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Employee Name Employee ID Product Plan Name Coverage Level Employee Per Pay Deduction Company per pay Deduction Employee Tax Determination Transmission Status
Maredith Carter 365745 Group Long Term Disability Guardian Group LTD Employee $35.07 $0.00 Per Tax Sent on Jan 10, 2020 at 10:38PM
Lauren Bishop 456789 Group Long Term Disability Guardian Group LTD Employee $0.00 $2.71 Per Tax Sent on Jan 10, 2020 at 10:38PM
Christina Rios 456900 Dental Cigna Dental PPO Employee $18.46 $0.00 Per Tax Sent on Jan 10, 2020 at 10:35PM
Mary Stevens 233900 Group Long Term Disability Guardian Group LTD Employee + Spouse $0.00 $7.35 Per Tax Not sent

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