Welcome, Tom A. Adams
Enrollment Summary
Steps
1.
Instructions
2.
Personal Information
3.
Dependents
4.
Confirm Information
5.
Medical Benefits
6.
Dental Benefits
7.
Vision Benefits
8.
Disability Benefits
9.
Life & Accident
Benefits
10.
Other Benefits
11.
Beneficiary
Information
12.
Confirm and Submit
Disability Benefits
Long Term Disability > View Enrollment Information
Enrollment Effective Date:
09/13/2001
Coverage:
60% of Salary (Base)
Total Amount:
$4,000.00
Cost:
(per pay period)
Employee Cost:
$0.00
Company Cost:
$40.33
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