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BEN-0084336-0

BEN-0084336-0 · Benefit enrollment · projected from the master template

enrollment_id
BEN-0084336-0
employee_id
EMP-0084336
employee_name
Ikenna A. Fairbanks
plan_code
MED-PPO-EE
plan_name
PPO Medical - Employee only
category
Medical
carrier
Meridian Health
coverage_tier
Employee
status
terminated
enrolled_on
2026-03-07
dependents
2
employee_monthly_cost
$142
employer_monthly_cost
$628
annual_employer_cost
$7,536