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BEN-0109960-0

BEN-0109960-0 · Benefit enrollment · projected from the master template

enrollment_id
BEN-0109960-0
employee_id
EMP-0109960
employee_name
Yvonne A. Ashworth
plan_code
MED-PPO-ES
plan_name
PPO Medical - Employee + spouse
category
Medical
carrier
Meridian Health
coverage_tier
Employee+Spouse
status
terminated
enrolled_on
2019-10-01
dependents
0
employee_monthly_cost
$298
employer_monthly_cost
$984
annual_employer_cost
$11,808