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BEN-0028104-3

BEN-0028104-3 · Benefit enrollment · projected from the master template

enrollment_id
BEN-0028104-3
employee_id
EMP-0028104
employee_name
Benjamin Tavares
plan_code
LIFE-1X
plan_name
Basic life insurance (1x salary)
category
Life
carrier
Northgate Life
coverage_tier
Employee
status
pending
enrolled_on
2022-01-13
dependents
1
employee_monthly_cost
$0
employer_monthly_cost
$34
annual_employer_cost
$408