2022-12_LTD_Invoice_(02).pdf

This document is a UnitedHealthcare electronic invoice for payroll-related long-term disability insurance for Pinellas County, Florida. The invoice covers the coverage period from 12/01/2022 to 12/31/2022, with an invoice date of 11/15/2022 and a due date of 12/01/2022. The total premium due is $40,581.50, which is based on a rate of $0.3900 for 1,929 long-term disability coverage units with a current period volume of $10,405,513.

The invoice is for the payroll department of Pinellas County, located at 14 S. FT. Harrison Ave., 3rd FL. in Clearwater, FL 33756. The invoice shows no retroactive amount and is associated with Group ID 306594 and Subgroup ID 1003. The document provides options to make a payment, download the invoice to Excel, or return to the invoice list, and is part of UnitedHealthcare's eAdministration platform.