BEN-0107428-3
BEN-0107428-3 · Benefit enrollment · projected from the master template
- enrollment_id
- BEN-0107428-3
- employee_id
- EMP-0107428
- employee_name
- Tessa A. Gallo
- plan_code
- LTD
- plan_name
- Long-term disability
- category
- Disability
- carrier
- Northgate Life
- coverage_tier
- Employee
- status
- active
- enrolled_on
- 2024-11-07
- dependents
- 0
- employee_monthly_cost
- $0
- employer_monthly_cost
- $41
- annual_employer_cost
- $492