HomeMy WebLinkAboutInv# 2023-00000838 - FLORIDA MUNICIPAL INSURANCE TRUST - 09/27/2023 (2)Check Date.Calendar September 2023 FMIT NW Payroll report
Batch Status Posted A penny more in payroll
Deduction Codes (Multiple Items)KNUDSON THEODOREA Medical Plan 5 Employee Onl $678.35
Benefit Code (Multiple Items)Added this calc MCDOWELL KEITH A Medical Plan 5 Employee Onl $678.35
FMIT Invoice OZAYDIN DINCER A Medical Plan 5 Employee Onl $678.35
Row Labels Deduction Net Benefit Net STA COVERAGE PLAN NAMTIER PREMIUM ADJUSTMENTOTAL Riera Elora A Medical
ACOSTA, RAFAEL 380.10 1,995.48 2,375.58$ TRUE ACOSTA RAFAEL A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
ADAMS, LORI 125.62 659.48 785.10$ TRUE ADAMS LORI A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00 SPEAR MITZIE A Medical Plan 5 Employee Onl $678.35
ALI, RICKY A 380.10 1,995.48 2,375.58$ TRUE ALI RICKY A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00 WILLIAMS BRYSHAWNA Medical Plan 5 Employee Onl 678.35
ALPHONSE, LOU 247.70 1,300.38 1,548.08$ TRUE ALPHONSE LOU A Medical UHC Plan 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 UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00 CADY JONATHA A Medical UHC Plan 2 Employee Onl $785.10
AZCANO, ALEJANDRO 125.62 659.48 785.10$ TRUE AZCANO ALEJANDRO A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00 Term
BALDIE, TOMMY R 380.10 1,995.48 2,375.58$ TRUE BALDIE TOMMY A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00 GAINES TANEISHA A Medical UHC Plan 2 Employee Onl $785.10
BATISTA, CLAUDIA 380.10 1,995.48 2,375.58$ TRUE BATISTA CLAUDIA A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00 HENLEY MOKIETA A Medical UHC Plan 2 Employee Onl $785.10
BOUTSIS, EVE 125.62 659.48 785.10$ TRUE BOUTSIS EVE A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00 PEGUERO ULYSSES A Medical UHC Plan 2 Employee Onl $785.10
Brathwaite, David L 125.62 659.48 785.10$ TRUE BRATHWAITE DAVID A Medical UHC Plan 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 UHC Plan 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 UHC Plan 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 UHC Plan 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 UHC Plan 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 UHC Plan 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 UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
COLLINS, ROGER J JR 125.62 659.48 785.10$ TRUE COLLINS ROGER A Medical UHC Plan 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 UHC Plan 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 UHC Plan 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 UHC Plan 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 UHC Plan 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 UHC Plan 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 UHC Plan 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 UHC Plan 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 UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
DEMASSIS, TAMARA 125.62 659.48 785.10$ TRUE DEMASSIS TAMARA A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
DIPAOLO, FRANK L 380.10 1,995.48 2,375.58$ TRUE DIPAOLO FRANK A Medical UHC Plan 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 UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
DONNELLY, COLIN E 380.10 1,995.48 2,375.58$ TRUE DONNELLY COLIN A Medical UHC Plan 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 UHC Plan 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 UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
EKLE, ROBERT 125.62 659.48 785.10$ TRUE EKLE ROBERT A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
FRANCO, JOSHUA 125.62 659.48 785.10$ TRUE FRANCO JOSHUA A Medical UHC Plan 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 UHC Plan 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 UHC Plan 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 UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
GUZMAN, YEIMY 380.10 1,995.48 2,375.58$ TRUE GUZMAN YEIMY A Medical UHC Plan 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 UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
HIRSCH, STACY 247.70 1,300.38 1,548.08$ TRUE HIRSCH STACY A Medical UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
HOGGINS, ERNEST 247.70 1,300.38 1,548.08$ TRUE HOGGINS ERNEST A Medical UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
HUCK, MICHAEL 380.10 1,995.48 2,375.58$ TRUE HUCK MICHAEL A Medical UHC Plan 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 UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
ICENHOUR, RACHEL 125.62 659.48 785.10$ TRUE ICENHOUR RACHEL A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
IFEDI, ANTHONY 125.62 659.48 785.10$ TRUE IFEDI ANTHONY A Medical UHC Plan 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 UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
JACKSON, JOHNATHAN 125.62 659.48 785.10$ TRUE JACKSON JOHNATHAN A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
JAMES, TAMARA 247.70 1,300.38 1,548.08$ TRUE JAMES TAMARA A Medical UHC Plan 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 UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
JELASO, MEGAN 380.10 1,995.48 2,375.58$ TRUE JELASO MEGAN A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
Jennings, Demetrius M 108.54 569.82 678.36$ FALSE JENNINGS DEMETRIUS A Medical UHC Plan Employee Only $678.35 $0.00 $678.35 FALSE -$0.01 penny
JOHNSON JR, KENNITH 247.70 1,300.38 1,548.08$ TRUE JOHNSON JR KENNITH A Medical UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
JOHNSON, ANTOINE 125.62 659.48 785.10$ TRUE JOHNSON ANTOINE A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
JOHNSON, BRANDON 125.62 659.48 785.10$ TRUE JOHNSON BRANDON A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
JOLLY, CORY 380.10 1,995.48 2,375.58$ TRUE JOLLY CORY A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
JOSEPH, PATRICK 125.62 659.48 785.10$ TRUE JOSEPH PATRICK A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
KALLICHARAN, CARL 125.62 659.48 785.10$ TRUE KALLICHARAN CARL A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
KNUDSON, THEODORE 108.54 569.82 678.36$ FALSE KNUDSON THEODORE A Medical UHC Plan Employee Only $678.35 $0.00 $678.35 FALSE -$0.01 penny
LAJOIE, CORINNE A 247.70 1,300.38 1,548.08$ TRUE LAJOIE CORINNE A Medical UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
LARIOS IBARGUEN, IBEL E 125.62 659.48 785.10$ TRUE LARIOS IBARGUEN IBEL A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
LAWSON, RACHELLE 380.10 1,995.48 2,375.58$ TRUE LAWSON RACHELLE A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
LEWELLEN, LORI B 247.70 1,300.38 1,548.08$ TRUE LEWELLEN LORI A Medical UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
LIMA, MARILANE R 125.62 659.48 785.10$ TRUE LIMA MARILANE A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
LOBO, YAMIL 380.10 1,995.48 2,375.58$ TRUE LOBO YAMIL A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
LOTTIER, CHRISTINE A 247.70 1,300.38 1,548.08$ TRUE LOTTIER CHRISTINE A Medical UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
MARTIN, RALPH 380.10 1,995.48 2,375.58$ TRUE MARTIN RALPH A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
MARTINEZ, GABRIEL 125.62 659.48 785.10$ TRUE MARTINEZ GABRIEL A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
McDonald, Marvin JR 380.10 1,995.48 2,375.58$ TRUE MCDONALD MARVIN A Medical UHC Plan 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 UHC Plan Employee Only $678.35 $0.00 $678.35 FALSE -$0.01 penny
MCFARLANE, DARRYL 125.62 659.48 785.10$ TRUE MCFARLANE DARRYL A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
MCHELLON, DONIAL 380.10 1,995.48 2,375.58$ TRUE MCHELLON DONIAL A Medical UHC Plan 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 UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
MCNEAL, GREGORY 380.10 1,995.48 2,375.58$ TRUE MCNEAL GREGORY A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
MERCADO, KARLA 380.10 1,995.48 2,375.58$ TRUE MERCADO KARLA A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
Mierez, Ann 125.62 659.48 785.10$ TRUE MIEREZ ANN A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
MIRANDA, SHANESA 125.62 659.48 785.10$ TRUE MIRANDA SHANESA A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
NORENA, ELEANOR 380.10 1,995.48 2,375.58$ TRUE NORENA ELEANOR A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
OZAYDIN, DINCER A 108.54 569.82 678.36$ FALSE OZAYDIN DINCER A Medical UHC Plan Employee Only $678.35 $0.00 $678.35 FALSE -$0.01 penny
PECORARO, SHERRY 380.10 1,995.48 2,375.58$ TRUE PECORARO SHERRY A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
PEIRCE, LOGAN 125.62 659.48 785.10$ TRUE PEIRCE LOGAN A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
Penate Roque, Delmis 380.10 1,995.48 2,375.58$ TRUE PENATE ROQUE DELMIS A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
PEREZ, FRANK 247.70 1,300.38 1,548.08$ TRUE PEREZ FRANK A Medical UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
PERRY, LEONARD H 125.62 659.48 785.10$ TRUE PERRY LEONARD A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
PETERSON, TERRY 247.70 1,300.38 1,548.08$ TRUE PETERSON TERRY A Medical UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
POLLARD, ALBERLEAN S 380.10 1,995.48 2,375.58$ TRUE POLLARD ALBERLEAN A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
QUINTERO, JOHN 125.62 659.48 785.10$ TRUE QUINTERO JOHN A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
REYES, EDDIE 125.62 659.48 785.10$ TRUE REYES EDDIE A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
Riera, Elora R 108.54 569.82 678.36$ FALSE RIERA ELORA A Medical UHC Plan Employee Only $678.35 $0.00 $678.35 FALSE -$0.01 penny
RODRIGUEZ, FERNANDO 125.62 659.48 785.10$ TRUE RODRIGUEZ FERNANDO A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
RODRIGUEZ, HAROLD 247.70 1,300.38 1,548.08$ TRUE RODRIGUEZ HAROLD A Medical UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
RODRIGUEZ, MICHAEL S 125.62 659.48 785.10$ TRUE RODRIGUEZ MICHAEL A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
RODRIGUEZ, RICHARD 380.10 1,995.48 2,375.58$ TRUE RODRIGUEZ RICHARD A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
Ryan, Archibald J IV 380.10 1,995.48 2,375.58$ TRUE RYAN ARCHIBALD A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
EMPLOYEE NAME
Opted out - should see refund for Sept on Oct invoice
SABINO, DEBORAH 247.70 1,300.38 1,548.08$ TRUE SABINO DEBORAH A Medical UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
SALGADO, JOSE F 380.10 1,995.48 2,375.58$ TRUE SALGADO JOSE A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
SALVINO, MARCO SR 125.62 659.48 785.10$ TRUE SALVINO MARCO A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
SANTANA TORRES, JULIO M JR 125.62 659.48 785.10$ TRUE SANTANA JULIO A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
SAUNDERS, JANICE L 247.70 1,300.38 1,548.08$ TRUE SAUNDERS JANICE A Medical UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
SEGAL, ADAM 380.10 1,995.48 2,375.58$ TRUE SEGAL ADAM A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
Shahryar, Michelle M 247.70 1,300.38 1,548.08$ TRUE SHAHRYAR MICHELLE A Medical UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
SHELEY, CHERIE 125.62 659.48 785.10$ TRUE SHELEY CHERIE A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
SINGH, KEVIN N 125.62 659.48 785.10$ TRUE SINGH KEVIN A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
SINGH, MAXINE A 125.62 659.48 785.10$ TRUE SINGH MAXINE A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
SPEAR, MITZIE P 108.54 569.82 678.36$ FALSE SPEAR MITZIE A Medical UHC Plan Employee Only $678.35 $0.00 $678.35 FALSE -$0.01 penny
Spencer, Angela 125.62 659.48 785.10$ TRUE SPENCER ANGELA A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
SPENCER, WILLIE 125.62 659.48 785.10$ TRUE SPENCER WILLIE A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
STEVENS, TANIA A 247.70 1,300.38 1,548.08$ TRUE STEVENS TANIA A Medical UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
TAYLOR, CORRY G 247.70 1,300.38 1,548.08$ TRUE TAYLOR CORRY A Medical UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
TERRAZAS, MONICA M 380.10 1,995.48 2,375.58$ TRUE TERRAZAS MONICA A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
THOMAS, AHMAD 380.10 1,995.48 2,375.58$ TRUE THOMAS AHMAD A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
UROW, BARBARA 380.10 1,995.48 2,375.58$ TRUE UROW BARBARA A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
VASTA, MICHAEL J 125.62 659.48 785.10$ TRUE VASTA MICHAEL A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
Vlasic, Ashley M 247.70 1,300.38 1,548.08$ TRUE VLASIC ASHLEY A Medical UHC Plan Employee + 1 $1,548.08 $0.00 $1,548.08 TRUE $0.00
WALTON, ERIC J 380.10 1,995.48 2,375.58$ TRUE WALTON ERIC A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
WASHINGTON JR, WILLIS B 380.10 1,995.48 2,375.58$ TRUE WASHINGTON WILLIS A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
WEBB, SHANNAN 125.62 659.48 785.10$ FALSE
WEST, COKENYA D 380.10 1,995.48 2,375.58$ TRUE WEST COKENYA A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
WESTBERRY, ANSON J 125.62 659.48 785.10$ TRUE WESTBERRY ANSON A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
WHITE, DEON T 125.62 659.48 785.10$ TRUE WHITE DEON A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
Williams Haney, Charles E JR 125.62 659.48 785.10$ TRUE WILLIAMS HANEY CHARLES A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
WILLIAMS, BRYSHAWN 108.54 569.82 678.36$ FALSE WILLIAMS BRYSHAWN A Medical UHC Plan Employee Only $678.35 $0.00 $678.35 FALSE -$0.01 penny
WILLIAMS, DARIUS 380.10 1,995.48 2,375.58$ TRUE WILLIAMS DARIUS A Medical UHC Plan Employee + Family $2,375.58 $0.00 $2,375.58 TRUE $0.00
WRITER, CYRUS 125.62 659.48 785.10$ TRUE WRITER CYRUS A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
ZAPATA, MARLON 125.62 659.48 785.10$ TRUE ZAPATA MARLON A Medical UHC Plan Employee Only $785.10 $0.00 $785.10 TRUE $0.00
Grand Total 28,817.38 151,286.92 180,104.30$