BEN-0019688-1
BEN-0019688-1 · Benefit enrollment · projected from the master template
- enrollment_id
- BEN-0019688-1
- employee_id
- EMP-0019688
- employee_name
- Jerome Beltran
- plan_code
- DEN-FAM
- plan_name
- Dental - Family
- category
- Dental
- carrier
- Brightline Dental
- coverage_tier
- Family
- status
- active
- enrolled_on
- 2025-11-05
- dependents
- 1
- employee_monthly_cost
- $59
- employer_monthly_cost
- $98
- annual_employer_cost
- $1,176