18-Attachment 1 Employee and Retiree Census.xlsx

XLSX spreadsheet 772 KB Posted Nov 14, 2025

Attached to: Insurance including: Group Term Life, Accidental Death & Dismemberment, Short-Term and Long-Term Disability
Solicitation number: RFP01-260720B01-DISLIF-XXXXXX
Issued by: Florida

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Other files

File	Type	Posted
2-Attachment 3 FLVS Life and DI RFP Plan Deviations 2026.xlsx	XLSX spreadsheet	Nov 14, 2025
9-Attachment 10 Florida Virtual School Cert Final Lincoln LTD 20250701.pdf	PDF	Nov 14, 2025
16-Attachment 17 Florida Virtual School Policy Final Lincoln LTD 20250701.pdf	PDF	Nov 14, 2025
5-Attachment 6 Claims Experience STD and OSTD.pdf	PDF	Nov 14, 2025
6-Attachment 7 Claims Experience Voluntary life including Waiver Report.pdf	PDF	Nov 14, 2025
12-Attachment 13 Florida Virtual School Cert Final Lincoln Vol Life 20250701.pdf	PDF	Nov 14, 2025
4-Attachment 5 Claims Experience Basic Life and ADD including Waiver Report.pdf	PDF	Nov 14, 2025
11-Attachment 12 Florida Virtual School Cert Cls 02 Final Lincoln Life AD D 20250701.pdf	PDF	Nov 14, 2025
3-Attachment 4 Cost Proposal.xlsx	XLSX spreadsheet	Nov 14, 2025
1-Attachment 2 Lincoln Financial - Self Bill Summary October 2025.docx	DOCX document	Nov 14, 2025
14-Attachment 15 Florida Virtual School Policy Final Lincoln Vol Life 20250701.pdf	PDF	Nov 14, 2025
19-RFP01-2604720B01-DISLIF-XXXXXX.pdf	PDF	Nov 14, 2025
13-Attachment 14 Florida Virtual School Policy Final Lincoln Life AD D 20250701.pdf	PDF	Nov 14, 2025
17-FORMS PACKET -ALL.pdf	PDF	Nov 14, 2025
8-Attachment 9 Florida Virtual School Cert Final Lincoln STD 20250701.pdf	PDF	Nov 14, 2025
7-Attachment 8 Claims Experience LTD.pdf	PDF	Nov 14, 2025
15-Attachment 16 Florida Virtual School Policy Final Lincoln STD 20250701.pdf	PDF	Nov 14, 2025
10-Attachment 11 Florida Virtual School Cert Cls 01 Final Lincoln Life AD D 20250701.pdf	PDF	Nov 14, 2025

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Active EEs

Employee ID	Zip Code	Gender	Age	Base Pay (Annualized)	Benefit Coverage Type	Coverage	Coverage Amount
503428	34715	Female	59	$ 94,803.00	Basic AD&D	$40,000	$ 40,000.00
503428	34715	Female	59	$ 94,803.00	Basic Life	$40,000	$ 40,000.00
503428	34715	Female	59	$ 94,803.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
503428	34715	Female	59	$ 94,803.00	Long Term Disability	60% of Salary	$ 4,740.15
552888	34761	Female	51	$ 82,602.00	Basic AD&D	$40,000	$ 40,000.00
552888	34761	Female	51	$ 82,602.00	Basic Life	$40,000	$ 40,000.00
552888	34761	Female	51	$ 82,602.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
552888	34761	Female	51	$ 82,602.00	Long Term Disability	60% of Salary	$ 4,130.10
619997	32751	Female	55	$ 117,927.00	Basic AD&D	$40,000	$ 40,000.00
619997	32751	Female	55	$ 117,927.00	Basic Life	$40,000	$ 40,000.00
619997	32751	Female	55	$ 117,927.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
619997	32751	Female	55	$ 117,927.00	Long Term Disability	60% of Salary	$ 5,896.35
619997	32751	Female	55	$ 117,927.00	Voluntary Child Life	$10,000	$ 10,000.00
619997	32751	Female	55	$ 117,927.00	Voluntary Employee Life	$320,000	$ 320,000.00
619997	32751	Female	55	$ 117,927.00	Voluntary Spouse Life	$100,000	$ 100,000.00
526228	33647	Male	54	$ 166,072.00	Basic AD&D	$40,000	$ 40,000.00
526228	33647	Male	54	$ 166,072.00	Basic Life	$40,000	$ 40,000.00
526228	33647	Male	54	$ 166,072.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
526228	33647	Male	54	$ 166,072.00	Long Term Disability	60% of Salary	$ 6,000.00
526228	33647	Male	54	$ 166,072.00	Voluntary Employee Life	$260,000	$ 260,000.00
587525	34786	Female	52	$ 82,183.00	Basic AD&D	$40,000	$ 40,000.00
587525	34786	Female	52	$ 82,183.00	Basic Life	$40,000	$ 40,000.00
587525	34786	Female	52	$ 82,183.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
587525	34786	Female	52	$ 82,183.00	Buy-Up Short Term	66.67% of Salary	$ 1,000.00
587525	34786	Female	52	$ 82,183.00	Long Term Disability	60% of Salary	$ 4,109.15
587525	34786	Female	52	$ 82,183.00	Voluntary Child Life	$10,000	$ 10,000.00
587525	34786	Female	52	$ 82,183.00	Voluntary Employee Life	$200,000	$ 200,000.00
587525	34786	Female	52	$ 82,183.00	Voluntary Spouse Life	$50,000	$ 50,000.00
133817	32095	Female	53	$ 100,055.00	Basic AD&D	$40,000	$ 40,000.00
133817	32095	Female	53	$ 100,055.00	Basic Life	$40,000	$ 40,000.00
133817	32095	Female	53	$ 100,055.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
133817	32095	Female	53	$ 100,055.00	Long Term Disability	60% of Salary	$ 5,002.75
133817	32095	Female	53	$ 100,055.00	Voluntary Child Life	$10,000	$ 10,000.00
133817	32095	Female	53	$ 100,055.00	Voluntary Employee Life	$240,000	$ 240,000.00
133817	32095	Female	53	$ 100,055.00	Voluntary Spouse Life	$100,000	$ 40,000.00
680205	34453	Female	58	$ 93,539.00	Basic AD&D	$40,000	$ 40,000.00
680205	34453	Female	58	$ 93,539.00	Basic Life	$40,000	$ 40,000.00
680205	34453	Female	58	$ 93,539.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
680205	34453	Female	58	$ 93,539.00	Long Term Disability	60% of Salary	$ 4,676.95
680205	34453	Female	58	$ 93,539.00	Voluntary Employee Life	$100,000	$ 100,000.00
547726	32812	Female	66	$ 100,629.00	Basic AD&D	$40,000	$ 26,000.00
547726	32812	Female	66	$ 100,629.00	Basic Life	$40,000	$ 26,000.00
547726	32812	Female	66	$ 100,629.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
547726	32812	Female	66	$ 100,629.00	Long Term Disability	60% of Salary	$ 5,031.45
977547	34211	Male	54	$ 94,803.00	Basic AD&D	$40,000	$ 40,000.00
977547	34211	Male	54	$ 94,803.00	Basic Life	$40,000	$ 40,000.00
977547	34211	Male	54	$ 94,803.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
977547	34211	Male	54	$ 94,803.00	Long Term Disability	60% of Salary	$ 4,740.15
977547	34211	Male	54	$ 94,803.00	Voluntary Child Life	$10,000	$ 10,000.00
977547	34211	Male	54	$ 94,803.00	Voluntary Employee Life	$270,000	$ 270,000.00
977547	34211	Male	54	$ 94,803.00	Voluntary Spouse Life	$100,000	$ 100,000.00
585938	32779	Female	57	$ 91,985.00	Basic AD&D	$40,000	$ 40,000.00
585938	32779	Female	57	$ 91,985.00	Basic Life	$40,000	$ 40,000.00
585938	32779	Female	57	$ 91,985.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
585938	32779	Female	57	$ 91,985.00	Buy-Up Short Term	66.67% of Salary	$ 1,000.00
585938	32779	Female	57	$ 91,985.00	Long Term Disability	60% of Salary	$ 4,599.25
585938	32779	Female	57	$ 91,985.00	Voluntary Child Life	$10,000	$ 10,000.00
585938	32779	Female	57	$ 91,985.00	Voluntary Employee Life	$300,000	$ 300,000.00
606517	33647	Female	56	$ 87,550.00	Basic AD&D	$40,000	$ 40,000.00
606517	33647	Female	56	$ 87,550.00	Basic Life	$40,000	$ 40,000.00
606517	33647	Female	56	$ 87,550.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
606517	33647	Female	56	$ 87,550.00	Long Term Disability	60% of Salary	$ 4,377.50
606517	33647	Female	56	$ 87,550.00	Voluntary Employee Life	$220,000	$ 220,000.00
367043	34240	Female	55	$ 105,840.00	Basic AD&D	$40,000	$ 40,000.00
367043	34240	Female	55	$ 105,840.00	Basic Life	$40,000	$ 40,000.00
367043	34240	Female	55	$ 105,840.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
367043	34240	Female	55	$ 105,840.00	Long Term Disability	60% of Salary	$ 5,292.00
367043	34240	Female	55	$ 105,840.00	Voluntary Child Life	$10,000	$ 10,000.00
367043	34240	Female	55	$ 105,840.00	Voluntary Employee Life	$260,000	$ 260,000.00
367043	34240	Female	55	$ 105,840.00	Voluntary Spouse Life	$80,000	$ 80,000.00
576362	32024	Female	60	$ 92,446.00	Basic AD&D	$40,000	$ 40,000.00
576362	32024	Female	60	$ 92,446.00	Basic Life	$40,000	$ 40,000.00
576362	32024	Female	60	$ 92,446.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
576362	32024	Female	60	$ 92,446.00	Long Term Disability	60% of Salary	$ 4,622.30
567352	34275	Female	52	$ 112,310.00	Basic AD&D	$40,000	$ 40,000.00
567352	34275	Female	52	$ 112,310.00	Basic Life	$40,000	$ 40,000.00
567352	34275	Female	52	$ 112,310.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
567352	34275	Female	52	$ 112,310.00	Long Term Disability	60% of Salary	$ 5,615.50
567352	34275	Female	52	$ 112,310.00	Voluntary Child Life	$10,000	$ 10,000.00
567352	34275	Female	52	$ 112,310.00	Voluntary Employee Life	$220,000	$ 220,000.00
567352	34275	Female	52	$ 112,310.00	Voluntary Spouse Life	$100,000	$ 100,000.00
908595	32779	Male	69	$ 86,668.00	Basic AD&D	$40,000	$ 26,000.00
908595	32779	Male	69	$ 86,668.00	Basic Life	$40,000	$ 26,000.00
908595	32779	Male	69	$ 86,668.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
908595	32779	Male	69	$ 86,668.00	Buy-Up Short Term	66.67% of Salary	$ 1,000.00
908595	32779	Male	69	$ 86,668.00	Long Term Disability	60% of Salary	$ 4,333.40
908595	32779	Male	69	$ 86,668.00	Voluntary Employee Life	$280,000	$ 182,000.00
308177	34772	Female	57	$ 78,635.00	Basic AD&D	$40,000	$ 40,000.00
308177	34772	Female	57	$ 78,635.00	Basic Life	$40,000	$ 40,000.00
308177	34772	Female	57	$ 78,635.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
308177	34772	Female	57	$ 78,635.00	Long Term Disability	60% of Salary	$ 3,931.75
308177	34772	Female	57	$ 78,635.00	Voluntary Child Life	$10,000	$ 10,000.00
308177	34772	Female	57	$ 78,635.00	Voluntary Employee Life	$100,000	$ 100,000.00
308177	34772	Female	57	$ 78,635.00	Voluntary Spouse Life	$50,000	$ 50,000.00
298717	32174	Female	49	$ 79,892.00	Basic AD&D	$40,000	$ 40,000.00
298717	32174	Female	49	$ 79,892.00	Basic Life	$40,000	$ 40,000.00
298717	32174	Female	49	$ 79,892.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
298717	32174	Female	49	$ 79,892.00	Long Term Disability	60% of Salary	$ 3,994.60
298717	32174	Female	49	$ 79,892.00	Voluntary Employee Life	$100,000	$ 100,000.00
298717	32174	Female	49	$ 79,892.00	Voluntary Spouse Life	$50,000	$ 50,000.00
221531	32803	Male	57	$ 164,959.00	Basic AD&D	$40,000	$ 40,000.00
221531	32803	Male	57	$ 164,959.00	Basic Life	$40,000	$ 40,000.00
221531	32803	Male	57	$ 164,959.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
221531	32803	Male	57	$ 164,959.00	Long Term Disability	60% of Salary	$ 6,000.00
419058	34232	Female	48	$ 79,892.00	Basic AD&D	$40,000	$ 40,000.00
419058	34232	Female	48	$ 79,892.00	Basic Life	$40,000	$ 40,000.00
419058	34232	Female	48	$ 79,892.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
419058	34232	Female	48	$ 79,892.00	Buy-Up Short Term	66.67% of Salary	$ 1,000.00
419058	34232	Female	48	$ 79,892.00	Long Term Disability	60% of Salary	$ 3,994.60
419058	34232	Female	48	$ 79,892.00	Voluntary Employee Life	$200,000	$ 200,000.00
419058	34232	Female	48	$ 79,892.00	Voluntary Spouse Life	$50,000	$ 50,000.00
416596	32118	Female	56	$ 194,670.00	Basic AD&D	$40,000	$ 40,000.00
416596	32118	Female	56	$ 194,670.00	Basic Life	$40,000	$ 40,000.00
416596	32118	Female	56	$ 194,670.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
416596	32118	Female	56	$ 194,670.00	Long Term Disability	60% of Salary	$ 6,000.00
416596	32118	Female	56	$ 194,670.00	Voluntary Child Life	$10,000	$ 10,000.00
416596	32118	Female	56	$ 194,670.00	Voluntary Employee Life	$220,000	$ 220,000.00
416596	32118	Female	56	$ 194,670.00	Voluntary Spouse Life	$60,000	$ 60,000.00
306454	34683	Female	54	$ 79,892.00	Basic AD&D	$40,000	$ 40,000.00
306454	34683	Female	54	$ 79,892.00	Basic Life	$40,000	$ 40,000.00
306454	34683	Female	54	$ 79,892.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
306454	34683	Female	54	$ 79,892.00	Long Term Disability	60% of Salary	$ 3,994.60
950192	33187	Female	53	$ 86,553.00	Basic AD&D	$40,000	$ 40,000.00
950192	33187	Female	53	$ 86,553.00	Basic Life	$40,000	$ 40,000.00
950192	33187	Female	53	$ 86,553.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
950192	33187	Female	53	$ 86,553.00	Long Term Disability	60% of Salary	$ 4,327.65
443765	32909	Male	50	$ 89,528.00	Basic AD&D	$40,000	$ 40,000.00
443765	32909	Male	50	$ 89,528.00	Basic Life	$40,000	$ 40,000.00
443765	32909	Male	50	$ 89,528.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
443765	32909	Male	50	$ 89,528.00	Long Term Disability	60% of Salary	$ 4,476.40
266361	33414	Female	49	$ 65,830.00	Basic AD&D	$40,000	$ 40,000.00
266361	33414	Female	49	$ 65,830.00	Basic Life	$40,000	$ 40,000.00
266361	33414	Female	49	$ 65,830.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
266361	33414	Female	49	$ 65,830.00	Long Term Disability	60% of Salary	$ 3,291.50
251793	32550	Female	51	$ 73,818.00	Basic AD&D	$40,000	$ 40,000.00
251793	32550	Female	51	$ 73,818.00	Basic Life	$40,000	$ 40,000.00
251793	32550	Female	51	$ 73,818.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
251793	32550	Female	51	$ 73,818.00	Long Term Disability	60% of Salary	$ 3,690.90
251793	32550	Female	51	$ 73,818.00	Voluntary Employee Life	$200,000	$ 200,000.00
251793	32550	Female	51	$ 73,818.00	Voluntary Spouse Life	$100,000	$ 100,000.00
696214	32127	Female	54	$ 64,117.00	Basic AD&D	$40,000	$ 40,000.00
696214	32127	Female	54	$ 64,117.00	Basic Life	$40,000	$ 40,000.00
696214	32127	Female	54	$ 64,117.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
696214	32127	Female	54	$ 64,117.00	Long Term Disability	60% of Salary	$ 3,205.85
696214	32127	Female	54	$ 64,117.00	Voluntary Employee Life	$60,000	$ 60,000.00
720095	32127	Male	60	$ 97,857.00	Basic AD&D	$40,000	$ 40,000.00
720095	32127	Male	60	$ 97,857.00	Basic Life	$40,000	$ 40,000.00
720095	32127	Male	60	$ 97,857.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
720095	32127	Male	60	$ 97,857.00	Long Term Disability	60% of Salary	$ 4,892.85
720095	32127	Male	60	$ 97,857.00	Voluntary Employee Life	$160,000	$ 160,000.00
674447	32174	Female	63	$ 77,623.00	Basic AD&D	$40,000	$ 40,000.00
674447	32174	Female	63	$ 77,623.00	Basic Life	$40,000	$ 40,000.00
674447	32174	Female	63	$ 77,623.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
674447	32174	Female	63	$ 77,623.00	Long Term Disability	60% of Salary	$ 3,881.15
928364	32951	Female	52	$ 87,328.00	Basic AD&D	$40,000	$ 40,000.00
928364	32951	Female	52	$ 87,328.00	Basic Life	$40,000	$ 40,000.00
928364	32951	Female	52	$ 87,328.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
928364	32951	Female	52	$ 87,328.00	Long Term Disability	60% of Salary	$ 4,366.40
544173	32712	Male	64	$ 75,604.00	Basic AD&D	$40,000	$ 40,000.00
544173	32712	Male	64	$ 75,604.00	Basic Life	$40,000	$ 40,000.00
544173	32712	Male	64	$ 75,604.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
544173	32712	Male	64	$ 75,604.00	Long Term Disability	60% of Salary	$ 3,780.20
544173	32712	Male	64	$ 75,604.00	Voluntary Employee Life	$40,000	$ 40,000.00
544173	32712	Male	64	$ 75,604.00	Voluntary Spouse Life	$20,000	$ 20,000.00
933715	32607	Female	54	$ 78,424.00	Basic AD&D	$40,000	$ 40,000.00
933715	32607	Female	54	$ 78,424.00	Basic Life	$40,000	$ 40,000.00
933715	32607	Female	54	$ 78,424.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
933715	32607	Female	54	$ 78,424.00	Long Term Disability	60% of Salary	$ 3,921.20
933715	32607	Female	54	$ 78,424.00	Voluntary Employee Life	$60,000	$ 60,000.00
760064	34744	Female	65	$ 73,265.00	Basic AD&D	$40,000	$ 26,000.00
760064	34744	Female	65	$ 73,265.00	Basic Life	$40,000	$ 26,000.00
760064	34744	Female	65	$ 73,265.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
760064	34744	Female	65	$ 73,265.00	Long Term Disability	60% of Salary	$ 3,663.25
760064	34744	Female	65	$ 73,265.00	Voluntary Employee Life	$50,000	$ 32,500.00
760064	34744	Female	65	$ 73,265.00	Voluntary Spouse Life	$20,000	$ 6,500.00
862425	80525	Female	48	$ 99,557.00	Basic AD&D	$40,000	$ 40,000.00
862425	80525	Female	48	$ 99,557.00	Basic Life	$40,000	$ 40,000.00
862425	80525	Female	48	$ 99,557.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
862425	80525	Female	48	$ 99,557.00	Long Term Disability	60% of Salary	$ 4,977.85
467996	32736	Female	52	$ 70,110.00	Basic AD&D	$40,000	$ 40,000.00
467996	32736	Female	52	$ 70,110.00	Basic Life	$40,000	$ 40,000.00
467996	32736	Female	52	$ 70,110.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
467996	32736	Female	52	$ 70,110.00	Long Term Disability	60% of Salary	$ 3,505.50
712585	34488	Female	56	$ 70,110.00	Basic AD&D	$40,000	$ 40,000.00
712585	34488	Female	56	$ 70,110.00	Basic Life	$40,000	$ 40,000.00
712585	34488	Female	56	$ 70,110.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
712585	34488	Female	56	$ 70,110.00	Long Term Disability	60% of Salary	$ 3,505.50
926790	32068	Female	70	$ 70,110.00	Basic AD&D	$40,000	$ 16,000.00
926790	32068	Female	70	$ 70,110.00	Basic Life	$40,000	$ 16,000.00
926790	32068	Female	70	$ 70,110.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
926790	32068	Female	70	$ 70,110.00	Buy-Up Short Term	66.67% of Salary	$ 898.89
926790	32068	Female	70	$ 70,110.00	Long Term Disability	60% of Salary	$ 3,505.50
766177	32765	Male	59	$ 78,020.00	Basic AD&D	$40,000	$ 40,000.00
766177	32765	Male	59	$ 78,020.00	Basic Life	$40,000	$ 40,000.00
766177	32765	Male	59	$ 78,020.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
766177	32765	Male	59	$ 78,020.00	Long Term Disability	60% of Salary	$ 3,901.00
975336	32828	Female	54	$ 79,727.00	Basic AD&D	$40,000	$ 40,000.00
975336	32828	Female	54	$ 79,727.00	Basic Life	$40,000	$ 40,000.00
975336	32828	Female	54	$ 79,727.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
975336	32828	Female	54	$ 79,727.00	Long Term Disability	60% of Salary	$ 3,986.35
867201	32779	Female	55	$ 69,476.00	Basic AD&D	$40,000	$ 40,000.00
867201	32779	Female	55	$ 69,476.00	Basic Life	$40,000	$ 40,000.00
867201	32779	Female	55	$ 69,476.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
867201	32779	Female	55	$ 69,476.00	Long Term Disability	60% of Salary	$ 3,473.80
567406	32333	Female	51	$ 62,357.00	Basic AD&D	$40,000	$ 40,000.00
567406	32333	Female	51	$ 62,357.00	Basic Life	$40,000	$ 40,000.00
567406	32333	Female	51	$ 62,357.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
567406	32333	Female	51	$ 62,357.00	Long Term Disability	60% of Salary	$ 3,117.85
567406	32333	Female	51	$ 62,357.00	Voluntary Child Life	$10,000	$ 10,000.00
567406	32333	Female	51	$ 62,357.00	Voluntary Employee Life	$100,000	$ 100,000.00
567406	32333	Female	51	$ 62,357.00	Voluntary Spouse Life	$50,000	$ 50,000.00
726357	33956	Female	62	$ 109,625.00	Basic AD&D	$40,000	$ 40,000.00
726357	33956	Female	62	$ 109,625.00	Basic Life	$40,000	$ 40,000.00
726357	33956	Female	62	$ 109,625.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
726357	33956	Female	62	$ 109,625.00	Buy-Up Short Term	66.67% of Salary	$ 1,000.00
726357	33956	Female	62	$ 109,625.00	Long Term Disability	60% of Salary	$ 5,481.25
726357	33956	Female	62	$ 109,625.00	Voluntary Employee Life	$100,000	$ 100,000.00
726357	33956	Female	62	$ 109,625.00	Voluntary Spouse Life	$50,000	$ 32,500.00
488047	32641	Female	54	$ 79,862.00	Basic AD&D	$40,000	$ 40,000.00
488047	32641	Female	54	$ 79,862.00	Basic Life	$40,000	$ 40,000.00
488047	32641	Female	54	$ 79,862.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
488047	32641	Female	54	$ 79,862.00	Long Term Disability	60% of Salary	$ 3,993.10
488047	32641	Female	54	$ 79,862.00	Voluntary Child Life	$10,000	$ 10,000.00
488047	32641	Female	54	$ 79,862.00	Voluntary Employee Life	$300,000	$ 300,000.00
488047	32641	Female	54	$ 79,862.00	Voluntary Spouse Life	$100,000	$ 100,000.00
368024	34219	Female	50	$ 74,726.00	Basic AD&D	$40,000	$ 40,000.00
368024	34219	Female	50	$ 74,726.00	Basic Life	$40,000	$ 40,000.00
368024	34219	Female	50	$ 74,726.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
368024	34219	Female	50	$ 74,726.00	Buy-Up Short Term	66.67% of Salary	$ 958.07
368024	34219	Female	50	$ 74,726.00	Long Term Disability	60% of Salary	$ 3,736.30
368024	34219	Female	50	$ 74,726.00	Voluntary Child Life	$10,000	$ 10,000.00
368024	34219	Female	50	$ 74,726.00	Voluntary Employee Life	$160,000	$ 160,000.00
368024	34219	Female	50	$ 74,726.00	Voluntary Spouse Life	$70,000	$ 70,000.00
466596	34480	Female	51	$ 103,195.00	Basic AD&D	$40,000	$ 40,000.00
466596	34480	Female	51	$ 103,195.00	Basic Life	$40,000	$ 40,000.00
466596	34480	Female	51	$ 103,195.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
466596	34480	Female	51	$ 103,195.00	Long Term Disability	60% of Salary	$ 5,159.75
466596	34480	Female	51	$ 103,195.00	Voluntary Child Life	$10,000	$ 10,000.00
466596	34480	Female	51	$ 103,195.00	Voluntary Employee Life	$40,000	$ 40,000.00
959316	32720	Female	59	$ 70,110.00	Basic AD&D	$40,000	$ 40,000.00
959316	32720	Female	59	$ 70,110.00	Basic Life	$40,000	$ 40,000.00
959316	32720	Female	59	$ 70,110.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
959316	32720	Female	59	$ 70,110.00	Long Term Disability	60% of Salary	$ 3,505.50
623349	33810	Female	56	$ 65,400.00	Basic AD&D	$40,000	$ 40,000.00
623349	33810	Female	56	$ 65,400.00	Basic Life	$40,000	$ 40,000.00
623349	33810	Female	56	$ 65,400.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
623349	33810	Female	56	$ 65,400.00	Buy-Up Short Term	66.67% of Salary	$ 838.50
623349	33810	Female	56	$ 65,400.00	Long Term Disability	60% of Salary	$ 3,270.00
325704	32068	Female	57	$ 83,281.00	Basic AD&D	$40,000	$ 40,000.00
325704	32068	Female	57	$ 83,281.00	Basic Life	$40,000	$ 40,000.00
325704	32068	Female	57	$ 83,281.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
325704	32068	Female	57	$ 83,281.00	Long Term Disability	60% of Salary	$ 4,164.05
325704	32068	Female	57	$ 83,281.00	Voluntary Employee Life	$180,000	$ 180,000.00
809708	33884	Male	62	$ 74,726.00	Basic AD&D	$40,000	$ 40,000.00
809708	33884	Male	62	$ 74,726.00	Basic Life	$40,000	$ 40,000.00
809708	33884	Male	62	$ 74,726.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
809708	33884	Male	62	$ 74,726.00	Buy-Up Short Term	66.67% of Salary	$ 958.07
809708	33884	Male	62	$ 74,726.00	Long Term Disability	60% of Salary	$ 3,736.30
809708	33884	Male	62	$ 74,726.00	Voluntary Employee Life	$300,000	$ 300,000.00
631751	34275	Female	48	$ 62,357.00	Basic AD&D	$40,000	$ 40,000.00
631751	34275	Female	48	$ 62,357.00	Basic Life	$40,000	$ 40,000.00
631751	34275	Female	48	$ 62,357.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
631751	34275	Female	48	$ 62,357.00	Buy-Up Short Term	66.67% of Salary	$ 799.49
631751	34275	Female	48	$ 62,357.00	Long Term Disability	60% of Salary	$ 3,117.85
631751	34275	Female	48	$ 62,357.00	Voluntary Employee Life	$320,000	$ 320,000.00
631751	34275	Female	48	$ 62,357.00	Voluntary Spouse Life	$100,000	$ 100,000.00
608628	32940	Female	46	$ 82,035.00	Basic AD&D	$40,000	$ 40,000.00
608628	32940	Female	46	$ 82,035.00	Basic Life	$40,000	$ 40,000.00
608628	32940	Female	46	$ 82,035.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
608628	32940	Female	46	$ 82,035.00	Long Term Disability	60% of Salary	$ 4,101.75
447056	32812	Male	42	$ 94,686.00	Basic AD&D	$40,000	$ 40,000.00
447056	32812	Male	42	$ 94,686.00	Basic Life	$40,000	$ 40,000.00
447056	32812	Male	42	$ 94,686.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
447056	32812	Male	42	$ 94,686.00	Long Term Disability	60% of Salary	$ 4,734.30
600169	32967	Female	50	$ 61,422.00	Basic AD&D	$40,000	$ 40,000.00
600169	32967	Female	50	$ 61,422.00	Basic Life	$40,000	$ 40,000.00
600169	32967	Female	50	$ 61,422.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
600169	32967	Female	50	$ 61,422.00	Long Term Disability	60% of Salary	$ 3,071.10
600169	32967	Female	50	$ 61,422.00	Voluntary Child Life	$5,000	$ 5,000.00
600169	32967	Female	50	$ 61,422.00	Voluntary Employee Life	$30,000	$ 30,000.00
126408	32746	Female	42	$ 66,039.00	Basic AD&D	$40,000	$ 40,000.00
126408	32746	Female	42	$ 66,039.00	Basic Life	$40,000	$ 40,000.00
126408	32746	Female	42	$ 66,039.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
126408	32746	Female	42	$ 66,039.00	Long Term Disability	60% of Salary	$ 3,301.95
126408	32746	Female	42	$ 66,039.00	Voluntary Employee Life	$260,000	$ 260,000.00
126408	32746	Female	42	$ 66,039.00	Voluntary Spouse Life	$90,000	$ 90,000.00
695085	27562	Female	49	$ 81,613.00	Basic AD&D	$40,000	$ 40,000.00
695085	27562	Female	49	$ 81,613.00	Basic Life	$40,000	$ 40,000.00
695085	27562	Female	49	$ 81,613.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
695085	27562	Female	49	$ 81,613.00	Long Term Disability	60% of Salary	$ 4,080.65
549021	30535	Female	51	$ 154,622.00	Basic AD&D	$40,000	$ 40,000.00
549021	30535	Female	51	$ 154,622.00	Basic Life	$40,000	$ 40,000.00
549021	30535	Female	51	$ 154,622.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
549021	30535	Female	51	$ 154,622.00	Buy-Up Short Term	66.67% of Salary	$ 1,000.00
549021	30535	Female	51	$ 154,622.00	Long Term Disability	60% of Salary	$ 6,000.00
549021	30535	Female	51	$ 154,622.00	Voluntary Employee Life	$60,000	$ 60,000.00
886409	32137	Female	50	$ 71,891.00	Basic AD&D	$40,000	$ 40,000.00
886409	32137	Female	50	$ 71,891.00	Basic Life	$40,000	$ 40,000.00
886409	32137	Female	50	$ 71,891.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
886409	32137	Female	50	$ 71,891.00	Buy-Up Short Term	66.67% of Salary	$ 921.73
886409	32137	Female	50	$ 71,891.00	Long Term Disability	60% of Salary	$ 3,594.55
886409	32137	Female	50	$ 71,891.00	Voluntary Child Life	$10,000	$ 10,000.00
886409	32137	Female	50	$ 71,891.00	Voluntary Employee Life	$100,000	$ 100,000.00
793895	33884	Female	59	$ 70,110.00	Basic AD&D	$40,000	$ 40,000.00
793895	33884	Female	59	$ 70,110.00	Basic Life	$40,000	$ 40,000.00
793895	33884	Female	59	$ 70,110.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
793895	33884	Female	59	$ 70,110.00	Long Term Disability	60% of Salary	$ 3,505.50
482909	32805	Male	52	$ 120,003.00	Basic AD&D	$40,000	$ 40,000.00
482909	32805	Male	52	$ 120,003.00	Basic Life	$40,000	$ 40,000.00
482909	32805	Male	52	$ 120,003.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
482909	32805	Male	52	$ 120,003.00	Long Term Disability	60% of Salary	$ 6,000.00
522534	32605	Female	62	$ 73,899.00	Basic AD&D	$40,000	$ 40,000.00
522534	32605	Female	62	$ 73,899.00	Basic Life	$40,000	$ 40,000.00
522534	32605	Female	62	$ 73,899.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
522534	32605	Female	62	$ 73,899.00	Long Term Disability	60% of Salary	$ 3,694.95
522534	32605	Female	62	$ 73,899.00	Voluntary Employee Life	$320,000	$ 320,000.00
413581	33813	Female	47	$ 68,454.00	Basic AD&D	$40,000	$ 40,000.00
413581	33813	Female	47	$ 68,454.00	Basic Life	$40,000	$ 40,000.00
413581	33813	Female	47	$ 68,454.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
413581	33813	Female	47	$ 68,454.00	Long Term Disability	60% of Salary	$ 3,422.70
413581	33813	Female	47	$ 68,454.00	Voluntary Child Life	$10,000	$ 10,000.00
413581	33813	Female	47	$ 68,454.00	Voluntary Employee Life	$50,000	$ 50,000.00
829382	32771	Female	48	$ 70,333.00	Basic AD&D	$40,000	$ 40,000.00
829382	32771	Female	48	$ 70,333.00	Basic Life	$40,000	$ 40,000.00
829382	32771	Female	48	$ 70,333.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
829382	32771	Female	48	$ 70,333.00	Buy-Up Short Term	66.67% of Salary	$ 901.75
829382	32771	Female	48	$ 70,333.00	Long Term Disability	60% of Salary	$ 3,516.65
829382	32771	Female	48	$ 70,333.00	Voluntary Employee Life	$350,000	$ 350,000.00
829382	32771	Female	48	$ 70,333.00	Voluntary Spouse Life	$100,000	$ 100,000.00
708467	32720	Female	44	$ 79,422.00	Basic AD&D	$40,000	$ 40,000.00
708467	32720	Female	44	$ 79,422.00	Basic Life	$40,000	$ 40,000.00
708467	32720	Female	44	$ 79,422.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
708467	32720	Female	44	$ 79,422.00	Long Term Disability	60% of Salary	$ 3,971.10
708467	32720	Female	44	$ 79,422.00	Voluntary Child Life	$10,000	$ 10,000.00
708467	32720	Female	44	$ 79,422.00	Voluntary Employee Life	$120,000	$ 120,000.00
708467	32720	Female	44	$ 79,422.00	Voluntary Spouse Life	$60,000	$ 60,000.00
491664	33543	Female	49	$ 72,340.00	Basic AD&D	$40,000	$ 40,000.00
491664	33543	Female	49	$ 72,340.00	Basic Life	$40,000	$ 40,000.00
491664	33543	Female	49	$ 72,340.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
491664	33543	Female	49	$ 72,340.00	Long Term Disability	60% of Salary	$ 3,617.00
491664	33543	Female	49	$ 72,340.00	Voluntary Child Life	$10,000	$ 10,000.00
491664	33543	Female	49	$ 72,340.00	Voluntary Employee Life	$180,000	$ 180,000.00
491664	33543	Female	49	$ 72,340.00	Voluntary Spouse Life	$90,000	$ 90,000.00
416302	32308	Female	49	$ 116,000.00	Basic AD&D	$40,000	$ 40,000.00
416302	32308	Female	49	$ 116,000.00	Basic Life	$40,000	$ 40,000.00
416302	32308	Female	49	$ 116,000.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
416302	32308	Female	49	$ 116,000.00	Long Term Disability	60% of Salary	$ 5,800.00
513265	32713	Female	50	$ 73,794.00	Basic AD&D	$40,000	$ 40,000.00
513265	32713	Female	50	$ 73,794.00	Basic Life	$40,000	$ 40,000.00
513265	32713	Female	50	$ 73,794.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
513265	32713	Female	50	$ 73,794.00	Long Term Disability	60% of Salary	$ 3,689.70
877303	32168	Female	55	$ 68,454.00	Basic AD&D	$40,000	$ 40,000.00
877303	32168	Female	55	$ 68,454.00	Basic Life	$40,000	$ 40,000.00
877303	32168	Female	55	$ 68,454.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
877303	32168	Female	55	$ 68,454.00	Buy-Up Short Term	66.67% of Salary	$ 877.66
877303	32168	Female	55	$ 68,454.00	Long Term Disability	60% of Salary	$ 3,422.70
877303	32168	Female	55	$ 68,454.00	Voluntary Employee Life	$200,000	$ 200,000.00
877303	32168	Female	55	$ 68,454.00	Voluntary Spouse Life	$100,000	$ 100,000.00
478037	34772	Female	51	$ 152,500.00	Basic AD&D	$40,000	$ 40,000.00
478037	34772	Female	51	$ 152,500.00	Basic Life	$40,000	$ 40,000.00
478037	34772	Female	51	$ 152,500.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
478037	34772	Female	51	$ 152,500.00	Buy-Up Short Term	66.67% of Salary	$ 1,000.00
478037	34772	Female	51	$ 152,500.00	Long Term Disability	60% of Salary	$ 6,000.00
478037	34772	Female	51	$ 152,500.00	Voluntary Employee Life	$320,000	$ 320,000.00
174010	34786	Male	59	$ 107,635.00	Basic AD&D	$40,000	$ 40,000.00
174010	34786	Male	59	$ 107,635.00	Basic Life	$40,000	$ 40,000.00
174010	34786	Male	59	$ 107,635.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
174010	34786	Male	59	$ 107,635.00	Long Term Disability	60% of Salary	$ 5,381.75
857074	33541	Female	56	$ 72,384.00	Basic AD&D	$40,000	$ 40,000.00
857074	33541	Female	56	$ 72,384.00	Basic Life	$40,000	$ 40,000.00
857074	33541	Female	56	$ 72,384.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
857074	33541	Female	56	$ 72,384.00	Long Term Disability	60% of Salary	$ 3,619.20
619609	34639	Female	51	$ 73,899.00	Basic AD&D	$40,000	$ 40,000.00
619609	34639	Female	51	$ 73,899.00	Basic Life	$40,000	$ 40,000.00
619609	34639	Female	51	$ 73,899.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
619609	34639	Female	51	$ 73,899.00	Long Term Disability	60% of Salary	$ 3,694.95
619609	34639	Female	51	$ 73,899.00	Voluntary Employee Life	$30,000	$ 30,000.00
675927	78681	Female	53	$ 73,899.00	Basic AD&D	$40,000	$ 40,000.00
675927	78681	Female	53	$ 73,899.00	Basic Life	$40,000	$ 40,000.00
675927	78681	Female	53	$ 73,899.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
675927	78681	Female	53	$ 73,899.00	Buy-Up Short Term	66.67% of Salary	$ 947.47
675927	78681	Female	53	$ 73,899.00	Long Term Disability	60% of Salary	$ 3,694.95
114411	33873	Female	50	$ 68,454.00	Basic AD&D	$40,000	$ 40,000.00
114411	33873	Female	50	$ 68,454.00	Basic Life	$40,000	$ 40,000.00
114411	33873	Female	50	$ 68,454.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
114411	33873	Female	50	$ 68,454.00	Buy-Up Short Term	66.67% of Salary	$ 877.66
114411	33873	Female	50	$ 68,454.00	Long Term Disability	60% of Salary	$ 3,422.70
114411	33873	Female	50	$ 68,454.00	Voluntary Child Life	$10,000	$ 10,000.00
114411	33873	Female	50	$ 68,454.00	Voluntary Employee Life	$200,000	$ 200,000.00
691111	32174	Female	46	$ 81,293.00	Basic AD&D	$40,000	$ 40,000.00
691111	32174	Female	46	$ 81,293.00	Basic Life	$40,000	$ 40,000.00
691111	32174	Female	46	$ 81,293.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
691111	32174	Female	46	$ 81,293.00	Buy-Up Short Term	66.67% of Salary	$ 1,000.00
691111	32174	Female	46	$ 81,293.00	Long Term Disability	60% of Salary	$ 4,064.65
691111	32174	Female	46	$ 81,293.00	Voluntary Child Life	$10,000	$ 10,000.00
691111	32174	Female	46	$ 81,293.00	Voluntary Employee Life	$290,000	$ 290,000.00
623465	32792	Female	52	$ 67,143.00	Basic AD&D	$40,000	$ 40,000.00
623465	32792	Female	52	$ 67,143.00	Basic Life	$40,000	$ 40,000.00
623465	32792	Female	52	$ 67,143.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
623465	32792	Female	52	$ 67,143.00	Long Term Disability	60% of Salary	$ 3,357.15
623465	32792	Female	52	$ 67,143.00	Voluntary Employee Life	$340,000	$ 340,000.00
610873	32821	Female	55	$ 87,794.00	Basic AD&D	$40,000	$ 40,000.00
610873	32821	Female	55	$ 87,794.00	Basic Life	$40,000	$ 40,000.00
610873	32821	Female	55	$ 87,794.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
610873	32821	Female	55	$ 87,794.00	Long Term Disability	60% of Salary	$ 4,389.70
610873	32821	Female	55	$ 87,794.00	Voluntary Child Life	$10,000	$ 10,000.00
610873	32821	Female	55	$ 87,794.00	Voluntary Employee Life	$50,000	$ 50,000.00
710595	32766	Female	54	$ 98,017.00	Basic AD&D	$40,000	$ 40,000.00
710595	32766	Female	54	$ 98,017.00	Basic Life	$40,000	$ 40,000.00
710595	32766	Female	54	$ 98,017.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
710595	32766	Female	54	$ 98,017.00	Long Term Disability	60% of Salary	$ 4,900.85
710595	32766	Female	54	$ 98,017.00	Voluntary Employee Life	$50,000	$ 50,000.00
696110	30535	Male	56	$ 89,497.00	Basic AD&D	$40,000	$ 40,000.00
696110	30535	Male	56	$ 89,497.00	Basic Life	$40,000	$ 40,000.00
696110	30535	Male	56	$ 89,497.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
696110	30535	Male	56	$ 89,497.00	Long Term Disability	60% of Salary	$ 4,474.85
696110	30535	Male	56	$ 89,497.00	Voluntary Employee Life	$60,000	$ 60,000.00
268632	34771	Male	48	$ 61,670.00	Basic AD&D	$40,000	$ 40,000.00
268632	34771	Male	48	$ 61,670.00	Basic Life	$40,000	$ 40,000.00
268632	34771	Male	48	$ 61,670.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
268632	34771	Male	48	$ 61,670.00	Long Term Disability	60% of Salary	$ 3,083.50
268632	34771	Male	48	$ 61,670.00	Voluntary Child Life	$10,000	$ 10,000.00
268632	34771	Male	48	$ 61,670.00	Voluntary Employee Life	$260,000	$ 260,000.00
268632	34771	Male	48	$ 61,670.00	Voluntary Spouse Life	$50,000	$ 50,000.00
586484	34639	Female	47	$ 67,834.00	Basic AD&D	$40,000	$ 40,000.00
586484	34639	Female	47	$ 67,834.00	Basic Life	$40,000	$ 40,000.00
586484	34639	Female	47	$ 67,834.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
586484	34639	Female	47	$ 67,834.00	Long Term Disability	60% of Salary	$ 3,391.70
586484	34639	Female	47	$ 67,834.00	Voluntary Employee Life	$200,000	$ 200,000.00
586484	34639	Female	47	$ 67,834.00	Voluntary Spouse Life	$100,000	$ 100,000.00
809204	32643	Male	48	$ 108,478.00	Basic AD&D	$40,000	$ 40,000.00
809204	32643	Male	48	$ 108,478.00	Basic Life	$40,000	$ 40,000.00
809204	32643	Male	48	$ 108,478.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
809204	32643	Male	48	$ 108,478.00	Long Term Disability	60% of Salary	$ 5,423.90
617949	32780	Female	56	$ 72,040.00	Basic AD&D	$40,000	$ 40,000.00
617949	32780	Female	56	$ 72,040.00	Basic Life	$40,000	$ 40,000.00
617949	32780	Female	56	$ 72,040.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
617949	32780	Female	56	$ 72,040.00	Buy-Up Short Term	66.67% of Salary	$ 923.63
617949	32780	Female	56	$ 72,040.00	Long Term Disability	60% of Salary	$ 3,602.00
617949	32780	Female	56	$ 72,040.00	Voluntary Child Life	$10,000	$ 10,000.00
617949	32780	Female	56	$ 72,040.00	Voluntary Employee Life	$320,000	$ 320,000.00
617949	32780	Female	56	$ 72,040.00	Voluntary Spouse Life	$100,000	$ 100,000.00
380982	19106	Female	52	$ 86,816.00	Basic AD&D	$40,000	$ 40,000.00
380982	19106	Female	52	$ 86,816.00	Basic Life	$40,000	$ 40,000.00
380982	19106	Female	52	$ 86,816.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
380982	19106	Female	52	$ 86,816.00	Buy-Up Short Term	66.67% of Salary	$ 1,000.00
380982	19106	Female	52	$ 86,816.00	Long Term Disability	60% of Salary	$ 4,340.80
690940	33069	Female	57	$ 86,816.00	Basic AD&D	$40,000	$ 40,000.00
690940	33069	Female	57	$ 86,816.00	Basic Life	$40,000	$ 40,000.00
690940	33069	Female	57	$ 86,816.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
690940	33069	Female	57	$ 86,816.00	Long Term Disability	60% of Salary	$ 4,340.80
969854	32789	Female	52	$ 73,899.00	Basic AD&D	$40,000	$ 40,000.00
969854	32789	Female	52	$ 73,899.00	Basic Life	$40,000	$ 40,000.00
969854	32789	Female	52	$ 73,899.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
969854	32789	Female	52	$ 73,899.00	Long Term Disability	60% of Salary	$ 3,694.95
806654	32750	Female	45	$ 101,157.00	Basic AD&D	$40,000	$ 40,000.00
806654	32750	Female	45	$ 101,157.00	Basic Life	$40,000	$ 40,000.00
806654	32750	Female	45	$ 101,157.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
806654	32750	Female	45	$ 101,157.00	Long Term Disability	60% of Salary	$ 5,057.85
806654	32750	Female	45	$ 101,157.00	Voluntary Child Life	$10,000	$ 10,000.00
806654	32750	Female	45	$ 101,157.00	Voluntary Employee Life	$300,000	$ 300,000.00
806654	32750	Female	45	$ 101,157.00	Voluntary Spouse Life	$100,000	$ 100,000.00
370662	32347	Female	63	$ 86,696.00	Basic AD&D	$40,000	$ 40,000.00
370662	32347	Female	63	$ 86,696.00	Basic Life	$40,000	$ 40,000.00
370662	32347	Female	63	$ 86,696.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
370662	32347	Female	63	$ 86,696.00	Long Term Disability	60% of Salary	$ 4,334.80
370662	32347	Female	63	$ 86,696.00	Voluntary Employee Life	$50,000	$ 50,000.00
138679	32425	Female	48	$ 89,621.00	Basic AD&D	$40,000	$ 40,000.00
138679	32425	Female	48	$ 89,621.00	Basic Life	$40,000	$ 40,000.00
138679	32425	Female	48	$ 89,621.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
138679	32425	Female	48	$ 89,621.00	Long Term Disability	60% of Salary	$ 4,481.05
138679	32425	Female	48	$ 89,621.00	Voluntary Employee Life	$240,000	$ 240,000.00
543899	32835	Female	58	$ 79,310.00	Basic AD&D	$40,000	$ 40,000.00
543899	32835	Female	58	$ 79,310.00	Basic Life	$40,000	$ 40,000.00
543899	32835	Female	58	$ 79,310.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
543899	32835	Female	58	$ 79,310.00	Long Term Disability	60% of Salary	$ 3,965.50
552034	32824	Female	49	$ 85,815.00	Basic AD&D	$40,000	$ 40,000.00
552034	32824	Female	49	$ 85,815.00	Basic Life	$40,000	$ 40,000.00
552034	32824	Female	49	$ 85,815.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
552034	32824	Female	49	$ 85,815.00	Long Term Disability	60% of Salary	$ 4,290.75
552034	32824	Female	49	$ 85,815.00	Voluntary Child Life	$10,000	$ 10,000.00
552034	32824	Female	49	$ 85,815.00	Voluntary Employee Life	$220,000	$ 220,000.00
552034	32824	Female	49	$ 85,815.00	Voluntary Spouse Life	$100,000	$ 100,000.00
752077	32043	Female	56	$ 63,531.00	Basic AD&D	$40,000	$ 40,000.00
752077	32043	Female	56	$ 63,531.00	Basic Life	$40,000	$ 40,000.00
752077	32043	Female	56	$ 63,531.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
752077	32043	Female	56	$ 63,531.00	Buy-Up Short Term	66.67% of Salary	$ 814.54
752077	32043	Female	56	$ 63,531.00	Long Term Disability	60% of Salary	$ 3,176.55
752077	32043	Female	56	$ 63,531.00	Voluntary Child Life	$10,000	$ 10,000.00
752077	32043	Female	56	$ 63,531.00	Voluntary Employee Life	$200,000	$ 200,000.00
752077	32043	Female	56	$ 63,531.00	Voluntary Spouse Life	$100,000	$ 100,000.00
840573	34695	Female	51	$ 103,195.00	Basic AD&D	$40,000	$ 40,000.00
840573	34695	Female	51	$ 103,195.00	Basic Life	$40,000	$ 40,000.00
840573	34695	Female	51	$ 103,195.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
840573	34695	Female	51	$ 103,195.00	Long Term Disability	60% of Salary	$ 5,159.75
977894	33966	Male	55	$ 73,794.00	Basic AD&D	$40,000	$ 40,000.00
977894	33966	Male	55	$ 73,794.00	Basic Life	$40,000	$ 40,000.00
977894	33966	Male	55	$ 73,794.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
977894	33966	Male	55	$ 73,794.00	Long Term Disability	60% of Salary	$ 3,689.70
977894	33966	Male	55	$ 73,794.00	Voluntary Child Life	$10,000	$ 10,000.00
977894	33966	Male	55	$ 73,794.00	Voluntary Employee Life	$200,000	$ 200,000.00
977894	33966	Male	55	$ 73,794.00	Voluntary Spouse Life	$20,000	$ 20,000.00
385315	33626	Female	50	$ 86,429.00	Basic AD&D	$40,000	$ 40,000.00
385315	33626	Female	50	$ 86,429.00	Basic Life	$40,000	$ 40,000.00
385315	33626	Female	50	$ 86,429.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
385315	33626	Female	50	$ 86,429.00	Long Term Disability	60% of Salary	$ 4,321.45
385315	33626	Female	50	$ 86,429.00	Voluntary Child Life	$10,000	$ 10,000.00
385315	33626	Female	50	$ 86,429.00	Voluntary Employee Life	$300,000	$ 300,000.00
899111	34219	Female	54	$ 84,872.00	Basic AD&D	$40,000	$ 40,000.00
899111	34219	Female	54	$ 84,872.00	Basic Life	$40,000	$ 40,000.00
899111	34219	Female	54	$ 84,872.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
899111	34219	Female	54	$ 84,872.00	Buy-Up Short Term	66.67% of Salary	$ 1,000.00
899111	34219	Female	54	$ 84,872.00	Long Term Disability	60% of Salary	$ 4,243.60
899111	34219	Female	54	$ 84,872.00	Voluntary Child Life	$10,000	$ 10,000.00
899111	34219	Female	54	$ 84,872.00	Voluntary Employee Life	$120,000	$ 120,000.00
899111	34219	Female	54	$ 84,872.00	Voluntary Spouse Life	$60,000	$ 60,000.00
304517	33478	Female	53	$ 73,899.00	Basic AD&D	$40,000	$ 40,000.00
304517	33478	Female	53	$ 73,899.00	Basic Life	$40,000	$ 40,000.00
304517	33478	Female	53	$ 73,899.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
304517	33478	Female	53	$ 73,899.00	Long Term Disability	60% of Salary	$ 3,694.95
304517	33478	Female	53	$ 73,899.00	Voluntary Child Life	$10,000	$ 10,000.00
304517	33478	Female	53	$ 73,899.00	Voluntary Employee Life	$270,000	$ 270,000.00
304517	33478	Female	53	$ 73,899.00	Voluntary Spouse Life	$100,000	$ 100,000.00
274063	33707	Female	68	$ 68,454.00	Basic AD&D	$40,000	$ 26,000.00
274063	33707	Female	68	$ 68,454.00	Basic Life	$40,000	$ 26,000.00
274063	33707	Female	68	$ 68,454.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
274063	33707	Female	68	$ 68,454.00	Long Term Disability	60% of Salary	$ 3,422.70
425402	32907	Female	51	$ 68,454.00	Basic AD&D	$40,000	$ 40,000.00
425402	32907	Female	51	$ 68,454.00	Basic Life	$40,000	$ 40,000.00
425402	32907	Female	51	$ 68,454.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
425402	32907	Female	51	$ 68,454.00	Long Term Disability	60% of Salary	$ 3,422.70
425402	32907	Female	51	$ 68,454.00	Voluntary Child Life	$10,000	$ 10,000.00
425402	32907	Female	51	$ 68,454.00	Voluntary Employee Life	$190,000	$ 190,000.00
425402	32907	Female	51	$ 68,454.00	Voluntary Spouse Life	$60,000	$ 60,000.00
820814	33710	Female	50	$ 68,454.00	Basic AD&D	$40,000	$ 40,000.00
820814	33710	Female	50	$ 68,454.00	Basic Life	$40,000	$ 40,000.00
820814	33710	Female	50	$ 68,454.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
820814	33710	Female	50	$ 68,454.00	Long Term Disability	60% of Salary	$ 3,422.70
820814	33710	Female	50	$ 68,454.00	Voluntary Child Life	$10,000	$ 10,000.00
820814	33710	Female	50	$ 68,454.00	Voluntary Employee Life	$200,000	$ 200,000.00
820814	33710	Female	50	$ 68,454.00	Voluntary Spouse Life	$90,000	$ 90,000.00
159264	33809	Female	58	$ 66,536.00	Basic AD&D	$40,000	$ 40,000.00
159264	33809	Female	58	$ 66,536.00	Basic Life	$40,000	$ 40,000.00
159264	33809	Female	58	$ 66,536.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
159264	33809	Female	58	$ 66,536.00	Long Term Disability	60% of Salary	$ 3,326.80
159264	33809	Female	58	$ 66,536.00	Voluntary Child Life	$10,000	$ 10,000.00
159264	33809	Female	58	$ 66,536.00	Voluntary Employee Life	$20,000	$ 20,000.00
159264	33809	Female	58	$ 66,536.00	Voluntary Spouse Life	$10,000	$ 10,000.00
810860	97203	Female	42	$ 68,454.00	Basic AD&D	$40,000	$ 40,000.00
810860	97203	Female	42	$ 68,454.00	Basic Life	$40,000	$ 40,000.00
810860	97203	Female	42	$ 68,454.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
810860	97203	Female	42	$ 68,454.00	Long Term Disability	60% of Salary	$ 3,422.70
804379	32803	Female	63	$ 119,585.00	Basic AD&D	$40,000	$ 40,000.00
804379	32803	Female	63	$ 119,585.00	Basic Life	$40,000	$ 40,000.00
804379	32803	Female	63	$ 119,585.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
804379	32803	Female	63	$ 119,585.00	Long Term Disability	60% of Salary	$ 5,979.25
804379	32803	Female	63	$ 119,585.00	Voluntary Employee Life	$100,000	$ 100,000.00
804379	32803	Female	63	$ 119,585.00	Voluntary Spouse Life	$50,000	$ 50,000.00
431667	34744	Female	52	$ 73,540.00	Basic AD&D	$40,000	$ 40,000.00
431667	34744	Female	52	$ 73,540.00	Basic Life	$40,000	$ 40,000.00
431667	34744	Female	52	$ 73,540.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
431667	34744	Female	52	$ 73,540.00	Buy-Up Short Term	66.67% of Salary	$ 942.87
431667	34744	Female	52	$ 73,540.00	Long Term Disability	60% of Salary	$ 3,677.00
431667	34744	Female	52	$ 73,540.00	Voluntary Child Life	$10,000	$ 10,000.00
431667	34744	Female	52	$ 73,540.00	Voluntary Employee Life	$320,000	$ 320,000.00
431667	34744	Female	52	$ 73,540.00	Voluntary Spouse Life	$100,000	$ 100,000.00
517293	34787	Female	52	$ 77,507.00	Basic AD&D	$40,000	$ 40,000.00
517293	34787	Female	52	$ 77,507.00	Basic Life	$40,000	$ 40,000.00
517293	34787	Female	52	$ 77,507.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
517293	34787	Female	52	$ 77,507.00	Long Term Disability	60% of Salary	$ 3,875.35
901804	34711	Female	52	$ 73,899.00	Basic AD&D	$40,000	$ 40,000.00
901804	34711	Female	52	$ 73,899.00	Basic Life	$40,000	$ 40,000.00
901804	34711	Female	52	$ 73,899.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
901804	34711	Female	52	$ 73,899.00	Long Term Disability	60% of Salary	$ 3,694.95
901804	34711	Female	52	$ 73,899.00	Voluntary Employee Life	$260,000	$ 260,000.00
885634	33556	Female	47	$ 61,670.00	Basic AD&D	$40,000	$ 40,000.00
885634	33556	Female	47	$ 61,670.00	Basic Life	$40,000	$ 40,000.00
885634	33556	Female	47	$ 61,670.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
885634	33556	Female	47	$ 61,670.00	Buy-Up Short Term	66.67% of Salary	$ 790.68
885634	33556	Female	47	$ 61,670.00	Long Term Disability	60% of Salary	$ 3,083.50
885634	33556	Female	47	$ 61,670.00	Voluntary Child Life	$10,000	$ 10,000.00
885634	33556	Female	47	$ 61,670.00	Voluntary Employee Life	$310,000	$ 310,000.00
885634	33556	Female	47	$ 61,670.00	Voluntary Spouse Life	$100,000	$ 100,000.00
810236	32819	Female	50	$ 71,346.00	Basic AD&D	$40,000	$ 40,000.00
810236	32819	Female	50	$ 71,346.00	Basic Life	$40,000	$ 40,000.00
810236	32819	Female	50	$ 71,346.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
810236	32819	Female	50	$ 71,346.00	Long Term Disability	60% of Salary	$ 3,567.30
810236	32819	Female	50	$ 71,346.00	Voluntary Employee Life	$10,000	$ 10,000.00
810236	32819	Female	50	$ 71,346.00	Voluntary Spouse Life	$5,000	$ 5,000.00
760801	32784	Female	61	$ 94,803.00	Basic AD&D	$40,000	$ 40,000.00
760801	32784	Female	61	$ 94,803.00	Basic Life	$40,000	$ 40,000.00
760801	32784	Female	61	$ 94,803.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
760801	32784	Female	61	$ 94,803.00	Long Term Disability	60% of Salary	$ 4,740.15
760801	32784	Female	61	$ 94,803.00	Voluntary Employee Life	$250,000	$ 250,000.00
760801	32784	Female	61	$ 94,803.00	Voluntary Spouse Life	$100,000	$ 100,000.00
535408	32803	Female	49	$ 86,146.00	Basic AD&D	$40,000	$ 40,000.00
535408	32803	Female	49	$ 86,146.00	Basic Life	$40,000	$ 40,000.00
535408	32803	Female	49	$ 86,146.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
535408	32803	Female	49	$ 86,146.00	Long Term Disability	60% of Salary	$ 4,307.30
535408	32803	Female	49	$ 86,146.00	Voluntary Employee Life	$290,000	$ 290,000.00
535408	32803	Female	49	$ 86,146.00	Voluntary Spouse Life	$100,000	$ 100,000.00
265547	34953	Female	45	$ 144,200.00	Basic AD&D	$40,000	$ 40,000.00
265547	34953	Female	45	$ 144,200.00	Basic Life	$40,000	$ 40,000.00
265547	34953	Female	45	$ 144,200.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
265547	34953	Female	45	$ 144,200.00	Long Term Disability	60% of Salary	$ 6,000.00
265547	34953	Female	45	$ 144,200.00	Voluntary Child Life	$10,000	$ 10,000.00
265547	34953	Female	45	$ 144,200.00	Voluntary Employee Life	$250,000	$ 250,000.00
265547	34953	Female	45	$ 144,200.00	Voluntary Spouse Life	$100,000	$ 100,000.00
927613	32601	Female	56	$ 65,895.00	Basic AD&D	$40,000	$ 40,000.00
927613	32601	Female	56	$ 65,895.00	Basic Life	$40,000	$ 40,000.00
927613	32601	Female	56	$ 65,895.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
927613	32601	Female	56	$ 65,895.00	Long Term Disability	60% of Salary	$ 3,294.75
959295	33547	Female	49	$ 59,144.00	Basic AD&D	$40,000	$ 40,000.00
959295	33547	Female	49	$ 59,144.00	Basic Life	$40,000	$ 40,000.00
959295	33547	Female	49	$ 59,144.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
959295	33547	Female	49	$ 59,144.00	Long Term Disability	60% of Salary	$ 2,957.20
751045	34238	Female	53	$ 71,945.00	Basic AD&D	$40,000	$ 40,000.00
751045	34238	Female	53	$ 71,945.00	Basic Life	$40,000	$ 40,000.00
751045	34238	Female	53	$ 71,945.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
751045	34238	Female	53	$ 71,945.00	Buy-Up Short Term	66.67% of Salary	$ 922.42
751045	34238	Female	53	$ 71,945.00	Long Term Disability	60% of Salary	$ 3,597.25
141115	33875	Female	54	$ 73,899.00	Basic AD&D	$40,000	$ 40,000.00
141115	33875	Female	54	$ 73,899.00	Basic Life	$40,000	$ 40,000.00
141115	33875	Female	54	$ 73,899.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
141115	33875	Female	54	$ 73,899.00	Long Term Disability	60% of Salary	$ 3,694.95
141115	33875	Female	54	$ 73,899.00	Voluntary Employee Life	$130,000	$ 130,000.00
141115	33875	Female	54	$ 73,899.00	Voluntary Spouse Life	$50,000	$ 50,000.00
853567	34772	Female	52	$ 68,454.00	Basic AD&D	$40,000	$ 40,000.00
853567	34772	Female	52	$ 68,454.00	Basic Life	$40,000	$ 40,000.00
853567	34772	Female	52	$ 68,454.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
853567	34772	Female	52	$ 68,454.00	Long Term Disability	60% of Salary	$ 3,422.70
169385	32136	Female	55	$ 69,955.00	Basic AD&D	$40,000	$ 40,000.00
169385	32136	Female	55	$ 69,955.00	Basic Life	$40,000	$ 40,000.00
169385	32136	Female	55	$ 69,955.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
169385	32136	Female	55	$ 69,955.00	Long Term Disability	60% of Salary	$ 3,497.75
462626	32174	Female	46	$ 65,830.00	Basic AD&D	$40,000	$ 40,000.00
462626	32174	Female	46	$ 65,830.00	Basic Life	$40,000	$ 40,000.00
462626	32174	Female	46	$ 65,830.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
462626	32174	Female	46	$ 65,830.00	Long Term Disability	60% of Salary	$ 3,291.50
726072	30269	Female	50	$ 81,922.00	Basic AD&D	$40,000	$ 40,000.00
726072	30269	Female	50	$ 81,922.00	Basic Life	$40,000	$ 40,000.00
726072	30269	Female	50	$ 81,922.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
726072	30269	Female	50	$ 81,922.00	Buy-Up Short Term	66.67% of Salary	$ 1,000.00
726072	30269	Female	50	$ 81,922.00	Long Term Disability	60% of Salary	$ 4,096.10
156591	33611	Female	43	$ 68,454.00	Basic AD&D	$40,000	$ 40,000.00
156591	33611	Female	43	$ 68,454.00	Basic Life	$40,000	$ 40,000.00
156591	33611	Female	43	$ 68,454.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
156591	33611	Female	43	$ 68,454.00	Long Term Disability	60% of Salary	$ 3,422.70
303650	34787	Female	41	$ 61,784.00	Basic AD&D	$40,000	$ 40,000.00
303650	34787	Female	41	$ 61,784.00	Basic Life	$40,000	$ 40,000.00
303650	34787	Female	41	$ 61,784.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
303650	34787	Female	41	$ 61,784.00	Long Term Disability	60% of Salary	$ 3,089.20
216827	02563	Female	50	$ 84,697.00	Basic AD&D	$40,000	$ 40,000.00
216827	02563	Female	50	$ 84,697.00	Basic Life	$40,000	$ 40,000.00
216827	02563	Female	50	$ 84,697.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
216827	02563	Female	50	$ 84,697.00	Long Term Disability	60% of Salary	$ 4,234.85
847835	33021	Female	50	$ 80,607.00	Basic AD&D	$40,000	$ 40,000.00
847835	33021	Female	50	$ 80,607.00	Basic Life	$40,000	$ 40,000.00
847835	33021	Female	50	$ 80,607.00	Basic Short Term Disability	66.67% of Salary	$ 250.00
847835	33021	Female	50	$ 80,607.00	Long Term Disability	60% of Salary	$ 4,030.35
847835	33021	Female	50	$ 80,607.00	Voluntary Employee Life	$200,000	$ 200,000.00
482923	33572	Female	54	$ 76,029.00	Basic AD&D	$40,000	$ 40,000.00

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Nov 18, 2025.