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Inv# 165614094 - Fidelity Security Life Insurance Company - 03/02/2023 (2)
Check Date.Calendar February 2023New World Report Invoice Pay Batch All Gurney Jon Employee Only Benefit Level 1 $4.39 Termed Emailed ins - benefits ended 1.31.23 Batch Status Posted Salz Benjamin Benefit Level 1 12/01/2022 12/31/2022 -12.24 Termed - Refunded MILES FELICIA Employee + Family Benefit Level 1 $12.24 Termed Will hit next Invoice Values McLaren Kristen Employee Only Should reflect EF next invoice Deduction Net Total Deduction Net Total Benefit Net TOTAL VISION PLAN EE + Employee Last Name First Name Billing Tier Plan Rate Comparison ACOSTA, RAFAEL 1.96 10.28 12.24 ACOSTA RAFAEL Employee + Family Benefit Level 1 $12.24 $0.00 ADAMS, LORI 0.70 3.68 4.38 ADAMS LORI Employee Only Benefit Level 1 $4.39 ($0.01)penny ALPHONSE, LOU 1.34 1.34 7.00 8.34 ALPHONSE LOU Employee + 1 Benefit Level 1 $8.33 $0.01 penny ANAYA, ALEXANDRA 0.70 3.68 4.38 ANAYA ALEXANDRA Employee Only Benefit Level 1 $4.39 ($0.01)penny AZCANO, ALEJANDRO 0.70 3.68 4.38 AZCANO ALEJANDRO Employee Only Benefit Level 1 $4.39 ($0.01)penny BALDIE, TOMMY R 1.96 10.28 12.24 BALDIE TOMMY Employee + Family Benefit Level 1 $12.24 $0.00 BATISTA, CLAUDIA 1.96 10.28 12.24 BATISTA CLAUDIA Employee + Family Benefit Level 1 $12.24 $0.00 BORDY, KATIA 0.70 3.68 4.38 BORDY KATIA Employee Only Benefit Level 1 $4.39 ($0.01)penny BORGOS, LUIS JR 1.96 10.28 12.24 Borgos Luis Employee + Family Benefit Level 1 $12.24 $0.00 penny BOUTSIS, EVE 0.70 3.68 4.38 BOUTSIS EVE Employee Only Benefit Level 1 $4.39 ($0.01)penny BROWN, ERIC 1.96 10.28 12.24 BROWN ERIC Employee + Family Benefit Level 1 $12.24 $0.00 BROWN, LOUIS 0.70 3.68 4.38 BROWN LOUIS Employee Only Benefit Level 1 $4.39 ($0.01)penny BROWN, RODRICK 1.34 1.34 7.00 8.34 BROWN RODRICK Employee + 1 Benefit Level 1 $8.33 $0.01 BROWNE, JOHNATHAN 1.34 1.34 7.00 8.34 BROWNE JOHNATHAN Employee + 1 Benefit Level 1 $8.33 $0.01 penny CANGIALOSI, JOSEPH S 0.70 3.68 4.38 Cangialosi Joseph Employee Only Benefit Level 1 $4.39 ($0.01)penny Caserta, Christina M 0.70 3.68 4.38 Caserta Christina Employee Only Benefit Level 1 $4.39 ($0.01)penny CHEN, MICHAEL K 1.34 1.34 7.00 8.34 Chen Michael Employee + 1 Benefit Level 1 $8.33 $0.01 penny CLAYTON, ERIKA C 1.96 10.28 12.24 CLAYTON ERIKA Employee + Family Benefit Level 1 $12.24 $0.00 COLLINS, ROGER J JR 0.70 3.68 4.38 Collins Roger Employee Only Benefit Level 1 $4.39 ($0.01)penny COOK, RONALD L 1.96 10.28 12.24 COOK RONALD Employee + Family Benefit Level 1 $12.24 $0.00 COSTA, NATHAN J 1.96 10.28 12.24 COSTA NATHAN Employee + Family Benefit Level 1 $12.24 $0.00 CRAWFORD, RUPERT 1.96 10.28 12.24 CRAWFORD RUPERT Employee + Family Benefit Level 1 $12.24 $0.00 CROSS, JERRYLYN 0.70 3.68 4.38 CROSS JERRYLYN Employee Only Benefit Level 1 $4.39 ($0.01)penny DAMIS, WINDY 1.96 10.28 12.24 DAMIS WINDY Employee + Family Benefit Level 1 $12.24 $0.00 DAVILA, EDDA K 1.96 10.28 12.24 DAVILA EDDA Employee + Family Benefit Level 1 $12.24 $0.00 DAVIS, JOYCE L 0.70 3.68 4.38 Davis Joyce Employee Only Benefit Level 1 $4.39 ($0.01)penny DE JESUS, GABRIEL 1.34 1.34 7.00 8.34 DE JESUS Gabriel Employee + 1 Benefit Level 1 $8.33 $0.01 penny DIPAOLO, FRANK L 1.96 10.28 12.24 DIPAOLO FRANK Employee + Family Benefit Level 1 $12.24 $0.00 DONNELLY, COLIN E 1.96 10.28 12.24 DONNELLY COLIN Employee + Family Benefit Level 1 $12.24 $0.00 DOTSON, RICKEY 0.70 3.68 4.38 DOTSON RICKEY Employee Only Benefit Level 1 $4.39 ($0.01)penny DRUMMOND, TAMARA 0.70 3.68 4.38 DRUMMOND TAMARA Employee Only Benefit Level 1 $4.39 ($0.01)penny Edge, Charles J 0.70 3.68 4.38 Edge Charles Employee Only Benefit Level 1 $4.39 ($0.01)penny EKLE, ROBERT 0.70 3.68 4.38 EKLE ROBERT Employee Only Benefit Level 1 $4.39 ($0.01)penny GAINES, TANEISHA 0.70 3.68 4.38 GAINES TANEISHA Employee Only Benefit Level 1 $4.39 ($0.01)penny GARDNER, KALA F 1.96 10.28 12.24 GARDNER KALA Employee + Family Benefit Level 1 $12.24 $0.00 GRANT, MITCHELL V 1.34 1.34 7.00 8.34 GRANT MITCHELL Employee + 1 Benefit Level 1 $8.33 $0.01 penny GREENE, DARREN D 1.96 10.28 12.24 GREENE DARREN Employee + Family Benefit Level 1 $12.24 $0.00 HARRIS, WILLIAM G 1.34 1.34 7.00 8.34 HARRIS WILLIAM Employee + 1 Benefit Level 1 $8.33 $0.01 penny HENLEY, ALICE 0.70 3.68 4.38 Henley Mokieta Employee Only Benefit Level 1 $4.39 ($0.01)penny Henley, Mokieta L 0.70 3.68 4.38 HENLEY ALICE Employee Only Benefit Level 1 $4.39 ($0.01)penny HIRSCH, STACY 1.34 1.34 7.00 8.34 HIRSCH STACY Employee + 1 Benefit Level 1 $8.33 $0.01 penny HOGGINS, ERNEST 0.70 3.68 4.38 HOGGINS ERNEST Employee Only Benefit Level 1 $4.39 ($0.01) HUCK, MICHAEL 1.96 10.28 12.24 HUCK MICHAEL Employee + Family Benefit Level 1 $12.24 $0.00 HUGHES, ANASTACIA R 1.96 10.28 12.24 HUGHES ANASTACIA Employee + Family Benefit Level 1 $12.24 $0.00 ICENHOUR, RACHEL 1.96 10.28 12.24 ICENHOUR RACHEL Employee + Family Benefit Level 1 $12.24 $0.00 IFEDI, ANTHONY 0.70 3.68 4.38 IFEDI ANTHONY Employee Only Benefit Level 1 $4.39 ($0.01)penny IGLESIAS GUTIERREZ, CLAUDIO 0.70 3.68 4.38 IGLESIAS GUTIERREZ CLAUDIO Employee Only Benefit Level 1 $4.39 ($0.01)penny JAMES, TAMARA 1.34 1.34 7.00 8.34 JAMES TAMARA Employee + 1 Benefit Level 1 $8.33 $0.01 penny JAMES, TAMMIE D 1.34 1.34 7.00 8.34 JAMES TAMMIE Employee + 1 Benefit Level 1 $8.33 $0.01 penny JELASO, MEGAN 1.96 10.28 12.24 JELASO MEGAN Employee + Family Benefit Level 1 $12.24 $0.00 JOHNSON JR, KENNITH 1.34 1.34 7.00 8.34 JOHNSON JR KENNITH Employee + 1 Benefit Level 1 $8.33 $0.01 penny JOHNSON, ANTOINE 0.70 3.68 4.38 JOHNSON ANTOINE Employee Only Benefit Level 1 $4.39 ($0.01)penny JOHNSON, BRANDON 0.70 3.68 4.38 JOHNSON BRANDON Employee Only Benefit Level 1 $4.39 ($0.01)penny JOLLY, CORY 1.96 10.28 12.24 JOLLY CORY Employee + Family Benefit Level 1 $12.24 $0.00 JOSEPH, PATRICK 0.70 3.68 4.38 JOSEPH PATRICK Employee Only Benefit Level 1 $4.39 ($0.01)penny KALLICHARAN, CARL 0.70 3.68 4.38 KALLICHARAN CARL Employee Only Benefit Level 1 $4.39 ($0.01)penny LAJOIE, CORINNE A 1.34 1.34 7.00 8.34 LAJOIE CORINNE Employee + 1 Benefit Level 1 $8.33 $0.01 penny LARIOS IBARGUEN, IBEL E 0.70 3.68 4.38 LARIOS IBARGUEN IBEL Employee Only Benefit Level 1 $4.39 ($0.01)penny LAWSON, RACHELLE 1.96 10.28 12.24 Lawson Rachelle Employee + Family Benefit Level 1 $12.24 $0.00 LIMA, MARILANE R 0.70 3.68 4.38 Lima Marilane Employee Only Benefit Level 1 $4.39 ($0.01)penny LOTTIER, CHRISTINE A 1.34 1.34 7.00 8.34 LOTTIER CHRISTINE Employee + 1 Benefit Level 1 $8.33 $0.01 penny MARTIN, RALPH 1.96 10.28 12.24 Martin Ralph Employee + Family Benefit Level 1 $12.24 $0.00 penny MARTINEZ, GABRIEL 0.70 3.68 4.38 MARTINEZ GABRIEL Employee Only Benefit Level 1 $4.39 ($0.01)penny McDonald, Marvin JR 1.96 10.28 12.24 McDonald Marvin Employee + Family Benefit Level 1 $12.24 $0.00 MCDOWELL, KEITH 0.70 3.68 4.38 MCDOWELL KEITH Employee Only Benefit Level 1 $4.39 ($0.01)penny MCFARLANE, DARRYL 0.70 3.68 4.38 MCFARLANE DARRYL Employee Only Benefit Level 1 $4.39 ($0.01)penny MCHELLON, DONIAL 1.96 10.28 12.24 MCHELLON DONIAL Employee + Family Benefit Level 1 $12.24 $0.00 MCLAREN, KRISTEN M 1.34 1.34 7.00 8.34 McLaren Kristen Employee Only Benefit Level 1 $4.39 $3.95 Added family - should hit next invoice MCNABB, KENNETH L 1.34 1.34 7.00 8.34 McNabb Kenneth Employee + 1 Benefit Level 1 $8.33 $0.01 penny MCNEAL, GREGORY 1.96 10.28 12.24 MCNEAL GREGORY Employee + Family Benefit Level 1 $12.24 $0.00 MCPHEE, JOYCE D 0.70 3.68 4.38 MCPHEE JOYCE Employee Only Benefit Level 1 $4.39 ($0.01) MERCADO, KARLA 1.96 10.28 12.24 MERCADO KARLA Employee + Family Benefit Level 1 $12.24 $0.00 penny Mierez, Ann 0.70 3.68 4.38 Mierez Ann Employee Only Benefit Level 1 $4.39 ($0.01)penny MIRANDA, SHANESA 0.70 3.68 4.38 MIRANDA SHANESA Employee Only Benefit Level 1 $4.39 ($0.01)penny NORENA, ELEANOR 1.96 10.28 12.24 NORENA ELEANOR Employee + Family Benefit Level 1 $12.24 $0.00 OZAYDIN, DINCER A 0.70 3.68 4.38 Ozaydin Dincer Employee Only Benefit Level 1 $4.39 ($0.01)penny PECORARO, SHERRY 1.96 10.28 12.24 PECORARO SHERRY Employee + Family Benefit Level 1 $12.24 $0.00 PEGUERO, ULYSSES 0.70 3.68 4.38 PEGUERO ULYSSES Employee Only Benefit Level 1 $4.39 ($0.01)penny PEIRCE, LOGAN 0.70 3.68 4.38 PEIRCE LOGAN Employee Only Benefit Level 1 $4.39 ($0.01)penny PEREZ, FRANK 1.34 1.34 7.00 8.34 PEREZ FRANK Employee + 1 Benefit Level 1 $8.33 $0.01 PETERSON, TERRY 1.34 1.34 7.00 8.34 PETERSON TERRY Employee + 1 Benefit Level 1 $8.33 $0.01 penny POLLARD, ALBERLEAN S 1.96 10.28 12.24 POLLARD ALBERLEAN Employee + Family Benefit Level 1 $12.24 $0.00 penny QUINTERO, JOHN 0.70 3.68 4.38 QUINTERO JOHN Employee Only Benefit Level 1 $4.39 ($0.01)penny REYES, EDDIE 1.34 1.34 7.00 8.34 REYES EDDIE Employee + 1 Benefit Level 1 $8.33 $0.01 penny RODRIGUEZ, FERNANDO 0.70 3.68 4.38 RODRIGUEZ FERNANDO Employee Only Benefit Level 1 $4.39 ($0.01)penny RODRIGUEZ, HAROLD 1.96 10.28 12.24 RODRIGUEZ HAROLD Employee + Family Benefit Level 1 $12.24 $0.00 RODRIGUEZ, MICHAEL S 1.96 10.28 12.24 RODRIGUEZ MICHAEL Employee + Family Benefit Level 1 $12.24 $0.00 RODRIGUEZ, RICHARD 1.96 10.28 12.24 RODRIGUEZ RICHARD Employee + Family Benefit Level 1 $12.24 $0.00 Ryan, Archibald J IV 1.96 10.28 12.24 Ryan Archibald Employee + Family Benefit Level 1 $12.24 $0.00 SABINO, DEBORAH 1.34 1.34 7.00 8.34 SABINO DEBORAH Employee + 1 Benefit Level 1 $8.33 $0.01 penny SALGADO, JOSE F 1.96 10.28 12.24 SALGADO JOSE Employee + Family Benefit Level 1 $12.24 $0.00 SALVINO, MARCO SR 0.70 3.68 4.38 Salvino Marco Employee Only Benefit Level 1 $4.39 ($0.01)penny SANCHEZ, CLAUDIA 1.34 1.34 7.00 8.34 SANCHEZ CLAUDIA Employee + 1 Benefit Level 1 $8.33 $0.01 penny SANTANA TORRES, JULIO M JR 0.70 3.68 4.38 SANTANA TORRES JULIO Employee Only Benefit Level 1 $4.39 ($0.01)penny SAUNDERS, JANICE L 1.34 1.34 7.00 8.34 SAUNDERS JANICE Employee + 1 Benefit Level 1 $8.33 $0.01 SCHNEIDER, THOMAS 1.34 1.34 7.00 8.34 SCHNEIDER THOMAS Employee + 1 Benefit Level 1 $8.33 $0.01 penny SEGAL, ADAM 1.96 10.28 12.24 SEGAL ADAM Employee + Family Benefit Level 1 $12.24 $0.00 Shahryar, Michelle M 1.34 1.34 7.00 8.34 Shahryar Michelle Employee + 1 Benefit Level 1 $8.33 $0.01 penny SHELEY, CHERIE 0.70 3.68 4.38 SHELEY CHERIE Employee Only Benefit Level 1 $4.39 ($0.01)penny SINGH, MAXINE A 0.70 3.68 4.38 Singh Maxine Employee Only Benefit Level 1 $4.39 ($0.01)penny SPEAR, MITZIE P 0.70 3.68 4.38 SPEAR MITZIE Employee Only Benefit Level 1 $4.39 ($0.01)penny SPENCER, WILLIE 1.34 1.34 7.00 8.34 SPENCER WILLIE Employee + 1 Benefit Level 1 $8.33 $0.01 penny STEINER, MURRAY 0.70 3.68 4.38 STEINER MURRAY Employee Only Benefit Level 1 $4.39 ($0.01)penny STEVENS, TANIA A 1.34 1.34 7.00 8.34 STEVENS TANIA Employee + 1 Benefit Level 1 $8.33 $0.01 penny TAYLOR, CORRY G 0.70 3.68 4.38 TAYLOR CORRY Employee Only Benefit Level 1 $4.39 ($0.01)penny TERRAZAS, MONICA M 1.96 10.28 12.24 TERRAZAS MONICA Employee + Family Benefit Level 1 $12.24 $0.00 THOMAS, AHMAD 1.96 10.28 12.24 THOMAS AHMAD Employee + Family Benefit Level 1 $12.24 $0.00 UROW, BARBARA 1.34 1.34 7.00 8.34 UROW BARBARA Employee + 1 Benefit Level 1 $8.33 $0.01 penny VASTA, MICHAEL J 0.70 3.68 4.38 VASTA MICHAEL Employee Only Benefit Level 1 $4.39 ($0.01)penny WALTON, ERIC J 1.96 10.28 12.24 WALTON ERIC Employee + Family Benefit Level 1 $12.24 $0.00 WAREN, CASSANDRA 0.70 3.68 4.38 WAREN CASSANDRA Employee Only Benefit Level 1 $4.39 ($0.01)penny WASHINGTON JR, WILLIS B 1.96 10.28 12.24 WASHINGTON JR WILLIS Employee + Family Benefit Level 1 $12.24 $0.00 WEEKES, KATHLEEN A 1.34 1.34 7.00 8.34 WEEKES KATHLEEN Employee + 1 Benefit Level 1 $8.33 $0.01 penny WEST, COKENYA D 1.96 10.28 12.24 WEST COKENYA Employee + Family Benefit Level 1 $12.24 $0.00 WESTBERRY, ANSON J 0.70 3.68 4.38 WESTBERRY ANSON Employee Only Benefit Level 1 $4.39 ($0.01)penny WHITE, DEON T 0.70 3.68 4.38 WHITE DEON Employee Only Benefit Level 1 $4.39 ($0.01)penny Williams Haney, Charles E JR 0.70 3.68 4.38 Williams Haney Charles Employee Only Benefit Level 1 $4.39 ($0.01)penny WILLIAMS, DARIUS 1.96 10.28 12.24 Williams Darius Employee + Family Benefit Level 1 $12.24 $0.00 WRITER, CYRUS 0.70 3.68 4.38 WRITER CYRUS Employee Only Benefit Level 1 $4.39 ($0.01)penny ZAPATA, MARLON 0.70 3.68 4.38 ZAPATA MARLON Employee Only Benefit Level 1 4.39 Grand Total 36.18 152.94 801.84 954.78 $951.09