ADMINISTRATIVE EXPENSE CALCULATION SUMMARY                                      

INVOICE NUMBER:     250729587807                                           PAGE:               1 of 1            
BILL ACCOUNT NUMBER:CN02401002                                             PAID CLAIMS MONTH:  July 2025         
BILL ACCOUNT NAME:  Admiral Peary                                          CLAIMS PAID THRU:   07/25/2025        
CLIENT NUMBER:      0240                                                   BILL CYCLE:         4 of 4            
CLIENT NAME:        Admiral Peary                                          PREPARED DATE:      07/29/2025        

                                    Administrative Expense Type                                       Administrative Expense                           
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
                       Enrollment                                                                                  $6,723.00                           
                                                                                                                                                            
Administrative Expense Calculation Summary Total                                                                   $6,723.00