BEN-0099876-3
BEN-0099876-3 · Benefit enrollment · projected from the master template
- enrollment_id
- BEN-0099876-3
- employee_id
- EMP-0099876
- employee_name
- Boris A. Dimitrov
- plan_code
- STD
- plan_name
- Short-term disability
- category
- Disability
- carrier
- Northgate Life
- coverage_tier
- Employee
- status
- pending
- enrolled_on
- 2025-12-23
- dependents
- 1
- employee_monthly_cost
- $0
- employer_monthly_cost
- $29
- annual_employer_cost
- $348