HDRFEC8.5Campaign Manager 3601.0 F3XNC00406850Blue Cross Blue Shield of South Carolina Federal Government ProgramsInterstate 20 at Alpine RoadColumbiaSC292140001M9G20262025080120250831XPhillipsJustin20250916109518.176570.80116088.97401.92115687.050.000.004282.322288.486570.800.000.006570.800.000.000.000.000.000.000.000.000.006570.806570.800.000.00401.92401.920.000.000.000.000.000.000.000.000.000.000.000.000.000.000.00401.92401.926570.800.006570.80401.920.00401.9280566.22202553349.10133915.3218228.27115687.0521961.8131387.2953349.100.000.0053349.100.000.000.000.000.000.000.000.000.0053349.1053349.100.000.003228.273228.270.0015000.000.000.000.000.000.000.000.000.000.000.000.000.000.0018228.2718228.2753349.100.0053349.103228.270.003228.27 SA11AIC00406850A9A39E4A03C2745FD85BINDLavecchiaRichardP79 Cowdray ParkColumbiaSC2922381252025082240.00340.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthVP, Corporate Planning/Strategic Servi SA11AIC00406850AB7CF9F74E2804251AF9INDBarrettMargaretY216 River Crossing RdLexingtonSC2907220250822100.00850.00Payroll Deduction: $50.00/Bi-Weekly001 BlueCross and BlueShield of SouthAccounting Manager SA11AIC00406850A6BBC3A281A82464B9DEINDRossJohn3409 Ebenezer Chase DrFlorenceSC2950180122025082240.00340.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthTeamlead, Technical SA11AIC00406850AC8DDD7F4998B4517AE8INDParlerBethany12 Links Walk LnBlythewoodSC2901676042025082230.00255.00Payroll Deduction: $15.00/Bi-Weekly001 BlueCross and BlueShield of SouthAuditor III SA11AIC00406850A454D871EDF4443A4821INDEaseyDavid125 Cardinal CvIrmoSC2906387412025082240.00340.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthSenior IS Security Risk Analyst SA11AIC00406850A41A9FF6ABAC64D6A851INDDareJesse121 Holliday RoadColumbiaSC29223310820250822100.00450.00Payroll Deduction: $50.00/Bi-Weekly001 BlueCross and BlueShield of SouthSenior Actuary SA11AIC00406850A3711E24A5473429CA02INDRichardsonAprilC4 Westminster DrGreenvilleSC2960518392025082250.00425.00Payroll Deduction: $25.00/Bi-Weekly001 BlueCross and BlueShield of SouthVP, Clinical Services SA11AIC00406850A432AFFD306334466972INDParhamStephenC1727 Roslyn DrColumbiaSC29206293220250822100.00850.00Payroll Deduction: $50.00/Bi-Weekly001 BlueCross and BlueShield of SouthSenior VP, National Alliance SA11AIC00406850AA100624CEB214C4597BINDHollowayJames3060 Alpine RdColumbiaSC2922327042025082240.00340.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthManager, Marketing SA11AIC00406850AC1EA9DAAC62E44EA952INDHendersonNathan1517 Deans LnColumbiaSC2920515312025082240.00340.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthVP, Clinical Quality CMO SA11AIC00406850A289B217ACDDD4227ABAINDPrattJenniferK10 Lower Forest CtBlythewoodSC2901671792025082250.00425.00Payroll Deduction: $25.00/Bi-Weekly001 BlueCross and BlueShield of SouthDirector, 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BlueShield of SouthVice President, Regional Sales/Account SA11AIC00406850A30647AD5D8BB4EAE82CINDFauldsWilliamT120AT Alpine RdColumbiaSC2921900012025082236.00306.00Payroll Deduction: $18.00/Bi-Weekly001 BlueCross and BlueShield of SouthAssistant Vice President SA11AIC00406850AC4EB068DB6CC489CA0CINDAdamsTinaC1180 Sam Rittenberg BlvdSte 100CharlestonSC2940733832025082250.00425.00Payroll Deduction: $25.00/Bi-Weekly001 BlueCross and BlueShield of SouthRepresentative, Major Group Service SA11AIC00406850A6BC628EE1BFA45298F8INDBloomJohnA1289 Rockwood RoadColumbiaSC29209247420250822250.002125.00Payroll Deduction: $125.00/Bi-Weekly001 BlueCross and BlueShield of SouthAVP, Public Policy and Political Affai SA11AIC00406850A4F53C365E7A14E85BD4INDHinsonJacquelynF2807 Liberty DrFlorenceSC2950153232025082246.12392.02Payroll Deduction: $23.06/Bi-Weekly001 BlueCross and BlueShield of SouthVice President SA11AIC00406850AF786D5B4493E44BEA91INDHarperDavidL15 Audubon 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DrWaxhawNC2817374532025082244.56378.76Payroll Deduction: $22.28/Bi-Weekly001 BlueCross and BlueShield of SouthDirector, Operations Senior SA11AIC00406850AEC6FC0F217324A78A00INDFlockMichaelD4 Due West DrLexingtonSC29072747420250822100.00850.00Payroll Deduction: $50.00/Bi-Weekly001 BlueCross and BlueShield of SouthVice President, Companion Life Operati SA11AIC00406850A6B39945EE571483786AINDLookerBrettJ2737 Blossom StreetColumbiaSC2920525012025082244.00374.00Payroll Deduction: $22.00/Bi-Weekly001 BlueCross and BlueShield of SouthVP, Claims SA11AIC00406850A5DB17BD8EBEF4987946INDBraxtonJayleneP3032 White Peach RdElginSC2904543032025082240.00340.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthExecutive, Account SA11AIC00406850AEE4F7386BE7A4C59937INDEvansJordanD160 Dozier BlvdFlorenceSC2950140842025082250.00425.00Payroll Deduction: $25.00/Bi-Weekly001 BlueCross and BlueShield of SouthVice President SA11AIC00406850A284FC277596A4D6E8DCINDJenningsWilliamJr.346 Limestone 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SA11AIC00406850A0BD71DE795144726973INDMcculloughKennethJr.3930 Broad River RdT4ColumbiaSC2921047142025082229.80253.30Payroll Deduction: $14.90/Bi-Weekly260 CGS Administrators, LLCDirector, Claims Customer Service SA11AIC00406850AC6A240EE79FA4DAE84DINDHoltJudsonD4722 Arcadia RdColumbiaSC2920613062025082230.00255.00Payroll Deduction: $15.00/Bi-WeeklyBlue Cross Blue Shield Of S.c.VP, General Services SA11AIC00406850A2EA9933D61FD4C29AECINDStansellRobertA104 Camp Creek CirHendersonvilleTN3707567002025082259.62506.77Payroll Deduction: $29.81/Bi-Weekly260 CGS Administrators, LLCVice President SA11AIC00406850A88CE4D50305C4B088E5INDSmithStevenB1200 BroadwayApt 1513NashvilleTN3720346782025082240.00340.00Payroll Deduction: $20.00/Bi-Weekly260 CGS Administrators, LLCPresident/COO SA11AIC00406850A55AAE138895E458C8EBINDVaughnTimothyLI20 at Alpine RdColumbiaSC2921900012025082230.00255.00Payroll Deduction: $15.00/Bi-Weekly001 BlueCross and BlueShield of SouthPresident/COO BCHP SA11AIC00406850AEE1EB08A98B84BFEB79INDAgdishMatthew504 Fairwind DrChapinSC2903661302025082240.00340.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthAVP, Underwriting SA11AIC00406850AD93D5C27F1F8465B944INDFolsomJohnA4765 Heath Hill RoadColumbiaSC29206461020250822200.00818.00Payroll Deduction: $100.00/Bi-Weekly001 BlueCross and BlueShield of SouthPresident, Companion Life SA11AIC00406850A5A063A9EAC42454E850INDMizeurMichaelJ30 Davant PlaceColumbiaSC2920908432025082240.00340.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthPRESIDENT/CEO SA11AIC00406850A296F6095D3874B5AA90INDWatsonJamieO1656 Andrews Mill RdLamarSC2906987332025082250.00425.00Payroll Deduction: $25.00/Bi-Weekly001 BlueCross and BlueShield of SouthVice President SA11AIC00406850A2270B0368D3648AB8D4INDViaDonR212 Karnes DrFranklinTN3706457582025082240.60345.10Payroll Deduction: $20.30/Bi-Weekly260 CGS Administrators, LLCAssistant Vice President SA11AIC00406850A1B87E5A894AC4FE7944INDAlyeaScott202 Abigail CirDanvilleCA9450614252025082240.00340.00Payroll Deduction: $20.00/Bi-Weekly033 Palmetto GBASenior Developer SA11AIC00406850AFABF005D440C42029CBINDLybrandNancy427 Crowders Bluff CtCloverSC2971063102025082240.00340.00Payroll Deduction: $20.00/Bi-Weekly033 Palmetto GBAVice President SA11AIC00406850AA26B41D4E9374C9BA31INDNesmithWendy203 River Club RdLexingtonSC29072671820250822200.00800.00Payroll Deduction: $100.00/Bi-Weekly001 BlueCross and BlueShield of SouthDirector, Contract Compliance SA11AIC00406850AC7AEC0F8C42D4C41A82INDRhodesRobertC4632 Lelias CourtColumbiaSC2920645122025082250.00425.00Payroll Deduction: $25.00/Bi-Weekly001 BlueCross and BlueShield of SouthSenior Vice President SA11AIC00406850ADD4324047FB6491CAC9INDRodriguezFatimaKioskli88 Hillside BlvdApt 213Daly CityCA9401468052025082240.00340.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthDirector, Member Services SA11AIC00406850A1BC8FC9108BD4758B51INDMooreJames2216 Bedford WayColumbiaSC2920932532025082240.00340.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthLead Data Analyst SA11AIC00406850A8ACBC6E571DF41CD93BINDPolakowskiMichaelS3 Ulverston WayBlythewoodSC2901689412025082250.00385.00Payroll Deduction: $25.00/Bi-Weekly001 BlueCross and BlueShield of SouthVP/Chief Actuary SA11AIC00406850A629F590B17C04B01A24INDMoraccoSampsonR7 Tweed CtColumbiaSC29223511720250822100.00850.00Payroll Deduction: $50.00/Bi-Weekly001 BlueCross and BlueShield of SouthAnalyst, Capacity Planning SA11AIC00406850A3FFB5BE8F6614FA4B54INDSrulevichHeatherL252 Southlake RdColumbiaSC2922359132025082250.00425.00Payroll Deduction: $25.00/Bi-Weekly001 BlueCross and BlueShield of SouthVP & CFO, BCBS Division SA11AIC00406850A0C7F324019CE4C41AAAINDCooperCynthiaB121 W Circle DrLexingtonSC2907283012025082230.00255.00Payroll Deduction: $15.00/Bi-Weekly001 BlueCross and BlueShield of SouthVP, Celerian Group Compliance Officer SA11AIC00406850A6878776490DB452D885INDGloverTanisha1029 Rosa Green RdAwendawSC2942960852025082240.00340.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthManaged Care Coordinator UM II SA11AIC00406850A6EDF1C61944C4BC4ACBINDYurkoDeeA212 Ridge Pointe CtGastonSC2905384992025082228.00238.00Payroll Deduction: $14.00/Bi-Weekly001 BlueCross and BlueShield of SouthDirector, Contract Administration SA11AIC00406850AFC560D99FF704488B96INDCriggerEdwardP434 Holly Berry CirBlythewoodSC2901680302025082250.00425.00Payroll Deduction: $25.00/Bi-Weekly001 BlueCross and BlueShield of SouthAVP, Commercial SA11AIC00406850AC567F30916EC4727A9CINDShafferMatthewM426 Turkey Point CirColumbiaSC29223814120250822240.002040.00Payroll Deduction: $120.00/Bi-Weekly001 BlueCross and BlueShield of SouthSenior VP, Major Group SA11AIC00406850A7FF3007B532E444DB54INDD'AlessioJamesAlpine Rd Inte 20AT Inte 20AT InteColumbiaSC29219000120250822126.001071.00Payroll Deduction: $63.00/Bi-Weekly001 BlueCross and BlueShield of SouthVP, Government Affairs SA11AIC00406850AC852AB06995948DBB2AINDPhilipsJeffreyM645 Summerall LnColumbiaSC2922968102025082240.00340.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthDirector, Actuarial SA11AIC00406850A41CE59EFF6794BDBB5EINDGravesWesleyS910 Sardis CtBlythewoodSC29016958420250822384.003264.00Payroll Deduction: $192.00/Bi-Weekly001 BlueCross and BlueShield of SouthPresident SA11AIC00406850A180B0FCF553E4462B49INDWarrenAnnaR7128 Church Park DriveFort WorthTX7613368752025082230.00255.00Payroll Deduction: $15.00/Bi-Weekly001 BlueCross and BlueShield of SouthSr. Director, Provider Systems Support SA11AIC00406850A139A01753A744AC395DINDLaffitteHenry1510 Whittaker DriveColumbiaSC2920644372025082220.00220.00Payroll Deduction: $20.00/Bi-Weekly001 BlueCross and BlueShield of SouthVP, Sales SA11AIC00406850A58F6944B831A4D589D7INDChavisMelissaR620 Catamaran CtChapinSC2903697042025082212.00204.00Payroll Deduction: $12.00/Bi-Weekly001 BlueCross and BlueShield of SouthService Management Director SB21bC00406850BCFA4183A2D04429989DORGTruist205 Pennsylvania Ave SEWashingtonDC20003116420250821401.92Bank Fee