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

INVOICE NUMBER:     230117583406                                           PAGE:               1 of 5            
BILL ACCOUNT NUMBER:2401631001                                             PAID CLAIMS MONTH:  January 2023      
BILL ACCOUNT NAME:  Utz Quality Foods                                      CLAIMS PAID THRU:   01/13/2023        
CLIENT NUMBER:      240163                                                 BILL CYCLE:         2 of 4            
CLIENT NAME:        Utz Quality Foods                                      PREPARED DATE:      01/17/2023        

               Group                             Paid Claims              Healthcare             Capitation          Value Based                Paid Claims
                                                                          Adjustments                                Reimbursement                /Expenses
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
HDHP PPO
  025620-00
    ACCTS                                          $1,851.95                    $0.00                 $0.00                  $0.00                $1,851.95
      ADM                                            $984.67                    $0.00                 $0.00                  $0.00                  $984.67
     ALTO                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00
    CKPT2                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00
    FESPLT                                            $11.75                    $0.00                 $0.00                  $0.00                   $11.75
    GFPLT                                              $6.18                    $0.00                 $0.00                  $0.00                    $6.18
     HART                                              $6.18                    $0.00                 $0.00                  $0.00                    $6.18
    HCOMP                                          $3,051.17                    $0.00                 $0.00                  $0.00                $3,051.17
    HCSLS                                             $17.75                    $0.00                 $0.00                  $0.00                   $17.75
    INVAZ                                             $30.28                    $0.00                 $0.00                  $0.00                   $30.28
    INVIN                                         $31,996.68                    $0.00                 $0.00                  $0.00               $31,996.68
    KMPLT                                              $6.18                    $0.00                 $0.00                  $0.00                    $6.18
     MKTG                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00
     NASH                                          $2,614.01                    $0.00                 $0.00                  $0.00                $2,614.01
     PLT2                                            $161.02                    $0.00                 $0.00                  $0.00                  $161.02
     PLT3                                         $25,209.11                    $0.00                 $0.00                  $0.00               $25,209.11
     PLT4                                          $2,870.15                    $0.00                 $0.00                  $0.00                $2,870.15
     PLT5                                            $572.29                    $0.00                 $0.00                  $0.00                  $572.29
     PLT6                                            $881.55                    $0.00                 $0.00                  $0.00                  $881.55
     PLT7                                            $178.53                    $0.00                 $0.00                  $0.00                  $178.53
     PLT9                                            $129.72                    $0.00                 $0.00                  $0.00                  $129.72
    PLTAD                                          $7,453.25                    $0.00                 $0.00                  $0.00                $7,453.25
    RETAI                                            $241.46                    $0.00                 $0.00                  $0.00                  $241.46
    RWPLT                                          $7,855.66                    $0.00                 $0.00                  $0.00                $7,855.66
    SALES                                              $7.17                    $0.00                 $0.00                  $0.00                    $7.17

                                                                                                                                                PAGE:2 of 5
                                                                                                                                                            
               Group                             Paid Claims              Healthcare             Capitation          Value Based                Paid Claims
                                                                          Adjustments                                Reimbursement                /Expenses
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    SBPLT                                            $118.11                    $0.00                 $0.00                  $0.00                  $118.11
    SBSLS                                            $890.23                    $0.00                 $0.00                  $0.00                  $890.23
    SBUNB                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00
    SLSUP                                            $135.59                    $0.00                 $0.00                  $0.00                  $135.59
    TMPLT                                          $1,289.50                    $0.00                 $0.00                  $0.00                $1,289.50
    WILSO                                            $220.73                    $0.00                 $0.00                  $0.00                  $220.73
     ZALA                                             $24.36                    $0.00                 $0.00                  $0.00                   $24.36
  025620-00 Total                                 $88,815.23                    $0.00                 $0.00                  $0.00               $88,815.23
  025620-70
    COBRA                                              $6.18                    $0.00                 $0.00                  $0.00                    $6.18
  025620-70 Total                                      $6.18                    $0.00                 $0.00                  $0.00                    $6.18
HDHP PPO Total                                    $88,821.41                    $0.00                 $0.00                  $0.00               $88,821.41
                                                                                                                                                            
PPO
  025620-01
    ACCTS                                          $1,379.12                    $0.00                 $0.00                  $0.00                $1,379.12
      ADM                                          $9,880.84                    $0.00                 $0.00                  $0.00                $9,880.84
    CHAMB                                            $216.26                    $0.00                 $0.00                  $0.00                  $216.26
     CHES                                            $104.00                    $0.00                 $0.00                  $0.00                  $104.00
    CKPT2                                          $1,840.94                    $0.00                 $0.00                  $0.00                $1,840.94
    CLARK                                          $1,705.02                    $0.00                 $0.00                  $0.00                $1,705.02
    CLEVE                                            $678.27                    $0.00                 $0.00                  $0.00                  $678.27
     DENV                                            $317.08                    $0.00                 $0.00                  $0.00                  $317.08
    FESPLT                                           $782.42                    $0.00                 $0.00                  $0.00                  $782.42
    FLEET                                            $961.69                    $0.00                 $0.00                  $0.00                  $961.69
    FORPK                                            $312.63                    $0.00                 $0.00                  $0.00                  $312.63
     FRAZ                                             $55.99                    $0.00                 $0.00                  $0.00                   $55.99
    GFADM                                            $102.58                    $0.00                 $0.00                  $0.00                  $102.58
    GFPLT                                          $2,844.06                    $0.00                 $0.00                  $0.00                $2,844.06
     HAN4                                             $22.85                    $0.00                 $0.00                  $0.00                   $22.85
    HCOMP                                              $0.00                    $0.00                 $0.00                  $0.00                    $0.00
    INRDC                                             $12.36                    $0.00                 $0.00                  $0.00                   $12.36

                                                                                                                                                PAGE:3 of 5
                                                                                                                                                            
               Group                             Paid Claims              Healthcare             Capitation          Value Based                Paid Claims
                                                                          Adjustments                                Reimbursement                /Expenses
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    INVAZ                                          $2,576.89                    $0.00                 $0.00                  $0.00                $2,576.89
    INVIN                                            $676.87                    $0.00                 $0.00                  $0.00                  $676.87
    KCSLS                                          $5,897.65                    $0.00                 $0.00                  $0.00                $5,897.65
    KMPLT                                             $85.04                    $0.00                 $0.00                  $0.00                   $85.04
     LAUR                                         $26,024.48                    $0.00                 $0.00                  $0.00               $26,024.48
     MKTG                                         $76,273.45                    $0.00                 $0.00                  $0.00               $76,273.45
     MOBL                                            $181.81                    $0.00                 $0.00                  $0.00                  $181.81
      NEW                                             $21.75                    $0.00                 $0.00                  $0.00                   $21.75
    OHRDC                                              $6.18                    $0.00                 $0.00                  $0.00                    $6.18
     PLT1                                             $13.00                    $0.00                 $0.00                  $0.00                   $13.00
    PLT18                                          $1,607.40                    $0.00                 $0.00                  $0.00                $1,607.40
     PLT2                                          $7,878.81                    $0.00                 $0.00                  $0.00                $7,878.81
     PLT3                                         $13,638.47                    $0.00                 $0.00                  $0.00               $13,638.47
     PLT4                                          $6,015.91                    $0.00                 $0.00                  $0.00                $6,015.91
     PLT5                                            $660.49                    $0.00                 $0.00                  $0.00                  $660.49
     PLT7                                          $1,197.26                    $0.00                 $0.00                  $0.00                $1,197.26
    PLTAD                                         $16,268.63                    $0.00                 $0.00                  $0.00               $16,268.63
    PTOHD                                          $5,897.27                    $0.00                 $0.00                  $0.00                $5,897.27
     RALE                                             $54.96                    $0.00                 $0.00                  $0.00                   $54.96
    RG039                                             $73.55                    $0.00                 $0.00                  $0.00                   $73.55
    RWADM                                            $135.10                    $0.00                 $0.00                  $0.00                  $135.10
    RWPLT                                            $540.99                    $0.00                 $0.00                  $0.00                  $540.99
    SALES                                          $1,884.88                    $0.00                 $0.00                  $0.00                $1,884.88
    SBPLT                                             $75.24                    $0.00                 $0.00                  $0.00                   $75.24
    SBSLS                                          $1,164.63                    $0.00                 $0.00                  $0.00                $1,164.63
    SBUNB                                            $976.94                    $0.00                 $0.00                  $0.00                  $976.94
    SBUNM                                            $155.18                    $0.00                 $0.00                  $0.00                  $155.18
    SLSUP                                            $532.87                    $0.00                 $0.00                  $0.00                  $532.87
     STVL                                            $370.46                    $0.00                 $0.00                  $0.00                  $370.46
    TMPLT                                          $2,080.31                    $0.00                 $0.00                  $0.00                $2,080.31
     W040                                              $6.18                    $0.00                 $0.00                  $0.00                    $6.18
      W36                                              $6.07                    $0.00                 $0.00                  $0.00                    $6.07

                                                                                                                                                PAGE:4 of 5
                                                                                                                                                            
               Group                             Paid Claims              Healthcare             Capitation          Value Based                Paid Claims
                                                                          Adjustments                                Reimbursement                /Expenses
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
  025620-01 Total                                $194,194.83                    $0.00                 $0.00                  $0.00              $194,194.83
  025620-02
    ACCTS                                          $1,397.78                    $0.00                 $0.00                  $0.00                $1,397.78
      ADM                                            $952.04                    $0.00                 $0.00                  $0.00                  $952.04
    CKPT2                                            $377.07                    $0.00                 $0.00                  $0.00                  $377.07
     DENV                                             $76.38                    $0.00                 $0.00                  $0.00                   $76.38
    FLEET                                             $35.70                    $0.00                 $0.00                  $0.00                   $35.70
     FRAZ                                            $127.26                    $0.00                 $0.00                  $0.00                  $127.26
    GFPLT                                            $184.86                    $0.00                 $0.00                  $0.00                  $184.86
     HAN4                                          $2,048.73                    $0.00                 $0.00                  $0.00                $2,048.73
     HART                                             $48.40                    $0.00                 $0.00                  $0.00                   $48.40
    HCOMP                                          $1,391.12                    $0.00                 $0.00                  $0.00                $1,391.12
    HCSLS                                             $41.26                    $0.00                 $0.00                  $0.00                   $41.26
    INVIN                                            $105.78                    $0.00                 $0.00                  $0.00                  $105.78
     LANC                                             $50.00                    $0.00                 $0.00                  $0.00                   $50.00
    LROCK                                            $100.41                    $0.00                 $0.00                  $0.00                  $100.41
    MANAS                                          $1,168.33                    $0.00                 $0.00                  $0.00                $1,168.33
     MEMP                                            $125.13                    $0.00                 $0.00                  $0.00                  $125.13
     MKTG                                              $4.00                    $0.00                 $0.00                  $0.00                    $4.00
     NASH                                             $46.93                    $0.00                 $0.00                  $0.00                   $46.93
     PARK                                            $231.32                    $0.00                 $0.00                  $0.00                  $231.32
     PLT1                                            $340.50                    $0.00                 $0.00                  $0.00                  $340.50
    PLT18                                            $125.16                    $0.00                 $0.00                  $0.00                  $125.16
     PLT2                                          $6,746.51                    $0.00                 $0.00                  $0.00                $6,746.51
     PLT3                                         $21,612.80                    $0.00                 $0.00                  $0.00               $21,612.80
     PLT4                                          $7,224.75                    $0.00                 $0.00                  $0.00                $7,224.75
     PLT5                                          $2,051.75                    $0.00                 $0.00                  $0.00                $2,051.75
     PLT6                                             $82.62                    $0.00                 $0.00                  $0.00                   $82.62
     PLT7                                          $1,271.97                    $0.00                 $0.00                  $0.00                $1,271.97
     PLT9                                            $286.68                    $0.00                 $0.00                  $0.00                  $286.68
    PLTAD                                            $730.95                    $0.00                 $0.00                  $0.00                  $730.95
     PROV                                          $1,493.69                    $0.00                 $0.00                  $0.00                $1,493.69

                                                                                                                                                PAGE:5 of 5
                                                                                                                                                            
               Group                             Paid Claims              Healthcare             Capitation          Value Based                Paid Claims
                                                                          Adjustments                                Reimbursement                /Expenses
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
     RALE                                          $3,839.53                    $0.00                 $0.00                  $0.00                $3,839.53
    RETAI                                            $168.50                    $0.00                 $0.00                  $0.00                  $168.50
     ROAN                                            $206.29                    $0.00                 $0.00                  $0.00                  $206.29
    RWPLT                                            $177.93                    $0.00                 $0.00                  $0.00                  $177.93
    SALES                                             $85.19                    $0.00                 $0.00                  $0.00                   $85.19
    SBPLT                                          $1,799.25                    $0.00                 $0.00                  $0.00                $1,799.25
    SBSLS                                             $12.36                    $0.00                 $0.00                  $0.00                   $12.36
    SBUNB                                            $257.89                    $0.00                 $0.00                  $0.00                  $257.89
    SBUNM                                            $210.34                    $0.00                 $0.00                  $0.00                  $210.34
    SLSUP                                            $690.46                    $0.00                 $0.00                  $0.00                  $690.46
    TMPLT                                            $309.19                    $0.00                 $0.00                  $0.00                  $309.19
     W040                                            $144.84                    $0.00                 $0.00                  $0.00                  $144.84
     WALD                                          $1,496.20                    $0.00                 $0.00                  $0.00                $1,496.20
    WILSO                                            $258.84                    $0.00                 $0.00                  $0.00                  $258.84
     ZALA                                             $37.05                    $0.00                 $0.00                  $0.00                   $37.05
  025620-02 Total                                 $60,173.74                    $0.00                 $0.00                  $0.00               $60,173.74
  025620-71
      ADM                                            $789.99                    $0.00                 $0.00                  $0.00                  $789.99
    COBRA                                            $155.84                    $0.00                 $0.00                  $0.00                  $155.84
    HCSLS                                            $126.26                    $0.00                 $0.00                  $0.00                  $126.26
  025620-71 Total                                  $1,072.09                    $0.00                 $0.00                  $0.00                $1,072.09
  025620-72
    COBRA                                            $127.52                    $0.00                 $0.00                  $0.00                  $127.52
  025620-72 Total                                    $127.52                    $0.00                 $0.00                  $0.00                  $127.52
PPO Total                                        $255,568.18                    $0.00                 $0.00                  $0.00              $255,568.18
Paid Claims/Expenses Summary Total                                                                                                              $344,389.59