Dashboard Employee Enrollments Pending Approval Edward Muller
EM
Edward Muller
New Hire Enrollment Enrollment submitted on 07/23/2020
Product Carrier Plan Coverage Level Effective Date Benefit Amount Cost Per Pay View
Medical
Anthem Blue Cross
Anthem PPO 4000 HSA - 2020
Employee + Spouse
Edward Muller
Kelly Muller
08/01/2020 —
11/30/2022
$23.08
Dental
Cigna
Cigna Dental PPO
Employee
Edward Muller
08/01/2020 —
12/31/2020
$18.46
Health Savings Account (HSA)
HSA Bank
HSA 2020
Family
Edward Muller
08/01/2020 —
11/30/2020
$100.00
Group Long Term Disability
Guardian
Guardian Group LTD
Employee
Edward Muller
08/01/2020 —
12/31/2023
$5,500.00
$0
Voluntary Life/AD&D
Unum Group
UNUM Voluntary Life/AD&D
Employee
Edward Muller
08/01/2020 —
09/01/2020
$250,000.00
$21.92
Voluntary Life/AD&D
Unum Group
UNUM Voluntary Life/AD&D
Spouse
Kelly Muller
08/01/2020 —
09/01/2020
$150,000.00
$13.15
Total Per Pay Cost: $176.61