Employee Last Name First Name Deduction Deduction Desc Start Date

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Employee Last Name First Name Deduction Deduction Desc Start Date

1138 SMITH JOHN 2301 MEDICAL CLASSIFIED 12/31/1899


1138 SMITH JOHN 2321 DENTAL CLASSIFIED 12/31/1899
1138 SMITH JOHN 2331 VISION CLASSIFIED 12/31/1899
1172 BROWN CHARLES 2300 MEDICAL CERTIFICATED 12/31/1899
1172 BROWN CHARLES 2320 DENTAL CERTIFICATED 12/31/1899
1172 BROWN CHARLES 2330 VISION CERTIFICATED 12/31/1899
1322 NIMOY LEONARD 2321 DENTAL CLASSIFIED 12/31/1899
1322 NIMOY LEONARD 2331 VISION CLASSIFIED 12/31/1899
1455 MANDELL MA 2301 MEDICAL CLASSIFIED 12/31/1899
1455 MANDELL MA 2321 DENTAL CLASSIFIED 12/31/1899
1455 MANDELL MA 2331 VISION CLASSIFIED 12/31/1899
1542 HUNT AVA 2301 MEDICAL CLASSIFIED 12/31/1899
1542 HUNT AVA 2321 DENTAL CLASSIFIED 12/31/1899
1542 HUNT AVA 2331 VISION CLASSIFIED 12/31/1899
1542 HUNT AVA 8402 PRUD LOC1 BASIC LIFE/AD&D 12/31/1899
1641 DEMERY HYON 2301 MEDICAL CLASSIFIED 12/31/1899
1641 DEMERY HYON 2321 DENTAL CLASSIFIED 12/31/1899
1641 DEMERY HYON 2331 VISION CLASSIFIED 12/31/1899
1643 ROBERT HOWTON 2301 MEDICAL CLASSIFIED 12/31/1899
1643 ROBERT HOWTON 2321 DENTAL CLASSIFIED 12/31/1899
1643 ROBERT HOWTON 2331 VISION CLASSIFIED 12/31/1899
1643 ROBERT HOWTON 8402 PRUD LOC1 BASIC LIFE/AD&D 12/31/1899
1677 CHEERS ASHLEIGH 2301 MEDICAL CLASSIFIED 12/31/1899
1677 CHEERS ASHLEIGH 2321 DENTAL CLASSIFIED 12/31/1899
1677 CHEERS ASHLEIGH 2331 VISION CLASSIFIED 12/31/1899
1677 CHEERS ASHLEIGH 8402 PRUD LOC1 BASIC LIFE/AD&D 12/31/1899
1713 BARRETTE HERMINIA 2301 MEDICAL CLASSIFIED 12/31/1899
1713 BARRETTE HERMINIA 2321 DENTAL CLASSIFIED 12/31/1899
1713 BARRETTE HERMINIA 2331 VISION CLASSIFIED 12/31/1899
1713 BARRETTE HERMINIA 8402 PRUD LOC1 BASIC LIFE/AD&D 12/31/1899
1790 BEACHY KRISSY 2301 MEDICAL CLASSIFIED 12/31/1899
1790 BEACHY KRISSY 2321 DENTAL CLASSIFIED 12/31/1899
1790 BEACHY KRISSY 2331 VISION CLASSIFIED 12/31/1899
1879 DELOSANTOSDARIUS 2300 MEDICAL CERTIFICATED 12/31/1899
1879 DELOSANTOSDARIUS 2320 DENTAL CERTIFICATED 12/31/1899
1879 DELOSANTOSDARIUS 2330 VISION CERTIFICATED 12/31/1899
2012 MOUSSEAU VI 2301 MEDICAL CLASSIFIED 12/31/1899
2012 MOUSSEAU VI 2321 DENTAL CLASSIFIED 12/31/1899
2012 MOUSSEAU VI 2331 VISION CLASSIFIED 12/31/1899
2012 MOUSSEAU VI 8402 PRUD LOC1 BASIC LIFE/AD&D 12/31/1899
2064 HUNSICKER QUINCY 2301 MEDICAL CLASSIFIED 12/31/1899
2064 HUNSICKER QUINCY 2321 DENTAL CLASSIFIED 12/31/1899
2064 HUNSICKER QUINCY 2331 VISION CLASSIFIED 12/31/1899
2145 LANDO MILES 2301 MEDICAL CLASSIFIED 12/31/1899
2145 LANDO MILES 2321 DENTAL CLASSIFIED 12/31/1899
2145 LANDO MILES 2331 VISION CLASSIFIED 12/31/1899
2160 SCLAFANI ALLEN 2301 MEDICAL CLASSIFIED 12/31/1899
2160 SCLAFANI ALLEN 2321 DENTAL CLASSIFIED 12/31/1899
2160 SCLAFANI ALLEN 2331 VISION CLASSIFIED 12/31/1899
2160 SCLAFANI ALLEN 8402 PRUD LOC1 BASIC LIFE/AD&D 12/31/1899
2197 CROXTON CHET 2301 MEDICAL CLASSIFIED 12/31/1899
2197 CROXTON CHET 2321 DENTAL CLASSIFIED 12/31/1899
2197 CROXTON CHET 2331 VISION CLASSIFIED 12/31/1899
2197 CROXTON CHET 8402 PRUD LOC1 BASIC LIFE/AD&D 12/31/1899
2282 SAUTTER OREN 2301 MEDICAL CLASSIFIED 12/31/1899
2282 SAUTTER OREN 2321 DENTAL CLASSIFIED 12/31/1899
2282 SAUTTER OREN 2331 VISION CLASSIFIED 12/31/1899
2282 SAUTTER OREN 8402 PRUD LOC1 BASIC LIFE/AD&D 12/31/1899
2296 SANTIBANEZ SYLVIE 2301 MEDICAL CLASSIFIED 12/31/1899
2296 SANTIBANEZ SYLVIE 2321 DENTAL CLASSIFIED 12/31/1899
2296 SANTIBANEZ SYLVIE 2331 VISION CLASSIFIED 12/31/1899
2636 FILS NOEL 2301 MEDICAL CLASSIFIED 12/31/1899
2636 FILS NOEL 2321 DENTAL CLASSIFIED 12/31/1899
2636 FILS NOEL 2331 VISION CLASSIFIED 12/31/1899
2636 FILS NOEL 8402 PRUD LOC1 BASIC LIFE/AD&D 04/02/2013
3147 DITTMER REX 2301 MEDICAL CLASSIFIED 12/31/1899
3147 DITTMER REX 2321 DENTAL CLASSIFIED 12/31/1899
3147 DITTMER REX 2331 VISION CLASSIFIED 12/31/1899
3147 DITTMER REX 8402 PRUD LOC1 BASIC LIFE/AD&D 06/24/2013
3414 STANBACK CLINTON 2301 MEDICAL CLASSIFIED 12/31/1899
3414 STANBACK CLINTON 2321 DENTAL CLASSIFIED 12/31/1899
3414 STANBACK CLINTON 2331 VISION CLASSIFIED 12/31/1899
End Date Employer Ann Amt Ins. Carrier Ins. Carrier Desc Ins. Plan
12/31/9999 21,965.16 201 BLUE SHIELD NET VALUE HMO 300
12/31/9999 2,254.56 400 DELTA DENTAL PPO 300
12/31/9999 337.56 500 VISION 300
12/31/9999 17,825.28 100 KAISER HMO 200
12/31/9999 1,483.08 400 DELTA DENTAL PPO 200
12/31/9999 234.96 500 VISION 200
12/31/9999 2,254.56 400 DELTA DENTAL PPO 300
12/31/9999 112.56 500 VISION 100
12/31/9999 21,965.16 201 BLUE SHIELD NET VALUE HMO 300
12/31/9999 2,254.56 400 DELTA DENTAL PPO 300
12/31/9999 337.56 500 VISION 300
12/31/9999 8,349.84 100 KAISER HMO 100
12/31/9999 786.00 400 DELTA DENTAL PPO 100
12/31/9999 112.56 500 VISION 100
12/31/9999 16.80 600 PRUD LOC1 BASIC LIFE/AD&D 100
12/31/9999 21,965.16 201 BLUE SHIELD NET VALUE HMO 300
12/31/9999 2,254.56 400 DELTA DENTAL PPO 300
12/31/9999 337.56 500 VISION 300
12/31/9999 20,621.04 201 BLUE SHIELD NET VALUE HMO 300
12/31/9999 2,220.00 400 DELTA DENTAL PPO 300
12/31/9999 337.56 500 VISION 300
12/31/9999 16.80 600 PRUD LOC1 BASIC LIFE/AD&D 100
12/31/9999 16,401.48 100 KAISER HMO 200
12/31/9999 2,220.00 400 DELTA DENTAL PPO 300
12/31/9999 234.96 500 VISION 200
12/31/9999 16.80 600 PRUD LOC1 BASIC LIFE/AD&D 100
12/31/9999 8,349.84 100 KAISER HMO 100
12/31/9999 786.00 400 DELTA DENTAL PPO 100
12/31/9999 112.56 500 VISION 100
12/31/9999 16.80 600 PRUD LOC1 BASIC LIFE/AD&D 100
12/31/9999 23,172.84 100 KAISER HMO 300
12/31/9999 2,254.56 400 DELTA DENTAL PPO 300
12/31/9999 337.56 500 VISION 300
12/31/9999 17,825.28 200 BLUE SHIELD ACCESS+HMO 200
12/31/9999 1,483.08 400 DELTA DENTAL PPO 200
12/31/9999 234.96 500 VISION 200
12/31/9999 8,349.84 100 KAISER HMO 100
12/31/9999 786.00 400 DELTA DENTAL PPO 100
12/31/9999 112.56 500 VISION 100
12/31/9999 16.80 600 PRUD LOC1 BASIC LIFE/AD&D 100
12/31/9999 21,965.16 201 BLUE SHIELD NET VALUE HMO 300
12/31/9999 2,254.56 400 DELTA DENTAL PPO 300
12/31/9999 337.56 500 VISION 300
12/31/9999 17,825.28 100 KAISER HMO 200
12/31/9999 1,483.08 400 DELTA DENTAL PPO 200
12/31/9999 234.96 500 VISION 200
12/31/9999 16,401.48 100 KAISER HMO 200
12/31/9999 1,460.28 400 DELTA DENTAL PPO 200
12/31/9999 234.96 500 VISION 200
12/31/9999 16.80 600 PRUD LOC1 BASIC LIFE/AD&D 100
12/31/9999 16,844.16 200 BLUE SHIELD ACCESS+HMO 200
12/31/9999 1,460.28 400 DELTA DENTAL PPO 200
12/31/9999 234.96 500 VISION 200
12/31/9999 16.80 600 PRUD LOC1 BASIC LIFE/AD&D 100
12/31/9999 8,349.84 100 KAISER HMO 100
12/31/9999 786.00 400 DELTA DENTAL PPO 100
12/31/9999 112.56 500 VISION 100
12/31/9999 16.80 600 PRUD LOC1 BASIC LIFE/AD&D 100
12/31/9999 8,912.64 100 KAISER HMO 100
12/31/9999 798.48 400 DELTA DENTAL PPO 100
12/31/9999 112.56 500 VISION 100
12/31/9999 8,349.84 100 KAISER HMO 100
12/31/9999 786.00 400 DELTA DENTAL PPO 100
12/31/9999 112.56 500 VISION 100
12/31/9999 16.80 600 PRUD LOC1 BASIC LIFE/AD&D 100
12/31/9999 8,349.84 100 KAISER HMO 100
12/31/9999 786.00 400 DELTA DENTAL PPO 100
12/31/9999 112.56 500 VISION 100
12/31/9999 16.80 600 PRUD LOC1 BASIC LIFE/AD&D 100
12/31/9999 21,965.16 201 BLUE SHIELD NET VALUE HMO 300
12/31/9999 2,254.56 400 DELTA DENTAL PPO 300
12/31/9999 337.56 500 VISION 300
Ins. Plan Desc Ins. Coverage Ins. Coverage Desc Annnual Salary 1
FAMILY 100 BAY AREA 54454
FAMILY 600 ALL REGIONS
FAMILY 600 ALL REGIONS
2-PARTY 100 BAY AREA
2-PARTY 600 ALL REGIONS
2-PARTY 600 ALL REGIONS
FAMILY 600 ALL REGIONS
EMPLOYEE ONLY 600 ALL REGIONS
FAMILY 100 BAY AREA
FAMILY 600 ALL REGIONS
FAMILY 600 ALL REGIONS
EMPLOYEE ONLY 100 BAY AREA
EMPLOYEE ONLY 600 ALL REGIONS
EMPLOYEE ONLY 600 ALL REGIONS
EMPLOYEE ONLY 600 ALL REGIONS
FAMILY 100 BAY AREA
FAMILY 600 ALL REGIONS
FAMILY 600 ALL REGIONS
FAMILY 100 BAY AREA
FAMILY 600 ALL REGIONS
FAMILY 600 ALL REGIONS
EMPLOYEE ONLY 600 ALL REGIONS
2-PARTY 100 BAY AREA
FAMILY 600 ALL REGIONS
2-PARTY 600 ALL REGIONS
EMPLOYEE ONLY 600 ALL REGIONS
EMPLOYEE ONLY 100 BAY AREA
EMPLOYEE ONLY 600 ALL REGIONS
EMPLOYEE ONLY 600 ALL REGIONS
EMPLOYEE ONLY 600 ALL REGIONS
FAMILY 100 BAY AREA
FAMILY 600 ALL REGIONS
FAMILY 600 ALL REGIONS
2-PARTY 100 BAY AREA
2-PARTY 600 ALL REGIONS
2-PARTY 600 ALL REGIONS
EMPLOYEE ONLY 100 BAY AREA
EMPLOYEE ONLY 600 ALL REGIONS
EMPLOYEE ONLY 600 ALL REGIONS
EMPLOYEE ONLY 600 ALL REGIONS
FAMILY 100 BAY AREA
FAMILY 600 ALL REGIONS
FAMILY 600 ALL REGIONS
2-PARTY 100 BAY AREA
2-PARTY 600 ALL REGIONS
2-PARTY 600 ALL REGIONS
2-PARTY 100 BAY AREA
2-PARTY 600 ALL REGIONS
2-PARTY 600 ALL REGIONS
EMPLOYEE ONLY 600 ALL REGIONS
2-PARTY 100 BAY AREA
2-PARTY 600 ALL REGIONS
2-PARTY 600 ALL REGIONS
EMPLOYEE ONLY 600 ALL REGIONS
EMPLOYEE ONLY 100 BAY AREA
EMPLOYEE ONLY 600 ALL REGIONS
EMPLOYEE ONLY 600 ALL REGIONS
EMPLOYEE ONLY 600 ALL REGIONS
EMPLOYEE ONLY 100 BAY AREA
EMPLOYEE ONLY 600 ALL REGIONS
EMPLOYEE ONLY 600 ALL REGIONS
EMPLOYEE ONLY 100 BAY AREA
EMPLOYEE ONLY 600 ALL REGIONS
EMPLOYEE ONLY 600 ALL REGIONS
EMPLOYEE ONLY 600 ALL REGIONS
EMPLOYEE ONLY 100 BAY AREA
EMPLOYEE ONLY 600 ALL REGIONS
EMPLOYEE ONLY 600 ALL REGIONS
EMPLOYEE ONLY 600 ALL REGIONS
FAMILY 100 BAY AREA
FAMILY 600 ALL REGIONS
FAMILY 600 ALL REGIONS

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