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HomeMy WebLinkAboutInv# 2022-00000925 - FLORIDA MUNICIPAL INSURANCE TRUST - 11/18/2022 (2)Check Date.Calendar November 2022 New World Report Pay Batch All FMIT Invoice Catch up for Antione - not on Oct Invoice Batch Status Posted Values Deduction Net Total Deduction Net Total Benefit Net MEDICAL PLAN 2 Employee EMPLOYEE NAME PREMIUM ADJUSTMENT TOTAL ACOSTA, RAFAEL 380.10 1995.48 2,375.58 ACOSTA RAFAEL 2375.58 0 2375.58 ADAMS, LORI 125.62 659.48 785.10 ADAMS LORI 785.1 0 785.1 ALPHONSE, LOU 247.70 1300.38 1,548.08 ALPHONSE LOU 1548.08 0 1548.08 ANAYA, ALEXANDRA 125.62 659.48 785.10 ANAYA ALEXANDRA 785.1 0 785.1 AZCANO, ALEJANDRO 125.62 659.48 785.10 AZCANO ALEJANDRO 785.1 0 785.1 BALDIE, TOMMY R 380.10 1995.48 2,375.58 BALDIE TOMMY 2375.58 0 2375.58 BATISTA, CLAUDIA 380.10 1995.48 2,375.58 BATISTA CLAUDIA 2375.58 0 2375.58 BORDY, KATIA 125.62 659.48 785.10 BORDY KATIA 785.1 0 785.1 BORGOS, LUIS JR 380.10 1995.48 2,375.58 BORGOS LUIS 2375.58 0 2375.58 BOUTSIS, EVE 125.62 659.48 785.10 BOUTSIS EVE 785.1 0 785.1 BROWN, ERIC 380.10 1995.48 2,375.58 BROWN ERIC 2375.58 0 2375.58 BROWN, LOUIS 125.62 659.48 785.10 BROWN LOUIS 785.1 0 785.1 BROWN, RODRICK 247.70 1300.38 1,548.08 BROWN RODRICK 1548.08 0 1548.08 BROWNE, JOHNATHAN 247.70 1300.38 1,548.08 BROWNE JOHNATHAN 1548.08 0 1548.08 CANGIALOSI, JOSEPH S 125.62 659.48 785.10 CANGIALOSI JOSEPH 785.1 0 785.1 Caserta, Christina M 125.62 659.48 785.10 CASERTA CHRISTINA 785.1 0 785.1 CHEN, MICHAEL K 247.70 1300.38 1,548.08 CHEN MICHAEL 1548.08 0 1548.08 CLAYTON, ERIKA C 380.10 1995.48 2,375.58 CLAYTON ERIKA 2375.58 0 2375.58 COLLINS, ROGER J JR 125.62 659.48 785.10 COLLINS ROGER 785.1 0 785.1 COOK, RONALD L 380.10 1995.48 2,375.58 COOK RONALD 2375.58 0 2375.58 COSTA, NATHAN J 380.10 1995.48 2,375.58 COSTA NATHAN 2375.58 0 2375.58 CRAWFORD, RUPERT 380.10 1995.48 2,375.58 CRAWFORD RUPERT 2375.58 0 2375.58 CROSS, JERRYLYN 125.62 659.48 785.10 CROSS JERRYLYN 785.1 0 785.1 DAMIS, WINDY 380.10 1995.48 2,375.58 DAMIS WINDY 2375.58 0 2375.58 DAVILA, EDDA K 380.10 1995.48 2,375.58 DAVILA EDDA 2375.58 0 2375.58 DAVIS, JOYCE L 125.62 659.48 785.10 DAVIS JOYCE 785.1 0 785.1 DE JESUS, GABRIEL 247.70 1300.38 1,548.08 DE JESUS GABRIEL 1548.08 0 1548.08 DIPAOLO, FRANK L 380.10 1995.48 2,375.58 DIPAOLO FRANK 2375.58 0 2375.58 DONNELLY, COLIN E 380.10 1995.48 2,375.58 DONNELLY COLIN 2375.58 0 2375.58 DOTSON, RICKEY 125.62 659.48 785.10 DOTSON RICKEY 785.1 0 785.1 DRUMMOND, TAMARA 125.62 659.48 785.10 DRUMMOND TAMARA 785.1 0 785.1 EKLE, ROBERT 125.62 659.48 785.10 EKLE ROBERT 785.1 0 785.1 GAINES, TANEISHA 125.62 659.48 785.10 GAINES TANEISHA 785.1 0 785.1 GARDNER, KALA F 125.62 659.48 785.10 GARDNER KALA 785.1 0 785.1 GRANT, MITCHELL V 247.70 1300.38 1,548.08 GRANT MITCHELL 1548.08 0 1548.08 GREENE, DARIUS D 247.70 1300.38 1,548.08 GREENE DARIUS 1548.08 0 1548.08 GREENE, DARREN D 380.10 1995.48 2,375.58 GREENE DARREN 2375.58 0 2375.58 HARRIS, WILLIAM G 247.70 1300.38 1,548.08 HARRIS WILLIAM 1548.08 0 1548.08 HENLEY, ALICE 125.62 659.48 785.10 HENLEY ALICE 785.1 0 785.1 Henley, Mokieta L 125.62 659.48 785.10 HENLEY MOKIETA 785.1 0 785.1 HIRSCH, STACY 247.70 1300.38 1,548.08 HIRSCH STACY 1548.08 0 1548.08 HOGGINS, ERNEST 125.62 659.48 785.10 HOGGINS ERNEST 785.1 0 785.1 HUCK, MICHAEL 380.10 1995.48 2,375.58 HUCK MICHAEL 2375.58 0 2375.58 HUGHES, ANASTACIA R 380.10 1995.48 2,375.58 HUGHES ANASTACIA 2375.58 0 2375.58 ICENHOUR, RACHEL 125.62 659.48 785.10 ICENHOUR RACHEL 785.1 0 785.1 IFEDI, ANTHONY 125.62 659.48 785.10 IFEDI ANTHONY 785.1 0 785.1 IGLESIAS GUTIERREZ, CLAUDIO 125.62 659.48 785.10 IGLESIAS GUTIERREZCLAUDIO 785.1 0 785.1 JACKSON, JOHNATHAN 125.62 659.48 785.10 JACKSON JOHNATHAN 785.1 0 785.1 JAMES, TAMARA 247.70 1300.38 1,548.08 JAMES TAMARA 1548.08 0 1548.08 JAMES, TAMMIE D 247.70 1300.38 1,548.08 JAMES TAMMIE 1548.08 0 1548.08 JELASO, MEGAN 380.10 1995.48 2,375.58 JELASO MEGAN 2375.58 0 2375.58 JOHNSON JR, KENNITH 247.70 1300.38 1,548.08 JOHNSON ANTOINE 1548.08 1548.08 3096.16 JOHNSON, ANTOINE 247.70 1300.38 1,548.08 JOHNSON BRANDON 785.1 0 785.1 JOHNSON, BRANDON 125.62 659.48 785.10 JOHNSON JR KENNITH 1548.08 0 1548.08 JOLLY, CORY 380.10 1995.48 2,375.58 JOLLY CORY 2375.58 0 2375.58 JOSEPH, PATRICK 125.62 659.48 785.10 JOSEPH PATRICK 785.1 0 785.1 KALLICHARAN, CARL 125.62 659.48 785.10 KALLICHARAN CARL 785.1 0 785.1 LAJOIE, CORINNE A 247.70 1300.38 1,548.08 LAJOIE CORINNE 1548.08 0 1548.08 LARIOS IBARGUEN, IBEL E 125.62 659.48 785.10 LARIOS IBARGUEN IBEL 785.1 0 785.1 LAWSON, RACHELLE 380.10 1995.48 2,375.58 LAWSON RACHELLE 2375.58 0 2375.58 LIMA, MARILANE R 125.62 659.48 785.10 LIMA MARILANE 785.1 0 785.1 LOBO, YAMIL 380.10 1995.48 2,375.58 LOBO YAMIL 2375.58 0 2375.58 LOTTIER, CHRISTINE A 380.10 1995.48 2,375.58 LOTTIER CHRISTINE 2375.58 0 2375.58 MARTIN, RALPH 380.10 1995.48 2,375.58 MARTIN RALPH 2375.58 0 2375.58 MARTINEZ, GABRIEL 125.62 659.48 785.10 MARTINEZ GABRIEL 785.1 0 785.1 MCDOWELL, KEITH 108.54 108.54 569.82 678.36 MCDOWELL KEITH 678.35 0 678.35 MCFARLANE, DARRYL 125.62 659.48 785.10 MCFARLANE DARRYL 785.1 0 785.1 MCHELLON, DONIAL 380.10 1995.48 2,375.58 MCHELLON DONIAL 2375.58 0 2375.58 MCLAREN, KRISTEN M 247.70 1300.38 1,548.08 MCLAREN KRISTEN 1548.08 0 1548.08 MCNABB, KENNETH L 247.70 1300.38 1,548.08 MCNABB KENNETH 1548.08 0 1548.08 MCNEAL, GREGORY 380.10 1995.48 2,375.58 MCNEAL GREGORY 2375.58 0 2375.58 MCPHEE, JOYCE D 125.62 659.48 785.10 MCPHEE JOYCE 785.1 0 785.1 MERCADO, KARLA 380.10 1995.48 2,375.58 MERCADO KARLA 2375.58 0 2375.58 MILES, FELICIA 380.10 1995.48 2,375.58 MILES FELICIA 2375.58 0 2375.58 MYKOO, SHANESA 125.62 659.48 785.10 MYKOO SHANESA 785.1 0 785.1 NORENA, ELEANOR 380.10 1995.48 2,375.58 NORENA ELEANOR 2375.58 0 2375.58 ODMAN, LAUREN B 247.70 1300.38 1,548.08 ODMAN LAUREN 1548.08 0 1548.08 OZAYDIN, DINCER A 108.54 108.54 569.82 678.36 OZAYDIN DINCER 678.35 0 678.35 PECORARO, SHERRY 380.10 1995.48 2,375.58 PECORARO SHERRY 2375.58 0 2375.58 PEGUERO, ULYSSES 125.62 659.48 785.10 PEGUERO ULYSSES 785.1 0 785.1 PEIRCE, LOGAN 125.62 659.48 785.10 PEIRCE LOGAN 785.1 0 785.1 PEREZ, FRANK 247.70 1300.38 1,548.08 PEREZ FRANK 1548.08 0 1548.08 PERRY, LEONARD H 125.62 659.48 785.10 PERRY LEONARD 785.1 0 785.1 PETERSON, TERRY 247.70 1300.38 1,548.08 PETERSON TERRY 1548.08 0 1548.08 POLLARD, ALBERLEAN S 380.10 1995.48 2,375.58 POLLARD ALBERLEAN 2375.58 0 2375.58 QUINTERO, JOHN 125.62 659.48 785.10 QUINTERO JOHN 785.1 0 785.1 REYES, EDDIE 125.62 659.48 785.10 REYES EDDIE 785.1 0 785.1 RODRIGUEZ, FERNANDO 125.62 659.48 785.10 RODRIGUEZ FERNANDO 785.1 0 785.1 RODRIGUEZ, HAROLD 247.70 1300.38 1,548.08 RODRIGUEZ HAROLD 1548.08 0 1548.08 RODRIGUEZ, MICHAEL S 125.62 659.48 785.10 RODRIGUEZ MICHAEL 785.1 0 785.1 RODRIGUEZ, RICHARD 380.10 1995.48 2,375.58 RODRIGUEZ RICHARD 2375.58 0 2375.58 SABINO, DEBORAH 247.70 1300.38 1,548.08 SABINO DEBORAH 1548.08 0 1548.08 SALGADO, JOSE F 380.10 1995.48 2,375.58 SALGADO JOSE 2375.58 0 2375.58 SALVINO, MARCO SR 125.62 659.48 785.10 SALVINO MARCO 785.1 0 785.1 Salz, Benjamin J 125.62 659.48 785.10 SALZ BENJAMIN 785.1 0 785.1 SANTANA TORRES, JULIO M JR 125.62 659.48 785.10 SANTANA JULIO 785.1 0 785.1 SAUNDERS, JANICE L 247.70 1300.38 1,548.08 SAUNDERS JANICE 1548.08 0 1548.08 SCHNEIDER, THOMAS 247.70 1300.38 1,548.08 SCHNEIDER THOMAS 1548.08 0 1548.08 SEGAL, ADAM 380.10 1995.48 2,375.58 SEGAL ADAM 2375.58 0 2375.58 SHELEY, CHERIE 125.62 659.48 785.10 SHELEY CHERIE 785.1 0 785.1 SINGH, KEVIN N 125.62 659.48 785.10 SINGH KEVIN 785.1 0 785.1 SINGH, MAXINE A 125.62 659.48 785.10 SINGH MAXINE 785.1 0 785.1 SPEAR, MITZIE P 108.54 108.54 569.82 678.36 SPEAR MITZIE 678.35 0 678.35 SPENCER, WILLIE 125.62 659.48 785.10 SPENCER WILLIE 785.1 0 785.1 STEVENS, TANIA A 247.70 1300.38 1,548.08 STEVENS TANIA 1548.08 0 1548.08 TAYLOR, CORRY G 247.70 1300.38 1,548.08 TAYLOR CORRY 1548.08 0 1548.08 TERRAZAS, MONICA M 380.10 1995.48 2,375.58 TERRAZAS MONICA 2375.58 0 2375.58 THOMAS, AHMAD 380.10 1995.48 2,375.58 THOMAS AHMAD 2375.58 0 2375.58 UROW, BARBARA 380.10 1995.48 2,375.58 UROW BARBARA 2375.58 0 2375.58 VASTA, MICHAEL J 125.62 659.48 785.10 VASTA MICHAEL 785.1 0 785.1 WALTON, ERIC J 380.10 1995.48 2,375.58 WALTON ERIC 2375.58 0 2375.58 WASHINGTON JR, WILLIS B 380.10 1995.48 2,375.58 WASHINGTON WILLIS 2375.58 0 2375.58 WEEKES, KATHLEEN A 247.70 1300.38 1,548.08 WEEKES KATHLEEN 1548.08 0 1548.08 WEST, COKENYA D 380.10 1995.48 2,375.58 WEST COKENYA 2375.58 0 2375.58 WESTBERRY, ANSON J 125.62 659.48 785.10 WESTBERRY ANSON 785.1 0 785.1 WHITE, DEON T 125.62 659.48 785.10 WHITE DEON 785.1 0 785.1 WHITE, GEORGE 125.62 659.48 785.10 WHITE GEORGE 785.1 0 785.1 WILLIAMS, DARIUS 380.10 1995.48 2,375.58 WILLIAMS DARIUS 2375.58 0 2375.58 WRITER, CYRUS 125.62 659.48 785.10 WRITER CYRUS 785.1 0 785.1 ZAPATA, MARLON 125.62 659.48 785.10 ZAPATA MARLON 785.1 0 785.1 Grand Total 325.62 28,121.96 147,636.02 175,757.98 177306.03 175757.98 175,757.98 (1,548.05) Catch up for Antione