2022-12_LTD_Invoice_(02).pdf

This document is a UnitedHealthcare eAdministration invoice for Pinellas County's Payroll department, specifically detailing a Long Term Disability (LTD) insurance invoice for the coverage period of 12/01/2022 to 12/31/2022. The invoice, dated 11/15/2022, is for invoice number 2306000000037 and relates to Group ID 306594 and Subgroup ID 1003, with the billing address located at 14 S. FT. HARRISON AVE, 3RD FL., CLEARWATER, FL 33756.

The invoice shows a current period amount of $40,581.50, with no retroactive charges, and is due on 12/01/2022. The Long Term Disability plan involves 1,929 participants with a current period volume of $10,405,513 and a rate of $0.3900 per participant. The invoice provides options to make a payment, download to Excel, or return to the invoice list, indicating this is a routine billing document for ongoing insurance coverage.