HomeMy WebLinkAboutInv# 2024-00000985 - FLORIDA MUNICIPAL INSURANCE TRUST - 11/01/2024PREMIUMS ADJUSTMENTS TOTAL
Medical UHC Plan 2 Employee + 1 39 $56,310.15 $4,588.50 $60,898.65
Medical UHC Plan 2 Employee + Family 48 $106,350.24 $0.00 $106,350.24
Medical UHC Plan 2 Employee Only 86 $62,972.64 $0.00 $62,972.64
Medical UHC Plan 5 Employee + 1 0 $0.00 $0.00 $0.00
Medical UHC Plan 5 Employee + Family 1 $1,914.39 $0.00 $1,914.39
Medical UHC Plan 5 Employee Only 10 $6,326.80 $0.00 $6,326.80
-$775.68 -$775.68 Leonard Perry - moved to Medicare
$233,874.22 $3,812.82 $237,687.04
:$492,481.42
:-$492,481.52
:$233,874.22
:$3,812.82
:$237,686.94
TERMED W/ADJ
DANIA BEACH Due Date: 10-01-2024
FMIT # FH0129
SUMMARY BILLING PAGE
COVERAGE
TOTAL DUE
Gen Date: 10-07-2024
BALANCE FORWARD
PAYMENTS
CURRENT PREMIUMS
ADJUSTMENTS
10/23/24