HomeMy WebLinkAboutInv# 2023-00000718 - FLORIDA MUNICIPAL INSURANCE TRUST - 08/29/2023 (2)PREMIUMS ADJUSTMENTS TOTAL
Medical Plan 2 Employee + 1 31 $47,990.48 $0.00 $47,990.48
Medical Plan 2 Employee + Family 46 $109,276.68 $0.00 $109,276.68
Medical Plan 2 Employee Only 84 $65,948.40 $0.00 $65,948.40
Medical Plan 5 Employee + 1 0 $0.00 $0.00 $0.00
Medical Plan 5 Employee + Family 0 $0.00 $0.00 $0.00
Medical Plan 5 Employee Only 7 $4,748.45 $0.00 $4,748.45
-$91,998.52 -$91,998.52 Refund for Retirees BERTUCCIO
HANSEN
$227,964.01 -$91,998.52 $135,965.49 Aug Due
:$458,218.70
:-$227,136.51 June Paid
:$227,964.01
:-$91,998.52
:$367,047.68
$231,082.19 July paid
TERMED W/ADJ
DANIA BEACH Due Date: 08-01-2023
FMIT # FH0129
SUMMARY BILLING PAGE
COVERAGE
TOTAL DUE
Gen Date: 07-20-2023
BALANCE FORWARD
PAYMENTS
CURRENT PREMIUMS
ADJUSTMENTS