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BEN-0134496-1

BEN-0134496-1 · Benefit enrollment · projected from the master template

enrollment_id
BEN-0134496-1
employee_id
EMP-0134496
employee_name
Jolene A. Gamboa
plan_code
VIS-STD
plan_name
Vision
category
Vision
carrier
ClearView Vision
coverage_tier
Employee
status
active
enrolled_on
2026-07-26
dependents
2
employee_monthly_cost
$9
employer_monthly_cost
$16
annual_employer_cost
$192