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BEN-0103280-1

BEN-0103280-1 · Benefit enrollment · projected from the master template

enrollment_id
BEN-0103280-1
employee_id
EMP-0103280
employee_name
Douglas A. Zapata
plan_code
VIS-STD
plan_name
Vision
category
Vision
carrier
ClearView Vision
coverage_tier
Employee
status
active
enrolled_on
2026-08-17
dependents
1
employee_monthly_cost
$9
employer_monthly_cost
$16
annual_employer_cost
$192