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Amounts as follows: New to Highmark Group Medical Fully Insured $100 per contract ASO w Rx $50 per contract Medical Underwriting Incentive Completed with FormFire $7.00 per application Completed Paper Application $1.00 per application Sold Medically Underwritten $3.00 per application Bundled Incentives High Performing Networks* $3.00 per contract Stop Loss with HMIG $2.00 per contract Spending Accounts $2.00 per contract Dental (UCD or BED) $1.50 per contract Well360 Clinical Incentives** Well360 Clarity $5.00 per contract Well360 Connect $4.00 per contract Well360 Focus $2.50 per contract Well360 Lifestyle $2.00 per contract Well360 Concierge $1.00 per contract SmartShopper $0.50 per contract*Blue HPN, Choice Blue, Lehigh Valley Flex Blue, Performance (Flex) Blue and Together Blue **These clinical programs have group size requirements

Or any movement I squeezed in between filing articles and taking care of an infant

When labs are requested, the typical panel is straightforward and inexpensive: Complete metabolic panel (electrolytes, creatinine, eGFR, liver enzymes) about $30 cash at Quest or LabCorp Hemoglobin A1C about $40 cash Lipid panel about $40 cash TSH (thyroid) about $50 cash if added Total cash price for a full GLP-1 work-up is usually $50-150 depending on which labs are ordered and which lab company is used

A key driver of this process is insulin resistance, which affects both hepatic and peripheral tissues, creating a metabolic environment that simultaneously promotes hyperglycemia and hepatic steatosis through selective pathway activation