HomeMy WebLinkAboutInv# 2025-00000117 - FLORIDA MUNICIPAL INSURANCE TRUST - 02/25/2025PREMIUMS ADJUSTMENTS TOTAL
Medical UHC Plan 2 Employee + 1 35 $50,534.75 $0.00 $50,534.75
Medical UHC Plan 2 Employee + Family 48 $106,350.24 $4,431.26 $110,781.50
Medical UHC Plan 2 Employee Only 97 $71,027.28 $3,661.20 $74,688.48
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 12 $7,592.16 $632.68 $8,224.84
-$2,908.33 -$2,908.33 refund for terms
$237,418.82 $5,816.81 $243,235.63
:$459,461.92
:-$231,540.12 Dec paid
:$237,418.82
:$5,816.81
:$471,157.43
Gen Date: 01-21-2025 $227,921.80 Jan Paid
TOTAL DUE
BALANCE FORWARD
PAYMENTS
CURRENT PREMIUMS
ADJUSTMENTS
DANIA BEACH Due Date: 02-01-2025
FMIT # FH0129
SUMMARY BILLING PAGE
COVERAGE
TERMED W/ADJ
2/25/25