HomeMy WebLinkAboutInv# 1927 - Work & Well - 04/06/2022Medical Leave Administration, Management, and Return-to-Work Services
INVOICE
Work & Well to provide Medical Case Management Services.
Remit Payment To:
Work & Well
3920 Taylor Rd
Orchard Park, NY 14127
Phone:908-429-5500
Fax:908-429-5500
City of Dania Beach Florida
Attn: Ms Brenda Caseneuve
100 W Dania Beach Boulevard
Dania Beach, FL 33004
TO:
DESCRIPTION:
INVOICE NO.:1927
www.workandwell.com
FMLA Leave Management Services
Invoice Date:3/31/2022
Client No.:
P.O. No.:
Quantity Description AmountPrice
OUR ADDRESS HAS CHANGED
165 Employee count taken from data upload: 165Per Employee PEPM $295.35$1.79
0 0 new cases. Now at 2 of annual limit of 16
Starting from 10/1/2021
Case Management Charges $0.00$250.00
$295.35Total Balance Due:
All invoices Are Due Within 10 Days of Receipt
All invoices Are Due Within 10 Days of Receipt Page 1 of 1
4/1/22