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					Run Date and Time                                                                                                                            Stop Loss Initial Notice Report For MISSION
06/01/2011 15:53                                                                                                                      Paid Date Range 05/01/11 thru 05/31/11 Paid Amt > 020000




                Group Name     Notice Type   Initial Date   Update Date   50% Date   Contract Type   Contract From   Contract Thru     Emp SSN    Dep Dep DOB Dep Sex       Dep Ben Date    Dep Term Date    EE Status   Open Mail Unprocessed      Claims Unprocessed    Total Paid   In Case Mgmt    Trigger 1
                MISSION          Update          3/2/11       6/1/11                     12/15          10/1/10        9/30/11       3746          e     8/1/77 m             10/1/09                       Active                           0.00                    0.00  419.35                     4463
                MISSION          50 Pct        10/31/10       6/1/11       6/1/11        12/15          10/1/10        9/30/11       3994          e    8/12/49 m             10/1/09                       Active                         283.00                    0.00 53,750.31
                MISSION          Update         4/30/11       6/1/11                     12/15          10/1/10        9/30/11       1342          e    8/18/51 m             10/1/09                       Active                           0.00                    0.00  544.19                     4019
                MISSION           Initial        6/1/11                                  12/15          10/1/10        9/30/11       9326          e    4/17/75 m             10/1/09                       Active                           0.00                  440.00  152.56                     78843
                MISSION           Initial        6/1/11                                  12/15          10/1/10        9/30/11       0715          e     5/9/71 m             10/1/09                       Active                          65.00                    0.00   37.98                     4019
                MISSION           Initial        6/1/11                                  12/15          10/1/10        9/30/11       2049          1     5/1/00 m             10/1/09                       Active                           0.00                    0.00  483.33                     4242
                MISSION          Update        10/31/10       6/1/11                     12/15          10/1/10        9/30/11       8300          e    11/3/56 m             10/1/09                       Active                           0.00                    0.00  572.00                     2724
                MISSION          Update        12/31/10       6/1/11                     12/15          10/1/10        9/30/11       2998          e   10/31/42 m             10/1/09                       Active                           0.00                    0.00  745.06                     2382
                MISSION           Initial        6/1/11                                  12/15          10/1/10        9/30/11       3415          e   10/25/58  f            10/1/09                       Active                           0.00                    0.00  565.81                     4019
                MISSION           Initial        6/1/11                                  12/15          10/1/10        9/30/11       4992          e    9/10/81 m             10/1/09                       Active                           0.00                    0.00   58.21                     490
                MISSION           Initial        6/1/11                                  12/15          10/1/10        9/30/11       9353          e    1/23/53 m             10/1/09                       Active                          90.00                    0.00    0.00                     78060
                MISSION          Update        12/31/10       6/1/11                     12/15          10/1/10        9/30/11       8777          e     5/2/67 m             10/1/09                       Active                         765.00                    0.00  409.76                     49310
                MISSION          Update         4/30/11       6/1/11                     12/15          10/1/10        9/30/11       1694          e    5/24/63 m             10/1/09                       Active                          40.00                    0.00  337.03                     8020
                MISSION          Update        10/31/10       6/1/11                     12/15          10/1/10        9/30/11       7615          e    9/23/57 m             10/1/09                       Active                         369.00                2,948.00  107.91                     92411
                MISSION          Update        12/31/10       6/1/11                     12/15          10/1/10        9/30/11       6444          e    11/1/77 m             10/1/09                       Active                           0.00                    0.00  406.99                     8940
                MISSION          Update         12/2/10       6/1/11                     12/15          10/1/10        9/30/11       8077          e    8/13/68 m             10/1/09                       Active                         100.00                    0.00  498.81                     4439
                MISSION          Update          4/1/11       6/1/11                     12/15          10/1/10        9/30/11       9109          2   12/14/99  f            10/1/09                       Active                           0.00                    0.00  240.07                     7862
                MISSION          Update         12/2/10       6/1/11                     12/15          10/1/10        9/30/11       9109          e    12/2/59  f            10/1/09                       Active                           0.00                    0.00  728.39                     78262
                MISSION          Update          3/2/11       6/1/11                     12/15          10/1/10        9/30/11       9109          s   11/22/56 m             10/1/09                       Active                           0.00                1,481.00   53.79                     4019
                MISSION          Update          2/1/11       6/1/11                     12/15          10/1/10        9/30/11       1329          e     5/1/87 m             10/1/09                       Active                           0.00                    0.00   55.00                     9233
                MISSION           Initial        6/1/11                                  12/15          10/1/10        9/30/11       1454          e     9/4/72 m             10/1/09                       Active                         720.00                    0.00    0.00                     92420
                MISSION          Update          2/1/11       6/1/11                     12/15          10/1/10        9/30/11       1671          e    2/18/63 m             10/1/09                       Active                           0.00                  275.00  823.83                     42760
                MISSION           Initial        6/1/11                                  12/15          10/1/10        9/30/11       1354          e    1/11/79 m             10/1/09                       Active                           0.00                    0.00  769.51                     7840
                MISSION           Initial        6/1/11                                  12/15          10/1/10        9/30/11       8564          e    6/13/56 m             10/1/09                       Active                           0.00                    0.00  220.21                     2449
                MISSION          Update         12/2/10       6/1/11                     12/15          10/1/10        9/30/11       8564          s    4/30/53  f            10/1/09                       Active                         177.00                    0.00  369.04                     2720
                MISSION          Update        10/31/10       6/1/11                     12/15          10/1/10        9/30/11       0104          e    4/13/61  f            10/1/09                       Active                           0.00                    0.00  957.87                     7862
                MISSION          Update         4/30/11       6/1/11                     12/15          10/1/10        9/30/11       4856          e    7/30/71 m             10/1/09                       Active                           0.00                    0.00  152.24                     78906
                MISSION          Update          2/1/11       6/1/11                     12/15          10/1/10        9/30/11       8354          e     6/8/70 m             10/1/09                       Active                         150.00                    0.00   70.33                     2724
                MISSION          Update        12/31/10       6/1/11                     12/15          10/1/10        9/30/11       1256          e    9/12/63 m             10/1/09                       Active                           0.00                    0.00  352.24                     2720
                MISSION          Update          2/1/11       6/1/11                     12/15          10/1/10        9/30/11       6376          s    5/25/58  f            10/1/09                       Active                           0.00                   98.00  513.48                     78900
                MISSION           Initial        6/1/11                                  12/15          10/1/10        9/30/11       3630          e    7/15/65 m             10/1/09                       Active                           0.00                    0.00  306.13                     27651
                MISSION          Update         12/2/10       6/1/11                     12/15          10/1/10        9/30/11       2462          e   11/14/58 m             10/1/09                       Active                           0.00                    0.00  181.33                     2449
                MISSION           Initial        6/1/11                                  12/15          10/1/10        9/30/11       4048          1    11/4/98  f            10/1/09                       Active                           0.00                    0.00  389.29                     78060
                MISSION          Update         12/2/10       6/1/11                     12/15          10/1/10        9/30/11       2440          e    2/16/78  f            10/1/09                       Active                           0.00                    0.00 2,858.39                    65613
                MISSION          Update         12/2/10       6/1/11                     12/15          10/1/10        9/30/11       4826          e    6/19/68 m             10/1/09                       Active                           0.00                    0.00 1,319.21                    78060
                MISSION          Update          3/2/11       6/1/11                     12/15          10/1/10        9/30/11       9310          1    2/20/94 m             10/1/09                       Active                           0.00                    0.00   50.65                     7821
                MISSION          Update         12/2/10       6/1/11                     12/15          10/1/10        9/30/11       4592          e    7/14/77  f            10/1/09                       Active                         440.00                  370.00 1,671.12                    7840
                MISSION          Update        10/31/10       6/1/11                     12/15          10/1/10        9/30/11       1134          e   10/30/74 m             10/1/09                       Active                           0.00                    0.00  311.75                     490
                MISSION           Initial        6/1/11                                  12/15          10/1/10        9/30/11       2976          1    4/29/04 m             10/1/09                       Active                           0.00                    0.00   44.37                     4660
                MISSION          Update          4/1/11       6/1/11                     12/15          10/1/10        9/30/11       5236          e    9/11/66 m             10/1/09                       Active                           0.00                    0.00  453.95                     4019
                MISSION          Update        12/31/10       6/1/11                     12/15          10/1/10        9/30/11       9988          e    11/7/55  f            10/1/09                       Active                         491.00                    0.00 3,479.04                    7833
                MISSION          Update          3/2/11       6/1/11                     12/15          10/1/10        9/30/11       7572          e    6/27/63 m             10/1/09                       Active                           0.00                    0.00 12,963.92                   4019
                MISSION          Update        12/31/10       6/1/11                     12/15          10/1/10        9/30/11       8040          e    9/27/49 m             10/1/09                       Active                       3,401.00                  596.00 5,164.52                    2720
                MISSION          Update         4/30/11       6/1/11                     12/15          10/1/10        9/30/11       0059          e   10/27/58 m             10/1/09                       Active                           0.00                    0.00  350.25                     43885
                MISSION          Update         12/2/10       6/1/11                     12/15          10/1/10        9/30/11       8820          e     1/5/58  f            10/1/09                       Active                           0.00                1,580.00 5,245.05                    3574
                MISSION          Update        12/31/10       6/1/11                     12/15          10/1/10        9/30/11       5823          e    1/12/75 m             10/1/09                       Active                           0.00                    0.00 1,801.55                    78906
                MISSION          Update          2/1/11       6/1/11                     12/15          10/1/10        9/30/11       2166          s   12/20/77  f            10/1/09                       Active                         155.00                1,100.00 9,122.79                    64891
                MISSION          Update        10/31/10       6/1/11                     12/15          10/1/10        9/30/11       1638          e    8/13/66 m             10/1/09                       Active                           0.00                    0.00 6,770.23                    4660
                MISSION          Update          2/1/11       6/1/11                     12/15          10/1/10        9/30/11       9265          e   10/19/60 m             10/1/09                       Active                           0.00                    0.00 4,166.04                    25000
                MISSION           Initial        6/1/11                                  12/15          10/1/10        9/30/11       9391          e    9/25/72  f            10/1/09                       Active                         450.00                    0.00    0.00                     9182
                MISSION          Update        12/31/10       6/1/11                     12/15          10/1/10        9/30/11       4306          1    3/30/10  f            3/30/10                       Active                           0.00                    0.00 2,027.80                    7862
                MISSION          Update          2/1/11       6/1/11                     12/15          10/1/10        9/30/11       2883          e   11/21/70 m             10/1/09                       Active                           0.00                    0.00  235.80                     78079
                MISSION           Initial        6/1/11                                  12/15          10/1/10        9/30/11       0968          1   12/30/98  f            10/1/09                       Active                         252.00                    0.00  270.47                     9597
                MISSION           Initial        6/1/11                                  12/15          10/1/10        9/30/11       4608          1   12/30/88 m             10/1/09            9/30/11    Active                           0.00                    0.00  241.53                     78842
                MISSION          Update        10/31/10       6/1/11                     12/15          10/1/10        9/30/11       4608          e     6/1/64  f            10/1/09                       Active                           0.00                    0.00 11,183.75                   78903
                MISSION           Initial        6/1/11                                  12/15          10/1/10        9/30/11       8337          e    2/24/78 m             10/1/09                       Active                           0.00                    0.00 4,113.40                    20151




ecc8a107-8259-4cec-98f9-124d813f5f58.xlsx                                                                                                                   Page 1 of 4
Run Date and Time                                                                                                Stop Loss Initial Notice Report For MISSION
06/01/2011 15:53                                                                                          Paid Date Range 05/01/11 thru 05/31/11 Paid Amt > 020000




                MISSION           Update     10/31/10   6/1/11               12/15   10/1/10   9/30/11   2986          s      2/24/82    f         10/1/09                      Active      1,100.00       82.00 21,944.21     42761
                MISSION           Update      12/2/10   6/1/11               12/15   10/1/10   9/30/11   3955          s      9/20/63    f         10/1/09                      Active          0.00        0.00   991.08      7804
                MISSION            Initial     6/1/11                        12/15   10/1/10   9/30/11   2373          e      5/21/75    m         10/1/09                      Active          0.00        0.00   205.00      27801
                MISSION           Update     12/31/10   6/1/11               12/15   10/1/10   9/30/11   9774          e       7/2/56    f         10/1/09                      Active          0.00        0.00   957.74      4019
                MISSION           Update       2/1/11   6/1/11               12/15   10/1/10   9/30/11   5451          e     10/13/60    m         10/1/09                      Active          0.00        0.00 1,382.87      4011
                MISSION           Update      12/2/10   6/1/11               12/15   10/1/10   9/30/11   5451          s       8/7/60    f         10/1/09                      Active     11,596.00        0.00 11,227.28 Y   7856
                MISSION           Update       4/1/11   6/1/11               12/15   10/1/10   9/30/11   8935          e       8/5/79    m         10/1/09                      Active          0.00      173.55 4,981.71      7820
                MISSION            Initial     6/1/11                        12/15   10/1/10   9/30/11   9385          e       6/7/47    m         10/1/09           1/21/12    COC             0.00        0.00   239.32      V4581
                MISSION           Update     12/31/10   6/1/11               12/15   10/1/10   9/30/11   2130          1      4/12/09    m         10/1/09                      Active          0.00        0.00   792.30      49302
                MISSION           Update       4/1/11   6/1/11               12/15   10/1/10   9/30/11   0757          e       6/9/70    m         10/1/09                      Active          0.00        0.00   127.48      2724
                MISSION           Update      12/2/10   6/1/11               12/15   10/1/10   9/30/11   8954          e      6/21/58    m         10/1/09                      Active          0.00      824.00 1,112.45      78650
                MISSION           Update      4/30/11   6/1/11               12/15   10/1/10   9/30/11   1667          e      8/27/50    m         10/1/09                      Active          0.00        0.00   106.71      25000
                MISSION           Update      12/2/10   6/1/11               12/15   10/1/10   9/30/11   7782          2       9/2/91    f         10/1/09           9/30/11    Active          0.00        0.00   538.93      78321
                MISSION           Update       2/1/11   6/1/11               12/15   10/1/10   9/30/11   7782          e     12/15/63    m         10/1/09                      Active          0.00    2,136.00   500.11      71516
                MISSION           Update       2/1/11   6/1/11               12/15   10/1/10   9/30/11   7782          s       4/8/69    f         10/1/09                      Active          0.00        0.00   829.01      24290
                MISSION           Update      12/2/10   6/1/11               12/15   10/1/10   9/30/11   4175          e      7/25/74    f         10/1/09                      Active        701.06        0.00 1,341.78      7851
                MISSION           50 Pct      12/2/10   6/1/11     6/1/11    12/15   10/1/10   9/30/11   9190          e     12/19/59    m         10/1/09                      Active      1,590.00   16,956.75 111,596.64    Amt
                MISSION           Update     10/31/10   6/1/11               12/15   10/1/10   9/30/11   9190          s       8/8/63    f         10/1/09                      Active          0.00        0.00 5,482.23      78701
                MISSION           Update      12/2/10   6/1/11               12/15   10/1/10   9/30/11   4313          s       4/4/63    f         10/1/09                      Active          0.00        0.00   377.97      7851
                MISSION            Initial     6/1/11                        12/15   10/1/10   9/30/11   0372          e      2/18/47    m         10/1/09                      Active          0.00    1,000.00    59.36      7823
                MISSION           Update      12/2/10   6/1/11               12/15   10/1/10   9/30/11   8831          e     12/11/53    m         10/1/09                      Active          0.00        0.00    57.14      41401
                MISSION           Update      4/30/11   6/1/11               12/15   10/1/10   9/30/11   2275          2      9/15/99    m         10/1/09                      Active          0.00    2,116.70    55.00      8500
                MISSION           Update      12/2/10   6/1/11               12/15   10/1/10   9/30/11   3194          e       5/6/78    m         10/1/09                      Active          0.00        0.00   477.62      27801
                MISSION           Update       4/1/11   6/1/11               12/15   10/1/10   9/30/11   7460          e      7/25/58    f         10/1/09                      Active          0.00        0.00 1,706.86      7948
                MISSION           Update      12/2/10   6/1/11               12/15   10/1/10   9/30/11   9167          3      1/11/10    f         1/11/10                      Active          0.00        0.00 7,959.51      5738
                MISSION           Update     10/31/10   6/1/11               12/15   10/1/10   9/30/11   0666          e      4/24/72    m         10/1/09                      Active        303.00        0.00   898.79      78064
                MISSION           Update      4/30/11   6/1/11               12/15   10/1/10   9/30/11   1999          e      2/27/73    f         10/1/09           4/18/11    Inactive        0.00        0.00   207.20      63310
                MISSION           Update       2/1/11   6/1/11               12/15   10/1/10   9/30/11   1413          s      6/13/55    f         10/1/09                      Active        244.00      976.00   162.24      7866
                MISSION           Update       3/2/11   6/1/11               12/15   10/1/10   9/30/11   0311          e      5/26/55    f         10/1/09                      Active          0.00        0.00   441.66      27400
                MISSION           Update     12/31/10   6/1/11               12/15   10/1/10   9/30/11   4907          e      2/25/70    m         10/1/09                      Active      1,940.00   15,099.79 5,519.09      2662
                MISSION           Update       2/1/11   6/1/11               12/15   10/1/10   9/30/11   5195          e     10/26/70    m         10/1/09                      Active          0.00        0.00   699.91      2768
                MISSION           Update     12/31/10   6/1/11               12/15   10/1/10   9/30/11   0766          s      2/28/76    f         10/1/09                      Active        433.00        0.00 9,197.37      7856
                MISSION            Initial     6/1/11                        12/15   10/1/10   9/30/11   6825          e       8/9/70    m         10/1/09                      Active          0.00        0.00   157.84      27651
                MISSION           Update      12/2/10   6/1/11               12/15   10/1/10   9/30/11   8028          s       6/5/55    f         10/1/09                      Active        339.02        0.00 6,873.85      25002
                MISSION           Update       2/1/11   6/1/11               12/15   10/1/10   9/30/11   1633          3      2/17/00    m         10/1/09                      Active          0.00        0.00   309.33      7830
                MISSION            Initial     6/1/11                        12/15   10/1/10   9/30/11   1633          4      3/25/98    m         10/1/09                      Active          0.00        0.00   160.31      7831
                MISSION            Initial     6/1/11                        12/15   10/1/10   9/30/11   1633          e      4/13/82    f         10/1/09                      Active          0.00        0.00   195.14      81602
                MISSION           50 Pct     10/31/10   12/2/10   12/31/10   12/15   10/1/10   9/30/11   7746          e      10/7/75    m         10/1/09           12/31/10   Inactive        0.00        0.00 222,398.88
                MISSION           Update     10/31/10    6/1/11              12/15   10/1/10   9/30/11   3519          e       6/3/74    m         10/1/09                      Active          0.00        0.00   289.88      4011
                MISSION           Update       2/1/11    6/1/11              12/15   10/1/10   9/30/11   0540          2     11/20/99    m         10/1/09                      Active          0.00        0.00   277.39      49392
                MISSION            Initial     6/1/11                        12/15   10/1/10   9/30/11   4797          e     12/27/56    m         10/1/09                      Active          0.00        0.00   241.79      7948
                MISSION           Update       4/1/11   6/1/11               12/15   10/1/10   9/30/11   2906          e      10/1/81    f         10/1/09                      Active        865.16    2,400.80     0.00      E8150
                MISSION           Update      12/2/10   6/1/11               12/15   10/1/10   9/30/11   7364          e     11/10/66    m         12/1/09                      Active          0.00        0.00   391.54      2729
                MISSION           Update      12/2/10   6/1/11               12/15   10/1/10   9/30/11   2492          e      8/31/73    f          2/1/10                      Active          0.00        0.00   569.10      79380
                MISSION            Initial     6/1/11                        12/15   10/1/10   9/30/11   4761          e       9/1/70    m         10/1/09                      Active        464.15        0.00     0.00      931
                MISSION           Update     10/31/10   6/1/11               12/15   10/1/10   9/30/11   1142          s      9/15/57    f          5/1/10                      Active        935.00        0.00 3,287.87      2724
                MISSION           Update      4/30/11   6/1/11               12/15   10/1/10   9/30/11   6983          e      4/11/86    f          6/1/10           5/24/11    Inactive    4,325.61   18,300.71 3,889.72      30000
                MISSION           Update     12/31/10   6/1/11               12/15   10/1/10   9/30/11   9967          e      8/25/84    m         11/1/10                      Active          0.00    1,591.40   132.42      E8120
                MISSION            Initial     6/1/11                        12/15   10/1/10   9/30/11   3599          e      1/19/68    m          2/1/11                      Active          0.00        0.00    50.65      78057
                MISSION            Initial     6/1/11                        12/15   10/1/10   9/30/11   3599          s      5/18/69    f          2/1/11                      Active         66.00    4,195.00     0.00      2720
                MISSION            Initial     6/1/11                        12/15   10/1/10   9/30/11   2288          e      8/14/76    m          2/1/11                      Active          0.00        0.00   177.76      7871
                MISSION            Initial     6/1/11                        12/15   10/1/10   9/30/11   0013          e      7/11/75    m          4/1/11                      Active          0.00      883.55     0.00      78079




ecc8a107-8259-4cec-98f9-124d813f5f58.xlsx                                                                                       Page 2 of 4
Run Date and Time                                                                                                             Stop Loss Initial Notice Report For MISSION
06/01/2011 15:53                                                                                                       Paid Date Range 05/01/11 thru 05/31/11 Paid Amt > 020000




                                                   Trigger 1 Description   Trigger 2           Trigger 2 Description    Trigger 3         Trigger 3 Description        Trigger 4         Trigger 4 Description   Trigger 5         Trigger 5 Description
                                            LETHAL MIDLINE GRANULOMA

                                            HYPERTENSION NOS               591         HYDRONEPHROSIS                  5921         URETERAL CALCULUS                 78909        ABDOMINAL PAIN-SITE NEC
                                            NOCTURIA                       78841       URINARY FREQUENCY               78899        OTHER SYMPTOMS INVOLVING          2572         TESTICULAR HYPOFUNCT NEC      79093       ELEVATED PSA
                                            HYPERTENSION NOS               5819        NEPHROTIC SYNDROME NOS
                                            NONRHEUM TRICUSP DISORD        7852        CARDIAC MURMURS NEC
                                            HYPERLIPIDEMIA NEC & NOS       4019        HYPERTENSION NOS                79029        ABNORMAL GLUCOSE NEC
                                            SKIN UNC BEHAV NEOPL
                                            HYPERTENSION NOS
                                            BRONCHITIS NOS                 78060       FEVER, UNSPECIFIED
                                            FEVER, UNSPECIFIED
                                            INTRINSIC ASTHMA NOS
                                            CLOSED NASAL BONE FX
                                            CONTUSION OF KNEE              2724        HYPERLIPIDEMIA NEC & NOS
                                            OPEN WND LEG NEC
                                            PERIPH VASCULAR DIS NOS        7823        EDEMA                           2506         DIAB W NEUROLOGIC MANIF*
                                            COUGH
                                            FLUSHING                       78650       CHEST PAIN NOS                  30002        GENERAL ANXIETY DISORD
                                            HYPERTENSION NOS
                                            CONTUSION OF FINGER
                                            CONTUSION OF FOOT
                                            PREMATURE BEATS NOS
                                            HEADACHE
                                            HYPOTHYROIDISM NOS             2724        HYPERLIPIDEMIA NEC & NOS        79093        ELEVATED PSA
                                            PURE HYPERCHOLESTEROLEM        4011        BENIGN HYPERTENSION             2449         HYPOTHYROIDISM NOS
                                            COUGH
                                            EPIGASTRIC ABD PAIN
                                            HYPERLIPIDEMIA NEC & NOS
                                            PURE HYPERCHOLESTEROLEM        5198        RESP SYSTEM DISEASE NEC
                                            ABDOMINAL PAIN-SITE NOS
                                            DEHYDRATION                    5589        NONINF GASTROENT NEC&NOS
                                            HYPOTHYROIDISM NOS             71500       GENERAL OA-SITE NOS
                                            FEVER, UNSPECIFIED             81601       CL FX MID/PROX PHAL HAND
                                            RH ISOIMMUNIZATION-AP
                                            FEVER, UNSPECIFIED
                                            NONSP SKIN ERUPTION NEC
                                            HEADACHE
                                            BRONCHITIS NOS
                                            ACUTE BRONCHITIS
                                            HYPERTENSION NOS
                                            FEEDING PROBLEM
                                            HYPERTENSION NOS               78079       MALAISE & FATIGUE NEC
                                            PURE HYPERCHOLESTEROLEM        2724        HYPERLIPIDEMIA NEC & NOS        1960         2ND/NOS HEAD/NECK LN CA           2281         LYMPHANGIOMA ANY SITE         2440        POSTSURG HYPOTHYROIDISM
                                            LATE EFFECT CVD-VERTIGO        2722        MIXED HYPERLIPIDEMIA
                                            NEUROPATHY IN OTHER DIS
                                            EPIGASTRIC ABD PAIN            7871        HEARTBURN
                                            OTH CCE COMP PREG-DEL          66041       SHOULDER DYSTOCIA-DEL           66321        CORD COMPRESS NEC-DEL             66421        DEL W 3 DEGREE LAC-DEL        7852        CARDIAC MURMURS NEC
                                            ACUTE BRONCHITIS               25002       DM2/NOS UNCOMP UNC              78449        VOICE DISTURBANCE NEC
                                            DM2/NOS UNCOMP NSU             2724        HYPERLIPIDEMIA NEC & NOS
                                            SUPERF INJ CONJUNCTIVA         9301        FB IN CONJUNCTIVAL SAC
                                            COUGH
                                            MALAISE & FATIGUE NEC
                                            LOWER LEG INJURY NEC
                                            POLYURIA
                                            RLQ ABDOMINAL PAIN
                                            NOD SCLEROSIS HEAD LN




ecc8a107-8259-4cec-98f9-124d813f5f58.xlsx                                                                                                    Page 3 of 4
Run Date and Time                                                                                                 Stop Loss Initial Notice Report For MISSION
06/01/2011 15:53                                                                                           Paid Date Range 05/01/11 thru 05/31/11 Paid Amt > 020000




                                            ATRIAL PREMATURE BEATS      42760   PREMATURE BEATS NOS
                                            DIZZINESS & GIDDINESS
                                            MORBID OBESITY              79029   ABNORMAL GLUCOSE NEC       78650      CHEST PAIN NOS                      2722        MIXED HYPERLIPIDEMIA    4019    HYPERTENSION NOS
                                            HYPERTENSION NOS            4011    BENIGN HYPERTENSION
                                            BENIGN HYPERTENSION         51889   OTHER LUNG DISEASE NEC     78605      SHORTNESS OF BREATH
                                            ENLARGEMENT LYMPH NODES
                                            SKIN SENSATION DISTURB
                                            AORTOCORONARY BYPASS        V5873   SURG AFTERCARE-CIRC SYST
                                            EXTR ASTHMA W EXACER
                                            HYPERLIPIDEMIA NEC & NOS    2777    DYSMETABOLIC SYNDROME X    27800      OBESITY NOS
                                            CHEST PAIN NOS              7220    CERV DISC DISPLACEMENT     7804       DIZZINESS & GIDDINESS
                                            DM2/NOS UNCOMP NSU          27800   OBESITY NOS                41400      COR AS-GRAFT TYPE NOS
                                            LOSS OF WEIGHT              30751   BULIMIA NERVOSA
                                            LOC PRIMARY OA-LOWER LEG    7829    INTEGUMENT TISS SX NEC
                                            THYROTOX NOS W/O CRISIS     27800   OBESITY NOS
                                            PALPITATIONS                7820    SKIN SENSATION DISTURB     30000      ANXIETY STATE NOS                   7804        DIZZINESS & GIDDINESS   2689    VITAMIN D DEFICIENCY NOS
                                               78,605.47                30000   ANXIETY STATE NOS          7993       DEBILITY NOS
                                            NAUSEA W VOMITING           78703   VOMITING ALONE
                                            PALPITATIONS
                                            EDEMA
                                            COR AS-NATIVE VESSEL
                                            CONCUSSION W/O LOC          85141   CEREBEL CONTUSION S LOC    95901      HEAD INJURY NOS
                                            MORBID OBESITY
                                            ABN LIVER FUNCTION STUDY
                                            LIVER DISORDERS NEC         78900   ABDOMINAL PAIN-SITE NOS    78907      GENERALIZED ABD PAIN
                                            CHILLS (WITHOUT FEVER)
                                            TUBAL PREG W/O IU PREG
                                            CHEST SWELLING/MASS/LUMP
                                            GOUTY ANTHROPATHY, UNSPEC   7820    SKIN SENSATION DISTURB
                                            B-COMPLEX DEF NEC           2724    HYPERLIPIDEMIA NEC & NOS   78659      CHEST PAIN NEC                      41401       COR AS-NATIVE VESSEL    78900   ABDOMINAL PAIN-SITE NOS
                                            HYPOPOTASSEMIA              5849    ACUTE RENAL FAILURE NOS    2551       HYPERALDOSTERONISM
                                            ENLARGEMENT LYMPH NODES     78605   SHORTNESS OF BREATH        79431      NONSPECIFIC ABN EKG/ECG             7881        DYSURIA                 78842   POLYURIA
                                            DEHYDRATION
                                            DM2/NOS UNCOMP UNC          7840    HEADACHE
                                            ANOREXIA
                                            ABNORMAL WEIGHT GAIN        9595    FINGER INJURY NEC & NOS
                                            CL FX DIST PHALANX HAND

                                            BENIGN HYPERTENSION         5831    MEMBRANOUS NEPHRITIS NOS
                                            ASTHMA NOS W EXACER         78340   LACK NORMAL DEVEL NOS
                                            ABN LIVER FUNCTION STUDY    78079   MALAISE & FATIGUE NEC      7804       DIZZINESS & GIDDINESS
                                            HIGHWAY MV COLL-DRIVER
                                            LIPOID METAB DISORD NOS     78079   MALAISE & FATIGUE NEC      78605      SHORTNESS OF BREATH
                                            ABNORMAL MAMMOGRAM NOS
                                            FB IN EAR
                                            HYPERLIPIDEMIA NEC & NOS    78659   CHEST PAIN NEC             7804       DIZZINESS & GIDDINESS
                                            ANXIETY STATE NOS
                                            MV COLLISION NEC-DRIVER     920     CONTUSION HEAD X EYE
                                            SLEEP APNEA NOS
                                            PURE HYPERCHOLESTEROLEM     2724    HYPERLIPIDEMIA NEC & NOS   920        CONTUSION HEAD X EYE                95901       HEAD INJURY NOS         8505    CONCUSSION W COMA NOS
                                            HEARTBURN                   7862    COUGH
                                            MALAISE & FATIGUE NEC       7840    HEADACHE




ecc8a107-8259-4cec-98f9-124d813f5f58.xlsx                                                                                        Page 4 of 4

				
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