BEN-0103284-1
BEN-0103284-1 · Benefit enrollment · projected from the master template
- enrollment_id
- BEN-0103284-1
- employee_id
- EMP-0103284
- employee_name
- Petra A. Lopes
- plan_code
- DEN-STD
- plan_name
- Dental - Standard
- category
- Dental
- carrier
- Brightline Dental
- coverage_tier
- Employee
- status
- active
- enrolled_on
- 2025-08-19
- dependents
- 1
- employee_monthly_cost
- $21
- employer_monthly_cost
- $42
- annual_employer_cost
- $504