HDRFEC8.4Campaign Manager 3601.0 F3XNC00406850Blue Cross Blue Shield of South Carolina Federal Government ProgramsInterstate 20 at Alpine RoadColumbiaSC292140001M8G20262025070120250731XPhillipsJustin20250818103348.046575.80109923.84405.67109518.170.000.004236.322339.486575.800.000.006575.800.000.000.000.000.000.000.000.000.006575.806575.800.000.00405.67405.670.000.000.000.000.000.000.000.000.000.000.000.000.000.000.00405.67405.676575.800.006575.80405.670.00405.6780566.22202546778.30127344.5217826.35109518.1717679.4929098.8146778.300.000.0046778.300.000.000.000.000.000.000.000.000.0046778.3046778.300.000.002826.352826.350.0015000.000.000.000.000.000.000.000.000.000.000.000.000.000.0017826.3517826.3546778.300.0046778.302826.350.002826.35 SA11AIC00406850A07A1AEBEF4C347D7A4BINDRoweAngelaD8 Habersham WayBlythewoodSC2901682952025072550.00375.00Payroll Deduction: $25.00/Bi-Weekly001 BlueCross and BlueShield of SouthAVP, Senior Deputy General Counsel 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BlueShield of SouthVP/Chief Actuary SA11AIC00406850A94ADB018BDF7412D8ADINDNesmithWendy203 River Club RdLexingtonSC29072671820250725200.00600.00Payroll Deduction: $100.00/Bi-Weekly001 BlueCross and BlueShield of SouthDirector, Contract Compliance SA11AIC00406850AEC38872E90D8479DB93INDMoraccoSampsonR7 Tweed CtColumbiaSC29223511720250725100.00750.00Payroll Deduction: $50.00/Bi-Weekly001 BlueCross and BlueShield of SouthAnalyst, Capacity Planning SA11AIC00406850AC444EEF4B1514C97B8CINDRodriguezFatimaKioskli88 Hillside BlvdApt 213Daly CityCA9401468052025072540.00300.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthDirector, Member Services SA11AIC00406850A64018BDA8885402C8E2INDRossJohn3409 Ebenezer Chase DrFlorenceSC2950180122025072540.00300.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthTeamlead, Technical SA11AIC00406850ABC06038510E741C28D3INDParlerBethany12 Links Walk LnBlythewoodSC2901676042025072530.00225.00Payroll Deduction: 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Deduction: $25.00/Bi-Weekly001 BlueCross and BlueShield of SouthVP & CFO, BCBS Division SA11AIC00406850A8F05C54275A345AEA16INDHendersonNathan1517 Deans LnColumbiaSC2920515312025072540.00300.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthVP, Clinical Quality CMO SA11AIC00406850A4600FB6FE684415BAB6INDHollowayJames3060 Alpine RdColumbiaSC2922327042025072540.00300.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthManager, Marketing SA11AIC00406850AB6252908421441B4B83INDCooperCynthiaB121 W Circle DrLexingtonSC2907283012025072530.00225.00Payroll Deduction: $15.00/Bi-Weekly001 BlueCross and BlueShield of SouthVP, Celerian Group Compliance Officer SA11AIC00406850A7272084E92E2488D8B1INDMaddoxJonathanR935 Hope Ferry RdLexingtonSC2907296082025072550.00375.00Payroll Deduction: $25.00/Bi-Weekly001 BlueCross and BlueShield of SouthVP, Information Systems SA11AIC00406850A5A6C94D47A054469BECINDDefreeseStephanieL3814 Cassina 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SA11AIC00406850A66F7FBDCD0494E83BB9INDStansellRobertA104 Camp Creek CirHendersonvilleTN3707567002025072559.62447.15Payroll Deduction: $29.81/Bi-Weekly260 CGS Administrators, LLCVice President SA11AIC00406850AD1BAA2ADDE2C4DF39E5INDMcculloughKennethJr.3930 Broad River RdApt T4ColumbiaSC2921047142025072529.80223.50Payroll Deduction: $14.90/Bi-Weekly260 CGS Administrators, LLCDirector, Claims Customer Service SA11AIC00406850A4F60D3A969C14A64867INDAlyeaScott202 Abigail CirDanvilleCA9450614252025072540.00300.00Payroll Deduction: $20.00/Bi-Weekly033 Palmetto GBASenior Developer SA11AIC00406850A659D1C056B644D04B1AINDLybrandNancy427 Crowders Bluff CtCloverSC2971063102025072540.00300.00Payroll Deduction: $20.00/Bi-Weekly033 Palmetto GBAVice President SA11AIC00406850A87E27A58B8724DE4948INDAgdishMatthew504 Fairwind DrChapinSC2903661302025072540.00300.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthAVP, Underwriting SA11AIC00406850A7B9407365F504D258C1INDVaughnTimothyLI20 at Alpine RdColumbiaSC2921900012025072530.00225.00Payroll Deduction: $15.00/Bi-Weekly001 BlueCross and BlueShield of SouthPresident/COO BCHP SA11AIC00406850A901B5E1C6BAF4384A54INDViaDonR212 Karnes DrFranklinTN3706457582025072540.60304.50Payroll Deduction: $20.30/Bi-Weekly260 CGS Administrators, LLCAssistant Vice President SA11AIC00406850A41125208861849238C3INDD'AlessioJamesAlpine Rd Inte 20AT Inte 20AT InteColumbiaSC29219000120250725126.00945.00Payroll Deduction: $63.00/Bi-Weekly001 BlueCross and BlueShield of SouthVP, Government Affairs SA11AIC00406850AB31667FF45914CE4A96INDMooreJames2216 Bedford WayColumbiaSC2920932532025072540.00300.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthLead Data Analyst SA11AIC00406850A3A8287E8A5C7409898BINDGloverTanisha1029 Rosa Green RdAwendawSC2942960852025072540.00300.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthManaged Care Coordinator UM II SA11AIC00406850A15CFD9130BA6413E891INDShafferMatthewM426 Turkey Point CirColumbiaSC29223814120250725240.001800.00Payroll Deduction: $120.00/Bi-Weekly001 BlueCross and BlueShield of SouthSenior VP, Major Group SA11AIC00406850A3FA97B1D86A04A1AA22INDWarrenAnnaR7128 Church Park DrFort WorthTX7613368752025072530.00225.00Payroll Deduction: $15.00/Bi-Weekly001 BlueCross and BlueShield of SouthSr. Director, Provider Systems Support SA11AIC00406850A3ADD9D2DCD96458185CINDWatsonJamieO1656 Andrews Mill RdLamarSC2906987332025072550.00375.00Payroll Deduction: $25.00/Bi-Weekly001 BlueCross and BlueShield of SouthVice President SA11AIC00406850AEB741C5189EF421FA8FINDMizeurMichaelJ30 Davant PlColumbiaSC2920908432025072540.00300.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthPRESIDENT/CEO SA11AIC00406850A4FFC692001DB46DB902INDFolsomJohnA4765 Heath Hill RdColumbiaSC29206461020250725200.00618.00Payroll Deduction: $100.00/Bi-Weekly001 BlueCross and BlueShield of SouthPresident, Companion Life SA11AIC00406850A07EE880FCA864704A4DINDGravesWesleyS910 Sardis CtBlythewoodSC29016958420250725384.002880.00Payroll Deduction: $192.00/Bi-Weekly001 BlueCross and BlueShield of SouthPresident SA11AIC00406850A11C71A6C65AA4E05966INDPhilipsJeffreyM645 Summerall LnColumbiaSC2922968102025072540.00300.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthDirector, Actuarial SA11AIC00406850A0840DC6E86AF4F5DA15INDYurkoDeeA212 Ridge Pointe CtGastonSC2905384992025072514.00210.00Payroll Deduction: $14.00/Bi-Weekly001 BlueCross and BlueShield of SouthDirector, Contract Administration SB21bC00406850B15865C97D72442D78A2ORGTruist205 Pennsylvania Ave SEWashingtonDC20003116420250721405.67Bank Fee