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BEN-0042016-3

BEN-0042016-3 · Benefit enrollment · projected from the master template

enrollment_id
BEN-0042016-3
employee_id
EMP-0042016
employee_name
Jonathan Soriano
plan_code
STD
plan_name
Short-term disability
category
Disability
carrier
Northgate Life
coverage_tier
Employee
status
terminated
enrolled_on
2026-02-25
dependents
3
employee_monthly_cost
$0
employer_monthly_cost
$29
annual_employer_cost
$348