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BEN-0157716-3

BEN-0157716-3 · Benefit enrollment · projected from the master template

enrollment_id
BEN-0157716-3
employee_id
EMP-0157716
employee_name
Sofia A. Prescott
plan_code
LTD
plan_name
Long-term disability
category
Disability
carrier
Northgate Life
coverage_tier
Employee
status
active
enrolled_on
2022-11-06
dependents
1
employee_monthly_cost
$0
employer_monthly_cost
$41
annual_employer_cost
$492