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Plan Year: October 1, 2024 - October 1, 2025
Downloaded On: 12/04/2024 [12:41 PM EST]
Curtis Slade: XXX-XX-9677
Employee ID: 1028
1302 Nw 2nd Street #A
Dania Beach, FL 33004
Benefit Class: General Pension Retiree Under 65
Dania Beach, City of
Enrollment Summary
Insurance Benefits
Effective
Date Election Pre-Tax
Premium
Post-Tax
Premium
Employer
Contribution
10/01/2019 Medical Choice Plus Traditional Plan 2: Employee Only $0.00 $244.08 $488.16
03/01/2021 Dental Total DPPO Plan: Employee Only $0.00 $10.11 $20.23
10/01/2021 Vision Vision: Employee Only $0.00 $1.46 $2.93
10/01/2021 Retiree Basic Life and AD&D $5,000.00 $0.00 $0.33 $0.67
Sub Totals $0.00 $255.98 $511.99
Total Premium:$255.98
Total Annual Premium:$3,071.76