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Hello, Maredith

This is your Benefits homepage for ABC Co. You can use this portal to access your benefits 24/7, view important resources, and report qualifying life events. You can also elect benefits during our annual Open Enrollment periods. Please reach out to HR if you have any questions.

You have 26 days to complete your enrollment

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Benefits Summary

Product	Carrier	Plan	Coverage Level	Effective Date	Benefit Amount	Cost Per Pay
Medical	Blue Cross Blue Shield	Medical HMO	Family Meredith Carter Justin Carter Chloe Carter	01/01/2021 — 12/31/2021		$50.00
Dental	Delta Dental	Dental PPO	Family Meredith Carter Justin Carter Chloe Carter	01/01/2021 — 12/31/2021		$5.00
Vision	EyeMed	Basic Vision	Employee	01/01/2021 — 12/31/2021		$2.50
Voluntary Life	Colonial	Voluntary Life	Employee	01/01/2021 — 12/31/2021	$25,000	$7.75
Health Savings Account	ASIFlex	HSA	Employee	01/01/2021 — 12/31/2021		$50.00
Current Benefit Summary Statement \| Total Compensation Statement				Total Per Pay Cost:		$130.45

You do not have any future benefits

Product	Carrier	Plan	Coverage Level	Effective Date	Cost Per Pay
Medical	Anthem Blue Cross	Anthem Gold $1000 PPO	Family Maredith Carter Brian Carter Bodhi Carter Noah Carter	09/01/2019 — 12/31/2019	$285.58
Dental	Delta Dental of Massachusetts	Delta Dental PPO	Employee Maredith Carter	09/01/2019 — 12/31/2019	$4.62
Vision	EyeMed	EyeMed Vision	Employee Maredith Carter	09/01/2019 — 12/31/2019	$3.46
Voluntary Life/AD&D	Unum Group	UNUM Voluntary Life/AD&D	Employee Maredith Carter	09/01/2019 — 09/01/2020	$21.92
Voluntary Life/AD&D	Unum Group	UNUM Voluntary Life/AD&D	Spouse Brian Carter	09/01/2019 — 09/01/2020	$0.44
Voluntary Life/AD&D	Unum Group	UNUM Voluntary Life/AD&D	Child(ren) Bodhi Carter Noah Carter	09/01/2019 — 09/01/2020	$0.08
Medical	Anthem Blue Cross	Anthem Gold $1000 PPO	Family Maredith Carter Brian Carter Bodhi Carter Noah Carter	01/01/2019 — 10/31/2019	$285.58
Dental	Delta Dental of Massachusetts	Delta Dental PPO	Employee + Spouse Maredith Carter Brian Carter	01/01/2019 — 10/31/2019	$11.54
Vision	EyeMed	EyeMed Vision	Employee + Spouse Maredith Carter Brian Carter	01/01/2019 — 10/31/2019	$5.77
Group Short Term Disability	Guardian	Guardian Group STD	Employee Maredith Carter	01/01/2019 — 08/31/2019	$0
Group Long Term Disability	Guardian	Guardian Group LTD	Employee Maredith Carter	01/01/2019 — 08/31/2019	$0
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Primary Care Physician Information

Medical

Dr. Shermachher

IDZ123356 ZIP Code94301

Maredith Carter

Jack Carter

Dr. Wu

IDW987654 ZIP Code94301

Chloe Carter

Beneficiary Information

Medical

Primary Beneficiary

Justin Carter Husband

DOB01/01/1988 SSN***-**-9997

100%

Contingent Beneficiary

Chloe Carter Daughter

DOB08/01/2014 SSN***-**-9995

100%

Guardian Group LTD Effective 04/01/2022 - 12/31/2023

You have not designated beneficiaries.
This is optional, but you can add beneficiaries at any time.

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Pay
Base Pay Total	$80,000.00
Salary	$80,000.00

Benefits	Your Annual Contribution (Employer's Annual Contribution)
Insurance Benefits Total	$7,147.08 ($1,608.12)
Medical	$5,767.08 ($1,362.12)
Dental	$1,080.00 ($0.00)
Group Life/AD&D	$0.00 ($78.00)
Vision	$300.00 ($0.00)
Group Short Term Disability	$0 ($168.00)
Tax Benefits Total	$6,120.00 ($6,120.00)
Medicare	$1,160.00 ($1,160.00)
Social Security	$4,960.00 ($4,960.00)
Benefits Total	$13,267.08 ($7,728.12)