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Enrollment Information
Short Term Disability > American Fidelity (Michigan)

Date Eligible:

1/1/2001

Date Enrolled:

2/1/2001

Coverage:

60% of weekly Salary

Total Amount:

$10,000

Dependents:

N/A

Cost:

(per pay period)

Employee Cost:	$0.35
Company Cost:	$0.00

Note: Place cost note here.