HomeMy WebLinkAboutInv# 2023-00000281 - FLORIDA MUNICIPAL INSURANCE TRUST - 04/26/2023Check Date.Calendar April 2023 FMIT NW Payroll reportBatch Status Posted A penny more in payrollDeduction Codes (Multiple Items) KNUDSON THEODOREA Medical Plan 5 Employee Only $678.35Benefit Code (Multiple Items)Added this calc MCDOWELL KEITH A Medical Plan 5 Employee Only $678.35FMIT Invoice OZAYDIN DINCER A Medical Plan 5 Employee Only $678.35Row Labels Deduction Net Benefit Net STATUSCOVERAGE TYPEPLAN NAMETIER PREMIUM ADJUSTMENTTOTAL SPEAR MITZIE A Medical Plan 5 Employee Only $678.35
ACOSTA, RAFAEL 380.10 1,995.48 2,375.58$ TRUE ACOSTA RAFAEL A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00 WILLIAMS BRYSHAWNA Medical Plan 5 Employee Only 678.35
ADAMS, LORI 125.62 659.48 785.10$ TRUE ADAMS LORI A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
ALI, RICKY A 380.10 1,995.48 2,375.58$ TRUE ALI RICKY A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00 GREENE DARIUS A Medical Plan 2 Employee + 1 $1,548.08
ALPHONSE, LOU 247.70 1,300.38 1,548.08$ TRUE ALPHONSE LOU A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
ANAYA, ALEXANDRA 125.62 659.48 785.10$ TRUE ANAYA ALEXANDRA A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
AZCANO, ALEJANDRO 125.62 659.48 785.10$ TRUE AZCANO ALEJANDRO A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
BALDIE, TOMMY R 380.10 1,995.48 2,375.58$ TRUE BALDIE TOMMY A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
BATISTA, CLAUDIA 380.10 1,995.48 2,375.58$ TRUE BATISTA CLAUDIA A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
BORDY, KATIA 125.62 659.48 785.10$ TRUE BORDY KATIA A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
BOUTSIS, EVE 125.62 659.48 785.10$ TRUE BOUTSIS EVE A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
BROWN, ERIC 380.10 1,995.48 2,375.58$ TRUE BROWN ERIC A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
BROWN, LOUIS 125.62 659.48 785.10$ TRUE BROWN LOUIS A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
BROWN, RODRICK 247.70 1,300.38 1,548.08$ TRUE BROWN RODRICK A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
BROWNE, JOHNATHAN 247.70 1,300.38 1,548.08$ TRUE BROWNE JOHNATHAN A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
CANGIALOSI, JOSEPH S 125.62 659.48 785.10$ TRUE CANGIALOSI JOSEPH A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
Caserta, Christina M 125.62 659.48 785.10$ TRUE CASERTA CHRISTINA A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
CHEN, MICHAEL K 247.70 1,300.38 1,548.08$ TRUE CHEN MICHAEL A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
CLAYTON, ERIKA C 380.10 1,995.48 2,375.58$ TRUE CLAYTON ERIKA A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
COLLINS, ROGER J JR 125.62 659.48 785.10$ TRUE COLLINS ROGER A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
COOK, RONALD L 380.10 1,995.48 2,375.58$ TRUE COOK RONALD A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
COSTA, NATHAN J 380.10 1,995.48 2,375.58$ TRUE COSTA NATHAN A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
CRAWFORD, RUPERT 380.10 1,995.48 2,375.58$ TRUE CRAWFORD RUPERT A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
CROSS, JERRYLYN 125.62 659.48 785.10$ TRUE CROSS JERRYLYN A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
DAMIS, WINDY 380.10 1,995.48 2,375.58$ TRUE DAMIS WINDY A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
DAVILA, EDDA K 380.10 1,995.48 2,375.58$ TRUE DAVILA EDDA A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
DAVIS, JOYCE L 125.62 659.48 785.10$ TRUE DAVIS JOYCE A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
DE JESUS, GABRIEL 247.70 1,300.38 1,548.08$ TRUE DE JESUS GABRIEL A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
DIPAOLO, FRANK L 380.10 1,995.48 2,375.58$ TRUE DIPAOLO FRANK A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
DOMINGUEZ, MARIA M 247.70 1,300.38 1,548.08$ TRUE DOMINGUEZ MARIA A Medical Plan 2 Employee + 1 $1,548.08 $1,548.08 $3,096.16 FALSE $1,548.08 hit for March month - added ES coverage - effective 3/1/2023
DONNELLY, COLIN E 380.10 1,995.48 2,375.58$ TRUE DONNELLY COLIN A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
DOTSON, RICKEY 125.62 659.48 785.10$ TRUE DOTSON RICKEY A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
DRUMMOND, TAMARA 125.62 659.48 785.10$ TRUE DRUMMOND TAMARA A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
Edge, Charles J 125.62 659.48 785.10$ TRUE EDGE CHARLES A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
EKLE, ROBERT 125.62 659.48 785.10$ TRUE EKLE ROBERT A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
GAINES, TANEISHA 125.62 659.48 785.10$ TRUE GAINES TANEISHA A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
GARDNER, KALA F 125.62 659.48 785.10$ TRUE GARDNER KALA A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
GRANT, MITCHELL V 247.70 1,300.38 1,548.08$ TRUE GRANT MITCHELL A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
GREENE, DARREN D 380.10 1,995.48 2,375.58$ TRUE GREENE DARREN A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
HARRIS, WILLIAM G 247.70 1,300.38 1,548.08$ TRUE HARRIS WILLIAM A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
HENLEY, ALICE 125.62 659.48 785.10$ FALSE HENLEY ALICE A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
Henley, Mokieta L 125.62 659.48 785.10$ TRUE HENLEY MOKIETA A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
HIRSCH, STACY 247.70 1,300.38 1,548.08$ FALSE HIRSCH STACY A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
HOGGINS, ERNEST 125.62 659.48 785.10$ FALSE HOGGINS ERNEST A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
HUCK, MICHAEL 380.10 1,995.48 2,375.58$ FALSE HUCK MICHAEL A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
HUGHES, ANASTACIA R 380.10 1,995.48 2,375.58$ TRUE HUGHES ANASTACIA A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
ICENHOUR, RACHEL 125.62 659.48 785.10$ FALSE ICENHOUR RACHEL A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
IFEDI, ANTHONY 125.62 659.48 785.10$ TRUE IFEDI ANTHONY A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
IGLESIAS GUTIERREZ, CLAUDIO 125.62 659.48 785.10$ TRUE IGLESIAS GUTIERREZ CLAUDIO A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
JACKSON, JOHNATHAN 125.62 659.48 785.10$ TRUE JACKSON JOHNATHAN A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
JAMES, TAMARA 247.70 1,300.38 1,548.08$ FALSE JAMES TAMARA A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
JAMES, TAMMIE D 247.70 1,300.38 1,548.08$ TRUE JAMES TAMMIE A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
JELASO, MEGAN 380.10 1,995.48 2,375.58$ FALSE JELASO MEGAN A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
JOHNSON JR, KENNITH 247.70 1,300.38 1,548.08$ FALSE JOHNSON ANTOINE A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 FALSE -$762.98
JOHNSON, ANTOINE 125.62 659.48 785.10$ TRUE JOHNSON BRANDON A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
JOHNSON, BRANDON 125.62 659.48 785.10$ TRUE JOHNSON JR KENNITH A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 FALSE $762.98
JOLLY, CORY 380.10 1,995.48 2,375.58$ FALSE JOLLY CORY A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
JOSEPH, PATRICK 125.62 659.48 785.10$ FALSE JOSEPH PATRICK A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
KALLICHARAN, CARL 125.62 659.48 785.10$ TRUE KALLICHARAN CARL A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
KNUDSON, THEODORE 108.54 569.82 678.36$ FALSE KNUDSON THEODORE A Medical Plan 5 Employee Only $678.35 $0.00 $678.35 FALSE -$0.01 penny
LAJOIE, CORINNE A 247.70 1,300.38 1,548.08$ FALSE LAJOIE CORINNE A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
LARIOS IBARGUEN, IBEL E 125.62 659.48 785.10$ FALSE LARIOS IBARGUEN IBEL A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
LAWSON, RACHELLE 380.10 1,995.48 2,375.58$ FALSE LAWSON RACHELLE A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
LEWELLEN, LORI B 247.70 1,300.38 1,548.08$ FALSE LEWELLEN LORI A Medical Plan 2 Employee + 1 $1,548.08 $1,548.08 $3,096.16 FALSE $1,548.08 hit for last month - added ES coverage - effective 3/1/2023
LIMA, MARILANE R 125.62 659.48 785.10$ FALSE LIMA MARILANE A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
LOBO, YAMIL 380.10 1,995.48 2,375.58$ FALSE LOBO YAMIL A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
LOTTIER, CHRISTINE A 247.70 1,300.38 1,548.08$ FALSE LOTTIER CHRISTINE A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
MARTIN, RALPH 380.10 1,995.48 2,375.58$ FALSE MARTIN RALPH A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
MARTINEZ, GABRIEL 125.62 659.48 785.10$ FALSE MARTINEZ GABRIEL A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
McDonald, Marvin JR 380.10 1,995.48 2,375.58$ FALSE MCDONALD MARVIN A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
MCDOWELL, KEITH 108.54 569.82 678.36$ FALSE MCDOWELL KEITH A Medical Plan 5 Employee Only $678.35 $0.00 $678.35 FALSE -$0.01 penny
MCFARLANE, DARRYL 125.62 659.48 785.10$ FALSE MCFARLANE DARRYL A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
MCHELLON, DONIAL 380.10 1,995.48 2,375.58$ FALSE MCHELLON DONIAL A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
MCLAREN, KRISTEN M 380.10 1,995.48 2,375.58$ TRUE MCLAREN KRISTEN A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00 invoice matchs this month
MCNABB, KENNETH L 1,300.38 1,300.38$ FALSE MCNABB KENNETH A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 FALSE $247.70 Will need to capture his payments when he returns to wprk - leave (247.70)$
MCNEAL, GREGORY 380.10 1,995.48 2,375.58$ FALSE MCNEAL GREGORY A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
MCPHEE, JOYCE D 125.62 659.48 785.10$ FALSE MCPHEE JOYCE A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00
MERCADO, KARLA 380.10 1,995.48 2,375.58$ FALSE MERCADO KARLA A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
EMPLOYEE NAME
Mierez, Ann 125.62 659.48 785.10$ FALSE MIEREZ ANN A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00MIRANDA, SHANESA 125.62 659.48 785.10$ TRUE MIRANDA SHANESA A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00NORENA, ELEANOR 380.10 1,995.48 2,375.58$ FALSE NORENA ELEANOR A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00OZAYDIN, DINCER A 108.54 569.82 678.36$ FALSE OZAYDIN DINCER A Medical Plan 5 Employee Only $678.35 $0.00 $678.35 FALSE -$0.01 pennyPECORARO, SHERRY 380.10 1,995.48 2,375.58$ FALSE PECORARO SHERRY A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00PEGUERO, ULYSSES 125.62 659.48 785.10$ FALSE PEGUERO ULYSSES A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00PEIRCE, LOGAN 125.62 659.48 785.10$ TRUE PEIRCE LOGAN A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00PEREZ, FRANK 247.70 1,300.38 1,548.08$ FALSE PEREZ FRANK A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00PERRY, LEONARD H 125.62 659.48 785.10$ FALSE PERRY LEONARD A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00PETERSON, TERRY 247.70 1,300.38 1,548.08$ FALSE PETERSON TERRY A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00POLLARD, ALBERLEAN S 380.10 1,995.48 2,375.58$ FALSE POLLARD ALBERLEAN A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00QUINTERO, JOHN 125.62 659.48 785.10$ FALSE QUINTERO JOHN A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00REYES, EDDIE 125.62 659.48 785.10$ TRUE REYES EDDIE A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00RODRIGUEZ, FERNANDO 125.62 659.48 785.10$ TRUE RODRIGUEZ FERNANDO A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00RODRIGUEZ, HAROLD 247.70 1,300.38 1,548.08$ FALSE RODRIGUEZ HAROLD A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00RODRIGUEZ, MICHAEL S 125.62 659.48 785.10$ FALSE RODRIGUEZ MICHAEL A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00RODRIGUEZ, RICHARD 380.10 1,995.48 2,375.58$ FALSE RODRIGUEZ RICHARD A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00Ryan, Archibald J IV 380.10 1,995.48 2,375.58$ TRUE RYAN ARCHIBALD A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00SABINO, DEBORAH 247.70 1,300.38 1,548.08$ FALSE SABINO DEBORAH A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00SALGADO, JOSE F 380.10 1,995.48 2,375.58$ FALSE SALGADO JOSE A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00SALVINO, MARCO SR 125.62 659.48 785.10$ FALSE SALVINO MARCO A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00SANTANA TORRES, JULIO M JR 125.62 659.48 785.10$ TRUE SANTANA JULIO A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00SAUNDERS, JANICE L 247.70 1,300.38 1,548.08$ FALSE SAUNDERS JANICE A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00SEGAL, ADAM 380.10 1,995.48 2,375.58$ FALSE SEGAL ADAM A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00Shahryar, Michelle M 247.70 1,300.38 1,548.08$ FALSE SHAHRYAR MICHELLE A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00SHELEY, CHERIE 125.62 659.48 785.10$ FALSE SHELEY CHERIE A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00SINGH, KEVIN N 125.62 659.48 785.10$ TRUE SINGH KEVIN A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00SINGH, MAXINE A 125.62 659.48 785.10$ TRUE SINGH MAXINE A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00SPEAR, MITZIE P 108.54 569.82 678.36$ FALSE SPEAR MITZIE A Medical Plan 5 Employee Only $678.35 $0.00 $678.35 FALSE -$0.01 pennySpencer, Angela 62.81 329.74 392.55$ FALSE SPENCER ANGELA A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 FALSE $392.55 pennySPENCER, WILLIE 125.62 659.48 785.10$ TRUE SPENCER WILLIE A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00STEVENS, TANIA A 247.70 1,300.38 1,548.08$ FALSE STEVENS TANIA A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00TAYLOR, CORRY G 247.70 1,300.38 1,548.08$ TRUE TAYLOR CORRY A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00TERRAZAS, MONICA M 380.10 1,995.48 2,375.58$ FALSE TERRAZAS MONICA A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00THOMAS, AHMAD 380.10 1,995.48 2,375.58$ TRUE THOMAS AHMAD A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00UROW, BARBARA 380.10 1,995.48 2,375.58$ TRUE UROW BARBARA A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00VASTA, MICHAEL J 125.62 659.48 785.10$ FALSE VASTA MICHAEL A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00WALTON, ERIC J 380.10 1,995.48 2,375.58$ FALSE WALTON ERIC A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00WASHINGTON JR, WILLIS B 380.10 1,995.48 2,375.58$ TRUE WASHINGTON WILLIS A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00WEEKES, KATHLEEN A 247.70 1,300.38 1,548.08$ FALSE WEEKES KATHLEEN A Medical Plan 2 Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00WEST, COKENYA D 380.10 1,995.48 2,375.58$ FALSE WEST COKENYA A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00WESTBERRY, ANSON J 125.62 659.48 785.10$ FALSE WESTBERRY ANSON A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00WHITE, DEON T 125.62 659.48 785.10$ TRUE WHITE DEON A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00Williams Haney, Charles E JR 125.62 659.48 785.10$ TRUE WILLIAMS HANEY CHARLES A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00WILLIAMS, BRYSHAWN 108.54 569.82 678.36$ FALSE WILLIAMS BRYSHAWN A Medical Plan 5 Employee Only $678.35 $0.00 $678.35 FALSE -$0.01 pennyWILLIAMS, DARIUS 380.10 1,995.48 2,375.58$ FALSE WILLIAMS DARIUS A Medical Plan 2 Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00WRITER, CYRUS 125.62 659.48 785.10$ FALSE WRITER CYRUS A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00ZAPATA, MARLON 125.62 659.48 785.10$ TRUE ZAPATA MARLON A Medical Plan 2 Employee Only $785.10 $0.00 $785.10 TRUE $0.00Grand Total 28,537.79 151,119.46 179,657.25$ FALSE 183,393.61 $3,736.36$183,393.61 184,941.69 $1,548.08$5,284.49 -$1,548.08
Term = 3.31