PAID CLAIMS/EXPENSES SUMMARY                                             
                                     Product/Sub Group-8 Digit/Payroll Location                                      

INVOICE NUMBER:     230110581479                                           PAGE:               1 of 5            
BILL ACCOUNT NUMBER:2401631001                                             PAID CLAIMS MONTH:  January 2023      
BILL ACCOUNT NAME:  Utz Quality Foods                                      CLAIMS PAID THRU:   01/06/2023        
CLIENT NUMBER:      240163                                                 BILL CYCLE:         1 of 4            
CLIENT NAME:        Utz Quality Foods                                      PREPARED DATE:      01/10/2023        

               Group                             Paid Claims              Healthcare             Capitation          Value Based                Paid Claims
                                                                          Adjustments                                Reimbursement                /Expenses
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
HDHP PPO
  025620-00
    ACCTS                                         $14,792.28                    $0.00                 $0.00                  $0.00               $14,792.28
      ADM                                          $3,422.02                    $0.00                 $0.00                  $0.00                $3,422.02
     ALTO                                            $102.70                    $0.00                 $0.00                  $0.00                  $102.70
    CKPT2                                            $274.69                    $0.00                 $0.00                  $0.00                  $274.69
    CLARK                                          $1,036.50                    $0.00                 $0.00                  $0.00                $1,036.50
    CLEVE                                             $12.36                    $0.00                 $0.00                  $0.00                   $12.36
    FESPLT                                           $364.14                    $0.00                 $0.00                  $0.00                  $364.14
    FLEET                                             $46.79                    $0.00                 $0.00                  $0.00                   $46.79
    FORPK                                             $16.79                    $0.00                 $0.00                  $0.00                   $16.79
    GFPLT                                             $12.36                    $0.00                 $0.00                  $0.00                   $12.36
    HCOMP                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00
    HCSLS                                             $28.00                    $0.00                 $0.00                  $0.00                   $28.00
     HOOK                                            $164.61                    $0.00                 $0.00                  $0.00                  $164.61
     INDY                                            $331.52                    $0.00                 $0.00                  $0.00                  $331.52
    INVAZ                                            $121.63                    $0.00                 $0.00                  $0.00                  $121.63
    INVIN                                          $4,120.71                    $0.00                 $0.00                  $0.00                $4,120.71
    KCSLS                                             $61.51                    $0.00                 $0.00                  $0.00                   $61.51
    KMPLT                                             $12.36                    $0.00                 $0.00                  $0.00                   $12.36
     MKTG                                             $99.23                    $0.00                 $0.00                  $0.00                   $99.23
     NASH                                          $5,905.58                    $0.00                 $0.00                  $0.00                $5,905.58
    PLT18                                            $139.86                    $0.00                 $0.00                  $0.00                  $139.86
     PLT2                                            $261.76                    $0.00                 $0.00                  $0.00                  $261.76
     PLT3                                          $4,893.88                    $0.00                 $0.00                  $0.00                $4,893.88
     PLT4                                         $29,536.28                    $0.00                 $0.00                  $0.00               $29,536.28
     PLT5                                            $502.87                    $0.00                 $0.00                  $0.00                  $502.87

                                                                                                                                                PAGE:2 of 5
                                                                                                                                                            
               Group                             Paid Claims              Healthcare             Capitation          Value Based                Paid Claims
                                                                          Adjustments                                Reimbursement                /Expenses
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    PLTAD                                          $3,108.50                    $0.00                 $0.00                  $0.00                $3,108.50
    RETAI                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00
    RWPLT                                         $15,417.10                    $0.00                 $0.00                  $0.00               $15,417.10
    SBSLS                                            $457.79                    $0.00                 $0.00                  $0.00                  $457.79
    SLSUP                                            $176.16                    $0.00                 $0.00                  $0.00                  $176.16
    TMPLT                                              $6.18                    $0.00                 $0.00                  $0.00                    $6.18
    TMSLS                                          $1,594.11                    $0.00                 $0.00                  $0.00                $1,594.11
    WILSO                                             $48.06                    $0.00                 $0.00                  $0.00                   $48.06
     ZALA                                              $5.58                    $0.00                 $0.00                  $0.00                    $5.58
                                                     $205.22                    $0.00                 $0.00                  $0.00                  $205.22
  025620-00 Total                                 $87,279.13                    $0.00                 $0.00                  $0.00               $87,279.13
  025620-70
    COBRA                                            $215.49                    $0.00                 $0.00                  $0.00                  $215.49
  025620-70 Total                                    $215.49                    $0.00                 $0.00                  $0.00                  $215.49
HDHP PPO Total                                    $87,494.62                    $0.00                 $0.00                  $0.00               $87,494.62
                                                                                                                                                            
PPO
  025620-01
    ACCTS                                          $1,208.29                    $0.00                 $0.00                  $0.00                $1,208.29
      ADM                                          $7,940.79                    $0.00                 $0.00                  $0.00                $7,940.79
    CHAMB                                            $579.48                    $0.00                 $0.00                  $0.00                  $579.48
     CHAR                                             $18.54                    $0.00                 $0.00                  $0.00                   $18.54
     CHES                                            $104.00                    $0.00                 $0.00                  $0.00                  $104.00
    CKPT2                                            $249.99                    $0.00                 $0.00                  $0.00                  $249.99
    CLARK                                          $3,004.42                    $0.00                 $0.00                  $0.00                $3,004.42
    COLUM                                          $2,297.24                    $0.00                 $0.00                  $0.00                $2,297.24
     DENV                                            $220.31                    $0.00                 $0.00                  $0.00                  $220.31
    FESPLT                                           $530.16                    $0.00                 $0.00                  $0.00                  $530.16
    FLEET                                            $139.61                    $0.00                 $0.00                  $0.00                  $139.61
    FORPK                                          $1,004.94                    $0.00                 $0.00                  $0.00                $1,004.94
     FRAZ                                            $250.83                    $0.00                 $0.00                  $0.00                  $250.83
     FREE                                            $194.02                    $0.00                 $0.00                  $0.00                  $194.02

                                                                                                                                                PAGE:3 of 5
                                                                                                                                                            
               Group                             Paid Claims              Healthcare             Capitation          Value Based                Paid Claims
                                                                          Adjustments                                Reimbursement                /Expenses
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    GFADM                                              $6.18                    $0.00                 $0.00                  $0.00                    $6.18
    GFPLT                                          $2,474.98                    $0.00                 $0.00                  $0.00                $2,474.98
     HAN4                                             $50.70                    $0.00                 $0.00                  $0.00                   $50.70
    INRDC                                             $40.44                    $0.00                 $0.00                  $0.00                   $40.44
    INVAZ                                          $1,493.27                    $0.00                 $0.00                  $0.00                $1,493.27
    INVIN                                          $1,262.73                    $0.00                 $0.00                  $0.00                $1,262.73
    JACKS                                          $1,009.13                    $0.00                 $0.00                  $0.00                $1,009.13
    KCSLS                                            $709.70                    $0.00                 $0.00                  $0.00                  $709.70
    KMPLT                                              $6.18                    $0.00                 $0.00                  $0.00                    $6.18
     LAUR                                          $1,875.95                    $0.00                 $0.00                  $0.00                $1,875.95
    MANAS                                             $47.71                    $0.00                 $0.00                  $0.00                   $47.71
     MKTG                                          $2,594.59                    $0.00                 $0.00                  $0.00                $2,594.59
     MOBL                                             $18.93                    $0.00                 $0.00                  $0.00                   $18.93
      NEW                                            $109.46                    $0.00                 $0.00                  $0.00                  $109.46
    OHRDC                                             $40.00                    $0.00                 $0.00                  $0.00                   $40.00
     PLT1                                            $879.00                    $0.00                 $0.00                  $0.00                  $879.00
    PLT18                                            $906.76                    $0.00                 $0.00                  $0.00                  $906.76
     PLT2                                         $92,709.50                    $0.00                 $0.00                  $0.00               $92,709.50
     PLT3                                         $22,363.06                    $0.00                 $0.00                  $0.00               $22,363.06
     PLT4                                          $1,237.97                    $0.00                 $0.00                  $0.00                $1,237.97
     PLT5                                          $1,170.52                    $0.00                 $0.00                  $0.00                $1,170.52
     PLT7                                            $314.84                    $0.00                 $0.00                  $0.00                  $314.84
     PLT9                                              $4.58                    $0.00                 $0.00                  $0.00                    $4.58
    PLTAD                                          $5,415.74                    $0.00                 $0.00                  $0.00                $5,415.74
    PTOHD                                          $6,897.34                    $0.00                 $0.00                  $0.00                $6,897.34
     RALE                                            $175.67                    $0.00                 $0.00                  $0.00                  $175.67
    RG039                                            $264.59                    $0.00                 $0.00                  $0.00                  $264.59
    RWPLT                                          $1,415.60                    $0.00                 $0.00                  $0.00                $1,415.60
    SALES                                            $797.23                    $0.00                 $0.00                  $0.00                  $797.23
    SBADM                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00
    SBSLS                                            $258.46                    $0.00                 $0.00                  $0.00                  $258.46
    SBUNB                                          $7,782.43                    $0.00                 $0.00                  $0.00                $7,782.43

                                                                                                                                                PAGE:4 of 5
                                                                                                                                                            
               Group                             Paid Claims              Healthcare             Capitation          Value Based                Paid Claims
                                                                          Adjustments                                Reimbursement                /Expenses
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    SBUNM                                             $38.80                    $0.00                 $0.00                  $0.00                   $38.80
    SLSUP                                            $766.48                    $0.00                 $0.00                  $0.00                  $766.48
     STVL                                              $6.18                    $0.00                 $0.00                  $0.00                    $6.18
    TMPLT                                          $2,310.72                    $0.00                 $0.00                  $0.00                $2,310.72
     W040                                          $3,139.94                    $0.00                 $0.00                  $0.00                $3,139.94
  025620-01 Total                                $178,337.98                    $0.00                 $0.00                  $0.00              $178,337.98
  025620-02
    ACCTS                                            $813.75                    $0.00                 $0.00                  $0.00                  $813.75
      ADM                                          $5,529.00                    $0.00                 $0.00                  $0.00                $5,529.00
     AUBU                                             $99.01                    $0.00                 $0.00                  $0.00                   $99.01
     CHAR                                            $364.94                    $0.00                 $0.00                  $0.00                  $364.94
    CKPT2                                          $1,543.36                    $0.00                 $0.00                  $0.00                $1,543.36
    CLARK                                              $4.00                    $0.00                 $0.00                  $0.00                    $4.00
     DEPT                                             $35.78                    $0.00                 $0.00                  $0.00                   $35.78
     FAIR                                            $150.43                    $0.00                 $0.00                  $0.00                  $150.43
    FLEET                                            $387.48                    $0.00                 $0.00                  $0.00                  $387.48
     FRAZ                                            $561.73                    $0.00                 $0.00                  $0.00                  $561.73
    GFPLT                                            $285.65                    $0.00                 $0.00                  $0.00                  $285.65
     HAN4                                            $338.73                    $0.00                 $0.00                  $0.00                  $338.73
    HCOMP                                            $993.81                    $0.00                 $0.00                  $0.00                  $993.81
    HCSLS                                            $213.62                    $0.00                 $0.00                  $0.00                  $213.62
    INVIN                                            $948.10                    $0.00                 $0.00                  $0.00                  $948.10
    KCSLS                                            $685.00                    $0.00                 $0.00                  $0.00                  $685.00
    LROCK                                            $140.76                    $0.00                 $0.00                  $0.00                  $140.76
     MOBL                                            $201.22                    $0.00                 $0.00                  $0.00                  $201.22
     NASH                                            $270.79                    $0.00                 $0.00                  $0.00                  $270.79
    NERDC                                             $49.08                    $0.00                 $0.00                  $0.00                   $49.08
      NEW                                            $854.17                    $0.00                 $0.00                  $0.00                  $854.17
     PLT1                                            $673.73                    $0.00                 $0.00                  $0.00                  $673.73
    PLT18                                             $33.71                    $0.00                 $0.00                  $0.00                   $33.71
     PLT2                                          $1,074.54                    $0.00                 $0.00                  $0.00                $1,074.54
     PLT3                                          $1,541.87                    $0.00                 $0.00                  $0.00                $1,541.87

                                                                                                                                                PAGE:5 of 5
                                                                                                                                                            
               Group                             Paid Claims              Healthcare             Capitation          Value Based                Paid Claims
                                                                          Adjustments                                Reimbursement                /Expenses
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
     PLT4                                          $1,810.53                    $0.00                 $0.00                  $0.00                $1,810.53
     PLT5                                            $349.89                    $0.00                 $0.00                  $0.00                  $349.89
     PLT7                                            $499.63                    $0.00                 $0.00                  $0.00                  $499.63
     PLT9                                            $144.33                    $0.00                 $0.00                  $0.00                  $144.33
    PLTAD                                          $1,091.78                    $0.00                 $0.00                  $0.00                $1,091.78
     PROV                                            $209.28                    $0.00                 $0.00                  $0.00                  $209.28
    PTOHD                                            $416.08                    $0.00                 $0.00                  $0.00                  $416.08
     RALE                                          $3,486.73                    $0.00                 $0.00                  $0.00                $3,486.73
    RWPLT                                            $531.49                    $0.00                 $0.00                  $0.00                  $531.49
    SALES                                            $418.82                    $0.00                 $0.00                  $0.00                  $418.82
    SBSLS                                            $117.64                    $0.00                 $0.00                  $0.00                  $117.64
    SBUNB                                             $50.70                    $0.00                 $0.00                  $0.00                   $50.70
    SBUNM                                          $1,401.11                    $0.00                 $0.00                  $0.00                $1,401.11
    SLSUP                                            $543.82                    $0.00                 $0.00                  $0.00                  $543.82
    TMPLT                                            $708.73                    $0.00                 $0.00                  $0.00                  $708.73
     TUSC                                             $35.72                    $0.00                 $0.00                  $0.00                   $35.72
     WALD                                          $2,323.67                    $0.00                 $0.00                  $0.00                $2,323.67
     WEVR                                              $6.18                    $0.00                 $0.00                  $0.00                    $6.18
     WORC                                            $221.91                    $0.00                 $0.00                  $0.00                  $221.91
     ZALA                                            $477.80                    $0.00                 $0.00                  $0.00                  $477.80
  025620-02 Total                                 $32,640.10                    $0.00                 $0.00                  $0.00               $32,640.10
  025620-71
      ADM                                            $179.96                    $0.00                 $0.00                  $0.00                  $179.96
    COBRA                                            $380.35                    $0.00                 $0.00                  $0.00                  $380.35
    HCSLS                                             $87.61                    $0.00                 $0.00                  $0.00                   $87.61
  025620-71 Total                                    $647.92                    $0.00                 $0.00                  $0.00                  $647.92
PPO Total                                        $211,626.00                    $0.00                 $0.00                  $0.00              $211,626.00
Paid Claims/Expenses Summary Total                                                                                                              $299,120.62