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Enrollment Information
Delta Preferred Option
>
Delta Dental Plan of Michigan
Date Eligible:
1/1/2000
Date Enrolled:
8/9/2001
Coverage:
Children
Dependents:
Jill A. Adams
(Child)
Ralph A. Adams
(Child)
Penelope Adams
(Child)
Cost:
(per pay period)
Employee Cost:
$21.74
Company Cost:
$0.00
Note:
Place cost note here.
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