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BEN-0202776-1

BEN-0202776-1 · Benefit enrollment · projected from the master template

enrollment_id
BEN-0202776-1
employee_id
EMP-0202776
employee_name
Samantha B. Chevalier
plan_code
VIS-STD
plan_name
Vision
category
Vision
carrier
ClearView Vision
coverage_tier
Employee
status
active
enrolled_on
2024-07-18
dependents
0
employee_monthly_cost
$9
employer_monthly_cost
$16
annual_employer_cost
$192