1 $DJDE JDL=GLLI06,END;

4 PROGRAMA: LISB1036 PAGINA : 1 FECHA : 2020/01/28 HILDEGARDA VELEZ RUPERTO SEGURO SOCIAL : XXX-XX-6745 GERENTE : ORTIZ CINTRON F AMILY INSURANC PO BOX 6061 FECHA DE LICENCIA : 08/31/2020 AGENTE : CANCER AGENT / ACTIVO FECHA DE CONTRATO : 04/10/2008 MAYAGUEZ PR 00681-0000 FECHA ULT PRODUCCION: 01/16/2020 AGENCIA : 6837 STAFF: 3 NRO. AGENTE: 61094 NOMBRE F P SUBSEQ POLIZA DEL FECHA FECHA R PRIMA PAGO PAGO A PCT PCT ADELANTOS ADELANTOS CADUCIDAD + COMM RENOVA- AGENTE NRO. ASEGURADO EFECTIV. CUBIERTA RAZON Q FACTURADA TARGET EXCESO G COM SPLIT DESCRIPCION 1ER A#O ACREDITADOS + REINSTAL. 1ER A#O CIONES ------ ----------- --------------- -------- -------- ----- - ---------- -------- -------- -- ------ ------ --------------- ---------- ----------- ----------- ---------- ---------- 61094 08351211U IVELISSE DIAZ L 10/15/19 02/15/20 M 49.10 0.00 0.00 01 17.30% ADE ACRED COM 0.00 -9.60 0.00 0.00 0.00 61094 193808989 RAYMOND BONILLA 07/20/19 02/20/20 M 28.60 0.00 0.00 01 45.00% ADE ACRED COM 0.00 -12.87 0.00 0.00 0.00 62767 193809529 EVETTE ACEVEDO 07/15/19 02/15/20 M 15.30 0.00 0.00 01 45.00% 40.00% ADE ACRED COM 0.00 -2.75 0.00 0.00 0.00 62767 193809530 MARISOL GONZALE 07/15/19 02/15/20 M 18.30 0.00 0.00 01 45.00% 40.00% ADE ACRED COM 0.00 -3.29 0.00 0.00 0.00 62767 193809532 MARTHA MARIN AC 07/15/19 02/15/20 M 16.80 0.00 0.00 01 45.00% 40.00% ADE ACRED COM 0.00 -3.02 0.00 0.00 0.00 62767 193809533 JOSE PAGAN GONZ 07/15/19 02/15/20 M 24.20 0.00 0.00 01 45.00% 40.00% ADE ACRED COM 0.00 -4.35 0.00 0.00 0.00 62767 193809534 MARITZA CHAPARR 07/28/19 02/28/20 M 18.30 0.00 0.00 01 45.00% 40.00% ADE ACRED COM 0.00 -3.29 0.00 0.00 0.00 62767 193810849 MARIA DE LOS SE 09/05/19 02/05/20 M 43.50 0.00 0.00 01 45.00% 40.00% ADE ACRED COM 0.00 -7.83 0.00 0.00 0.00 61094 193810967 HECTOR MELENDEZ 08/20/19 02/20/20 M 60.00 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -13.50 0.00 0.00 0.00 61094 193810969 ROSALY SANTOS O 08/28/19 02/28/20 M 20.00 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -4.50 0.00 0.00 0.00 61094 193811438 IRENE RODRIGUEZ 09/01/19 02/01/20 M 47.30 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -10.64 0.00 0.00 0.00 61094 193813051 ORLANDO RIVERA 10/15/19 02/15/20 M 36.00 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -8.10 0.00 0.00 0.00 61094 193813191 LUZ CORTES ROSA 10/16/19 02/16/20 M 38.60 0.00 0.00 01 45.00% ADE ACRED COM 0.00 -17.37 0.00 0.00 0.00 61094 193813204 NAYELY MARTINEZ 10/15/19 02/15/20 M 20.20 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -4.54 0.00 0.00 0.00 61094 193813208 VON VALENTIN RI 10/28/19 02/28/20 M 22.80 0.00 0.00 02 45.00% 50.00% ADE ACRED COM 0.00 -10.26 0.00 0.00 0.00 61094 193813772 BETZAIDA BONILL 10/15/19 02/15/20 M 15.00 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -3.37 0.00 0.00 0.00 61094 193813905 MARIO MARTY DIA 11/15/19 02/15/20 M 39.10 0.00 0.00 01 45.00% ADE ACRED COM 0.00 -17.59 0.00 0.00 0.00 61370 193814040 JAMIL MARRERO P 11/05/19 02/05/20 M 60.50 0.00 0.00 01 45.00% 40.00% ADE ACRED COM 0.00 -10.89 0.00 0.00 0.00 61370 193814729 ANGELA SALAS LO 11/25/19 02/25/20 M 25.80 0.00 0.00 01 45.00% 20.00% ADE ACRED COM 0.00 -2.32 0.00 0.00 0.00 61094 193814931 MELANIE MOLINA 12/05/19 02/05/20 M 39.50 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -8.88 0.00 0.00 0.00 61094 193815889 ROSANGELA LOPEZ 12/15/19 02/15/20 M 11.80 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -2.65 0.00 0.00 0.00 61094 193816161 LICESITA RAMOS 01/15/20 02/15/20 M 13.20 0.00 0.00 01 45.00% ADE ACRED COM 0.00 -5.94 0.00 0.00 0.00 62812 193816168 MARITSA PEREZ M 01/15/20 02/15/20 M 22.30 0.00 0.00 01 45.00% 33.00% ADE ACRED COM 0.00 -3.31 0.00 0.00 0.00 61094 193816679 ALFRED COSTA RO 01/15/20 02/15/20 M 37.50 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -8.43 0.00 0.00 0.00 61094 193813051 ORLANDO RIVERA 10/15/19 02/15/20 M 36.00 0.00 0.00 01 5.00% 50.00% ADE ACRED OVR 0.00 -0.90 0.00 0.00 0.00 61094 193813208 VON VALENTIN RI 10/28/19 02/28/20 M 22.80 0.00 0.00 02 5.00% 50.00% ADE ACRED OVR 0.00 -1.14 0.00 0.00 0.00 61118 193815700 MARIA DEL RIVER 12/25/19 01/25/20 M 87.45 0.00 0.00 01 5.00% ADE ACRED OVR 0.00 -4.37 0.00 0.00 0.00 62812 193816168 MARITSA PEREZ M 01/15/20 02/15/20 M 22.30 0.00 0.00 01 5.00% 33.00% ADE ACRED OVR 0.00 -0.36 0.00 0.00 0.00 62812 193816170 SAMUEL VALLE AG 01/01/20 02/01/20 M 22.30 0.00 0.00 01 5.00% 33.00% ADE ACRED OVR 0.00 -0.36 0.00 0.00 0.00 61094 193816679 ALFRED COSTA RO 01/15/20 02/15/20 M 37.50 0.00 0.00 01 5.00% 50.00% ADE ACRED OVR 0.00 -0.93 0.00 0.00 0.00 61094 193813208 VON VALENTIN RI 10/28/19 01/28/20 R01 M 22.80 0.00 0.00 01 45.00% 50.00% REV ACRED COM 0.00 5.13 0.00 0.00 0.00 61896 193814900 AILLEN VELAZQUE 11/15/19 01/15/20 R01 M 48.30 0.00 0.00 01 45.00% 30.00% REV ACRED COM 0.00 6.52 0.00 0.00 0.00 61094 193813208 VON VALENTIN RI 10/28/19 01/28/20 R01 M 22.80 0.00 0.00 01 5.00% 50.00% REV ACRED OVR 0.00 0.57 0.00 0.00 0.00 62812 193816170 SAMUEL VALLE AG 01/01/20 02/01/20 R01 M 22.30 0.00 0.00 01 5.00% 33.00% REV ACRED OVR 0.00 0.36 0.00 0.00 0.00 62767 193809531 EVANGELINA LOPE 07/15/19 11/15/19 013 M 13.20 0.00 0.00 04 40.00% CADUCIDAD OVR 0.00 0.00 0.00 0.00 0.00 61896 193814900 AILLEN VELAZQUE 11/15/19 12/15/19 013 M 48.30 0.00 0.00 01 30.00% CADUCIDAD OVR 0.00 0.00 0.00 0.00 0.00 61094 08351235U GERARDO SANTIAG 02/01/11 02/01/20 M 31.60 0.00 0.00 01 5.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.58 61094 09340600U HILDEGARDA VELE 06/01/12 02/01/20 M 18.90 0.00 0.00 01 15.00% COM RENOVACION 0.00 0.00 0.00 0.00 2.03 61094 09342840U JUANITA PEREZ P 02/25/13 02/25/20 M 9.90 0.00 0.00 01 5.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.49 61094 113822513 IRIS BERMUDEZ T 09/02/11 02/02/20 M 41.95 0.00 0.00 01 5.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.04 61094 113822514 IRIS BERMUDEZ T 09/02/11 02/02/20 M 10.20 0.00 0.00 01 5.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.25 61094 123815161 EVELYN SUFFRONT 08/01/12 02/01/20 M 5.70 0.00 0.00 01 5.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.28 61094 123815162 EVELYN SUFFRONT 08/01/12 02/01/20 M 9.90 0.00 0.00 01 15.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.10 61094 123887518 MARIA PATRON CL 10/15/12 02/15/20 M 9.90 0.00 0.00 01 5.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.24 61094 133805228 MILKA ROMAN FER 03/13/13 02/13/20 M 22.10 0.00 0.00 01 5.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.55 61094 133805229 JENNIFER NIEVES 03/13/13 02/13/20 M 23.40 0.00 0.00 01 5.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.58 61370 133805726 GIL VELEZ TORO 03/28/13 02/28/20 M 31.40 0.00 0.00 01 5.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.78

4 PROGRAMA: LISB1036 PAGINA : 2 FECHA : 2020/01/28 HILDEGARDA VELEZ RUPERTO SEGURO SOCIAL : XXX-XX-6745 GERENTE : ORTIZ CINTRON F AMILY INSURANC PO BOX 6061 FECHA DE LICENCIA : 08/31/2020 AGENTE : CANCER AGENT / ACTIVO FECHA DE CONTRATO : 04/10/2008 MAYAGUEZ PR 00681-0000 FECHA ULT PRODUCCION: 01/16/2020 AGENCIA : 6837 STAFF: 3 NRO. AGENTE: 61094 NOMBRE F P SUBSEQ POLIZA DEL FECHA FECHA R PRIMA PAGO PAGO A PCT PCT ADELANTOS ADELANTOS CADUCIDAD + COMM RENOVA- AGENTE NRO. ASEGURADO EFECTIV. CUBIERTA RAZON Q FACTURADA TARGET EXCESO G COM SPLIT DESCRIPCION 1ER A#O ACREDITADOS + REINSTAL. 1ER A#O CIONES ------ ----------- --------------- -------- -------- ----- - ---------- -------- -------- -- ------ ------ --------------- ---------- ----------- ----------- ---------- ---------- 61094 133809905 ESMERALDA ALAME 05/25/13 02/25/20 M 11.40 0.00 0.00 01 5.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.28 61734 153806578 ELIZABETH RUIZ 04/28/15 02/28/20 M 23.60 0.00 0.00 01 10.00% 25.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.59 61094 163801803 ALBA SEDA RAMIR 11/28/15 02/28/20 M 41.60 0.00 0.00 01 20.00% COM RENOVACION 0.00 0.00 0.00 0.00 4.79 61370 163805446 CARMEN RODRIGUE 03/28/16 02/28/20 M 16.90 0.00 0.00 01 20.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.68 61094 163807564 ANGELA MUNIZ CR 04/20/16 02/20/20 M 36.00 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.80 61094 163809728 RAFAELA MIRANDA 05/28/16 02/28/20 M 31.40 0.00 0.00 01 10.00% COM RENOVACION 0.00 0.00 0.00 0.00 3.14 61094 163809864 GILBERTO VELAZQ 06/14/16 02/14/20 M 22.20 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.11 61094 173801480 YANALIZ TORO RA 01/15/17 02/15/20 M 26.40 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.32 61094 173801524 YANINA RAMIREZ 01/15/17 02/15/20 M 9.70 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.48 61094 173807494 NILSA RAMIREZ V 06/01/17 02/01/20 M 19.70 0.00 0.00 01 10.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.97 61370 183805595 MARISOL PADIN M 04/28/18 02/28/20 M 31.30 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.56 61094 183807928 OMAYRA ORTIZ ME 06/14/18 02/14/20 M 35.60 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.78 61370 183809515 ADRIAN CARDOZA 07/15/18 02/15/20 M 49.20 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 2.46 61370 183809970 NYDIA BETANCOUR 07/28/18 02/28/20 M 18.20 0.00 0.00 01 10.00% 35.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.63 61094 183811510 ANNABELLE PEREZ 08/28/18 02/28/20 M 23.80 0.00 0.00 01 10.00% COM RENOVACION 0.00 0.00 0.00 0.00 2.38 61094 183813305 FREDDY GONZALEZ 09/28/18 02/28/20 M 56.82 0.00 0.00 01 10.00% COM RENOVACION 0.00 0.00 0.00 0.00 5.68 61370 183813995 IRIS HERNANDEZ 10/28/18 02/28/20 M 40.10 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 2.00 61094 183815502 JULIO VELEZ SAN 11/15/18 02/15/20 M 56.20 0.00 0.00 01 10.00% COM RENOVACION 0.00 0.00 0.00 0.00 5.62 61094 123815162 EVELYN SUFFRONT 06/01/19 02/01/20 M 6.00 0.00 0.00 01 45.00% PAGO SUBSEQ COM 0.00 -2.16 0.00 0.54 0.00 61094 193802752 MAGDA QUINONES 02/28/19 02/28/20 M 21.00 0.00 0.00 01 45.00% PAGO SUBSEQ COM 0.00 0.00 0.00 9.45 0.00 61094 193804737 EDMME RIVERA RO 05/01/19 05/01/20 SUS M 14.20 0.00 0.00 03 45.00% 70.00% PAGO SUBSEQ COM 0.00 0.00 0.00 18.60 0.00 ----------- ---------- ---------- ---------- ---------- ---------- SUBTOTAL PARA ( CANCER ) ........: 1,936.02 0.00 -176.93 0.00 28.59 48.19 61370 190100360 IDALIA SANTIAGO 06/15/19 02/15/20 M 28.32 0.00 0.00 01 64.00% 50.00% ADE ACRED COM 0.00 -9.06 0.00 0.00 0.00 61094 170100186 FERNANDO MONTES 04/01/17 03/01/20 M 41.76 0.00 0.00 01 3.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.62 ----------- ---------- ---------- ---------- ---------- ---------- SUBTOTAL PARA ( ORDINARY LIFE ) ........: 70.08 0.00 -9.06 0.00 0.00 0.62 61094 195702738 SAMADELIZ MOLIN 07/24/19 02/24/20 M 16.25 20.00 0.00 02 50.00% ADE ACRED COM 0.00 -10.00 0.00 0.00 0.00 61094 195702739 CHRISLEMUEL MOL 07/24/19 02/24/20 M 17.25 20.00 0.00 02 50.00% ADE ACRED COM 0.00 -10.00 0.00 0.00 0.00 61094 195702846 ERIKA TORO ACOS 09/20/19 01/20/20 M 17.75 30.00 0.00 01 50.00% 50.00% ADE ACRED COM 0.00 -7.50 0.00 0.00 0.00 61094 195702846 ERIKA TORO ACOS 09/20/19 02/20/20 M 17.75 30.00 0.00 02 50.00% 50.00% ADE ACRED COM 0.00 -7.50 0.00 0.00 0.00 61094 195703230 ABDIEL ACEVEDO 10/17/19 02/17/20 M 133.50 200.00 0.00 02 50.00% 50.00% ADE ACRED COM 0.00 -50.00 0.00 0.00 0.00 61094 195703231 PEDRO COLON VAZ 10/16/19 02/16/20 M 38.50 100.00 0.00 02 50.00% 50.00% ADE ACRED COM 0.00 -25.00 0.00 0.00 0.00 61118 195703248 JEANETTE DEL RI 10/25/19 02/25/20 M 37.50 100.00 0.00 02 50.00% 50.00% ADE ACRED COM 0.00 -25.00 0.00 0.00 0.00 61094 195703282 NAYDA BAYRON HU 01/15/20 02/15/20 M 76.00 80.00 0.00 02 50.00% 75.00% ADE ACRED COM 0.00 -30.00 0.00 0.00 0.00 61094 195703283 AILEEN BUZZETTA 10/28/19 02/28/20 M 21.00 30.00 0.00 02 50.00% 75.00% ADE ACRED COM 0.00 -11.25 0.00 0.00 0.00 61094 195703869 ARELIS MENDEZ B 01/05/20 02/05/20 M 34.50 75.00 0.00 02 50.00% ADE ACRED COM 0.00 -37.50 0.00 0.00 0.00 61118 195704648 LAURA MENDEZ SO 12/18/19 02/18/20 M 18.50 50.00 0.00 02 50.00% 33.00% ADE ACRED COM 0.00 -8.25 0.00 0.00 0.00 61094 195703282 NAYDA BAYRON HU 01/15/20 02/15/20 R07 M 76.00 80.00 0.00 01 50.00% 75.00% REV ACRED COM 0.00 30.00 0.00 0.00 0.00 61094 195703869 ARELIS MENDEZ B 01/05/20 02/05/20 R01 M 34.50 75.00 0.00 01 50.00% REV ACRED COM 0.00 37.50 0.00 0.00 0.00 61094 175702767 DALILA GARCIA M 01/25/18 02/25/20 M 125.00 300.00 100.00 02 6.00% COM RENOVACION 0.00 0.00 0.00 0.00 4.50 61882 185701324 ALEX MIRANDA RO 05/26/18 02/26/20 M 24.00 25.00 0.00 02 6.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.75 ----------- ---------- ---------- ---------- ---------- ---------- SUBTOTAL PARA ( UNIVERSAL LIFE ) ........: 688.00 0.00 -154.50 0.00 0.00 5.25

4 PROGRAMA: LISB1036 PAGINA : 3 FECHA : 2020/01/28 HILDEGARDA VELEZ RUPERTO SEGURO SOCIAL : XXX-XX-6745 GERENTE : ORTIZ CINTRON F AMILY INSURANC PO BOX 6061 FECHA DE LICENCIA : 08/31/2020 AGENTE : CANCER AGENT / ACTIVO FECHA DE CONTRATO : 04/10/2008 MAYAGUEZ PR 00681-0000 FECHA ULT PRODUCCION: 01/16/2020 AGENCIA : 6837 STAFF: 3 NRO. AGENTE: 61094 NOMBRE F P SUBSEQ POLIZA DEL FECHA FECHA R PRIMA PAGO PAGO A PCT PCT ADELANTOS ADELANTOS CADUCIDAD + COMM RENOVA- AGENTE NRO. ASEGURADO EFECTIV. CUBIERTA RAZON Q FACTURADA TARGET EXCESO G COM SPLIT DESCRIPCION 1ER A#O ACREDITADOS + REINSTAL. 1ER A#O CIONES ------ ----------- --------------- -------- -------- ----- - ---------- -------- -------- -- ------ ------ --------------- ---------- ----------- ----------- ---------- ---------- 61094 16080338 RAFAELA MIRANDA 08/28/16 02/28/20 M 14.50 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.72 61094 19080042 VILMARIE CASTRO 05/09/19 02/09/20 M 21.25 0.00 0.00 01 45.00% 50.00% PAGO SUBSEQ COM 0.00 0.00 0.00 4.78 0.00 ----------- ---------- ---------- ---------- ---------- ---------- SUBTOTAL PARA ( HEART ) ........: 35.75 0.00 0.00 0.00 4.78 0.72 61094 193815890 OSCAR MEDINA MO 12/25/19 01/25/20 M 28.70 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -6.45 0.00 0.00 0.00 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- 0.00 -6.45 0.00 0.00 0.00 62767 193812003 SILVIA NIEVES V 09/23/19 01/23/20 M 37.10 0.00 0.00 01 45.00% 40.00% ADE ACRED COM 0.00 -6.67 0.00 0.00 0.00 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- 0.00 -6.67 0.00 0.00 0.00 61094 193807856 PAMELA TORO PIN 07/28/19 01/28/20 M 20.70 0.00 0.00 01 25.00% 33.00% ADE ACRED COM 0.00 -1.72 0.00 0.00 0.00 1845 193807869 ISMAEL PEREZ RO 07/21/19 01/21/20 M 40.20 0.00 0.00 01 45.00% 35.00% ADE ACRED COM 0.00 -6.33 0.00 0.00 0.00 1845 193807871 ISMAEL PEREZ RO 06/21/19 01/21/20 M 15.00 0.00 0.00 01 45.00% 35.00% ADE ACRED COM 0.00 -2.36 0.00 0.00 0.00 61094 193811435 PAMELA TORO PIN 08/28/19 01/28/20 M 15.00 0.00 0.00 01 45.00% ADE ACRED COM 0.00 -6.75 0.00 0.00 0.00 62767 193811985 JONATHAN ROUBER 09/13/19 01/13/20 M 39.10 0.00 0.00 01 45.00% 40.00% ADE ACRED COM 0.00 -7.03 0.00 0.00 0.00 62767 193811985 JONATHAN ROUBER 09/13/19 02/13/20 M 39.10 0.00 0.00 01 45.00% 40.00% ADE ACRED COM 0.00 -7.03 0.00 0.00 0.00 61370 193806031 ALEX MENDEZ MER 05/10/19 02/10/20 M 26.80 0.00 0.00 01 45.00% 50.00% PAGO SUBSEQ COM 0.00 0.00 0.00 6.03 0.00 1845 193807871 ISMAEL PEREZ RO 06/21/19 02/21/20 M 15.00 0.00 0.00 01 45.00% 35.00% PAGO SUBSEQ COM 0.00 -1.89 0.00 0.47 0.00 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- 0.00 -33.11 0.00 6.50 0.00 61094 173807495 GLADYS ARROYO R 06/01/19 01/01/20 M 15.00 0.00 0.00 01 45.00% ADE ACRED COM 0.00 -6.75 0.00 0.00 0.00 61094 193807219 MAYDA GASTON OR 07/26/19 01/26/20 M 15.00 0.00 0.00 01 45.00% ADE ACRED COM 0.00 -6.75 0.00 0.00 0.00 61094 193807221 LUIS SOTO CANCE 07/26/19 01/26/20 M 15.00 0.00 0.00 01 45.00% ADE ACRED COM 0.00 -6.75 0.00 0.00 0.00 61094 193807222 JULIO LOPEZ SAN 07/26/19 01/26/20 M 15.00 0.00 0.00 01 45.00% ADE ACRED COM 0.00 -6.75 0.00 0.00 0.00 61094 193807720 ISABEL APONTE V 07/26/19 01/26/20 M 11.80 0.00 0.00 01 45.00% ADE ACRED COM 0.00 -5.31 0.00 0.00 0.00 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- < G / MUNICIPIO DE MAYAGUEZ / > 0.00 -32.31 0.00 0.00 0.00 5 09341756U JOSE RAMOS GONZ 11/01/12 03/01/20 M 40.10 0.00 0.00 01 12.00% 99.00% COM RENOVACION 0.00 0.00 0.00 0.00 2.44 5 09341756U JOSE RAMOS GONZ 06/01/18 03/01/20 M 6.70 0.00 0.00 01 3.00% 99.00% OVR RENOVACION 0.00 0.00 0.00 0.00 0.19 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- < G / MUNICIPIO DE HORMIGUEROS / > 0.00 0.00 0.00 0.00 2.63 61094 153814770 ZENAIDA PLAZA P 01/01/16 02/01/20 M 25.40 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.27 61094 153814771 JUDY RIVERA MER 01/01/16 01/01/20 M 87.40 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 4.37 61094 163800507 LINDA GONZALEZ 01/01/16 02/01/20 M 26.20 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.31 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- < G / ADM DE CORRECCION / > 0.00 0.00 0.00 0.00 6.95 61094 193804391 EVELYN SANTIAGO 06/19/19 01/19/20 M 20.00 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -4.50 0.00 0.00 0.00 61094 193804392 EDNA NEGRON MAR 06/19/19 01/19/20 M 15.30 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -3.44 0.00 0.00 0.00 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- < G / TRIBUNAL DE JUSTICIA / > 0.00 -7.94 0.00 0.00 0.00

4 PROGRAMA: LISB1036 PAGINA : 4 FECHA : 2020/01/28 HILDEGARDA VELEZ RUPERTO SEGURO SOCIAL : XXX-XX-6745 GERENTE : ORTIZ CINTRON F AMILY INSURANC PO BOX 6061 FECHA DE LICENCIA : 08/31/2020 AGENTE : CANCER AGENT / ACTIVO FECHA DE CONTRATO : 04/10/2008 MAYAGUEZ PR 00681-0000 FECHA ULT PRODUCCION: 01/16/2020 AGENCIA : 6837 STAFF: 3 NRO. AGENTE: 61094 NOMBRE F P SUBSEQ POLIZA DEL FECHA FECHA R PRIMA PAGO PAGO A PCT PCT ADELANTOS ADELANTOS CADUCIDAD + COMM RENOVA- AGENTE NRO. ASEGURADO EFECTIV. CUBIERTA RAZON Q FACTURADA TARGET EXCESO G COM SPLIT DESCRIPCION 1ER A#O ACREDITADOS + REINSTAL. 1ER A#O CIONES ------ ----------- --------------- -------- -------- ----- - ---------- -------- -------- -- ------ ------ --------------- ---------- ----------- ----------- ---------- ---------- 61094 193808754 MAYRA VELEZ HER 09/01/19 02/01/20 M 38.00 0.00 0.00 01 45.00% 40.00% ADE ACRED COM 0.00 -6.84 0.00 0.00 0.00 61094 193810011 SONIA RIVERA VA 09/23/19 02/23/20 M 18.20 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -4.09 0.00 0.00 0.00 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- < G / DEPT DE HACIENDA / > 0.00 -10.93 0.00 0.00 0.00 61370 193813050 DERECK HERNANDE 12/01/19 02/01/20 M 34.70 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -7.80 0.00 0.00 0.00 61370 193813052 MAYRA BARRIOS P 12/01/19 02/01/20 M 65.20 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -14.67 0.00 0.00 0.00 61094 203800001 ALEXANDRA SANTI 12/17/19 02/17/20 M 25.80 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -5.80 0.00 0.00 0.00 61094 203800002 SANDRA MALAVE S 12/17/19 02/17/20 M 15.00 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -3.37 0.00 0.00 0.00 61094 203800040 ABDIEL ACEVEDO 01/01/20 02/01/20 M 15.00 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -3.37 0.00 0.00 0.00 61094 163806864 MARIA ACEVEDO H 06/01/16 02/01/20 M 26.20 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.31 61094 163806867 VIRMARY MENDEZ 06/01/16 02/01/20 M 37.30 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.86 61370 173802654 GLORIA OTERO VA 05/01/17 02/01/20 M 25.60 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.28 61370 173803056 FERNANDO MONTES 03/14/17 02/14/20 M 15.00 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.75 61370 173803057 JORGE FELICIANO 05/01/17 02/01/20 M 15.00 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.75 61094 173805133 DAMALY IRIZARRY 06/01/17 03/01/20 M 18.30 0.00 0.00 03 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 2.74 61094 183800442 HILDA GUTIERREZ 03/01/18 02/01/20 M 15.00 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.75 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- < G / DEPT EDUCACION - MAESTROS / > 0.00 -35.01 0.00 0.00 9.44 61370 153807415 BRUNILDA ORTIZ 09/01/15 01/01/20 M 33.40 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.67 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- < G / DEPT DE JUSTICIA / > 0.00 0.00 0.00 0.00 1.67 62767 203800004 IRIS ROMERO VAR 01/01/20 02/01/20 M 15.40 0.00 0.00 01 45.00% 80.00% ADE ACRED COM 0.00 -5.54 0.00 0.00 0.00 62767 203800004 IRIS ROMERO VAR 11/27/19 01/27/20 RTS M 15.40 0.00 0.00 01 45.00% 80.00% REV ACRED COM 0.00 5.54 0.00 0.00 0.00 62767 203800004 IRIS ROMERO VAR 11/27/19 12/27/19 RTS M 15.40 0.00 0.00 01 45.00% 80.00% REV ACRED COM 0.00 5.54 0.00 0.00 0.00 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- < G / ADMINISTRACION SALUD MENTAL / > 0.00 5.54 0.00 0.00 0.00 61094 203800099 IRMARYS ROMAN N 12/13/19 02/13/20 M 43.70 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -9.83 0.00 0.00 0.00 61094 203800099 IRMARYS ROMAN N 12/13/19 02/13/20 M 43.70 0.00 0.00 01 5.00% 50.00% ADE ACRED OVR 0.00 -1.09 0.00 0.00 0.00 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- < G / DEPT TRABAJO Y REC HUMANOS / > 0.00 -10.92 0.00 0.00 0.00 61094 133812651 DAVID RODRIGUEZ 08/06/13 02/06/20 M 27.50 0.00 0.00 01 5.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.68 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- < G / UPR RECINTO MAYAGUEZ / > 0.00 0.00 0.00 0.00 0.68 61094 193802403 MARIA PAGAN BIC 04/01/19 12/01/19 013 M 43.70 0.00 0.00 02 45.00% 70.00% REINSTAL COM 0.00 -24.77 24.77 0.00 0.00 61638 183804091 GLORIA RUIZ MAT 05/01/18 01/01/20 M 31.10 0.00 0.00 01 10.00% 17.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.52 61586 183804104 WILLIAM WATTS P 05/01/18 02/01/20 M 31.10 0.00 0.00 01 10.00% 17.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.52 61586 183804116 JONUEL SALAS 05/01/18 02/01/20 M 38.90 0.00 0.00 01 10.00% 17.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.66 61094 08342327U DAISY ACEVEDO R 04/01/19 04/01/20 M 11.80 0.00 0.00 01 17.30% 70.00% PAGO SUBSEQ COM 0.00 0.00 0.00 1.42 0.00 61094 193802398 DAISY ACEVEDO R 04/01/19 12/01/19 M 15.00 0.00 0.00 01 45.00% 70.00% PAGO SUBSEQ COM 0.00 -3.78 0.00 0.94 0.00 61094 193802401 GEORGE BADILLO 04/01/19 02/01/20 M 43.70 0.00 0.00 02 45.00% 70.00% PAGO SUBSEQ COM 0.00 0.00 0.00 27.53 0.00 61094 193802403 MARIA PAGAN BIC 04/01/19 12/01/19 RWM M 43.70 0.00 0.00 02 45.00% 70.00% PAGO SUBSEQ COM 0.00 -24.77 0.00 2.75 0.00

4 PROGRAMA: LISB1036 PAGINA : 5 FECHA : 2020/01/28 HILDEGARDA VELEZ RUPERTO SEGURO SOCIAL : XXX-XX-6745 GERENTE : ORTIZ CINTRON F AMILY INSURANC PO BOX 6061 FECHA DE LICENCIA : 08/31/2020 AGENTE : CANCER AGENT / ACTIVO FECHA DE CONTRATO : 04/10/2008 MAYAGUEZ PR 00681-0000 FECHA ULT PRODUCCION: 01/16/2020 AGENCIA : 6837 STAFF: 3 NRO. AGENTE: 61094 NOMBRE F P SUBSEQ POLIZA DEL FECHA FECHA R PRIMA PAGO PAGO A PCT PCT ADELANTOS ADELANTOS CADUCIDAD + COMM RENOVA- AGENTE NRO. ASEGURADO EFECTIV. CUBIERTA RAZON Q FACTURADA TARGET EXCESO G COM SPLIT DESCRIPCION 1ER A#O ACREDITADOS + REINSTAL. 1ER A#O CIONES ------ ----------- --------------- -------- -------- ----- - ---------- -------- -------- -- ------ ------ --------------- ---------- ----------- ----------- ---------- ---------- 61094 193803086 IMALAYS FELICIA 04/01/19 01/01/20 M 59.20 0.00 0.00 01 45.00% 70.00% PAGO SUBSEQ COM 0.00 0.00 0.00 18.64 0.00 61094 193803087 MIGDALIA VARGAS 03/15/19 01/15/20 M 30.20 0.00 0.00 01 45.00% 70.00% PAGO SUBSEQ COM 0.00 0.00 0.00 9.51 0.00 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- 0.00 -53.32 24.77 60.79 1.70 1845 193807870 JEANETTE VENTUR 06/07/19 01/07/20 M 35.60 0.00 0.00 01 45.00% 35.00% ADE ACRED COM 0.00 -5.60 0.00 0.00 0.00 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- 0.00 -5.60 0.00 0.00 0.00 61094 123885769 YALEIDY CESARI 10/02/12 03/02/20 M 45.60 0.00 0.00 01 5.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.14 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- 0.00 0.00 0.00 0.00 1.14 61094 123889106 ANEUDY RAMIREZ 12/14/12 02/14/20 M 45.50 0.00 0.00 01 5.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.13 61370 153801706 WILFREDO VEGA G 12/26/14 01/26/20 M 46.80 0.00 0.00 01 5.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.17 61094 163800874 VIVIAN TARDI GA 12/11/15 02/11/20 M 50.40 0.00 0.00 01 10.00% 70.00% COM RENOVACION 0.00 0.00 0.00 0.00 3.52 61094 163802825 YAZMIN RIOS CAM 01/22/16 02/22/20 M 51.40 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 2.57 61370 163802905 WANDA RODRIGUEZ 01/29/16 02/29/20 M 60.20 0.00 0.00 02 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 6.02 61370 163802906 ANA SEGARRA ROD 01/29/16 02/29/20 M 26.10 0.00 0.00 02 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 2.61 61370 163804235 LUIS SANTOS MON 02/18/16 02/18/20 M 21.60 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.08 61370 163804236 WANDA SANTIAGO 02/18/16 02/18/20 M 28.50 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.42 61370 163804856 GINA ORTIZ BAEZ 03/11/16 03/11/20 M 38.90 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.94 61094 183802368 JULIO MERCADO D 03/02/18 03/02/20 M 38.90 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.94 61370 183802508 DAIBELISSE DIAZ 03/02/18 03/02/20 M 19.70 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.98 61370 183802510 SONIA ACEVEDO R 03/02/18 03/02/20 M 84.76 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 4.23 61094 183802511 CATHIAYDELIZ PI 03/02/18 03/02/20 M 35.60 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.78 61370 183802820 MILDRED RIVERA 03/02/18 02/02/20 M 65.76 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 3.28 61094 183803257 VIVIAN TARDI GA 03/16/18 02/16/20 M 15.00 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.75 61370 183804097 JAVIER VILLANUE 03/28/18 02/28/20 M 32.40 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.62 61370 183804341 JAVIER ALVARAN 04/13/18 02/13/20 M 35.60 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.78 61094 183812271 TERESA RUIZ RAM 09/28/18 02/28/20 M 18.20 0.00 0.00 01 4.00% 33.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.24 61370 183812274 IVONNE VEGA MAR 09/14/18 02/14/20 M 41.00 0.00 0.00 01 4.00% 33.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.54 61094 183813508 ENID PEREZ PERE 10/12/18 02/12/20 M 22.30 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.11 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- 0.00 0.00 0.00 0.00 39.71 61085 133806258U BRENDA RUIZ QUI 04/01/19 01/01/20 M 25.60 0.00 0.00 02 17.30% 70.00% PAGO SUBSEQ COM 0.00 -2.48 0.00 3.72 0.00 61085 133806258U BRENDA RUIZ QUI 04/01/19 02/01/20 M 25.60 0.00 0.00 01 17.30% 70.00% PAGO SUBSEQ COM 0.00 0.00 0.00 3.10 0.00 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- 0.00 -2.48 0.00 6.82 0.00 1845 193807865 PEDRO SANTIAGO 06/28/19 01/28/20 M 42.50 0.00 0.00 01 45.00% 35.00% ADE ACRED COM 0.00 -6.69 0.00 0.00 0.00 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- 0.00 -6.69 0.00 0.00 0.00 61094 163807940 VIDAL VELEZ RIV 05/28/16 02/28/20 M 18.30 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.91 61094 163808330 AXEL CRUZ GONZA 05/26/16 02/26/20 M 42.40 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 2.12

4 PROGRAMA: LISB1036 PAGINA : 6 FECHA : 2020/01/28 HILDEGARDA VELEZ RUPERTO SEGURO SOCIAL : XXX-XX-6745 GERENTE : ORTIZ CINTRON F AMILY INSURANC PO BOX 6061 FECHA DE LICENCIA : 08/31/2020 AGENTE : CANCER AGENT / ACTIVO FECHA DE CONTRATO : 04/10/2008 MAYAGUEZ PR 00681-0000 FECHA ULT PRODUCCION: 01/16/2020 AGENCIA : 6837 STAFF: 3 NRO. AGENTE: 61094 NOMBRE F P SUBSEQ POLIZA DEL FECHA FECHA R PRIMA PAGO PAGO A PCT PCT ADELANTOS ADELANTOS CADUCIDAD + COMM RENOVA- AGENTE NRO. ASEGURADO EFECTIV. CUBIERTA RAZON Q FACTURADA TARGET EXCESO G COM SPLIT DESCRIPCION 1ER A#O ACREDITADOS + REINSTAL. 1ER A#O CIONES ------ ----------- --------------- -------- -------- ----- - ---------- -------- -------- -- ------ ------ --------------- ---------- ----------- ----------- ---------- ---------- 61094 163808332 KEVIN BERRIOS 05/26/16 02/26/20 M 65.76 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 3.28 61094 163808345 ANDRES MARTELL 05/26/16 02/26/20 M 53.40 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 2.67 61094 163810288 JOSE REYES RIVE 06/22/16 02/22/20 M 18.00 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.90 61094 163807940 VIDAL VELEZ RIV 05/28/19 02/28/20 M 20.00 0.00 0.00 01 45.00% PAGO SUBSEQ COM 0.00 0.00 0.00 9.00 0.00 61094 163808330 AXEL CRUZ GONZA 05/26/19 02/26/20 M 16.80 0.00 0.00 01 45.00% PAGO SUBSEQ COM 0.00 0.00 0.00 7.56 0.00 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- 0.00 0.00 0.00 16.56 9.88 61093 163809501 JULIO RIVAS SAL 06/03/16 03/03/20 M 18.30 0.00 0.00 01 5.00% 25.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.22 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- 0.00 0.00 0.00 0.00 0.22 61370 163819133 LOURDES ORTIZ 11/24/16 02/24/20 M 40.92 0.00 0.00 01 5.00% 33.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.67 61094 163819551 IRAIDA POMALES 12/08/16 02/08/20 M 34.60 0.00 0.00 01 5.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.86 61370 163819836 JULIO GONZALEZ 12/22/16 02/22/20 M 60.20 0.00 0.00 01 5.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.50 61370 163820119 JULIO SAMOL MON 01/05/17 02/05/20 M 45.30 0.00 0.00 01 5.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.13 61094 163820158 WILLIAM SAMOL R 01/05/17 02/05/20 M 66.00 0.00 0.00 01 5.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 1.65 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- 0.00 0.00 0.00 0.00 5.81 61094 193806459 VILMARIE CASTRO 05/09/19 02/09/20 M 53.50 0.00 0.00 01 45.00% 50.00% PAGO SUBSEQ COM 0.00 0.00 0.00 12.03 0.00 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- 0.00 0.00 0.00 12.03 0.00 62817 183810555 EMELY BONILLA B 08/17/18 02/17/20 M 39.50 0.00 0.00 01 4.00% 25.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.39 61370 183813997 MARILU RODRIGUE 10/26/18 02/26/20 M 40.90 0.00 0.00 01 10.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 2.04 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- 0.00 0.00 0.00 0.00 2.43 61094 193810970 NOEMI ESCUDERO 08/22/19 01/22/20 M 43.10 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -9.69 0.00 0.00 0.00 61094 193810971 MARILYN FIGUERO 08/22/19 01/22/20 M 15.00 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -3.37 0.00 0.00 0.00 61094 193810972 WILFREDO MARTIN 08/22/19 01/22/20 M 51.40 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -11.56 0.00 0.00 0.00 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- 0.00 -24.62 0.00 0.00 0.00 61370 193814879 YAHAIRA ROSALES 11/28/19 01/28/20 M 57.50 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -12.93 0.00 0.00 0.00 61094 193814881 TAMARA RODRIGUE 11/28/19 12/28/19 M 31.60 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -7.11 0.00 0.00 0.00 61094 193814882 BEXAIDA HEREDIA 11/28/19 01/28/20 M 65.90 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -14.82 0.00 0.00 0.00 61094 193814883 CARLOS DIAZ REY 11/28/19 01/28/20 M 16.30 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -3.66 0.00 0.00 0.00 61370 193814885 ROSS PEREZ MERC 11/28/19 01/28/20 M 22.60 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -5.08 0.00 0.00 0.00 61370 193814886 STEFANY MIRANDA 11/28/19 01/28/20 M 31.60 0.00 0.00 01 45.00% 35.00% ADE ACRED COM 0.00 -4.97 0.00 0.00 0.00 61370 193814887 ZORAIMA RUIZ GE 11/28/19 01/28/20 M 31.60 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -7.11 0.00 0.00 0.00 61370 193814901 MARYBEL RUIZ ME 11/28/19 01/28/20 M 15.00 0.00 0.00 01 45.00% 30.00% ADE ACRED COM 0.00 -2.02 0.00 0.00 0.00 61370 193814902 VERONICA VELAZQ 11/28/19 01/28/20 M 31.60 0.00 0.00 01 45.00% 35.00% ADE ACRED COM 0.00 -4.97 0.00 0.00 0.00 61370 193814903 CARMEN IRIZARRY 11/28/19 01/28/20 M 30.80 0.00 0.00 01 45.00% 35.00% ADE ACRED COM 0.00 -4.85 0.00 0.00 0.00 61370 193814904 YACHIRA RODRIGU 11/28/19 01/28/20 M 22.60 0.00 0.00 01 45.00% 35.00% ADE ACRED COM 0.00 -3.55 0.00 0.00 0.00 61370 193814906 GABRIELA PEREZ 11/28/19 01/28/20 M 31.60 0.00 0.00 01 45.00% 35.00% ADE ACRED COM 0.00 -4.97 0.00 0.00 0.00

4 PROGRAMA: LISB1036 PAGINA : 7 FECHA : 2020/01/28 HILDEGARDA VELEZ RUPERTO SEGURO SOCIAL : XXX-XX-6745 GERENTE : ORTIZ CINTRON F AMILY INSURANC PO BOX 6061 FECHA DE LICENCIA : 08/31/2020 AGENTE : CANCER AGENT / ACTIVO FECHA DE CONTRATO : 04/10/2008 MAYAGUEZ PR 00681-0000 FECHA ULT PRODUCCION: 01/16/2020 AGENCIA : 6837 STAFF: 3 NRO. AGENTE: 61094 NOMBRE F P SUBSEQ POLIZA DEL FECHA FECHA R PRIMA PAGO PAGO A PCT PCT ADELANTOS ADELANTOS CADUCIDAD + COMM RENOVA- AGENTE NRO. ASEGURADO EFECTIV. CUBIERTA RAZON Q FACTURADA TARGET EXCESO G COM SPLIT DESCRIPCION 1ER A#O ACREDITADOS + REINSTAL. 1ER A#O CIONES ------ ----------- --------------- -------- -------- ----- - ---------- -------- -------- -- ------ ------ --------------- ---------- ----------- ----------- ---------- ---------- 61370 193814907 CECILIA MAJIAS 11/28/19 12/28/19 M 28.30 0.00 0.00 01 45.00% 35.00% ADE ACRED COM 0.00 -4.45 0.00 0.00 0.00 61094 193814909 LUZ MONTALVO AL 11/28/19 01/28/20 M 30.80 0.00 0.00 01 45.00% 35.00% ADE ACRED COM 0.00 -4.85 0.00 0.00 0.00 61370 193814911 CATIRIA MENDEZ 11/28/19 01/28/20 M 31.60 0.00 0.00 01 45.00% 35.00% ADE ACRED COM 0.00 -4.97 0.00 0.00 0.00 61370 193814911 CATIRIA MENDEZ 11/28/19 01/28/20 M 31.60 0.00 0.00 01 45.00% 35.00% ADE ACRED COM 0.00 -4.97 0.00 0.00 0.00 61370 193814912 MARTA DEL C VEL 11/28/19 12/28/19 PRP M 19.90 0.00 0.00 01 45.00% 35.00% ADE ACRED COM 0.00 -3.13 0.00 0.00 0.00 61094 193814913 MAGNOLIA REYES 11/28/19 01/28/20 M 18.30 0.00 0.00 01 45.00% 35.00% ADE ACRED COM 0.00 -2.88 0.00 0.00 0.00 61094 193814881 TAMARA RODRIGUE 11/28/19 12/28/19 R01 M 31.60 0.00 0.00 01 45.00% 50.00% REV ACRED COM 0.00 7.11 0.00 0.00 0.00 61370 193814907 CECILIA MAJIAS 11/28/19 12/28/19 RPA M 28.30 0.00 0.00 01 45.00% 35.00% REV ACRED COM 0.00 4.45 0.00 0.00 0.00 61370 193814911 CATIRIA MENDEZ 11/28/19 01/28/20 RPA M 31.60 0.00 0.00 01 45.00% 35.00% REV ACRED COM 0.00 4.97 0.00 0.00 0.00 61370 193814912 MARTA DEL C VEL 11/28/19 12/28/19 R01 M 19.90 0.00 0.00 01 45.00% 35.00% REV ACRED COM 0.00 3.13 0.00 0.00 0.00 61370 193814912 MARTA DEL C VEL 11/28/19 12/28/19 R01 M 19.90 0.00 0.00 01 45.00% 35.00% REV ACRED COM 0.00 3.13 0.00 0.00 0.00 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- 0.00 -78.50 0.00 0.00 0.00 61094 193807721 YAMILA YUSIF RO 07/16/19 01/16/20 M 56.40 0.00 0.00 01 25.00% 50.00% ADE ACRED COM 0.00 -7.05 0.00 0.00 0.00 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- 0.00 -7.05 0.00 0.00 0.00 61094 193811436 MARIA DEL MERCA 11/01/19 02/01/20 M 39.80 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -8.95 0.00 0.00 0.00 61094 193813774 DAISY DE JESUS 01/01/20 02/01/20 M 15.30 0.00 0.00 01 45.00% 50.00% ADE ACRED COM 0.00 -3.44 0.00 0.00 0.00 61094 113815580 LEOCADIO RAMIRE 07/28/11 02/28/20 M 9.90 0.00 0.00 01 5.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.49 ---------- ---------- ---------- ---------- ---------- -------- T O T A L --------- < G / DEPT EDUCACION - CLASIFICADOS / > 0.00 -12.39 0.00 0.00 0.49 ----------- ---------- ---------- ---------- ---------- ---------- SUBTOTAL PARA ( GROUP CANCER ) ........: 3,975.60 0.00 -328.45 24.77 102.70 82.75 =========== ========== ========== ========== ========== ========== TOTAL PARA ESTE AGENTE ...............: 6,705.45 0.00 -668.94 24.77 136.07 137.53 =========== ========== ========== ========== ========== ========== -------------------- R A Z O N --------------------- * - R01 FONDOS INSUFICIENTES * * - 013 LAPSE POLICY WITHOUT VALUE FOR NON-PAYMENT * * - R07 AUTORIZACION REVOCADA POR EL CLIENTE * * - RTS REFUND TO SUSPENSE * * - RWM REVIVAL WITH MONEY * * - PRP PAYMENT REPROCESS - REVERSANDO PAGO Y RE-A * * - RPA REVERSO DE PAGO AUTOMATICO * ----------------------------------------------------

4 PROGRAMA: LISB1036 PAGINA : 8 FECHA : 2020/01/28 HILDEGARDA VELEZ RUPERTO SEGURO SOCIAL : XXX-XX-6745 GERENTE : ORTIZ CINTRON F AMILY INSURANC PO BOX 6061 FECHA DE LICENCIA : 08/31/2020 AGENTE : CANCER AGENT / ACTIVO FECHA DE CONTRATO : 04/10/2008 MAYAGUEZ PR 00681-0000 FECHA ULT PRODUCCION: 01/16/2020 AGENCIA : 6837 STAFF: 3 NRO. AGENTE: 61094 R E S U M E N D E B A L A N C E S ----------------------------------- BALANCE BALANCE CADUCIDAD BALANCE BALANCE CORRIENTE FINANCIABLE RESERVA ADELANTOS ----------- ------------- ----------- ------------ BALANCE INICIAL AL 01/24/2020 ...................................: 31.88 53.35 216.71 3,735.79 1. ADELANTOS PRIMER A#O - 'FRONT MONEY' .......................: 0.00 ---- ---- 0.00 2. ADELANTOS ACREDITADOS ......................................: ---- ---- ---- -668.94 3. REISNTALACIONES/CADUCIDAD 3.1 TOTAL REINSTALACIONES FINANCIABLES .....................: 24.77 ---- ---- 24.77 3.2 TOTAL REINSTALACIONES NO FINANCIABLES .................: 0.00 ---- ---- 0.00 3.3 TOTAL CADUCIDAD FINANCIABLE ............................: 0.00 ---- ---- 0.00 3.4 TOTAL CADUCIDAD NO FINANCIABLE .........................: 0.00 ---- ---- 0.00 4. OTRAS COMISIONES DE PRIMER A#O .............................: ---- ---- ---- ---- 4.1 COMISIONES DE PRIMER A#O PAGADO 'AS EARNED' ............: 0.00 ---- ---- ---- 4.2 COMISIONES SUBSIGUIENTES ...............................: 136.07 ---- ---- ---- 5. RENOVACIONES ...............................................: 137.53 ---- ---- ---- ------------ ---- ---- ---- TOTAL A PAGAR ANTES DE AJUSTES ...................................: 330.25 ---- ---- ---- ------------ AJUSTES: BALANCE DE RESERVA: - APORTACION 10.00 % DEL 'FRONT MONEY' ..............: 0.00 ---- 0.00 ---- - CADUCIDAD COBRADA ...................................: 0.00 ---- ---- - REINSTALACIONES APLICADAS ...........................: 0.00 ---- 0.00 ---- - CADUCIDAD TRANSFERIDA O COBRO 0 ...................: 0.00 ---- 0.00 ---- BALANCE CADUCIDAD FINANCIABLE - CADUCIDAD FINANCIABLE ...............................: 0.00 0.00 ---- ---- - REINSTALACIONES APLICADAS ...........................: -24.77 -24.77 ---- ---- - SUBSIGUIENTE Y RENOVACIONES APLICADAS................: -28.58 -28.58 ---- ---- - AJUSTE DEL 0.00 % DE LA PRODUCCION ..............: 0.00 0.00 ---- ---- - AJUSTE DE BALANCE ...................................: 0.00 0.00 0.00 0.00 ------------ ------------ ----------- ------------ BALANCE FINAL AL 01/28/2020 ....................................: 276.90 0.00 216.71 3,091.62 =========== =========== ============ CONTRIBUCION DE INGRESOS 10.00 % RETENIDO .............: -27.69 ============ TOTAL A PAGAR SI EXCEDE $50 .....................................: 249.21 ============

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4 PROGRAMA: LISB1034 PAGINA : 1 FECHA : 2020/01/28 HILDEGARDA VELEZ RUPERTO SEGURO SOCIAL : XX-XX-6745 PO BOX 6061 FECHA DE LICENCIA : 08/31/2020 AGENTE : CANCER AGENT / ACTIVO FECHA DE CONTRATO : 04/10/2008 MAYAGUEZ PR 00681-0000 DISTRITO: 6837 STAFF: 3 AGENCIA: 61094 NOMBRE F P CARGO OTRAS POLIZA DEL FECHA FECHA R PRIMA PAGO PAGO A PCT PCT ADELANTO ADELANTO CANCEL COMISIONES RENOVA- AGENTE NRO. ASEGURADO EFECTIV. CUBIERTA RAZON Q FACTURADA TARGET EXCESO G COM SPLIT DESCRIPCION 1ER A#O ACRED 1ER A#O 1ER A#O CIONES ------ ----------- ----------------- -------- -------- ----- - --------- -------- -------- -- ------- ------ --------------- ---------- ---------- ---------- ---------- -------- 61094 20150101057 GABRIEL HERNANDEZ 03/19/15 02/19/20 M 29.57 29.57 0.00 01 2.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.59 61094 20160101035 ALEXIS VELEZ DIAZ 04/28/16 02/28/20 M 32.80 32.80 0.00 01 2.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.66 ---------- ---------- ---------- ---------- --------- SUBTOTAL PARA ( TERM LIFE ) .......................................: 0.00 0.00 0.00 0.00 1.25 61094 20195701159 AMANDA BORIA RIQU 12/20/19 01/20/20 M 25.00 0.00 0.00 01 CADUCIDAD COM 0.00 -22.77 -22.77 0.00 0.00 61094 20195701159 AMANDA BORIA RIQU 12/20/19 01/20/20 REV M 25.00 12.50 0.00 01 50.00% 50.00% REV COM 1ER A#O 0.00 0.00 0.00 -6.25 0.00 61094 20185700115 PAOLA RIVERA ALBE 03/28/18 02/28/20 M 50.00 0.00 25.00 01 2.00% 50.00% COM RENOVACION 0.00 0.00 0.00 0.00 0.50 ---------- ---------- ---------- ---------- --------- SUBTOTAL PARA ( UNIVERSAL LIFE ) .......................................: 0.00 -22.77 -22.77 -6.25 0.50 ========== ========== ========== ========== ========= TOTAL PARA ESTE AGENTE .......................................................: 0.00 -22.77 -22.77 -6.25 1.75 ========== ========== ========== ========== ========= -------------------- R A Z O N --------------------- * - REV REVERSO * ----------------------------------------------------

4 PROGRAMA: LISB1034 PAGINA : 2 FECHA : 2020/01/28 HILDEGARDA VELEZ RUPERTO SEGURO SOCIAL : XX-XX-6745 PO BOX 6061 FECHA DE LICENCIA : 08/31/2020 AGENTE : CANCER AGENT / ACTIVO FECHA DE CONTRATO : 04/10/2008 MAYAGUEZ PR 00681-0000 DISTRITO: 6837 STAFF: 3 AGENCIA: 61094 R E S U M E N D E B A L A N C E S ----------------------------------- BALANCE BALANCE BALANCE CORR. BALANCE CORR. ADELANTOS CADUCIDAD ADELANTO COMISION ------------ ------------ ------------ ------------ BALANCE INICIAL ................................................: 122.56 2.44 48.17 11.84 MAS : ------ ADELANTOS ................................................: 0.00 0.00 COMISIONES DE PRIMER A#O (DEVENGADAS).....................: -6.25 AJUSTE PARA TRANSFERIR BALANCE A COLUMNA DE ADELANTO......: REINSTALACIONES DE COMISION ..............................: REINSTALACIONES DE OVERRIDE OR NOT TAKEN..................: RESERVA (MES 11 Y 12) ....................................: RENOVACIONES .............................................: 1.75 MENOS: ------ ADELANTOS ACREDITADOS .....................................: -22.77 CANCELACIONES DE PRIMER A#O (NO DEVENGADAS)................: 22.77 CANCELACIONES PRIMER A#O (NOT TAKEN) ......................: CANCELACIONES OVERRIDE PRIMER A#O .........................: 0.00 OTROS AJUSTES .............................................: 0.00 0.00 0.00 ------------ ------------ ------------ ------------ BALANCE NETO 99.79 25.21 48.17 7.34 RESERVA Y RENOVACIONES UTILIZADAS PARA COBRO DE CADUCIDAD..: .00 AJUSTE DEL % A LA PRODUCCION COBRO DE CADUCIDAD...: COBRO DE CADUCIDAD ( 50.00% ) .............................: COBRO DE BALANCE CORRIENTE ................................: ------------ ------------ ------------ ------------ BALANCE FINAL ....................................................: 99.79 25.21 48.17 7.34 ============ ============ ============ ============ TOTAL A PAGAR ....................................................: 0.00 RETENCION DEL 10.00 % ..........................................: 0.00 ============ TOTAL CHEQUE .....................................................: 0.00 ============

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