Open Enrollment
|
Coverage:
|
Children
|
Employee
$162.63
|
Company
$91.23
|
|
Dependents:
|
|
Jill A. Adams
|
(Child)
|
|
Ralph A. Adams
|
(Child)
|
|
Penelope Adams
|
(Child)
|
|
|
08/09/2001
|
Awaiting validation
|
Live Event
|
Coverage:
|
Family
|
Employee
$262.63
|
Company
$129.23
|
|
Dependents:
|
|
Jane C. Adams
|
(Spouse)
|
|
Jill A. Adams
|
(Child)
|
|
Ralph A. Adams
|
(Child)
|
|
Penelope Adams
|
(Child)
|
|
|
03/15/2001
|
Approved
|
Life Event
|
Coverage:
|
Children
|
Employee
$162.63
|
Company
$91.23
|
|
Dependents:
|
|
Jill A. Adams
|
(Child)
|
|
Ralph A. Adams
|
(Child)
|
|
Penelope Adams
|
(Child)
|
|
|
02/22/2001
|
Rejected
|
|
New Hire
|
02/10/2001
|
Approved
|
