HomeMy WebLinkAboutInv# 2025-00000024 - FLORIDA MUNICIPAL INSURANCE TRUST - 01/29/2025PREMIUMS ADJUSTMENTS TOTAL
Medical UHC Plan 2 Employee + 1 37 $53,422.45 $0.00 $53,422.45
Medical UHC Plan 2 Employee + Family 45 $99,703.35 $0.00 $99,703.35
Medical UHC Plan 2 Employee Only 94 $68,830.56 $732.24 $69,562.80
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 11 $6,959.48 $632.68 $7,592.16
-$4,273.25 -$4,273.25
$230,830.23 -$2,908.33 $227,921.90 Jan-25
:$463,080.14
:-$231,540.12 Nov Paid
:$230,830.23
:-$2,908.33
:$459,461.92
Gen Date: 12-19-2024
TOTAL DUE
BALANCE FORWARD
PAYMENTS
CURRENT PREMIUMS
ADJUSTMENTS
TERMED W/ADJ
DANIA BEACH Due Date: 01-01-2025
FMIT # FH0129
SUMMARY BILLING PAGE
COVERAGE
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