Medical, Pharmacy & Dental Incurred But Not Paid (IBNP) Report
CONFIDENTIAL
ABC Company
The information provided herein is the confidential and proprietary work product of CBIZ and cannot be disclosed, copied or distributed to outside third
parties without the prior written consent of CBIZ. This information can be expressly used only for the intended purpose and recipient.
For December 31, 2015
CBIZ, Inc.
625 Maryville Centre Dr, Suite 200
St. Louis, MO 63141
Telephone: (314) 692-2249
Completed January 22, 2016