental and Vision) |
06/20/2013 |
Paid |
$354.00 |
PRM 5800 13051422755 |
Health/Hospitalization (Including Dental and Vision) |
05/15/2013 |
Paid |
$336.00 |
PRM 5800 13042220397 |
Health/Hospitalization (Including Dental and Vision) |
04/23/2013 |
Paid |
$330.00 |
PRM 5800 13031316801 |
Health/Hospitalization (Including Dental and Vision) |
03/14/2013 |
Paid |
$309.00 |
PRM 5800 13021514182 |
Health/Hospitalization (Including Dental and Vision) |
02/19/2013 |
Paid |
$282.00 |
PRM 5800 13011611006 |
Health/Hospitalization (Including Dental and Vision) |
01/17/2013 |
Paid |
$261.00 |
PRM 5800 12121707889 |
Health/Hospitalization (Including Dental and Vision) |
12/18/2012 |
Paid |
$384.78 |
PRM 5800 12112605688 |
Health/Hospitalization (Including Dental and Vision) |
11/27/2012 |
Paid |
$384.78 |
PRM 5800 12101802195 |
Health/Hospitalization (Including Dental and Vision) |
10/19/2012 |
Paid |
$384.78 |
PRM 5800 12091333872 |
Health/Hospitalization (Including Dental and Vision) |
09/14/2012 |
Paid |
$368.88 |
PRM 5800 12081530622 |
Health/Hospitalization (Including Dental and Vision) |
08/16/2012 |
Paid |
$356.16 |
PRM 5800 12071727696 |
Health/Hospitalization (Including Dental and Vision) |
07/18/2012 |
Paid |
$343.44 |
PRM 5800 12061524510 |
Health/Hospitalization (Including Dental and Vision) |
06/18/2012 |
Paid |
$343.44 |
PRM 5800 12051521500 |
Health/Hospitalization (Including Dental and Vision) |
05/16/2012 |
Paid |
$333.90 |
PRM 5800 12041718697 |
Health/Hospitalization (Including Dental and Vision) |
04/18/2012 |
Paid |
$327.54 |
PRM 5800 12031515671 |
Health/Hospitalization (Including Dental and Vision) |
03/16/2012 |
Paid |
$314.82 |
PRM 5800 12021712805 |
Health/Hospitalization (Including Dental and Vision) |
02/21/2012 |
Paid |
$314.82 |
PRM 5800 12011709852 |
Health/Hospitalization (Including Dental and Vision) |
01/18/2012 |
Paid |
$302.10 |
PRM 5800 11121607349 |
Health/Hospitalization (Including Dental and Vision) |
12/19/2011 |
Paid |
$386.88 |
PRM 5800 11111704891 |
Health/Hospitalization (Including Dental and Vision) |
11/18/2011 |
Paid |
$386.88 |
PRM 5800 11101901928 |
Health/Hospitalization (Including Dental and Vision) |
10/20/2011 |
Paid |
$383.76 |
PRM 5800 11091934718 |
Health/Hospitalization (Including Dental and Vision) |
09/20/2011 |
Paid |
$368.16 |
PRM 5800 11081731690 |
Health/Hospitalization (Including Dental and Vision) |
08/18/2011 |
Paid |
$361.92 |
PRM 5800 11072028749 |
Health/Hospitalization (Including Dental and Vision) |
07/21/2011 |
Paid |
$355.68 |
PRM 5800 11061725924 |
Health/Hospitalization (Including Dental and Vision) |
06/20/2011 |
Paid |
$355.68 |
PRM 5800 11051722952 |
Health/Hospitalization (Including Dental and Vision) |
05/18/2011 |
Paid |
$349.44 |
PRM 5800 11042620811 |
Health/Hospitalization (Including Dental and Vision) |
04/27/2011 |
Paid |
$346.32 |
PRM 5800 11031616765 |
Health/Hospitalization (Including Dental and Vision) |
03/17/2011 |
Paid |
$336.96 |
PRM 5800 11030215185 |
Health/Hospitalization (Including Dental and Vision) |
03/03/2011 |
Paid |
$333.84 |
PRM 5800 11012812231 |
Health/Hospitalization (Including Dental and Vision) |
01/31/2011 |
Paid |
$327.60 |
PRM 5800 10122908816 |
Health/Hospitalization (Including Dental and Vision) |
12/30/2010 |
Paid |
$327.42 |
PRM 5800 10111705342 |
Health/Hospitalization (Including Dental and Vision) |
11/18/2010 |
Paid |
$330.48 |
PRM 5800 10102603043 |
Health/Hospitalization (Including Dental and Vision) |
10/27/2010 |
Paid |
$333.54 |
PRM 5800 10092438501 |
Health/Hospitalization (Including Dental and Visua |
09/27/2010 |
Paid |
$330.48 |
PRM 5800 10082034502 |
Health/Hospitalization (Including Dental and Visua |
08/23/2010 |
Paid |
$330.48 |
PRM 5800 10072030998 |
Health/Hospitalization (Including Dental and Visua |
07/21/2010 |
Paid |
$324.36 |
PRM 5800 10061627288 |
Health/Hospitalization (Including Dental and Visua |
06/17/2010 |
Paid |
$324.36 |
PRM 5800 10052224693 |
Health/Hospitalization (Including Dental and Visua |
05/24/2010 |
Paid |
$318.24 |
PRM 5800 10042321920 |
Health/Hospitalization (Including Dental and Visua |
04/26/2010 |
Paid |
$318.24 |
PRM 5800 10031818327 |
Health/Hospitalization (Including Dental and Visua |
03/19/2010 |
Paid |
$951.66 |