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Home My WebLink AboutInv# 20210501 - LIFE INSURANCE COMPANY OF NORTH AMERICA - 04/26/2021 (3)Member Unique Id Policy Reference Product Benefit Insured Tier Rate Volume Monthly Premium Payroll Deductions per Year Deduction per Payroll ACOSTA, RAFAEL SGM-610429 Voluntary Term Life VTL Benefit Employee 0.21 per 1000 of Total Benefit per month $100,000.00 $21.00 26 (biweekly) 9.69 ACOSTA, RAFAEL SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.21 per 1000 of Total Benefit per month $50,000.00 $10.50 26 (biweekly) 4.85 ACOSTA, RAFAEL SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 ACOSTA, RAFAEL SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 ACOSTA, RAFAEL SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Adams, Lori SGM-610429 Voluntary Term Life VTL Benefit Employee 1.07 per 1000 of Total Benefit per month $40,000.00 $42.80 26 (biweekly) 19.75 Adams, Lori SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Adams, Lori SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Adams, Stephen SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Adams, Stephen SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 ALI, RICKY SGM-610429 Voluntary Term Life VTL Benefit Employee 0.21 per 1000 of Total Benefit per month $150,000.00 $31.50 26 (biweekly) 14.54 ALI, RICKY SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.21 per 1000 of Total Benefit per month $50,000.00 $10.50 26 (biweekly) 4.85 ALI, RICKY SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 ALI, RICKY SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Alphonse, Lou SGM-610429 Voluntary Term Life VTL Benefit Employee 0.14 per 1000 of Total Benefit per month $150,000.00 $21.00 26 (biweekly) 9.69 Alphonse, Lou SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 Alphonse, Lou SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $34,000.00 $5.44 26 (biweekly) 0 Alphonse, Lou SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $34,000.00 $0.68 26 (biweekly) 0 Ansbro, Thomas SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 Not applicable (ER Paid) 0 Ansbro, Thomas SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 Not applicable (ER Paid) 0 Baker, Eric SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Baker, Eric SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Baker, James SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Baker, James SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Baldie, Tommy SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Baldie, Tommy SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Baldwin, Robert SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Baldwin, Robert SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Bernardo, Michael SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Bernardo, Michael SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Bertino, John SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Bertino, John SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Bertuccio, Joseph SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Bertuccio, Joseph SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Blocker, Christy SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Blocker, Christy SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Blust, James SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Blust, James SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Bolton, Chester SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Bolton, Chester SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Bordy, Katia SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Bordy, Katia SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Borgos, Luis SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 Not applicable (ER Paid) 0 Borgos, Luis SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 Not applicable (ER Paid) 0 Boutsis, Eve SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 Not applicable (ER Paid) 0 Boutsis, Eve SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 Not applicable (ER Paid) 0 Brandes, Gloria SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Brandes, Gloria SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Brandimarte, Chickie SGM-610429 Voluntary Term Life VTL Benefit Employee 3.52 per 1000 of Total Benefit per month $5,000.00 $17.60 26 (biweekly) 8.12 Brandimarte, Chickie SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 26 (biweekly) 0 Brandimarte, Chickie SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 26 (biweekly) 0 Brave, Joann SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Brave, Joann SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 BROWN, ERIC SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $100,000.00 $16.00 Not applicable (ER Paid) 0 BROWN, ERIC SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $100,000.00 $2.00 Not applicable (ER Paid) 0 Brown, Louis SGM-610429 Voluntary Term Life VTL Benefit Employee 0.58 per 1000 of Total Benefit per month $10,000.00 $5.80 26 (biweekly) 2.68 Brown, Louis SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 Brown, Louis SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Brown, Louis SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Brown, Michael SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Brown, Michael SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Brown, Rodrick SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Brown, Rodrick SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Bryan, Muriel SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Bryan, Muriel SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Cangialosi, Joseph SGM-610429 Voluntary Term Life VTL Benefit Employee 0.38 per 1000 of Total Benefit per month $150,000.00 $57.00 26 (biweekly) 26.31 Cangialosi, Joseph SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $43,000.00 $6.88 26 (biweekly) 0 Cangialosi, Joseph SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $43,000.00 $0.86 26 (biweekly) 0 Carrie, Anne-Christine SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 Not applicable (ER Paid) 0 Carrie, Anne-Christine SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 Not applicable (ER Paid) 0 Caruso, Bruce SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Caruso, Bruce SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Casasanta, David SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Casasanta, David SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Caseneuve, Bendra SGM-610429 Voluntary Term Life VTL Benefit Employee 0.14 per 1000 of Total Benefit per month $150,000.00 $21.00 26 (biweekly) 9.69 Caseneuve, Bendra SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Caseneuve, Bendra SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Chandler, Christopher SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Chandler, Christopher SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Chen, Michael SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 Not applicable (ER Paid) 0 Chen, Michael SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 Not applicable (ER Paid) 0 Chen, Michael SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 Not applicable (ER Paid) 0 Cherian, Daniel SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Cherian, Daniel SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Ciguene, Maudeline SGM-610429 Voluntary Term Life VTL Benefit Employee 0.14 per 1000 of Total Benefit per month $150,000.00 $21.00 26 (biweekly) 9.69 Ciguene, Maudeline SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.14 per 1000 of Total Benefit per month $30,000.00 $4.20 26 (biweekly) 1.94 Ciguene, Maudeline SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Ciguene, Maudeline SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Clayton, Erika SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $41,000.00 $6.56 Not applicable (ER Paid) 0 Clayton, Erika SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $41,000.00 $0.82 Not applicable (ER Paid) 0 Collins, Roger SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $37,000.00 $5.92 Not applicable (ER Paid) 0 Cook, Jean SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Cook, Jean SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Costa, Nathan SGM-610429 Voluntary Term Life VTL Benefit Employee 0.21 per 1000 of Total Benefit per month $150,000.00 $31.50 26 (biweekly) 14.54 Costa, Nathan SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.21 per 1000 of Total Benefit per month $30,000.00 $6.30 26 (biweekly) 2.91 Costa, Nathan SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Costa, Nathan SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Crandon, Frank SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Crandon, Frank SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Crawford, Rupert SGM-610429 Voluntary Term Life VTL Benefit Employee 0.21 per 1000 of Total Benefit per month $100,000.00 $21.00 26 (biweekly) 9.69 Crawford, Rupert SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.21 per 1000 of Total Benefit per month $30,000.00 $6.30 26 (biweekly) 2.91 Crawford, Rupert SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 Crawford, Rupert SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Crawford, Rupert SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Cross, Jerrylyn SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Cross, Jerrylyn SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Damis, Windy SGM-610429 Voluntary Term Life VTL Benefit Employee 0.14 per 1000 of Total Benefit per month $150,000.00 $21.00 26 (biweekly) 9.69 Damis, Windy SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.14 per 1000 of Total Benefit per month $30,000.00 $4.20 26 (biweekly) 1.94 Damis, Windy SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 Damis, Windy SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Damis, Windy SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 DeJesus, Gabriel SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 Not applicable (ER Paid) 0 DeJesus, Gabriel SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 Not applicable (ER Paid) 0 Denny, Nanci SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Denny, Nanci SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 DiPaolo, Frank SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $100,000.00 $16.00 Not applicable (ER Paid) 0 DiPaolo, Frank SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $100,000.00 $2.00 Not applicable (ER Paid) 0 Donnelly, Colin SGM-610429 Voluntary Term Life VTL Benefit Employee 0.58 per 1000 of Total Benefit per month $200,000.00 $116.00 26 (biweekly) 53.54 Donnelly, Colin SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 Donnelly, Colin SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 0 Donnelly, Colin SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Dotson, Rickey SGM-610429 Voluntary Term Life VTL Benefit Employee 0.38 per 1000 of Total Benefit per month $100,000.00 $38.00 26 (biweekly) 17.54 Dotson, Rickey SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.38 per 1000 of Total Benefit per month $30,000.00 $11.40 26 (biweekly) 5.26 Dotson, Rickey SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Dotson, Rickey SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 DRAKE, DONALD SGM-610429 Voluntary Term Life VTL Benefit Employee 0.94 per 1000 of Total Benefit per month $20,000.00 $18.80 26 (biweekly) 8.68 DRAKE, DONALD SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 DRAKE, DONALD SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Drummond, Tamara SGM-610429 Voluntary Term Life VTL Benefit Employee 0.10 per 1000 of Total Benefit per month $150,000.00 $15.00 26 (biweekly) 6.92 Drummond, Tamara SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 Drummond, Tamara SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Drummond, Tamara SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Dubisky, William SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Dubisky, William SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Ernst, Anna Belle SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $47,000.00 $7.52 Not applicable (ER Paid) 0 Falzone-Tarrant, Constance SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Falzone-Tarrant, Constance SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Felicetty, Judith SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Felicetty, Judith SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Felicetty, Mark SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Felicetty, Mark SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Florez Ortiz, Yeni SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 Not applicable (ER Paid) 0 Fondo, Gail SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Fondo, Gail SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Fournier, Peter SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Fournier, Peter SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Frederick, Dorothy SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Frederick, Dorothy SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Gabriel, Dejesus SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 Not applicable (ER Paid) 0 Gaines, Taneisha SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Gaines, Taneisha SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Gaither, Timothy SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 Not applicable (ER Paid) 0 Gaither, Timothy SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 Not applicable (ER Paid) 0 Garcia, Ana SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $100,000.00 $16.00 Not applicable (ER Paid) 0 Garcia, Ana SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $100,000.00 $2.00 Not applicable (ER Paid) 0 Garcia, Gonzalo SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Garcia, Gonzalo SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Gardner, Eula SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Gardner, Eula SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Gardner, Kala SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Gardner, Kala SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Gennaro, Joseph SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Gennaro, Joseph SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Giaquinto, Ralph SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Giaquinto, Ralph SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Gilmond, Russell SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Gilmond, Russell SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Gonzalez, Linda SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $100,000.00 $16.00 Not applicable (ER Paid) 0 Gonzalez, Linda SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $100,000.00 $2.00 Not applicable (ER Paid) 0 Goodman, Thomas SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Goodman, Thomas SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Grammer, Thomas SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Grammer, Thomas SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 GRANT, MITCHELL SGM-610429 Voluntary Term Life VTL Benefit Employee 0.58 per 1000 of Total Benefit per month $100,000.00 $58.00 26 (biweekly) 26.77 GRANT, MITCHELL SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.58 per 1000 of Total Benefit per month $30,000.00 $17.40 26 (biweekly) 8.03 GRANT, MITCHELL SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 GRANT, MITCHELL SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 GRANT, MITCHELL SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Green, Jack SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Green, Jack SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Greene, Darius SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $33,000.00 $5.28 Not applicable (ER Paid) 0 Greene, Darius SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $33,000.00 $0.66 Not applicable (ER Paid) 0 Greene, Darren SGM-610429 Voluntary Term Life VTL Benefit Employee 0.21 per 1000 of Total Benefit per month $100,000.00 $21.00 26 (biweekly) 9.69 Greene, Darren SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.21 per 1000 of Total Benefit per month $50,000.00 $10.50 26 (biweekly) 4.85 Greene, Darren SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 Greene, Darren SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Greene, Darren SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Guzman, Yeimy SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Guzman, Yeimy SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 "hansen, donald" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 "hansen, donald" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 "harris, william" SGM-610429 Voluntary Term Life VTL Benefit Employee 1.07 per 1000 of Total Benefit per month $50,000.00 $53.50 26 (biweekly) 24.69 "harris, william" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 26 (biweekly) 0 "harris, william" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 26 (biweekly) 0 "heng, pedro" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 "heng, pedro" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 "henley, alice" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 "henley, alice" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 "hess, robert" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 "hess, robert" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 "holden jr, loyd" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 "holden jr, loyd" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 "holloway, mardie" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 "holloway, mardie" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 "huck, michael" SGM-610429 Voluntary Term Life VTL Benefit Employee 0.38 per 1000 of Total Benefit per month $150,000.00 $57.00 26 (biweekly) 26.31 "huck, michael" SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.38 per 1000 of Total Benefit per month $30,000.00 $11.40 26 (biweekly) 5.26 "huck, michael" SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 "huck, michael" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 "huck, michael" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 "hughes, anastacia" SGM-610429 Voluntary Term Life VTL Benefit Employee 0.14 per 1000 of Total Benefit per month $150,000.00 $21.00 26 (biweekly) 9.69 "hughes, anastacia" SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.14 per 1000 of Total Benefit per month $30,000.00 $4.20 26 (biweekly) 1.94 "hughes, anastacia" SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 "hughes, anastacia" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 "hughes, anastacia" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 "humphrey, james" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 "humphrey, james" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 "husosky, joseph" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 "husosky, joseph" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Icenhour, Rachel SGM-610429 Voluntary Term Life VTL Benefit Employee 0.09 per 1000 of Total Benefit per month $150,000.00 $13.50 26 (biweekly) 6.23 Icenhour, Rachel SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 Icenhour, Rachel SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Icenhour, Rachel SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 26 (biweekly) 0 Ifedi, Anthony SGM-610429 Voluntary Term Life VTL Benefit Employee 0.14 per 1000 of Total Benefit per month $50,000.00 $7.00 26 (biweekly) 3.23 Ifedi, Anthony SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Ifedi, Anthony SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Ismail, Hakeem SGM-610429 Voluntary Term Life VTL Benefit Employee 1.07 per 1000 of Total Benefit per month $150,000.00 $160.50 26 (biweekly) 74.08 Ismail, Hakeem SGM-610429 Voluntary Term Life VTL Benefit Spouse 1.07 per 1000 of Total Benefit per month $30,000.00 $32.10 26 (biweekly) 14.82 Ismail, Hakeem SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 Ismail, Hakeem SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Ismail, Hakeem SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 JACKSON, JOHNATHAN SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 JACKSON, JOHNATHAN SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 James, Ellis SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $34,000.00 $5.44 Not applicable (ER Paid) 0 James, Ellis SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $34,000.00 $0.68 Not applicable (ER Paid) 0 James, Tamara SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 James, Tamara SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 James, Tammie SGM-610429 Voluntary Term Life VTL Benefit Employee 0.94 per 1000 of Total Benefit per month $100,000.00 $94.00 26 (biweekly) 43.38 James, Tammie SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.94 per 1000 of Total Benefit per month $10,000.00 $9.40 26 (biweekly) 4.34 James, Tammie SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 James, Tammie SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Jelason, Megan SGM-610429 Voluntary Term Life VTL Benefit Employee 0.10 per 1000 of Total Benefit per month $150,000.00 $15.00 26 (biweekly) 6.92 Jelason, Megan SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Jelason, Megan SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Jensen, Mark SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Jensen, Mark SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Johnson, Anthony SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Johnson, Anthony SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 JOHNSON, ANTOINE SGM-610429 Voluntary Term Life VTL Benefit Employee 0.58 per 1000 of Total Benefit per month $150,000.00 $87.00 26 (biweekly) 40.15 JOHNSON, ANTOINE SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.58 per 1000 of Total Benefit per month $30,000.00 $17.40 26 (biweekly) 8.03 JOHNSON, ANTOINE SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 JOHNSON, ANTOINE SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Johnson, Brandon SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $34,000.00 $5.44 Not applicable (ER Paid) 0 Johnson, Brandon SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $34,000.00 $0.68 Not applicable (ER Paid) 0 Johnson, Charlene SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Johnson, Charlene SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Johnson, Joanne SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Johnson, Joanne SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Johnson, Stanley SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Johnson, Stanley SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Jolly, Cory SGM-610429 Voluntary Term Life VTL Benefit Employee 0.14 per 1000 of Total Benefit per month $150,000.00 $21.00 26 (biweekly) 9.69 Jolly, Cory SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.14 per 1000 of Total Benefit per month $50,000.00 $7.00 26 (biweekly) 3.23 Jolly, Cory SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 Jolly, Cory SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Jolly, Cory SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Jones, Kristen SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Jones, Kristen SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Joseph, Benet SGM-610429 Voluntary Term Life VTL Benefit Employee 1.07 per 1000 of Total Benefit per month $50,000.00 $53.50 26 (biweekly) 24.69 Joseph, Benet SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Joseph, Benet SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Joseph, Patrick SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $46,000.00 $7.36 Not applicable (ER Paid) 0 Joyce, Davis SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Joyce, Davis SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Kallicharan, Carl SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Kallicharan, Carl SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Kappa, Jorge SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 Not applicable (ER Paid) 0 Kenon, Floyd SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Kenon, Floyd SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Kimmich, Robert SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Kimmich, Robert SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Kirby, Donna SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Kirby, Donna SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Koch, Kenneth SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Koch, Kenneth SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Lajoie, Corinne SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Lajoie, Corinne SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Land, Kenneth SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Land, Kenneth SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Larios Ibarguen, Ibel SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Larios Ibarguen, Ibel SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Lexa, John SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Lexa, John SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Lipman, Rhona SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Lipman, Rhona SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Lobo, Yamil SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Lobo, Yamil SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Lorber, Richard SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 Not applicable (ER Paid) 0 Lorber, Richard SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 Not applicable (ER Paid) 0 Lori, Lewellen SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Lori, Lewellen SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Lottier, Christine SGM-610429 Voluntary Term Life VTL Benefit Employee 1.07 per 1000 of Total Benefit per month $30,000.00 $32.10 26 (biweekly) 14.82 Lottier, Christine SGM-610429 Voluntary Term Life VTL Benefit Spouse 1.07 per 1000 of Total Benefit per month $15,000.00 $16.05 26 (biweekly) 7.41 Lottier, Christine SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Lottier, Christine SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Lozandier, Daniel SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Lozandier, Daniel SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Lunkins, Angel SGM-610429 Voluntary Term Life VTL Benefit Employee 0.14 per 1000 of Total Benefit per month $50,000.00 $7.00 26 (biweekly) 3.23 Lunkins, Angel SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 Lunkins, Angel SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Lunkins, Angel SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Mace, Eugene SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Mace, Eugene SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Manzano, Donaldo SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Manzano, Donaldo SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 March, Shannel SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 March, Shannel SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Marco, Salvino SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Marco, Salvino SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Mariani, Mark SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Mariani, Mark SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Martin, Ralph SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 Not applicable (ER Paid) 0 Martin, Ralph SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 Not applicable (ER Paid) 0 Martinez, Gabriel SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Martinez, Gabriel SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Mason, Linda SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Mason, Linda SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 McClendon, Erin SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 McClendon, Erin SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 McDonald, Mary SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 McDonald, Mary SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Mchellon JR, Donial SGM-610429 Voluntary Term Life VTL Benefit Employee 0.58 per 1000 of Total Benefit per month $150,000.00 $87.00 26 (biweekly) 40.15 Mchellon JR, Donial SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 Mchellon JR, Donial SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Mchellon JR, Donial SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 McNabb, Kenneth SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $46,000.00 $7.36 Not applicable (ER Paid) 0 McNabb, Kenneth SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $46,000.00 $0.92 Not applicable (ER Paid) 0 McNeal, Gregory SGM-610429 Voluntary Term Life VTL Benefit Employee 0.09 per 1000 of Total Benefit per month $150,000.00 $13.50 26 (biweekly) 6.23 McNeal, Gregory SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $35,000.00 $5.60 26 (biweekly) 0 McNeal, Gregory SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $35,000.00 $0.70 26 (biweekly) 0 Mikes, Robert SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Mikes, Robert SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Miller, Miles SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Miller, Miles SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Molina, Frank SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Molina, Frank SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Morris, Glenn SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Morris, Glenn SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Moussignac, Debra SGM-610429 Voluntary Term Life VTL Benefit Employee 0.14 per 1000 of Total Benefit per month $50,000.00 $7.00 26 (biweekly) 3.23 Moussignac, Debra SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 Moussignac, Debra SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Moussignac, Debra SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Mujovic, Jasko SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $41,000.00 $6.56 Not applicable (ER Paid) 0 Mujovic, Jasko SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $41,000.00 $0.82 Not applicable (ER Paid) 0 Mulford, James SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Mulford, James SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Mullikin, Wanda SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Mullikin, Wanda SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Murphy, Dan SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Murphy, Dan SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Murphy, Shawn SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Murphy, Shawn SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Mustelier Jr, Enrique SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Mustelier Jr, Enrique SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Mykoo, Shanesa SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 Not applicable (ER Paid) 0 Mykoo, Shanesa SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 Not applicable (ER Paid) 0 Nadeau, Larry SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Nadeau, Larry SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Nicasio, Melissa SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Nicasio, Melissa SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Norena, Eleanor SGM-610429 Voluntary Term Life VTL Benefit Employee 0.14 per 1000 of Total Benefit per month $60,000.00 $8.40 26 (biweekly) 3.88 Norena, Eleanor SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.14 per 1000 of Total Benefit per month $30,000.00 $4.20 26 (biweekly) 1.94 Norena, Eleanor SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 Norena, Eleanor SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $100,000.00 $16.00 26 (biweekly) 0 Norena, Eleanor SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Odman, Lauren SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Odman, Lauren SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Orlando, Dominic SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Orlando, Dominic SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Ostrofsky, Warren SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Ostrofsky, Warren SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Ozaydin, Dincer SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 Not applicable (ER Paid) 0 Ozaydin, Dincer SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 Not applicable (ER Paid) 0 "patellaro, lou ann" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 "patellaro, lou ann" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 "patrick, lawrence" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 "patrick, lawrence" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 "pecoraro, sherry" SGM-610429 Voluntary Term Life VTL Benefit Employee 0.21 per 1000 of Total Benefit per month $150,000.00 $31.50 26 (biweekly) 14.54 "pecoraro, sherry" SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.21 per 1000 of Total Benefit per month $30,000.00 $6.30 26 (biweekly) 2.91 "pecoraro, sherry" SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 "pecoraro, sherry" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 "pecoraro, sherry" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 "peguero, ulysses" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $36,000.00 $5.76 Not applicable (ER Paid) 0 "peguero, ulysses" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $36,000.00 $0.72 Not applicable (ER Paid) 0 "peirce, logan" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 "peirce, logan" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 "pellecer, sergio" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 "pellecer, sergio" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 "perez, frank" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 "perez, frank" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 "perry, leonard" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 "perry, leonard" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 "peterson, terry" SGM-610429 Voluntary Term Life VTL Benefit Employee 1.07 per 1000 of Total Benefit per month $50,000.00 $53.50 26 (biweekly) 24.69 "peterson, terry" SGM-610429 Voluntary Term Life VTL Benefit Spouse 1.07 per 1000 of Total Benefit per month $25,000.00 $26.75 26 (biweekly) 12.35 "peterson, terry" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 "peterson, terry" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 "phaneuf, gary" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 "phaneuf, gary" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 "pink, nelson" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 "pink, nelson" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 "pollard, alberlean" SGM-610429 Voluntary Term Life VTL Benefit Employee 0.14 per 1000 of Total Benefit per month $150,000.00 $21.00 26 (biweekly) 9.69 "pollard, alberlean" SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 "pollard, alberlean" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 "pollard, alberlean" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Ramos, Sasha SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 Not applicable (ER Paid) 0 Ramos, Sasha SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 Not applicable (ER Paid) 0 REYES, EDDIE SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $47,000.00 $7.52 Not applicable (ER Paid) 0 REYES, EDDIE SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $47,000.00 $0.94 Not applicable (ER Paid) 0 Rigo, Rudoloph SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Rigo, Rudoloph SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 RIVERA, JACQUELINE SGM-610429 Voluntary Term Life VTL Benefit Employee 0.21 per 1000 of Total Benefit per month $150,000.00 $31.50 26 (biweekly) 14.54 RIVERA, JACQUELINE SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.21 per 1000 of Total Benefit per month $30,000.00 $6.30 26 (biweekly) 2.91 RIVERA, JACQUELINE SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 RIVERA, JACQUELINE SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 RIVERA, JACQUELINE SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Riviere, Joseph SGM-610429 Voluntary Term Life VTL Benefit Employee 1.07 per 1000 of Total Benefit per month $110,000.00 $117.70 26 (biweekly) 54.32 Riviere, Joseph SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Riviere, Joseph SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Rizzo, Robert SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Rizzo, Robert SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Roberson, Charlene SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Roberson, Charlene SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Rodriguez, Fernando SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $100,000.00 $16.00 Not applicable (ER Paid) 0 Rodriguez, Fernando SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $100,000.00 $2.00 Not applicable (ER Paid) 0 Rodriguez, Harold SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Rodriguez, Harold SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Rodriguez, Jose SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Rodriguez, Jose SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Rodriguez, Michael SGM-610429 Voluntary Term Life VTL Benefit Employee 0.21 per 1000 of Total Benefit per month $50,000.00 $10.50 26 (biweekly) 4.85 Rodriguez, Michael SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 Rodriguez, Michael SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Rodriguez, Michael SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Rodriguez, Richard SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Rodriguez, Richard SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Roman, Kerry SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Roman, Kerry SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Ronald, Cook SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 Not applicable (ER Paid) 0 Ronald, Cook SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 Not applicable (ER Paid) 0 Rose, Perry SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Rose, Perry SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Rouse, Franklin SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $43,000.00 $6.88 Not applicable (ER Paid) 0 Rouse, Franklin SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $43,000.00 $0.86 Not applicable (ER Paid) 0 Rueth, Richard SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Rueth, Richard SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Sabino, Deborah SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 Not applicable (ER Paid) 0 Sabino, Deborah SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 Not applicable (ER Paid) 0 SALGADO, JOSE SGM-610429 Voluntary Term Life VTL Benefit Employee 0.94 per 1000 of Total Benefit per month $150,000.00 $141.00 26 (biweekly) 65.08 SALGADO, JOSE SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.94 per 1000 of Total Benefit per month $50,000.00 $47.00 26 (biweekly) 21.69 SALGADO, JOSE SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 SALGADO, JOSE SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 SALGADO, JOSE SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Santana, Julio SGM-610429 Voluntary Term Life VTL Benefit Employee 0.09 per 1000 of Total Benefit per month $150,000.00 $13.50 26 (biweekly) 6.23 Santana, Julio SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Santana, Julio SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Satterfield, Nicki SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Satterfield, Nicki SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Saunders, Janice SGM-610429 Voluntary Term Life VTL Benefit Employee 1.07 per 1000 of Total Benefit per month $50,000.00 $53.50 26 (biweekly) 24.69 Saunders, Janice SGM-610429 Voluntary Term Life VTL Benefit Spouse 1.07 per 1000 of Total Benefit per month $25,000.00 $26.75 26 (biweekly) 12.35 Saunders, Janice SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Saunders, Janice SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Savage, James SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Savage, James SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 Schneider, Thomas SGM-610429 Voluntary Term Life VTL Benefit Employee 1.07 per 1000 of Total Benefit per month $150,000.00 $160.50 26 (biweekly) 74.08 Schneider, Thomas SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $100,000.00 $16.00 26 (biweekly) 0 Schneider, Thomas SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $100,000.00 $2.00 26 (biweekly) 0 Segal, Adam SGM-610429 Voluntary Term Life VTL Benefit Employee 0.38 per 1000 of Total Benefit per month $50,000.00 $19.00 26 (biweekly) 8.77 Segal, Adam SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Segal, Adam SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Sheley, Cherie SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Sheley, Cherie SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Slade, Curtis SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Slade, Curtis SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Smith, Michael SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Smith, Michael SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Somers, Howard SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Somers, Howard SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Sosa-Cruz, Candido SGM-610429 Voluntary Term Life VTL Benefit Employee 0.38 per 1000 of Total Benefit per month $150,000.00 $57.00 26 (biweekly) 26.31 Sosa-Cruz, Candido SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $100,000.00 $16.00 26 (biweekly) 0 Sosa-Cruz, Candido SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $100,000.00 $2.00 26 (biweekly) 0 Spencer, Willie SGM-610429 Voluntary Term Life VTL Benefit Employee 1.51 per 1000 of Total Benefit per month $40,000.00 $60.40 26 (biweekly) 27.88 Spencer, Willie SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Spencer, Willie SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Spongross, Joseph SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Spongross, Joseph SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Steiner, Murray SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Steiner, Murray SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Stevens, Tania SGM-610429 Voluntary Term Life VTL Benefit Employee 0.58 per 1000 of Total Benefit per month $150,000.00 $87.00 26 (biweekly) 40.15 Stevens, Tania SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 Stevens, Tania SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Stevens, Tania SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Stilson, Jeanne SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Stilson, Jeanne SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Stubbs, Daniel SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Stubbs, Daniel SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 "tarmey, edward" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 "tarmey, edward" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 "taylor, corry" SGM-610429 Voluntary Term Life VTL Benefit Employee 0.38 per 1000 of Total Benefit per month $100,000.00 $38.00 26 (biweekly) 17.54 "taylor, corry" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 "taylor, corry" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 "terrazas, monica" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 "terrazas, monica" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 "thomas, ahmad" SGM-610429 Voluntary Term Life VTL Benefit Employee 0.38 per 1000 of Total Benefit per month $100,000.00 $38.00 26 (biweekly) 17.54 "thomas, ahmad" SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.38 per 1000 of Total Benefit per month $30,000.00 $11.40 26 (biweekly) 5.26 "thomas, ahmad" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 "thomas, ahmad" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 "troccoli, patrick" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 "troccoli, patrick" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 "tubridy, thomas" SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 "tubridy, thomas" SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Urow, Barbara SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Urow, Barbara SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Varney, Patricia SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Varney, Patricia SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Vasquez, Jonathan SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Vasquez, Jonathan SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Vasta, Michael SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Vasta, Michael SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Villalba, Manuel SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $35,000.00 $5.60 Not applicable (ER Paid) 0 Walters, Leroy SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Walters, Leroy SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Walton, Eric SGM-610429 Voluntary Term Life VTL Benefit Employee 0.21 per 1000 of Total Benefit per month $70,000.00 $14.70 26 (biweekly) 6.78 Walton, Eric SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Walton, Eric SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Waren, Cassandra SGM-610429 Voluntary Term Life VTL Benefit Employee 0.14 per 1000 of Total Benefit per month $150,000.00 $21.00 26 (biweekly) 9.69 Waren, Cassandra SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.14 per 1000 of Total Benefit per month $30,000.00 $4.20 26 (biweekly) 1.94 Waren, Cassandra SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 Waren, Cassandra SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 0 Waren, Cassandra SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Warwick, Pansy SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Warwick, Pansy SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 WASHINGTON JR, WILLIS SGM-610429 Voluntary Term Life VTL Benefit Employee 0.38 per 1000 of Total Benefit per month $150,000.00 $57.00 26 (biweekly) 26.31 WASHINGTON JR, WILLIS SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.38 per 1000 of Total Benefit per month $50,000.00 $19.00 26 (biweekly) 8.77 WASHINGTON JR, WILLIS SGM-610429 Voluntary Term Life VTL Benefit Child 0.17 per 1000 of Total Benefit per month $5,000.00 $0.85 26 (biweekly) 0.39 WASHINGTON JR, WILLIS SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 WASHINGTON JR, WILLIS SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Weekes, Kathleen SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $25,000.00 $4.00 26 (biweekly) 1.85 Weekes, Kathleen SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $25,000.00 $0.50 26 (biweekly) 0 Wentworth, Jean SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Wentworth, Jean SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 West, CoKenya SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 West, CoKenya SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Westberry, Anson SGM-610429 Voluntary Term Life VTL Benefit Employee 0.10 per 1000 of Total Benefit per month $50,000.00 $5.00 26 (biweekly) 2.31 Westberry, Anson SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Westberry, Anson SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Whitaker, Stephen SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $2,500.00 $0.40 Not applicable (ER Paid) 0 Whitaker, Stephen SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $2,500.00 $0.05 Not applicable (ER Paid) 0 White, Deon SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 White, Deon SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 White, George SGM-610429 Voluntary Term Life VTL Benefit Employee 0.94 per 1000 of Total Benefit per month $150,000.00 $141.00 26 (biweekly) 65.08 White, George SGM-610429 Voluntary Term Life VTL Benefit Spouse 0.94 per 1000 of Total Benefit per month $30,000.00 $28.20 26 (biweekly) 13.02 White, George SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 White, George SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Williams, Darius SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $41,000.00 $6.56 Not applicable (ER Paid) 0 Williams, Darius SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $41,000.00 $0.82 Not applicable (ER Paid) 0 Williams, Leo SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Williams, Leo SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Writer, Cyrus SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Writer, Cyrus SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Zapata, Marlon SGM-610429 Voluntary Term Life VTL Benefit Employee 0.10 per 1000 of Total Benefit per month $40,000.00 $4.00 26 (biweekly) 1.85 Zapata, Marlon SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $50,000.00 $8.00 26 (biweekly) 3.69 Zapata, Marlon SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $50,000.00 $1.00 26 (biweekly) 0 Zidar, Matthew SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Zidar, Matthew SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0 Zipoli, David SGM-610429 Basic Term Life BTL Benefit Employee 0.16 per 1000 of Total Benefit per month $5,000.00 $0.80 Not applicable (ER Paid) 0 Zipoli, David SOK-607690 Basic AD&D AD&D Employee 0.02 per 1000 of Total Benefit per month $5,000.00 $0.10 Not applicable (ER Paid) 0