HomeMy WebLinkAboutInv# July 2025 - UnitedHealthCare Ins. Co. - 07/01/2025 (2)100 W DANIA BEACH BLVD.
TANEISHA GAINES
CITY OF DANIA BEACH FL
Please be sure to remit your payment exactly as billed by the due date. We cannot apply a partial payment to your retirees accounts.
Please do not submit any correspondence with your payment. Correspondence may be faxed to 1-888-950-1169 or mailed to:
If you have any questions regarding your bill, please contact your dedicated Employer Account Specialist weekdays between 8:00 a.m. and
4:30 p.m., Central Time.
Please Detach and Return Coupon with Remittance
Employer Number:Due Amount:Billing Period Date:Due Date:
CITY OF DANIA BEACH FLEmployer Name:
Billing Summary:
Retroactive Charges And Credits :
Previous Balance:
Current Charges :
Total Balance Due :
$0.00
$317.29
$27,921.52
$28,238.81
Employer Number:
Bill Creation Date:
Billing Period :
Due Amount:
Due Date:
25503
July 2025
$28,238.81
06/11/2025
July 01, 2025
25503 July 2025 07/01/2025 $28,238.81
UnitedHealthcare
PO BOX 5803
CAROL STREAM, IL 60197-5803
UnitedHealth Group PO Box 30769 Salt Lake City, UT 84130
DANIA BEACH,FL 33004
Make Check Payable to UnitedHealthCare Ins. Co. and Mail to :
July 2025
06/11/2025
25503
UnitedHealthcare Group Medicare Advantage (PPO)Product:
CITY OF DANIA BEACH FLEmployer Name:
Bill Creation Date:
Billing Period :
Employer Number:
Current Month
Total
Current ChargesRetro-Active
Charges And
Credits
Bill Group NameBill Group Code
CITY OF DANIA BEACH
FL
1 $317.29 $27,921.52 $28,238.81
Employer Name:
Billing Period :
CITY OF DANIA BEACH FL
Employer Number:
UnitedHealthcare Group Medicare Advantage (PPO)Product:
Bill Creation Date:
Bill Group # / Name
Retiree InformationHousehold
Information
Member #Retiree #Name and Retiree Identifier Branch
Financial Information
Coverage
Month
Total
25503
July 2025
06/11/2025
1 / CITY OF DANIA BEACH FL
Lep
Amount
980857191-1 001 $317.29 001 July 2025ADAMS LAURA M $0.00
986330239-1 265438897 $317.29 001 July 2025BAKER ERIC J $0.00
980494370-1 001 $317.29 001 July 2025BAKER JAMES M $0.00
984456592-1 001 $317.29 001 July 2025BERNARDO MICHAEL A $0.00
994823992-1 001 $317.29 001 July 2025BERNARDO TAMARA L $0.00
986469078-1 001 $317.29 001 July 2025BERTINO BARBARA A $0.00
988234140-1 001 $317.29 001 July 2025BERTUCCIO JOSEPH $0.00
997189945-1 001 $317.29 001 July 2025BLOCKER CHRISTY L $0.00
981523646-1 001 $317.29 001 July 2025BLUST JAMES J $0.00
997210628-1 001 $317.29 001 July 2025BLUST SUE K $0.00
989565154-1 001 $317.29 001 July 2025BOLTON CHESTER M $0.00
938752506-1 121502082 $317.29 001 July 2025BOUCHARD KIM M $0.00
997068297-1 001 $317.29 001 July 2025BRANDES GLORIA J $0.00
995139695-1 001 $317.29 001 July 2025BRANDES JR GOTTFRIED $0.00
986331801-1 001 $317.29 001 July 2025BRAVE JOANN $0.00
995540413-1 001 $317.29 001 July 2025BROWN MICHAEL L $0.00
989502588-1 001 $317.29 001 July 2025BROWN SONIA L $0.00
985488680-1 265472165 $317.29 001 July 2025CARPENTER MICHAEL F $0.00
986148818-1 193524866 $317.29 001 July 2025CASASANTA DAVID S $0.00
981448492-1 001 $317.29 001 July 2025CHERIAN DANIEL V $0.00
985802535-1 001 $317.29 001 July 2025CHERIAN LEELAMMA $0.00
988422043-1 001 $317.29 001 July 2025CRANDON FRANK R $0.00
980085772-1 001 $317.29 001 July 2025DENNY NANCI L $0.00
987861567-1 001 $317.29 001 July 2025DUBISKY CATHY J $0.00
994136347-1 001 $317.29 001 July 2025DUBISKY WILLIAM M $0.00
991746825-1 262672890 $317.29 001 July 2025FELICETTY MARK T $0.00
994698682-1 001 $317.29 001 July 2025GENNARO JOSEPH V $0.00
983470547-1 001 $317.29 001 July 2025GIAQUINTO MARIE J $0.00
990659401-1 001 $317.29 001 July 2025GILMOND RUSSELL K $0.00
980299101-1 001 $317.29 001 July 2025GRAMMER THOMAS D $0.00
981340038-1 001 $317.29 001 July 2025GREEN JACK L $0.00
989271609-1 001 $317.29 001 July 2025HANSEN DONALD R $0.00
995320206-1 001 $317.29 001 July 2025HANSEN SANDRA M $0.00
971587922-1 001 $317.29 001 July 2025HESS DEBORAH G $0.00
987516332-1 001 $317.29 001 July 2025HESS ROBERT W $0.00
983746776-1 001 $317.29 001 July 2025HOLDEN DELORES L $0.00
996801601-1 001 $317.29 001 July 2025HOLDEN LOYD H $0.00
997011499-1 594130170 $317.29 001 July 2025JOHNSON STANLEY $0.00
995812580-1 001 $317.29 001 July 2025KIMMICH EILEEN L $0.00
991529758-1 001 $317.29 001 July 2025KIMMICH ROBERT E $0.00
988816894-1 001 $317.29 001 July 2025KOCH KENNETH H $0.00
996450582-1 001 $317.29 001 July 2025LAND KENNETH H $0.00
933943531-1 001 $317.29 001 July 2025LAND MARTHA J $0.00
991799256-1 001 $317.29 001 July 2025MACE EUGENE $0.00
988346689-1 001 $317.29 001 July 2025MARIANI MARK L $0.00
985643195-1 001 $317.29 001 July 2025MASON LINDA I $0.00
997062724-1 001 $317.29 001 July 2025MIKES ROBERT A $0.00
994234106-1 001 $317.29 001 July 2025MILLER MILES T $0.00
981714945-1 001 $317.29 001 July 2025MOLINA DEBBIE D $0.00
996040510-1 001 $317.29 001 July 2025MORRIS GLENN W $0.00
Employer Name:
Billing Period :
CITY OF DANIA BEACH FL
Employer Number:
UnitedHealthcare Group Medicare Advantage (PPO)Product:
Bill Creation Date:
Bill Group # / Name
Retiree InformationHousehold
Information
Member #Retiree #Name and Retiree Identifier Branch
Financial Information
Coverage
Month
Total
25503
July 2025
06/11/2025
1 / CITY OF DANIA BEACH FL
Lep
Amount
988525952-1 001 $317.29 001 July 2025MORRIS MICHELE $0.00
982868215-1 001 $317.29 001 July 2025MULFORD JAMES E $0.00
938666633-1 383706984 $317.29 001 June 2025MURPHY SHAWN P $0.00
938666633-1 383706984 $317.29 001 July 2025MURPHY SHAWN P $0.00
981089248-1 582194034 $317.29 001 July 2025MUSTELIER ENRIQUE $0.00
989385704-1 001 $317.29 001 July 2025ORLANDO CLAIRE $0.00
982560015-1 001 $317.29 001 July 2025ORLANDO DOMINIC F $0.00
987029201-1 351469794 $317.29 001 July 2025PATELLARO LOUANN A $0.00
993706702-1 005646494 $317.29 001 July 2025PERRY LEONARD H $0.00
997685028-1 001 $317.29 001 July 2025PINK MARY S $0.00
994659697-1 001 $317.29 001 July 2025PINK NELSON D $0.00
922302320-1 001 $317.29 001 July 2025RIVIERE JOSEPH A $0.00
988469488-1 001 $317.29 001 July 2025RIZZO CLAIRE $0.00
988320578-1 001 $317.29 001 July 2025RIZZO ROBERT P $0.00
986865830-1 001 $317.29 001 July 2025ROBERSON CHARLENE M $0.00
993316184-1 261512327 $317.29 001 July 2025RODRIGUEZ JOSE C $0.00
988195888-1 001 $317.29 001 July 2025ROSE PERRY $0.00
987693911-1 001 $317.29 001 July 2025ROSS FRANK E $0.00
993396501-1 261594456 $317.29 001 July 2025RUETH PATRICIA J $0.00
995644093-1 001 $317.29 001 July 2025RUETH RICHARD A $0.00
979441630-1 266477676 $317.29 001 July 2025SAUNDERS CRAIG R $0.00
953156778-1 595071093 $317.29 001 July 2025SAUNDERS JANICE L $0.00
985268432-1 510627812 $317.29 001 July 2025SCHNEIDER THOMAS L $0.00
985501277-1 001 $317.29 001 July 2025SMITH MICHAEL W $0.00
994398999-1 072480114 $317.29 001 July 2025SOMERS HOWARD P $0.00
982706199-1 090525421 $317.29 001 July 2025SOMERS PATRICIA E $0.00
986837090-1 001 $317.29 001 July 2025SPONGROSS JOSEPH E $0.00
983170134-1 001 $317.29 001 July 2025SPONGROSS THERESA A $0.00
989816944-1 001 $317.29 001 July 2025TARMEY EDWARD M $0.00
992825044-1 022548521 $317.29 001 July 2025TARMEY LORI A $0.00
943499150-1 001 $317.29 001 July 2025TORTORA-MARIANI CATHERINE $0.00
909983488-1 170484648 $317.29 001 July 2025TRAVAGLIO CHER $0.00
989431061-1 265178413 $317.29 001 July 2025TUBRIDY DEBRA M $0.00
994944719-1 001 $317.29 001 July 2025TUBRIDY THOMAS J $0.00
984415044-1 001 $317.29 001 July 2025WALTERS LEROY A $0.00
983372142-1 594640401 $317.29 001 July 2025WARWICK PANSY $0.00
995281313-1 001 $317.29 001 July 2025WHITAKER STEPHEN E $0.00
985754974-1 001 $317.29 001 July 2025WILLIAMS LEO $0.00
985895214-1 001 $317.29 001 July 2025ZIDAR DEBRA S $0.00
R - Total Retirees : 88
< END OF EMPLOYER : 25503 >