| | IHS PURCHASED REFERRED CARE (PRC) FISCAL INTERMEDIARY (FI) SERVICES | HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY | $96,000,000 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 541990All Other Professional, Scientific, and Technical Services | R499SUPPORT- PROFESSIONAL: OTHER | Aug 5, 2022 | Jul 8, 2022 | Jul 31, 2027 |
| | BRIDGE ORDER FOR THE IHS PRC FI SUPPORT SERVICES | HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY | $3,923,385 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 541990All Other Professional, Scientific, and Technical Services | R499SUPPORT- PROFESSIONAL: OTHER | Jun 21, 2022 | Jun 16, 2022 | Jul 31, 2022 |
| | BRIDGE ORDER FOR THE IHS PRC FI SUPPORT SERVICES | HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY | $12,641,335 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 541990All Other Professional, Scientific, and Technical Services | R499SUPPORT- PROFESSIONAL: OTHER | May 24, 2021 | May 14, 2021 | Apr 30, 2022 |
| | BRIDGE PURCHASE ORDER FOR THE IHS PRC FISCAL INTERMEDIARY SERVICES | HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY | $16,329,261 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 541990All Other Professional, Scientific, and Technical Services | R499SUPPORT- PROFESSIONAL: OTHER | Sep 4, 2020 | Sep 2, 2020 | Apr 30, 2021 |
| | OTHER MANAGEMENT SUPPORT SERVICES | HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY | $549,423 | OFFICE OF THE ASSISTANT SECRETARY FOR ADMINISTRATION (ASA) | — | — | 524292Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds | R799SUPPORT- MANAGEMENT: OTHER | Sep 28, 2007 | Sep 28, 2007 | Sep 30, 2007 |
| | OTHER PROFESSIONAL SERVICES | HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY | $0 | OFFICE OF THE ASSISTANT SECRETARY FOR ADMINISTRATION (ASA) | OFFICE OF THE ASSISTANT SECRETARY FOR ADMINISTRATION (ASA) | — | 524292Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds | R499SUPPORT- PROFESSIONAL: OTHER | Feb 10, 2005 | Feb 1, 2005 | Dec 31, 2009 |
| | FISCAL INTERMEDIARY TO OPERATE A CENTRALIZED MEDICAL AND DENTAL CLAIMS PROCESSING AND REIMBURSEMENT SYSTEM. | HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY | $17,840,322 | OFFICE OF THE ASSISTANT SECRETARY FOR ADMINISTRATION (ASA) | — | — | 524292Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds | R499SUPPORT- PROFESSIONAL: OTHER | Oct 17, 2003 | Oct 1, 2003 | Jan 31, 2005 |