HomeMy WebLinkAboutInv# 2024-00001260 - AMERIFLEX - 12/26/2024Benefit Register Report
Pay Date Range 12/07/24 - 12/20/24
Sort by Employee - Benefit
Pay Batch 2202426
Benefit Separate Check Amount
Employee 3094 - Cuervo, Alejandra
HSA EE ONLY HSA Employee Only 33.33
Employee 3094 - Cuervo, Alejandra Totals $33.33
Employee 3087 - Daniel, Laurenda
HSA EE ONLY HSA Employee Only 33.33
Employee 3087 - Daniel, Laurenda Totals $33.33
Employee 3048 - Dixon, Deandraloe D
HSA EE ONLY HSA Employee Only 33.33
Employee 3048 - Dixon, Deandraloe D Totals $33.33
Employee 1916 - KNUDSON, THEODORE
HSA EE ONLY HSA Employee Only 62.48
Employee 1916 - KNUDSON, THEODORE Totals $62.48
Employee 2012 - MCDOWELL, KEITH
HSA EE ONLY HSA Employee Only 62.48
Employee 2012 - MCDOWELL, KEITH Totals $62.48
Employee 3065 - Notice, Jadeen
HSA FAM HSA Family Plan 66.67
Employee 3065 - Notice, Jadeen Totals $66.67
Employee 3004 - Riera, Elora Rebecca
HSA EE ONLY HSA Employee Only 62.48
Employee 3004 - Riera, Elora Rebecca Totals $62.48
Employee 3032 - Schutten, Sean
HSA EE ONLY HSA Employee Only 62.48
Employee 3032 - Schutten, Sean Totals $62.48
Employee 2031 - SPEAR, MITZIE P
HSA EE ONLY HSA Employee Only 62.48
Employee 2031 - SPEAR, MITZIE P Totals $62.48
Employee 2024 - WILLIAMS, BRYSHAWN
HSA EE ONLY HSA Employee Only 62.48
Employee 2024 - WILLIAMS, BRYSHAWN Totals $62.48
Grand Totals $541.54
Void column will display voided checks at the time this report is run. The totals will reflect the actual totals at the time the pay batch
was posted.
Run by Laurenda Daniel on 12/26/2024 08:11:40 AM Page 1 of 1