HomeMy WebLinkAboutInv# Nov2023 - FLORIDA MUNICIPAL INSURANCE TRUST - 11/01/2023 (2)Check Date.Calendar November 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 $678.35
Row Labels Deduction Net Benefit Net STA COVERAGE PLAN NAMTIER PREMIUM ADJUSTME TOTAL Variance Riera Elora A Medical
ACOSTA, RAFAEL 375.54 1,971.54 2,347.08$ FALSE ACOSTA RAFAEL A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
ADAMS, LORI 124.10 651.58 775.68$ TRUE ADAMS LORI A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00 SPEAR MITZIE A Medical Plan 5 Employee Onl $678.35
ALI, RICKY A 375.54 1,971.54 2,347.08$ FALSE ALI RICKY A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny WILLIAMS BRYSHAWNA Medical Plan 5 Employee Onl 678.35
ALPHONSE, LOU 244.72 1,284.78 1,529.50$ TRUE ALPHONSE LOU A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
AZCANO, ALEJANDRO 124.10 651.58 775.68$ TRUE AZCANO ALEJANDRO A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
BALDIE, TOMMY R 375.54 1,971.54 2,347.08$ FALSE BALDIE TOMMY A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
BATISTA, CLAUDIA 375.54 1,971.54 2,347.08$ FALSE BATISTA CLAUDIA A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny Term
BOUTSIS, EVE 124.10 651.58 775.68$ TRUE BOUTSIS EVE A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
Brathwaite, David L 124.10 651.58 775.68$ TRUE BRATHWAITE DAVID A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
BROMER, TREVIS E JR 124.10 651.58 775.68$ TRUE BROMER TREVIS A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
BROWN, ERIC 375.54 1,971.54 2,347.08$ FALSE BROWN ERIC A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
BROWN, LOUIS 124.10 651.58 775.68$ TRUE BROWN LOUIS A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
BROWN, RODRICK 244.72 1,284.78 1,529.50$ TRUE BROWN RODRICK A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
BROWNE, JOHNATHAN 244.72 1,284.78 1,529.50$ TRUE BROWNE JOHNATHAN A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
CANGIALOSI, JOSEPH S 244.72 1,284.78 1,529.50$ FALSE CANGIALOSI JOSEPH A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
Caserta, Christina M 124.10 651.58 775.68$ FALSE CASERTA CHRISTINA A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
Chavarria, Alberto E 244.72 1,284.78 1,529.50$ FALSE CHAVARRIA ALBERTO A Medical UHC Plan Employee + 1 $1,529.50 $3,096.16 $4,625.66 FALSE $3,096.16 ?Oct & Nov 11/20/23 Per Krista - there was an auto adj
CHEN, MICHAEL K 244.72 1,284.78 1,529.50$ TRUE CHEN MICHAEL A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00 He was originally added as Sept Coverage - when corrected it stil
COLLINS, ROGER J JR 244.72 1,284.78 1,529.50$ TRUE COLLINS ROGER A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
COOK, RONALD L 375.54 1,971.54 2,347.08$ FALSE COOK RONALD A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
COSTA, NATHAN J 375.54 1,971.54 2,347.08$ FALSE COSTA NATHAN A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
CRAWFORD, RUPERT 375.54 1,971.54 2,347.08$ FALSE CRAWFORD RUPERT A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
CROSS, JERRYLYN 124.10 651.58 775.68$ FALSE CROSS JERRYLYN A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
DAMIS, WINDY 375.54 1,971.54 2,347.08$ FALSE DAMIS WINDY A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
DAVILA, EDDA K 375.54 1,971.54 2,347.08$ FALSE DAVILA EDDA A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
DAVIS, JOYCE L 124.10 651.58 775.68$ FALSE DAVIS JOYCE A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
DE JESUS, GABRIEL 244.72 1,284.78 1,529.50$ FALSE DE JESUS GABRIEL A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
DEMASSIS, TAMARA 124.10 651.58 775.68$ FALSE DEMASSIS TAMARA A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
DIPAOLO, FRANK L 375.54 1,971.54 2,347.08$ FALSE DIPAOLO FRANK A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
DOMINGUEZ, MARIA M 244.72 1,284.78 1,529.50$ FALSE DOMINGUEZ MARIA A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
DONNELLY, COLIN E 375.54 1,971.54 2,347.08$ FALSE DONNELLY COLIN A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
DOTSON, RICKEY 124.10 651.58 775.68$ FALSE DOTSON RICKEY A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
Edge, Charles J 124.10 651.58 775.68$ TRUE EDGE CHARLES A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
EKLE, ROBERT 124.10 651.58 775.68$ #REF!EKLE ROBERT A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
GARDNER, KALA F 124.10 651.58 775.68$ TRUE GARDNER KALA A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
GRANT, MITCHELL V 244.72 1,284.78 1,529.50$ FALSE GRANT MITCHELL A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
GREENE, DARREN D 375.54 1,971.54 2,347.08$ FALSE GREENE DARREN A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
GUZMAN, YEIMY 375.54 1,971.54 2,347.08$ FALSE GUZMAN YEIMY A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
HARRIS, WILLIAM G 122.36 642.39 764.75$ FALSE HARRIS WILLIAM A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 FALSE $764.75 Paid by EE deduction
HIRSCH, STACY 244.72 1,284.78 1,529.50$ #REF!HIRSCH STACY A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
HOGGINS, ERNEST 244.72 1,284.78 1,529.50$ FALSE HOGGINS ERNEST A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
HUCK, MICHAEL 375.54 1,971.54 2,347.08$ FALSE HUCK MICHAEL A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
HUGHES, ANASTACIA R 375.54 1,971.54 2,347.08$ FALSE HUGHES ANASTACIA A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
ICENHOUR, RACHEL 124.10 651.58 775.68$ FALSE ICENHOUR RACHEL A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
IFEDI, ANTHONY 124.10 651.58 775.68$ FALSE IFEDI ANTHONY A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
IGLESIAS GUTIERREZ, CLAUDIO 124.10 651.58 775.68$ FALSE IGLESIAS GUTIERR CLAUDIO A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
JACKSON, JOHNATHAN 124.10 651.58 775.68$ TRUE JACKSON JOHNATHAN A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
JAMES, TAMARA 244.72 1,284.78 1,529.50$ FALSE JAMES TAMARA A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
JAMES, TAMMIE D 244.72 1,284.78 1,529.50$ FALSE JAMES TAMMIE A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
JELASO, MEGAN 375.54 1,971.54 2,347.08$ FALSE JELASO MEGAN A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
Jennings, Demetrius M 107.24 562.98 670.22$ FALSE JENNINGS DEMETRIUS A Medical UHC Plan Employee Only $670.21 $0.00 $670.21 FALSE -$0.01 penny
JOHNSON JR, KENNITH 244.72 1,284.78 1,529.50$ TRUE JOHNSON JR KENNITH A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
JOHNSON, ANTOINE 124.10 651.58 775.68$ FALSE JOHNSON ANTOINE A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
JOHNSON, BRANDON 124.10 651.58 775.68$ FALSE JOHNSON BRANDON A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
JOLLY, CORY 375.54 1,971.54 2,347.08$ FALSE JOLLY CORY A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
JOSEPH, PATRICK 124.10 651.58 775.68$ TRUE JOSEPH PATRICK A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
KALLICHARAN, CARL 124.10 651.58 775.68$ TRUE KALLICHARAN CARL A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
KNUDSON, THEODORE 107.24 562.98 670.22$ FALSE KNUDSON THEODORE A Medical UHC Plan Employee Only $670.21 $0.00 $670.21 FALSE -$0.01 penny
LAJOIE, CORINNE A 244.72 1,284.78 1,529.50$ FALSE LAJOIE CORINNE A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
LARIOS IBARGUEN, IBEL E 124.10 651.58 775.68$ TRUE LARIOS IBARGUEN IBEL A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
LAWSON, RACHELLE 375.54 1,971.54 2,347.08$ FALSE LAWSON RACHELLE A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
LEWELLEN, LORI B 244.72 1,284.78 1,529.50$ TRUE LEWELLEN LORI A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
LIMA, MARILANE R 124.10 651.58 775.68$ TRUE LIMA MARILANE A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
LOBO, YAMIL 375.54 1,971.54 2,347.08$ FALSE LOBO YAMIL A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
LOTTIER, CHRISTINE A 244.72 1,284.78 1,529.50$ TRUE LOTTIER CHRISTINE A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
MARTIN, RALPH 375.54 1,971.54 2,347.08$ FALSE MARTIN RALPH A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
MARTINEZ, GABRIEL 124.10 651.58 775.68$ FALSE MARTINEZ GABRIEL A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
McDonald, Marvin JR 375.54 1,971.54 2,347.08$ FALSE MCDONALD MARVIN A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
MCDOWELL, KEITH 107.24 562.98 670.22$ FALSE MCDOWELL KEITH A Medical UHC Plan Employee Only $670.21 $0.00 $670.21 FALSE -$0.01 penny
MCFARLANE, DARRYL 124.10 651.58 775.68$ TRUE MCFARLANE DARRYL A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
MCHELLON, DONIAL 375.54 1,971.54 2,347.08$ FALSE MCHELLON DONIAL A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
MCLAREN, KRISTEN M 375.54 1,971.54 2,347.08$ FALSE MCLAREN KRISTEN A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
MCNEAL, GREGORY 375.54 1,971.54 2,347.08$ FALSE MCNEAL GREGORY A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
MERCADO, KARLA 375.54 1,971.54 2,347.08$ FALSE MERCADO KARLA A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
Mierez, Ann 124.10 651.58 775.68$ FALSE MIEREZ ANN A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
MIRANDA, SHANESA 124.10 651.58 775.68$ FALSE MIRANDA SHANESA A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
NORENA, ELEANOR 375.54 1,971.54 2,347.08$ FALSE NORENA ELEANOR A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
OZAYDIN, DINCER A 107.24 562.98 670.22$ FALSE OZAYDIN DINCER A Medical UHC Plan Employee Only $670.21 $0.00 $670.21 FALSE -$0.01 penny
PECORARO, SHERRY 375.54 1,971.54 2,347.08$ FALSE PECORARO SHERRY A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
PEIRCE, LOGAN 124.10 651.58 775.68$ FALSE PEIRCE LOGAN A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
Penate Roque, Delmis 124.10 651.58 775.68$ #REF!PENATE ROQUE DELMIS A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
PEREZ, FRANK 244.72 1,284.78 1,529.50$ FALSE PEREZ FRANK A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
PERRY, LEONARD H 124.10 651.58 775.68$ FALSE PERRY LEONARD A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
PETERSON, TERRY 244.72 1,284.78 1,529.50$ FALSE PETERSON TERRY A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
POLLARD, ALBERLEAN S 375.54 1,971.54 2,347.08$ FALSE POLLARD ALBERLEAN A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
QUINTERO, JOHN 124.10 651.58 775.68$ FALSE QUINTERO JOHN A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
REYES, EDDIE 124.10 651.58 775.68$ TRUE REYES EDDIE A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
Riera, Elora R 107.24 562.98 670.22$ FALSE RIERA ELORA A Medical UHC Plan Employee Only $670.21 $0.00 $670.21 FALSE -$0.01 penny
RODRIGUEZ, FERNANDO 124.10 651.58 775.68$ FALSE RODRIGUEZ FERNANDO A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
RODRIGUEZ, HAROLD 244.72 1,284.78 1,529.50$ FALSE RODRIGUEZ HAROLD A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
RODRIGUEZ, MICHAEL S 124.10 651.58 775.68$ TRUE RODRIGUEZ MICHAEL A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
RODRIGUEZ, RICHARD 375.54 1,971.54 2,347.08$ FALSE RODRIGUEZ RICHARD A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
Ryan, Archibald J IV 375.54 1,971.54 2,347.08$ FALSE RYAN ARCHIBALD A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
SABINO, DEBORAH 244.72 1,284.78 1,529.50$ TRUE SABINO DEBORAH A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
SALGADO, JOSE F 375.54 1,971.54 2,347.08$ FALSE SALGADO JOSE A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
SALVINO, MARCO SR 124.10 651.58 775.68$ FALSE SALVINO MARCO A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
SANTANA TORRES, JULIO M JR 124.10 651.58 775.68$ FALSE SANTANA JULIO A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
SAUNDERS, JANICE L 244.72 1,284.78 1,529.50$ TRUE SAUNDERS JANICE A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
SEGAL, ADAM 375.54 1,971.54 2,347.08$ FALSE SEGAL ADAM A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
Shahryar, Michelle M 244.72 1,284.78 1,529.50$ FALSE SHAHRYAR MICHELLE A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
SHELEY, CHERIE 124.10 651.58 775.68$ TRUE SHELEY CHERIE A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
SINGH, KEVIN N 124.10 651.58 775.68$ FALSE SINGH KEVIN A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
SINGH, MAXINE A 124.10 651.58 775.68$ FALSE SINGH MAXINE A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
SPEAR, MITZIE P 107.24 562.98 670.22$ FALSE SPEAR MITZIE A Medical UHC Plan Employee Only $670.21 $0.00 $670.21 FALSE -$0.01 penny
Spencer, Angela 124.10 651.58 775.68$ TRUE SPENCER ANGELA A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
SPENCER, WILLIE 124.10 651.58 775.68$ TRUE FALSE $753.82 11.20.23 Per KristaMr Willie will be reinstated. Was due to change in job for Uni
STEVENS, TANIA A 244.72 1,284.78 1,529.50$ FALSE STEVENS TANIA A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
TAYLOR, CORRY G 244.72 1,284.78 1,529.50$ FALSE TAYLOR CORRY A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
TERRAZAS, MONICA M 375.54 1,971.54 2,347.08$ FALSE TERRAZAS MONICA A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
THOMAS, AHMAD 375.54 1,971.54 2,347.08$ FALSE THOMAS AHMAD A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
Thompson, George 244.72 1,284.78 1,529.50$ TRUE THOMPSON GEORGE A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
UROW, BARBARA 375.54 1,971.54 2,347.08$ FALSE UROW BARBARA A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
VASTA, MICHAEL J 124.10 651.58 775.68$ FALSE VASTA MICHAEL A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
Vlasic, Ashley M 244.72 1,284.78 1,529.50$ TRUE VLASIC ASHLEY A Medical UHC Plan Employee + 1 $1,529.50 $0.00 $1,529.50 TRUE $0.00
WALTON, ERIC J 375.54 1,971.54 2,347.08$ FALSE WALTON ERIC A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
WASHINGTON JR, WILLIS B 375.54 1,971.54 2,347.08$ FALSE WASHINGTON WILLIS A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
WEBB, SHANNAN 124.10 651.58 775.68$ FALSE WEBB SHANNAN A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
WEST, COKENYA D 375.54 1,971.54 2,347.08$ FALSE WEST COKENYA A Medical UHC Plan Employee + Family $2,347.07 $0.00 $2,347.07 FALSE -$0.01 penny
WESTBERRY, ANSON J 244.72 1,284.78 1,529.50$ FALSE WESTBERRY ANSON A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 FALSE -$753.82
WHITE, DEON T 124.10 651.58 775.68$ TRUE WHITE DEON A Medical UHC Plan Employee Only $775.68 $0.00 $775.68 TRUE $0.00
WILLIAMS, BRYSHAWN 107.24 562.98 670.22$ FALSE WILLIAMS BRYSHAWN A Medical UHC Plan Employee Only 670.21 $0.00 670.21 FALSE -$0.01 penny
WILLIAMS, DARIUS 375.54 1,971.54 2,347.08$ FALSE WILLIAMS DARIUS A Medical UHC Plan Employee + Family 2347.07 $0.00 2347.07 FALSE -$0.01 penny
WRITER, CYRUS 124.10 651.58 775.68$ TRUE WRITER CYRUS A Medical UHC Plan Employee Only 775.68 $0.00 775.68 TRUE $0.00
ZAPATA, MARLON 124.10 651.58 775.68$ ZAPATA MARLON A Medical UHC Plan Employee Only 775.68 $0.00 775.68 TRUE $0.00
Grand Total 28,824.22 151,327.73 180,151.95 $182,482.89 $231,108.78
$2,330.94
EMPLOYEE NAME