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Home My WebLink AboutInv# 165865984 - Fidelity Security Life Insurance Company - 08/01/2023 (3)Status First Name Middle Name Last Name Benefit Class Monthly Premium Coverage Effective Date Carrier Coverage Tier Plan Name Benefit Amt Coverage Type RETIREES - From Invoice R Laura Adams Surviving Spouse of Police and Fire Pension Retire 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision ADAMS LAURA TRUE $4.39 R THOMAS ANSBRO Post Pension Retiree Over 65 8.33 01/01/2023 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision ANSBRO THOMAS TRUE $8.33 R ERIC J BAKER General Pension Retiree Under 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision BAKER ERIC TRUE $4.39 R JAMES M BAKER General Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision BAKER JAMES TRUE $4.39 R MICHAEL A BERNARDO Police and Fire Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision BERNARDO MICHAEL TRUE $8.33 R Barbara A Bertino Surviving Spouse of General Pension Retiree Over 4.39 04/01/2022 EyeMed Vision Employee Only Vision: Employee Only Vision BERTINO BARBARA TRUE $4.39 R JOSEPH BERTUCCIO Police and Fire Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision BERTUCCIO JOSEPH TRUE $8.33 R CHRISTY L BLOCKER General Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision BLOCKER CHRISTY TRUE $4.39 R James Blust General Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision BLUST JAMES TRUE $8.33 R CHESTER BOLTON Police and Fire Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision BOLTON CHESTER TRUE $4.39 R GLORIA BRANDES General Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision BRANDES GLORIA TRUE $8.33 R JOANN BRAVE General Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision BRAVE JOANN TRUE $4.39 R Kenneth Sean Brown Police and Fire Pension Retiree Under 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision BROWN KENNETH TRUE $4.39 R MICHAEL L BROWN Police and Fire Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision BROWN MICHAEL TRUE $8.33 R BRUCE CARUSO Police and Fire Pension Retiree Under 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision CARUSO BRUCE TRUE $8.33 R Christopher Chandler Police and Fire Pension Retiree Under 65 12.24 10/01/2021 EyeMed Vision Employee + Family Vision: Employee + Family Vision CHANDLER CHRISTOPHE TRUE $12.24 R DANIEL CHERIAN General Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision CHERIAN DANIEL TRUE $8.33 R Dorothy Cook Post Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision COOK DOROTHY TRUE $4.39 R FRANK R CRANDON General Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision CRANDON FRANK TRUE $8.33 R Michael Frank Dara Police and Fire Pension Retiree Under 65 4.39 02/01/2022 EyeMed Vision Employee Only Vision: Employee Only Vision DARA MICHAEL TRUE $4.39 R NANCI DENNY General Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision DENNY NANCI TRUE $4.39 R GAIL FONDO General Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision FONDO GAIL TRUE $4.39 R GONZALO GARCIA Police and Fire Pension Retiree Under 65 12.24 10/01/2021 EyeMed Vision Employee + Family Vision: Employee + Family Vision GARCIA GONZALO TRUE $12.24 R EULA M GARDNER General Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision GARDNER EULA TRUE $4.39 R Joseph Gennaro Police and Fire Pension Retiree Over 65 8.33 01/01/2023 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision GENNARO JOSEPH TRUE $8.33 R Ralph Giaquinto General Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision GIAQUINTO RALPH TRUE $8.33 R RUSSELL K GILMOND General Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision GILMOND RUSSELL TRUE $4.39 R Thomas Grammer Police and Fire Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision GRAMMER THOMAS TRUE $4.39 R Jack Green Post Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision GREEN JACK TRUE $4.39 R Donald Richard Hansen General Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision HANSEN DONALD TRUE $8.33 R Robert Hess Police and Fire Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision HESS ROBERT TRUE $8.33 R LlOYD HOLDEN Police and Fire Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision HOLDEN LLOYD TRUE $8.33 R JAMES M HUMPHREY General Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision HUMPHREY JAMES TRUE $8.33 R JOSEPH A HUSOSKY General Pension Retiree Under 65 12.24 10/01/2021 EyeMed Vision Employee + Family Vision: Employee + Family Vision HUSOSKY JOSEPH TRUE $12.24 R ANTHONY JOHNSON General Pension Retiree Under 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision JOHNSON ANTHONY TRUE $4.39 R CHARLENE JOHNSON General Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision JOHNSON CHARLENE TRUE $8.33 R STANLEY JOHNSON General Pension Retiree Under 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision JOHNSON STANLEY TRUE $4.39 R KRISTEN L JONES General Pension Retiree Under 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision JONES KRISTEN TRUE $4.39 R FLOYD KENON General Pension Retiree Under 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision KENON FLOYD TRUE $4.39 R ROBERT E KIMMICH Police and Fire Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision KIMMICH ROBERT TRUE $8.33 R DONNA H KIRBY Post Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision KIRBY DONNA TRUE $8.33 R KENNETH KOCH General Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision KOCH KENNETH TRUE $4.39 R KENNETH LAND Police and Fire Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision LAND KENNETH TRUE $8.33 R Armenio Lavina Police and Fire Pension Retiree Under 65 4.39 02/01/2023 EyeMed Vision Employee Only Vision: Employee Only Vision LAVINA ARMENIO TRUE $4.39 R JOHN LEXA Police and Fire Pension Retiree Under 65 12.24 10/01/2021 EyeMed Vision Employee + Family Vision: Employee + Family Vision LEXA JOHN TRUE $12.24 R Bruce Liem Police and Fire Pension Retiree Under 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision LIEM BRUCE TRUE $4.39 R Richard Glenn Lorber Post Pension Retiree Under 65 4.39 10/01/2022 EyeMed Vision Employee Only Vision: Employee Only Vision LORBER RICHARD TRUE $4.39 R EUGENE MACE General Pension Retiree Over 65 12.24 10/01/2021 EyeMed Vision Employee + Family Vision: Employee + Family Vision MACE EUGENE TRUE $12.24 R MARK MARIANI Police and Fire Pension Retiree Over 65 12.24 10/01/2021 EyeMed Vision Employee + Family Vision: Employee + Family Vision MARIANI MARK TRUE $12.24 R LINDA I MASON General Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision MASON LINDA TRUE $4.39 R MARY L MCDONALD General Pension Retiree Under 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision MCDONALD MARY TRUE $4.39 R ROBERT A MIKES General Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision MIKES ROBERT TRUE $4.39 R Miles Miller Police and Fire Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision MILLER MILES TRUE $4.39 R Debbie D Molina Surviving Spouse of Police and Fire Pension Retire 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision MOLINA DEBBIE TRUE $4.39 R GLENN MORRIS General Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision MORRIS GLENN TRUE $8.33 R James Mulford Police and Fire Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision MULFORD JAMES TRUE $4.39 R ENRIQUE MUSTELIER JR Police and Fire Pension Retiree Under 65 8.33 05/01/2023 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision MUSTELIER JR ENRIQUE TRUE $8.33 R Todd Michael Neal Police and Fire Pension Retiree Under 65 4.39 01/01/2023 EyeMed Vision Employee Only Vision: Employee Only Vision NEAL TODD TRUE $4.39 R DOMINIC F ORLANDO General Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision ORLANDO DOMINIC TRUE $8.33 R Grace Palm Surviving Spouse of General Pension Retiree Over 4.39 01/01/2022 EyeMed Vision Employee Only Vision: Employee Only Vision PALM GRACE TRUE $4.39 R LOU ANN PATELLARO General Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision PATELLARO LOU ANN TRUE $4.39 R DIANNA L PATTERSON Surviving Spouse of Police and Fire Pension Retire 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision PATTERSON DIANNA TRUE $4.39 R SERGIO PELLECER Police and Fire Pension Retiree Under 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision PELLECER SERGIO TRUE $4.39 R Brian Phipps Police and Fire Pension Retiree Under 65 4.39 06/01/2022 EyeMed Vision Employee Only Vision: Employee Only Vision PHIPPS BRIAN TRUE $4.39 R Nelson Pink Police and Fire Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision PINK NELSON TRUE $8.33 R Rudolf Rigo Police and Fire Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision RIGO RUDOLF TRUE $8.33 R JOSEPH A RIVIERE Post Pension Retiree Under 65 8.33 03/01/2022 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision RIVIERE JOSEPH TRUE $8.33 R Charlene Roberson Police and Fire Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision ROBERSON CHARLENE TRUE $8.33 R Jose Rodriguez Police and Fire Pension Retiree Under 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision RODRIGUEZ JOSE TRUE $4.39 R PERRY ROSE General Pension Retiree Over 65 8.33 01/01/2023 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision ROSE PERRY TRUE $8.33 R FRANK E ROSS Police and Fire Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision ROSS FRANK TRUE $8.33 R Benjamin Clinton Rudbeck Police and Fire Pension Retiree Under 65 4.39 06/01/2022 EyeMed Vision Employee Only Vision: Employee Only Vision RUDBECK BENJAMIN TRUE $4.39 R RICHARD RUETH Police and Fire Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision RUETH RICHARD TRUE $8.33 R NICKI J SATTERFIELD General Pension Retiree Under 65 8.33 03/01/2022 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision SATTERFIELD NICKI TRUE $8.33 R JAMES R SAVAGE General Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision SAVAGE JAMES TRUE $8.33 R THOMAS SCHNEIDER Post Pension Retiree Over 65 8.33 04/01/2023 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision SCHNEIDER THOMAS TRUE $8.33 R Richard Sieb Police and Fire Pension Retiree Under 65 4.39 06/01/2022 EyeMed Vision Employee Only Vision: Employee Only Vision SIEB RICHARD TRUE $4.39 R CURTIS SLADE General Pension Retiree Under 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision SLADE CURTIS TRUE $4.39 R MICHAEL W SMITH General Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision SMITH MICHAEL TRUE $4.39 R Arnold J Snell Police and Fire Pension Retiree Under 65 12.24 10/01/2021 EyeMed Vision Employee + Family Vision: Employee + Family Vision SNELL ARNOLD TRUE $12.24 R HOWARD P.SOMERS Post Pension Retiree Over 65 8.33 11/01/2022 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision SOMERS HOWARD TRUE $8.33 R DANIEL STUBBS General Pension Retiree Under 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision STUBBS DANIEL TRUE $8.33 R Darin Sullivan Police and Fire Pension Retiree Under 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision SULLIVAN DARIN TRUE $4.39 R EDWARD TARMEY Police and Fire Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision TARMEY EDWARD TRUE $8.33 R THOMAS TUBRIDY Police and Fire Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision TUBRIDY THOMAS TRUE $8.33 R JOSE B URTECHO General Pension Retiree Under 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision URTECHO JOSE TRUE $4.39 R LEROY A WALTERS General Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision WALTERS LEROY TRUE $8.33 R PANSY WARWICK General Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision WARWICK PANSY TRUE $4.39 R JEAN WENTWORTH Police and Fire Pension Retiree Under 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision WENTWORTH JEAN TRUE $4.39 R Stephen Whitaker Police and Fire Pension Retiree Over 65 4.39 10/01/2021 EyeMed Vision Employee Only Vision: Employee Only Vision WHITAKER STEPHEN TRUE $4.39 R LEO WILLIAMS General Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision WILLIAMS LEO TRUE $8.33 R Matthew Zidar Police and Fire Pension Retiree Over 65 8.33 10/01/2021 EyeMed Vision Employee + 1 Vision: Employee + 1 Vision ZIDAR MATTHEW TRUE $8.33 612.49 $612.49