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BEN-0084364-0

BEN-0084364-0 · Benefit enrollment · projected from the master template

enrollment_id
BEN-0084364-0
employee_id
EMP-0084364
employee_name
Devika A. Bukowski
plan_code
MED-PPO-ES
plan_name
PPO Medical - Employee + spouse
category
Medical
carrier
Meridian Health
coverage_tier
Employee+Spouse
status
terminated
enrolled_on
2026-06-02
dependents
3
employee_monthly_cost
$298
employer_monthly_cost
$984
annual_employer_cost
$11,808