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BEN-0075712-3

BEN-0075712-3 · Benefit enrollment · projected from the master template

enrollment_id
BEN-0075712-3
employee_id
EMP-0075712
employee_name
Vishal Berg
plan_code
STD
plan_name
Short-term disability
category
Disability
carrier
Northgate Life
coverage_tier
Employee
status
active
enrolled_on
2026-06-26
dependents
2
employee_monthly_cost
$0
employer_monthly_cost
$29
annual_employer_cost
$348