BEN-0055052-3
BEN-0055052-3 · Benefit enrollment · projected from the master template
- enrollment_id
- BEN-0055052-3
- employee_id
- EMP-0055052
- employee_name
- Rafael Novak
- plan_code
- STD
- plan_name
- Short-term disability
- category
- Disability
- carrier
- Northgate Life
- coverage_tier
- Employee
- status
- terminated
- enrolled_on
- 2026-06-14
- dependents
- 2
- employee_monthly_cost
- $0
- employer_monthly_cost
- $29
- annual_employer_cost
- $348