477F0E99-DAE2-3C20-3E7D603ABFDF3EFB.pdf
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- Attached to
- Voluntary Programs: Short and Long Term Disability, Legal Plan, Identity Theft, and Pet Insurance
- Solicitation number
- RFP #2025-06-09
- Issued by
- Franklin County, Ohio
About this file
This is a MetLife Legal Plan group insurance invoice issued to Franklin County Board of Commissioners for legal plan services coverage during April 2025. The invoice documents self-billed services provided under Plan Code 990 with Local Code 7497, covering 1,116 recorded lives during the coverage month of April 2025.
The total invoice amount due is $18,508.87, comprised of a primary charge of $18,414.00 (calculated at a rate of $16.500 per recorded life for 1,116 lives) and adjustments totaling $94.87. Payment is due on or before the 10th of the month following coverage, with remittance directed to MetLife Legal Plans, Inc., Dept 781523, P.O. Box 78000, Detroit, MI 48278-1523. The invoice requests that Franklin County reference Plan Code 990, Local Code 7497, and the April 2025 coverage period on all payments and include this invoice documentation with remittance. MetLife Legal Plans, Inc. holds Tax ID# 34-1650967, and the vendor is identified as 398789.
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Text version
Plan Code: 990 Local Code: 7497 Customer: Franklin County Board of Commissioners
Coverage Month: Apr-25 Invoice #: 04012025 Location : Franklin County
Plan Number Local Code Rate Recorded Lives Subtotal
990 7497 $16.500 1,116 $18,414.00 990 7497 $16.500 $94.87
Authorized By:
Date:
Please remit payment to: MetLife Legal Plan Tax ID#: 34-1650967 MetLife Legal Plans, Inc.
Dept 781523 - Payments are due on or before the 10th of the month following coverage.
P.O. Box 78000 - Please make sure to list the Plan Code, Local Code, and coverage period on all Detroit, MI 48278-1523 checks and electronic payments, and include this invoice with remittance.
Vendor 398789
284602
Total Amount Due: $18,508.87
MetLife Legal Plan Group Insurance Invoice - Self-Billed
Description
METLIFE LEGAL
ADJUSTMENTS
April 2025
MetLife Legal - FCBOC 7497
File details come from the government source that posted it. Updated .