Appendix_7.4%20RFP_31786-00186%20Enrollment%20and%20Premium%20History.xlsx

XLSX spreadsheet 604 KB Posted

Attached to
Short-Term Disability And Long-Term Disability Insurance - UPDATED
Solicitation number
RFP 31786-00186
Issued by
Davidson County, Tennessee

About this file

This document is an enrollment and premium history spreadsheet for Metropolitan Life Insurance Company's long-term disability (LTD) and short-term disability (STD) insurance plans provided to a state organization, covering the period from January 2021 through May 2025. The file tracks pass-through payments across four plan options (Plans 1-4 for LTD and Higher Education Plans A and B, plus State Plans A and B for STD), segmented by employee age brackets ranging from 0-29 years through 70+ years. The data captures monthly enrollment counts and corresponding premium charges for each demographic and plan combination, providing a comprehensive record of benefit administration and cost tracking over a 53-month period.

The spreadsheet documents aggregate enrollment and premium totals that demonstrate consistent participation across all plan offerings, with LTD enrollment generally ranging from 7,000 to 15,600 covered lives monthly and STD enrollment ranging from 7,000 to 8,600 covered lives monthly. Monthly premium payments for the combined LTD and STD offerings typically range from approximately $240,000 to $620,000, reflecting both enrollment fluctuations and potential rate adjustments over the contract period. The data reveals Metropolitan Life Insurance Company as the incumbent vendor throughout the entire period, with Plan 3 Employee Paid and Employer Paid designations indicating a cost-sharing arrangement between the employer and employees. No specific contract award date, renewal options, or set-aside provisions are identified in this administrative document, which serves primarily as a historical record of benefit utilization and premium expense for budgeting and actuarial analysis purposes.

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Jan 21 - June 21 Appendix_7.4 RFP_31786-00186 Enrollment and Premium History

Jan 2021 Pass Through Payments Feb 2021 Pass Through Payments March 2021 Pass Through Payments April 2021 Pass Through Payments May 2021 Pass Through Payments June 2021 Pass Through Payments

ValuesValuesValuesValuesValuesValues
Vendor NameDeduction CodeFund CodePlanSum of CountSum of Sum Current DeductionVendor NameDeduction CodeFund CodePlanSum of CountSum of Sum Current DeductionVendor NameDeduction CodeFund CodePlanSum of CountSum of Sum Current DeductionVendor NameDeduction CodeFund CodePlanSum of CountSum of Sum Current DeductionVendor NameDeduction CodeFund CodePlanSum of CountSum of Sum Current DeductionVendor NameDeduction CodeFund CodePlanSum of CountSum of Sum Current Deduction
Metropolitan Life Insurance CompanyLTD55000Plan 1: 0-293242,099.74Metropolitan Life Insurance CompanyLTD55000Plan 1: 0-293242,100.51Metropolitan Life Insurance CompanyLTD55000Plan 1: 0-293272,110.39Metropolitan Life Insurance CompanyLTD55000Plan 1: 0-293192,033.04Metropolitan Life Insurance CompanyLTD55000Plan 1: 0-293202,009.40Metropolitan Life Insurance CompanyLTD55000Plan 1: 0-293211,986.71
Plan 1: 30-342431,905.64Plan 1: 30-342491,978.60Plan 1: 30-342601,931.38Plan 1: 30-342491,930.63Plan 1: 30-342531,886.30Plan 1: 30-342471,911.59
Plan 1: 35-392384,114.36Plan 1: 35-392344,070.02Plan 1: 35-392404,122.07Plan 1: 35-392434,119.81Plan 1: 35-392394,008.75Plan 1: 35-392433,947.35
Plan 1: 40-442566,769.54Plan 1: 40-442596,785.41Plan 1: 40-442666,905.43Plan 1: 40-442636,589.27Plan 1: 40-442606,654.59Plan 1: 40-442616,529.99
Plan 1: 45-492578,410.32Plan 1: 45-492618,403.88Plan 1: 45-492588,317.03Plan 1: 45-492618,322.03Plan 1: 45-492648,326.12Plan 1: 45-492718,420.21
Plan 1: 50-542349,726.54Plan 1: 50-542319,542.21Plan 1: 50-542319,460.68Plan 1: 50-542409,847.89Plan 1: 50-542439,886.15Plan 1: 50-542449,694.14
Plan 1: 55-5923411,876.98Plan 1: 55-5923311,957.73Plan 1: 55-5923311,771.18Plan 1: 55-5923111,653.29Plan 1: 55-5922911,442.68Plan 1: 55-5922811,393.88
Plan 1: 60-641227,626.29Plan 1: 60-641267,757.76Plan 1: 60-641317,929.55Plan 1: 60-641357,813.19Plan 1: 60-641357,456.78Plan 1: 60-641387,977.98
Plan 1: 65-69432,126.82Plan 1: 65-69442,264.17Plan 1: 65-69462,351.07Plan 1: 65-69472,377.27Plan 1: 65-69492,523.11Plan 1: 65-69492,543.80
Plan 1: 70+5323.25Plan 1: 70+5323.25Plan 1: 70+5323.25Plan 1: 70+5323.25Plan 1: 70+5323.25Plan 1: 70+5324.46
Plan 2: 0-293181,702.84Plan 2: 0-293101,644.53Plan 2: 0-293181,664.75Plan 2: 0-293191,679.92Plan 2: 0-293161,652.23Plan 2: 0-293131,611.59
Plan 2: 30-342331,457.80Plan 2: 30-342361,509.44Plan 2: 30-342361,501.55Plan 2: 30-342351,458.09Plan 2: 30-342391,494.99Plan 2: 30-342451,503.14
Plan 2: 35-392393,042.60Plan 2: 35-392363,101.57Plan 2: 35-392413,096.93Plan 2: 35-392373,068.27Plan 2: 35-392392,960.55Plan 2: 35-392332,990.00
Plan 2: 40-443226,568.21Plan 2: 40-443266,565.96Plan 2: 40-443306,615.27Plan 2: 40-443356,688.38Plan 2: 40-443376,653.82Plan 2: 40-443466,713.61
Plan 2: 45-493399,465.74Plan 2: 45-493349,161.77Plan 2: 45-493379,276.52Plan 2: 45-493379,263.55Plan 2: 45-493319,029.77Plan 2: 45-493318,911.05
Plan 2: 50-5432210,767.49Plan 2: 50-5433111,024.56Plan 2: 50-5433611,043.11Plan 2: 50-5434111,154.95Plan 2: 50-5433911,128.91Plan 2: 50-5433911,086.92
Plan 2: 55-5934914,501.08Plan 2: 55-5934614,475.02Plan 2: 55-5934614,358.20Plan 2: 55-5934414,174.63Plan 2: 55-5934314,091.84Plan 2: 55-5934314,076.20
Plan 2: 60-6420011,228.44Plan 2: 60-6420411,278.04Plan 2: 60-6420711,490.71Plan 2: 60-6421111,766.48Plan 2: 60-6422411,632.92Plan 2: 60-6421712,012.73
Plan 2: 65-69502,162.86Plan 2: 65-69522,284.12Plan 2: 65-69532,306.66Plan 2: 65-69532,356.10Plan 2: 65-69522,319.46Plan 2: 65-69552,422.75
Plan 2: 70+12434.95Plan 2: 70+13472.74Plan 2: 70+12437.90Plan 2: 70+12437.90Plan 2: 70+12437.90Plan 2: 70+12437.90
Plan 3: 0-292221,739.29Plan 3: 0-292151,687.58Plan 3: 0-292271,746.15Plan 3: 0-292151,667.66Plan 3: 0-292081,624.70Plan 3: 0-292111,594.17
Plan 3: 30-342131,954.64Plan 3: 30-342212,069.38Plan 3: 30-342192,022.76Plan 3: 30-342222,031.68Plan 3: 30-342212,011.86Plan 3: 30-342252,014.31
Plan 3: 35-392174,542.76Plan 3: 35-392154,457.90Plan 3: 35-392194,509.36Plan 3: 35-392264,296.20Plan 3: 35-392184,402.16Plan 3: 35-392204,330.55
Plan 3: 40-441735,293.07Plan 3: 40-441675,088.20Plan 3: 40-441675,042.78Plan 3: 40-441735,185.89Plan 3: 40-441775,217.40Plan 3: 40-441835,391.00
Plan 3: 45-491435,497.97Plan 3: 45-491495,725.76Plan 3: 45-491485,827.35Plan 3: 45-491465,579.39Plan 3: 45-491425,614.92Plan 3: 45-491415,341.28
Plan 3: 50-541467,611.04Plan 3: 50-541467,539.51Plan 3: 50-541477,650.95Plan 3: 50-541457,536.55Plan 3: 50-541487,598.04Plan 3: 50-541477,600.87
Plan 3: 55-591207,522.58Plan 3: 55-591197,691.02Plan 3: 55-591177,553.11Plan 3: 55-591187,809.11Plan 3: 55-591207,962.40Plan 3: 55-591217,972.65
Plan 3: 60-64594,982.24Plan 3: 60-64574,968.89Plan 3: 60-64645,195.12Plan 3: 60-64655,765.22Plan 3: 60-64655,452.94Plan 3: 60-64675,270.63
Plan 3: 65-6917845.62Plan 3: 65-6916818.75Plan 3: 65-6917966.21Plan 3: 65-6917966.21Plan 3: 65-69181,043.43Plan 3: 65-69191,180.39
Plan 3: 70+5324.33Plan 3: 70+6351.20Plan 3: 70+6351.20Plan 3: 70+6351.20Plan 3: 70+6351.20Plan 3: 70+6351.20
Plan 4: 0-292531,527.60Plan 4: 0-292491,501.86Plan 4: 0-292541,523.03Plan 4: 0-292511,523.27Plan 4: 0-292391,455.70Plan 4: 0-292421,442.72
Plan 4: 30-342321,612.24Plan 4: 30-342301,650.71Plan 4: 30-342241,602.44Plan 4: 30-342241,574.73Plan 4: 30-342331,618.01Plan 4: 30-342341,566.03
Plan 4: 35-391802,897.18Plan 4: 35-391882,973.51Plan 4: 35-391882,916.52Plan 4: 35-391842,766.24Plan 4: 35-391862,763.68Plan 4: 35-391882,722.18
Plan 4: 40-441704,384.55Plan 4: 40-441714,344.07Plan 4: 40-441714,388.36Plan 4: 40-441704,361.80Plan 4: 40-441724,340.31Plan 4: 40-441744,227.19
Plan 4: 45-491966,588.48Plan 4: 45-491976,623.68Plan 4: 45-491996,526.75Plan 4: 45-491976,520.21Plan 4: 45-492026,652.68Plan 4: 45-491976,418.16
Plan 4: 50-541767,596.33Plan 4: 50-541847,877.42Plan 4: 50-541757,535.68Plan 4: 50-541747,462.38Plan 4: 50-541807,669.03Plan 4: 50-541877,688.60
Plan 4: 55-591708,961.82Plan 4: 55-591678,986.70Plan 4: 55-591709,131.42Plan 4: 55-591699,039.05Plan 4: 55-591668,718.06Plan 4: 55-591718,912.44
Plan 4: 60-641056,698.02Plan 4: 60-641086,759.25Plan 4: 60-641076,665.07Plan 4: 60-641166,436.04Plan 4: 60-641157,405.71Plan 4: 60-641157,077.92
Plan 4: 65-69291,369.28Plan 4: 65-69281,331.26Plan 4: 65-69301,455.06Plan 4: 65-69301,503.56Plan 4: 65-69291,448.58Plan 4: 65-69291,450.03
Plan 4: 70+10391.24Plan 4: 70+10391.24Plan 4: 70+11420.84Plan 4: 70+11420.84Plan 4: 70+12475.82Plan 4: 70+12475.82
LTD Total7,176198,651.77LTD Total7,197199,539.18LTD Total7,273200,043.79LTD Total7,276199,855.17LTD Total7,286199,746.15LTD Total7,330199,524.14
STD55000Higher Ed Plan A1,33173,971.45STD55000Higher Ed Plan A1,33774,050.47STD55000Higher Ed Plan A1,36275,480.91STD55000Higher Ed Plan A1,37776,837.42STD55000Higher Ed Plan A1,39578,671.89STD55000Higher Ed Plan A1,40076,517.01
Higher Ed Plan B1,39074,055.01Higher Ed Plan B1,39274,631.43Higher Ed Plan B1,40775,641.13Higher Ed Plan B1,40876,229.49Higher Ed Plan B1,41876,842.64Higher Ed Plan B1,42377,562.25
State Plan A1,99593,635.86State Plan A1,99594,100.34State Plan A2,01994,431.48State Plan A2,03693,796.81State Plan A2,04295,321.91State Plan A2,05894,820.77
State Plan B2,30897,477.42State Plan B2,31498,246.37State Plan B2,367100,149.72State Plan B2,377100,360.09State Plan B2,392101,362.41State Plan B2,409100,752.51
STD Total7,024339,139.74STD Total7,038341,028.61STD Total7,155345,703.24STD Total7,198347,223.81STD Total7,247352,198.85STD Total7,290349,652.54
Metropolitan Life Insurance Company Total14,200537,791.51Metropolitan Life Insurance Company Total14,235540,567.79Metropolitan Life Insurance Company Total14,428545,747.03Metropolitan Life Insurance Company Total14,474547,078.98Metropolitan Life Insurance Company Total14,533551,945.00Metropolitan Life Insurance Company Total14,620549,176.68
Grand Total14,200537,791.51Grand Total14,235540,567.79Grand Total14,428545,747.03Grand Total14,474547,078.98Grand Total14,533551,945.00Grand Total14,620549,176.68

July 21 - June 22 July 2021 Pass Through Payments August 2021 Pass Through Payments September 2021 Pass Through Payments October 2021 Pass Through Payments November 2021 Pass Through Payments December 2021 Pass Through Payments January 2022 Pass Through Payments February 2022 Pass Through Payments March 2022 Pass Through Payments April 2022 Pass Through Payments May 2022 Pass Through Payments June 2022 Pass Through Payments

ValuesValuesValuesValuesValuesValuesValuesValues
Deduction CodeFund CodePlanSum of CountSum of Sum Current DeductionDeduction CodeFund CodePlanSum of CountSum of Sum Current DeductionVendor NameDeduction CodeFund CodePlanSum of CountSum of Sum Current DeductionVendor NameDeduction CodeFund CodePlanSum of CountSum of Sum Current DeductionVendor NameDeduction CodeFund CodePlanSum of CountSum of Sum Current DeductionVendor NameDeduction CodeFund CodePlanSum of CountSum of Sum Current DeductionVendor NameDeduction CodeFund CodePlanSum of CountSum of Sum Current DeductionVendor NameDeduction CodeFund CodePlanSum of CountSum of Sum Current DeductionVendor NameDeduction CodeFund CodePlan
LTD55000Plan 1: 0-293151,998.95LTD55000Plan 1: 0-293201,967.87Metropolitan Life Insurance CompanyLTD55000Plan 1: 0-293091,923.92Metropolitan Life Insurance CompanyLTD55000Plan 1: 0-292951,975.12Metropolitan Life Insurance CompanyLTD55000Plan 1: 0-292961,949.66Metropolitan Life Insurance CompanyLTD55000Plan 1: 0-292881,927.76Metropolitan Life Insurance CompanyLTD55000Plan 1: 0-292901,168.32Metropolitan Life Insurance CompanyLTD55000Plan 1: 0-292851,121.17Metropolitan Life Insurance CompanyLTD55000Plan 1: 0-29
Plan 1: 30-342531,900.05Plan 1: 30-342561,925.83Plan 1: 30-342641,950.73Plan 1: 30-342632,084.03Plan 1: 30-342632,076.90Plan 1: 30-342632,053.50Plan 1: 30-342631,232.16Plan 1: 30-342641,235.19Plan 1: 30-34
Plan 1: 35-392453,988.41Plan 1: 35-392403,848.25Plan 1: 35-392323,768.73Plan 1: 35-392314,326.50Plan 1: 35-392384,301.14Plan 1: 35-392444,437.14Plan 1: 35-392492,545.25Plan 1: 35-392472,443.95Plan 1: 35-39
Plan 1: 40-442586,576.61Plan 1: 40-442616,561.27Plan 1: 40-442636,558.98Plan 1: 40-442687,641.76Plan 1: 40-442727,661.87Plan 1: 40-442747,622.61Plan 1: 40-442684,394.94Plan 1: 40-442704,289.73Plan 1: 40-44
Plan 1: 45-492708,399.97Plan 1: 45-492628,147.98Plan 1: 45-492658,269.36Plan 1: 45-492629,152.30Plan 1: 45-492679,137.21Plan 1: 45-492669,171.56Plan 1: 45-492645,171.58Plan 1: 45-492645,239.43Plan 1: 45-49
Plan 1: 50-542449,838.68Plan 1: 50-542489,971.11Plan 1: 50-542509,964.40Plan 1: 50-5424911,126.79Plan 1: 50-5425511,157.19Plan 1: 50-5425010,851.18Plan 1: 50-542466,148.72Plan 1: 50-542546,174.28Plan 1: 50-54
Plan 1: 55-5922311,053.95Plan 1: 55-5922311,136.14Plan 1: 55-5922311,125.94Plan 1: 55-5922312,144.90Plan 1: 55-5921812,019.49Plan 1: 55-5922812,497.47Plan 1: 55-592236,997.02Plan 1: 55-592266,985.58Plan 1: 55-59
Plan 1: 60-641418,237.94Plan 1: 60-641478,056.96Plan 1: 60-641468,382.37Plan 1: 60-641449,601.53Plan 1: 60-641479,766.96Plan 1: 60-641439,434.44Plan 1: 60-641365,041.37Plan 1: 60-641364,850.95Plan 1: 60-64
Plan 1: 65-69492,493.65Plan 1: 65-69492,554.53Plan 1: 65-69492,554.53Plan 1: 65-69492,356.60Plan 1: 65-69482,365.93Plan 1: 65-69482,516.94Plan 1: 65-69461,299.54Plan 1: 65-69461,296.90Plan 1: 65-69
Plan 1: 70+5325.98Plan 1: 70+5339.66Plan 1: 70+5325.98Plan 1: 70+6380.84Plan 1: 70+10248.30Plan 1: 70+7451.43Plan 1: 70+7260.62Plan 1: 70+7260.62Plan 1: 70+
Plan 2: 0-293121,617.06Plan 2: 0-293091,597.68Plan 2: 0-292931,568.05Plan 2: 0-293031,682.66Plan 2: 0-292931,663.35Plan 2: 0-292921,640.07Plan 2: 0-29298939.26Plan 2: 0-29296915.27Plan 2: 0-29
Plan 2: 30-342341,446.94Plan 2: 30-342281,418.50Plan 2: 30-342311,436.52Plan 2: 30-342351,600.31Plan 2: 30-342351,563.80Plan 2: 30-342451,610.78Plan 2: 30-34253951.06Plan 2: 30-34257966.20Plan 2: 30-34
Plan 2: 35-392393,053.10Plan 2: 35-392383,013.78Plan 2: 35-392443,086.87Plan 2: 35-392523,676.71Plan 2: 35-392543,685.99Plan 2: 35-392563,722.39Plan 2: 35-392612,156.70Plan 2: 35-392492,043.40Plan 2: 35-39
Plan 2: 40-443386,489.88Plan 2: 40-443336,380.75Plan 2: 40-443326,326.05Plan 2: 40-443297,014.83Plan 2: 40-443387,207.01Plan 2: 40-443286,935.25Plan 2: 40-443374,183.99Plan 2: 40-443414,208.71Plan 2: 40-44
Plan 2: 45-493328,971.93Plan 2: 45-493369,047.27Plan 2: 45-493378,966.49Plan 2: 45-493359,872.36Plan 2: 45-493299,781.21Plan 2: 45-493399,946.42Plan 2: 45-493435,749.36Plan 2: 45-493345,627.97Plan 2: 45-49
Plan 2: 50-5434311,218.18Plan 2: 50-5434011,096.79Plan 2: 50-5433610,973.78Plan 2: 50-5433811,829.75Plan 2: 50-5433311,763.35Plan 2: 50-5433411,790.14Plan 2: 50-543316,657.94Plan 2: 50-543346,765.32Plan 2: 50-54
Plan 2: 55-5934514,102.81Plan 2: 55-5934113,922.04Plan 2: 55-5934213,721.50Plan 2: 55-5935815,449.18Plan 2: 55-5935214,896.40Plan 2: 55-5935215,064.29Plan 2: 55-593478,640.09Plan 2: 55-593548,829.10Plan 2: 55-59
Plan 2: 60-6422312,172.36Plan 2: 60-6422612,461.82Plan 2: 60-6423012,627.34Plan 2: 60-6422714,173.16Plan 2: 60-6423013,884.42Plan 2: 60-6423113,972.22Plan 2: 60-642177,530.74Plan 2: 60-642207,580.11Plan 2: 60-64
Plan 2: 65-69562,579.68Plan 2: 65-69592,711.30Plan 2: 65-69622,827.71Plan 2: 65-69632,763.38Plan 2: 65-69643,017.71Plan 2: 65-69622,894.81Plan 2: 65-69631,755.53Plan 2: 65-69621,704.23Plan 2: 65-69
Plan 2: 70+12437.90Plan 2: 70+12437.90Plan 2: 70+12437.90Plan 2: 70+12449.10Plan 2: 70+12398.53Plan 2: 70+14468.13Plan 2: 70+15298.31Plan 2: 70+14298.31Plan 2: 70+
Plan 3: 0-292061,553.61Plan 3: 0-292081,593.71Plan 3: 0-292051,546.74Plan 3: 0-292041,638.31Plan 3: 0-291991,624.69Plan 3: 0-291991,615.22Plan 3: 0-29195918.73Plan 3: 0-29202902.00Plan 3: 0-29
Plan 3: 30-342232,024.42Plan 3: 30-342151,965.46Plan 3: 30-342182,000.84Plan 3: 30-342112,075.01Plan 3: 30-342172,144.74Plan 3: 30-342222,079.17Plan 3: 30-342211,225.84Plan 3: 30-342241,273.34Plan 3: 30-34
Plan 3: 35-392224,395.49Plan 3: 35-392284,485.39Plan 3: 35-392214,344.90Plan 3: 35-392195,122.53Plan 3: 35-392305,296.80Plan 3: 35-392245,089.57Plan 3: 35-392162,739.49Plan 3: 35-392192,738.67Plan 3: 35-39
Plan 3: 40-441785,286.54Plan 3: 40-441725,069.59Plan 3: 40-441755,077.72Plan 3: 40-441725,669.07Plan 3: 40-441695,616.70Plan 3: 40-441745,828.06Plan 3: 40-441693,311.69Plan 3: 40-441673,280.90Plan 3: 40-44
Plan 3: 45-491405,377.13Plan 3: 45-491365,319.50Plan 3: 45-491395,356.49Plan 3: 45-491426,052.05Plan 3: 45-491406,033.76Plan 3: 45-491396,059.80Plan 3: 45-491383,344.50Plan 3: 45-491413,390.80Plan 3: 45-49
Plan 3: 50-541497,602.29Plan 3: 50-541517,603.49Plan 3: 50-541527,541.23Plan 3: 50-541518,107.60Plan 3: 50-541568,285.62Plan 3: 50-541636,245.98Plan 3: 50-541514,615.90Plan 3: 50-541544,754.58Plan 3: 50-54
Plan 3: 55-591228,201.01Plan 3: 55-591228,029.74Plan 3: 55-591238,061.98Plan 3: 55-591228,852.90Plan 3: 55-591208,739.60Plan 3: 55-591208,565.49Plan 3: 55-591134,473.48Plan 3: 55-591144,553.55Plan 3: 55-59
Plan 3: 60-64625,190.76Plan 3: 60-64635,343.92Plan 3: 60-64625,253.09Plan 3: 60-64655,996.60Plan 3: 60-64645,693.66Plan 3: 60-64686,052.95Plan 3: 60-64643,412.21Plan 3: 60-64673,500.73Plan 3: 60-64
Plan 3: 65-69191,199.29Plan 3: 65-69191,182.28Plan 3: 65-69201,273.11Plan 3: 65-69191,119.24Plan 3: 65-69221,487.64Plan 3: 65-69201,407.47Plan 3: 65-6918748.66Plan 3: 65-6918748.66Plan 3: 65-69
Plan 3: 70+6371.60Plan 3: 70+6353.24Plan 3: 70+6353.24Plan 3: 70+6311.87Plan 3: 70+5338.74Plan 3: 70+6375.98Plan 3: 70+7217.95Plan 3: 70+7257.40Plan 3: 70+
Plan 4: 0-292411,408.82Plan 4: 0-292391,484.94Plan 4: 0-292321,438.43Plan 4: 0-292291,540.94Plan 4: 0-292241,530.08Plan 4: 0-292301,495.67Plan 4: 0-29226881.33Plan 4: 0-29228889.15Plan 4: 0-29
Plan 4: 30-342301,610.22Plan 4: 30-342301,617.74Plan 4: 30-342341,611.32Plan 4: 30-342341,725.21Plan 4: 30-342331,717.12Plan 4: 30-342281,668.00Plan 4: 30-34231994.93Plan 4: 30-34228953.82Plan 4: 30-34
Plan 4: 35-391942,786.86Plan 4: 35-391962,794.71Plan 4: 35-391972,752.16Plan 4: 35-391943,378.12Plan 4: 35-391953,302.98Plan 4: 35-392023,350.28Plan 4: 35-391971,890.01Plan 4: 35-392041,921.56Plan 4: 35-39
Plan 4: 40-441714,155.96Plan 4: 40-441674,017.18Plan 4: 40-441784,280.16Plan 4: 40-441844,770.41Plan 4: 40-441774,543.17Plan 4: 40-441804,667.53Plan 4: 40-441802,739.68Plan 4: 40-441852,674.25Plan 4: 40-44
Plan 4: 45-491936,297.83Plan 4: 45-491916,258.62Plan 4: 45-491926,252.79Plan 4: 45-491956,958.33Plan 4: 45-491997,092.11Plan 4: 45-491976,935.90Plan 4: 45-491963,949.82Plan 4: 45-491954,013.95Plan 4: 45-49
Plan 4: 50-541847,785.37Plan 4: 50-541847,703.07Plan 4: 50-541857,679.44Plan 4: 50-541868,353.68Plan 4: 50-541878,329.49Plan 4: 50-541918,442.79Plan 4: 50-541964,931.52Plan 4: 50-541995,023.89Plan 4: 50-54
Plan 4: 55-591759,013.67Plan 4: 55-591698,921.88Plan 4: 55-591698,988.66Plan 4: 55-591689,730.53Plan 4: 55-591679,614.31Plan 4: 55-591709,699.15Plan 4: 55-591765,755.93Plan 4: 55-591745,706.19Plan 4: 55-59
Plan 4: 60-641197,090.17Plan 4: 60-641167,054.57Plan 4: 60-641167,135.95Plan 4: 60-641208,120.15Plan 4: 60-641228,301.95Plan 4: 60-641218,076.40Plan 4: 60-641174,600.13Plan 4: 60-641184,668.54Plan 4: 60-64
Plan 4: 65-69301,524.93Plan 4: 65-69311,529.50Plan 4: 65-69321,576.19Plan 4: 65-69331,456.54Plan 4: 65-69321,370.43Plan 4: 65-69321,448.43Plan 4: 65-6929808.90Plan 4: 65-6931857.30Plan 4: 65-69
Plan 4: 70+12475.82Plan 4: 70+12475.82Plan 4: 70+12475.82Plan 4: 70+12495.27Plan 4: 70+14651.40Plan 4: 70+14651.40Plan 4: 70+14374.21Plan 4: 70+14374.21Plan 4: 70+
LTD Total7,313200,255.82LTD Total7,288199,401.78LTD Total7,293199,797.41LTD Total7,308220,776.17LTD Total7,326220,261.41LTD Total7,364218,763.77LTD Total7,311125,057.41LTD Total7,349125,319.91LTD Total
STD55000Higher Ed Plan A1,39477,516.94STD55000Higher Ed Plan A1,42478,733.75STD55000Higher Ed Plan A1,46181,288.64STD55000Higher Ed Plan A1,51488,313.74STD55000Higher Ed Plan A1,53290,151.63STD55000Higher Ed Plan A1,59593,384.01STD55000Higher Ed Plan A1,57227,768.96STD55000Higher Ed Plan A1,61328,315.74STD55000Higher Ed Plan A
Higher Ed Plan B1,43678,433.45Higher Ed Plan B1,45678,406.87Higher Ed Plan B1,49479,490.02Higher Ed Plan B1,55986,733.57Higher Ed Plan B1,59488,082.22Higher Ed Plan B1,62490,619.38Higher Ed Plan B1,64327,210.00Higher Ed Plan B1,65728,059.22Higher Ed Plan B
State Plan A2,05995,880.77State Plan A2,05295,558.03State Plan A2,06195,936.33State Plan A2,074102,774.01State Plan A2,079102,520.43State Plan A2,120104,691.48State Plan A2,10431,865.85State Plan A2,14632,442.82State Plan A
State Plan B2,424102,330.50State Plan B2,413102,244.26State Plan B2,412102,592.95State Plan B2,428110,246.57State Plan B2,431109,659.79State Plan B2,451110,586.71State Plan B2,42833,726.89State Plan B2,45233,521.90State Plan B
STD Total7,313354,161.66STD Total7,345354,942.91STD Total7,428359,307.94STD Total7,575388,067.89STD Total7,636390,414.07STD Total7,790399,281.58STD Total7,747120,571.70STD Total7,868122,339.68STD Total
14,626554,417.4814,633554,344.69Metropolitan Life Insurance Company Total14,721559,105.35Metropolitan Life Insurance Company Total14,883608,844.06Metropolitan Life Insurance Company Total14,962610,675.48Metropolitan Life Insurance Company Total15,154618,045.35Metropolitan Life Insurance Company Total15,058245,629.11Metropolitan Life Insurance Company Total15,217247,659.59Metropolitan Life Insurance Company Total
14,626554,417.4814,633554,344.69Grand Total14,721559,105.35Grand Total14,883608,844.06Grand Total14,962610,675.48Grand Total15,154618,045.35Grand Total15,058245,629.11Grand Total15,217247,659.59Grand Total

July 22 - June 23 July 2022 Pass Through Payments August 2022 Pass Through Payments September 2022 Pass Through Payments October 2022 Pass Through Payments November 2022 Pass Through Payments December 2022 Pass Through Payments January 2023 Pass Through Payments February 2023 Pass Through Payments March 2023 Pass Through Payments April 2023 Pass Through Payments May 2023 Pass Through Payments June 2023 Pass Through Payments

Sum of Sum Current DeductionSum of Sum Total ChargeSum of Sum Total ChargeSum of Sum Total ChargeSum of Sum Total ChargeSum of Sum Current DeductionSum of Sum Current DeductionValues
Vendor NameDeduction CodeFund CodePlan DescriptionCountTotalVendor NameDeduction CodeFund CodePlan DescriptionCountTotalVendor NameDeduction CodeFund CodePlan DescriptionCountTotalVendor NameDeduction CodeFund CodePlan DescriptionCountTotalVendor NameDeduction CodeFund CodePlan DescriptionCountTotalVendor NameDeduction CodeFund CodePlan DescriptionCountTotalVendor NameDeduction CodeFund CodePlan DescriptionCountTotalVendor NameDeduction CodeFund CodePlan DescriptionSum of CountSum of Sum Current DeductionVendor NameDeduction Code
Metropolitan Life Insurance CompanyLTD55000Long Term Disab Plan 1: 0-2916.32Metropolitan Life Insurance CompanyLTD55000Long Term Disab Plan 1: 0-29411.09Metropolitan Life Insurance CompanyLTD55000Long Term Disab Plan 1: 0-291(2.08)Metropolitan Life Insurance CompanyLTD55000Long Term Disab Plan 1: 0-2912.73Metropolitan Life Insurance CompanyLTD55000Long Term Disab Plan 1: 0-29313.02Metropolitan Life Insurance CompanyLTD55000Long Term Disab Plan 1: 0-291(7.90)Metropolitan Life Insurance CompanyLTD55000Long Term Disab Plan 1: 0-29514.91Metropolitan Life Insurance CompanyLTD55000Long Term Disab Plan 1: 0-293011,346.89Metropolitan Life Insurance CompanyLTD
618.122921,172.59514.4026.47417.8026.312881,319.76Long Term Disab Plan 1: 30-342731,400.66
2971,203.17Long Term Disab Plan 1: 30-3419.212931,180.55616.83718.606(11.13)Long Term Disab Plan 1: 30-3411.04Long Term Disab Plan 1: 35-392572,713.06
Long Term Disab Plan 1: 30-3414.8938.48Long Term Disab Plan 1: 30-3415.412881,311.702931,330.222881,316.6438.82Long Term Disab Plan 1: 40-442614,412.29
24.722541,200.2334.88Long Term Disab Plan 1: 30-3413.59Long Term Disab Plan 1: 30-3413.02Long Term Disab Plan 1: 30-3414.52415.75Long Term Disab Plan 1: 45-492815,817.18
312.96Long Term Disab Plan 1: 35-391(11.12)415.51311.96311.9628.812701,404.31Long Term Disab Plan 1: 50-542837,373.72
2511,185.65632.752501,171.33419.78521.70311.96Long Term Disab Plan 1: 35-3914.89Long Term Disab Plan 1: 55-592197,151.26
Long Term Disab Plan 1: 35-39632.752292,219.67Long Term Disab Plan 1: 35-39118.702591,342.562641,403.184(19.18)634.42Long Term Disab Plan 1: 60-641426,033.93
2332,277.90Long Term Disab Plan 1: 40-44355.76632.75Long Term Disab Plan 1: 35-39633.53Long Term Disab Plan 1: 35-39633.532701,414.212442,640.63Long Term Disab Plan 1: 65-69511,549.65
Long Term Disab Plan 1: 40-44328.672593,995.062382,253.282382,753.032432,716.77Long Term Disab Plan 1: 35-391(3.54)Long Term Disab Plan 1: 40-44441.99Long Term Disab Plan 1: 70+8258.96
2724,152.49Long Term Disab Plan 1: 45-49128.70Long Term Disab Plan 1: 40-44239.16Long Term Disab Plan 1: 40-44221.64Long Term Disab Plan 1: 40-442(18.06)739.062604,466.54Long Term Disab Plan 2: 0-293301,133.35
Long Term Disab Plan 1: 45-49227.76266.00466.73441.99332.892452,697.27Long Term Disab Plan 1: 45-49131.28Long Term Disab Plan 2: 30-343241,288.63
2615,090.002665,106.492594,021.52560.25457.55Long Term Disab Plan 1: 40-44120.282695,647.65Long Term Disab Plan 2: 35-392702,313.25
Long Term Disab Plan 1: 50-541(16.95)Long Term Disab Plan 1: 50-54123.50Long Term Disab Plan 1: 45-49227.762664,744.292614,648.50441.99Long Term Disab Plan 1: 50-541(19.44)Long Term Disab Plan 2: 40-443704,759.32
247.00457.24350.23Long Term Disab Plan 1: 45-49343.60Long Term Disab Plan 1: 45-49229.609(98.66)462.87Long Term Disab Plan 2: 45-493956,876.77
457.242656,400.082635,040.912645,748.622715,820.422674,696.962827,428.11Long Term Disab Plan 2: 50-543908,560.01
2636,392.07Long Term Disab Plan 1: 55-59127.49Long Term Disab Plan 1: 50-542(47.00)Long Term Disab Plan 1: 50-54115.44Long Term Disab Plan 1: 50-5410.97Long Term Disab Plan 1: 45-4925.38Long Term Disab Plan 1: 55-59116.67Long Term Disab Plan 2: 55-593539,418.97
Long Term Disab Plan 1: 55-59230.89230.89373.59463.79462.872755,822.172147,004.03Long Term Disab Plan 2: 60-642549,506.28
2146,594.432216,835.66457.242667,179.522697,207.38Long Term Disab Plan 1: 50-54124.98Long Term Disab Plan 1: 60-641(21.69)Long Term Disab Plan 2: 65-69692,050.63
Long Term Disab Plan 1: 60-64156.65Long Term Disab Plan 1: 60-64122.272696,442.85Long Term Disab Plan 1: 55-59240.08Long Term Disab Plan 1: 55-59117.58462.87247.06Long Term Disab Plan 2: 70+25647.98
1395,057.071334,811.77Long Term Disab Plan 1: 55-59230.892177,275.762187,116.892767,335.311405,868.45Long Term Disab Plan 3: 0-292621,355.55
Long Term Disab Plan 1: 65-69511,517.41Long Term Disab Plan 1: 65-69120.282156,528.93Long Term Disab Plan 1: 60-64123.65Long Term Disab Plan 1: 60-64133.30Long Term Disab Plan 1: 55-59116.67Long Term Disab Plan 1: 65-69120.28Long Term Disab Plan 3: 30-342721,648.29
Long Term Disab Plan 1: 70+7272.67521,536.60Long Term Disab Plan 1: 60-64122.272(56.26)298.162207,135.09481,413.68Long Term Disab Plan 3: 35-392343,070.23
Long Term Disab Plan 2: 0-2926.24Long Term Disab Plan 1: 70+7272.67256.261456,058.171466,193.34Long Term Disab Plan 1: 60-64268.90Long Term Disab Plan 1: 70+8258.96Long Term Disab Plan 3: 40-441883,833.05
48.18Long Term Disab Plan 2: 0-2918.641415,123.24Long Term Disab Plan 1: 65-69120.28Long Term Disab Plan 1: 65-69120.281476,249.59Long Term Disab Plan 2: 0-2914.04Long Term Disab Plan 3: 45-491493,869.53
301936.984(8.18)Long Term Disab Plan 1: 65-69120.28491,430.94511,511.31Long Term Disab Plan 1: 65-69120.282(5.54)Long Term Disab Plan 3: 50-541374,498.07
Long Term Disab Plan 2: 30-3412.93298917.71471,428.05Long Term Disab Plan 1: 70+6214.61Long Term Disab Plan 1: 70+8258.96521,555.383221,104.13Long Term Disab Plan 3: 55-591335,343.45
271986.95Long Term Disab Plan 2: 30-3412.06Long Term Disab Plan 1: 70+6202.67Long Term Disab Plan 2: 0-2913.87Long Term Disab Plan 2: 0-2911.46Long Term Disab Plan 1: 70+8258.96Long Term Disab Plan 2: 30-3412.74Long Term Disab Plan 3: 60-64623,297.50
Long Term Disab Plan 2: 35-39114.8625.81Long Term Disab Plan 2: 0-2919.1939.3728.00Long Term Disab Plan 2: 0-2916.24312.53Long Term Disab Plan 3: 65-6917739.68
2(2.30)276996.05297905.553091,070.533101,068.752(5.24)3191,265.51Long Term Disab Plan 3: 70+7219.33
2531,976.21Long Term Disab Plan 2: 35-391(3.36)Long Term Disab Plan 2: 30-34316.81Long Term Disab Plan 2: 30-3413.98Long Term Disab Plan 2: 30-3411.953111,072.32Long Term Disab Plan 2: 35-3917.35Long Term Disab Plan 4: 0-293001,263.19
Long Term Disab Plan 2: 40-44127.00230.022791,000.62312.53312.53Long Term Disab Plan 2: 30-34312.53314.86Long Term Disab Plan 4: 30-342581,198.06
3434,094.992421,836.14Long Term Disab Plan 2: 35-39216.402911,160.182971,192.863051,212.15420.83Long Term Disab Plan 4: 35-392432,431.54
Long Term Disab Plan 2: 45-49112.72Long Term Disab Plan 2: 40-44127.00312.09Long Term Disab Plan 2: 35-39314.86Long Term Disab Plan 2: 35-39223.76Long Term Disab Plan 2: 35-3914.382672,305.82Long Term Disab Plan 4: 40-441892,992.19
3565,654.993534,174.842511,899.632502,241.41314.86333.69Long Term Disab Plan 2: 40-44127.41Long Term Disab Plan 4: 45-492264,678.80
Long Term Disab Plan 2: 50-54115.72Long Term Disab Plan 2: 45-49125.44Long Term Disab Plan 2: 40-44142.61Long Term Disab Plan 2: 40-44152.222472,156.512502,183.09322.36Long Term Disab Plan 4: 50-542276,366.06
3386,824.813615,711.273564,167.123614,837.83Long Term Disab Plan 2: 40-44152.22Long Term Disab Plan 2: 40-44127.413724,789.14Long Term Disab Plan 4: 55-591725,592.38
Long Term Disab Plan 2: 55-593408,397.90Long Term Disab Plan 2: 50-54115.72Long Term Disab Plan 2: 45-49222.74Long Term Disab Plan 2: 45-493626,377.2029.613704,866.36Long Term Disab Plan 2: 45-49121.75Long Term Disab Plan 4: 60-641275,680.22
Long Term Disab Plan 2: 60-64242.353376,706.183(38.16)Long Term Disab Plan 2: 50-54147.083644,850.93Long Term Disab Plan 2: 45-49112.613896,736.41Long Term Disab Plan 4: 65-69391,219.30
2367,958.33Long Term Disab Plan 2: 55-593448,447.973575,638.413588,084.77Long Term Disab Plan 2: 45-49225.68219.14Long Term Disab Plan 2: 50-5419.66Long Term Disab Plan 4: 70+12347.39
Long Term Disab Plan 2: 65-69702,018.73Long Term Disab Plan 2: 60-64133.88Long Term Disab Plan 2: 50-54115.72Long Term Disab Plan 2: 55-59359.0232.463736,524.88462.39STD55000Short Term Disab Higher Ed Plan A215040,640.49STD
Long Term Disab Plan 2: 70+15355.60242.353517,009.803409,194.583646,406.26Long Term Disab Plan 2: 50-54110.373838,465.63Short Term Disab Higher Ed Plan B213737,389.80
Long Term Disab Plan 3: 0-2938.192377,928.71Long Term Disab Plan 2: 55-593428,323.37Long Term Disab Plan 2: 60-64145.88Long Term Disab Plan 2: 50-54122.07468.81Long Term Disab Plan 2: 55-59113.95Short Term Disab State Plan A278746,361.97
2331,095.16Long Term Disab Plan 2: 65-69225.72Long Term Disab Plan 2: 60-64212.112499,508.8022.453738,320.81225.24Short Term Disab State Plan B287742,261.89
Long Term Disab Plan 3: 30-3414.72691,940.142448,079.04Long Term Disab Plan 2: 65-691(12.86)3618,129.17Long Term Disab Plan 2: 55-594(81.34)3579,586.54Grand Total18061310,910.75Grand Total
323.24Long Term Disab Plan 2: 70+19458.55Long Term Disab Plan 2: 65-69112.86681,756.88Long Term Disab Plan 2: 55-59122.323559,565.48Long Term Disab Plan 2: 60-64127.23
2411,329.55Long Term Disab Plan 3: 0-2910.85651,831.36Long Term Disab Plan 2: 70+20493.86225.87Long Term Disab Plan 2: 60-641129.902549,393.77
Long Term Disab Plan 3: 35-39218.3238.19Long Term Disab Plan 2: 70+20470.73Long Term Disab Plan 3: 0-2914.723519,452.462509,338.02Long Term Disab Plan 2: 65-691(11.06)
2242,695.932411,122.07Long Term Disab Plan 3: 0-2910.5125.93Long Term Disab Plan 2: 60-64127.23Long Term Disab Plan 2: 65-69681,892.05661,916.44
Long Term Disab Plan 3: 40-44115.58Long Term Disab Plan 3: 30-341(3.34)38.192551,327.902165.00Long Term Disab Plan 2: 70+23562.94Long Term Disab Plan 2: 70+23579.63
219.31323.242471,132.94Long Term Disab Plan 3: 30-34331.752489,403.19Long Term Disab Plan 3: 0-2913.52Long Term Disab Plan 3: 0-2915.19
1763,253.382451,341.21Long Term Disab Plan 3: 30-34426.47529.46Long Term Disab Plan 2: 65-69661,719.60210.382561,324.41
Long Term Disab Plan 3: 45-492(41.32)Long Term Disab Plan 3: 35-39121.852491,368.342511,536.19Long Term Disab Plan 2: 70+21513.832581,337.63Long Term Disab Plan 3: 30-34426.30
344.602212,703.12Long Term Disab Plan 3: 35-3915.22Long Term Disab Plan 3: 35-3915.10Long Term Disab Plan 3: 0-291(0.11)Long Term Disab Plan 3: 30-341(3.84)2691,614.74
1453,381.09Long Term Disab Plan 3: 40-44116.363(27.48)2293,241.652541,318.5328.39Long Term Disab Plan 3: 35-3912.36
Long Term Disab Plan 3: 50-54238.40219.312282,735.41Long Term Disab Plan 3: 40-4415.46Long Term Disab Plan 3: 30-3413.84523.142273,063.09
1454,476.571753,186.73Long Term Disab Plan 3: 40-4418.72229.54549.402761,660.61Long Term Disab Plan 3: 40-441873,828.73
Long Term Disab Plan 3: 55-59120.85Long Term Disab Plan 3: 45-49229.50219.311813,751.952641,598.52Long Term Disab Plan 3: 35-3915.10Long Term Disab Plan 3: 45-49120.16
2133.783(1.02)1743,167.50Long Term Disab Plan 3: 45-491(13.13)Long Term Disab Plan 3: 35-391(6.30)322.381493,927.18
1234,674.291413,280.01Long Term Disab Plan 3: 45-49114.55239.53348.552313,214.39Long Term Disab Plan 3: 50-54263.33
Long Term Disab Plan 3: 60-64673,573.85Long Term Disab Plan 3: 50-54348.89458.381433,867.242263,176.49Long Term Disab Plan 3: 40-441853,779.191374,504.95
Long Term Disab Plan 3: 65-6918828.871484,499.741403,267.62Long Term Disab Plan 3: 50-543128.88Long Term Disab Plan 3: 40-4432.73Long Term Disab Plan 3: 45-49120.16Long Term Disab Plan 3: 55-591295,258.44
Long Term Disab Plan 3: 70+6179.17Long Term Disab Plan 3: 55-59120.85Long Term Disab Plan 3: 50-54348.891454,814.5410(102.65)3(58.02)Long Term Disab Plan 3: 60-641(74.34)
Long Term Disab Plan 4: 0-2912.631224,609.811464,385.29Long Term Disab Plan 3: 55-591(20.85)1883,825.251514,033.04623,398.04
411.04Long Term Disab Plan 3: 60-64653,143.45Long Term Disab Plan 3: 55-59120.851245,200.19Long Term Disab Plan 3: 45-49121.26Long Term Disab Plan 3: 50-541- 0Long Term Disab Plan 3: 65-6917729.91
2591,004.05Long Term Disab Plan 3: 65-6919887.161264,738.22Long Term Disab Plan 3: 60-641143.18250.79354.75Long Term Disab Plan 3: 70+7219.33
Long Term Disab Plan 4: 30-342281,007.31Long Term Disab Plan 3: 70+6179.17Long Term Disab Plan 3: 60-64643,206.75653,659.464(68.13)474.66Long Term Disab Plan 4: 0-2916.30
Long Term Disab Plan 4: 35-3916.10Long Term Disab Plan 4: 0-2916.11Long Term Disab Plan 3: 65-6919887.16Long Term Disab Plan 3: 65-6918767.811453,890.141434,819.392951,245.07
2121,850.15215.48Long Term Disab Plan 3: 70+6179.17Long Term Disab Plan 3: 70+6189.46Long Term Disab Plan 3: 50-5411.83Long Term Disab Plan 3: 55-59137.42Long Term Disab Plan 4: 30-342501,151.51
Long Term Disab Plan 4: 40-44131.04262996.95Long Term Disab Plan 4: 0-2913.35Long Term Disab Plan 4: 0-2919.72254.211275,233.48Long Term Disab Plan 4: 35-392412,444.03
1792,448.23Long Term Disab Plan 4: 30-34227989.12323.032(8.32)354.75Long Term Disab Plan 3: 60-644120.98Long Term Disab Plan 4: 40-44135.56
Long Term Disab Plan 4: 45-492174,234.53Long Term Disab Plan 4: 35-3916.102671,030.282731,161.161455,026.14673,815.271782,822.23
Long Term Disab Plan 4: 50-54111.61212.58Long Term Disab Plan 4: 30-34226985.26Long Term Disab Plan 4: 30-342291,100.39Long Term Disab Plan 3: 55-591225,020.14Long Term Disab Plan 3: 65-6918767.90Long Term Disab Plan 4: 45-49119.66
344.822161,851.96Long Term Disab Plan 4: 35-3916.10Long Term Disab Plan 4: 35-39228.56Long Term Disab Plan 3: 60-64673,788.14Long Term Disab Plan 3: 70+7219.33239.00
1974,994.10Long Term Disab Plan 4: 40-44131.042171,866.502252,387.69Long Term Disab Plan 3: 65-6917738.32Long Term Disab Plan 4: 0-2916.302194,599.97
Long Term Disab Plan 4: 55-59116.141832,451.65Long Term Disab Plan 4: 40-44118.88Long Term Disab Plan 4: 40-44127.50Long Term Disab Plan 3: 70+7219.333(8.54)Long Term Disab Plan 4: 50-541(9.78)
229.45Long Term Disab Plan 4: 45-492103,964.49447.50226.29Long Term Disab Plan 4: 0-2916.592861,204.46354.31
1755,551.08Long Term Disab Plan 4: 50-54111.611892,559.791842,921.92311.80Long Term Disab Plan 4: 30-34216.152256,312.59
Long Term Disab Plan 4: 60-641(14.34)344.82Long Term Disab Plan 4: 45-49238.67Long Term Disab Plan 4: 45-492154,422.112791,179.882351,103.88Long Term Disab Plan 4: 55-59117.13
229.412085,282.782113,968.62Long Term Disab Plan 4: 50-54249.32Long Term Disab Plan 4: 30-3429.98Long Term Disab Plan 4: 35-3914.171705,544.21
1154,634.98Long Term Disab Plan 4: 55-5911.20Long Term Disab Plan 4: 50-54111.61354.312301,111.742332,418.03Long Term Disab Plan 4: 60-64233.70
Long Term Disab Plan 4: 65-69341,031.95243.26344.822176,297.38Long Term Disab Plan 4: 35-392332,464.05Long Term Disab Plan 4: 40-44127.501235,675.14
Long Term Disab Plan 4: 70+121.471735,494.162145,390.65Long Term Disab Plan 4: 55-59154.27Long Term Disab Plan 4: 40-44127.50216.12Long Term Disab Plan 4: 65-69381,120.58
14349.19Long Term Disab Plan 4: 60-64229.41Long Term Disab Plan 4: 55-59137.771725,873.979(110.27)1822,925.04Long Term Disab Plan 4: 70+122.82
STD55000Short Term Disab Higher Ed Plan A236.46384.511705,333.08Long Term Disab Plan 4: 60-64233.701833,013.07Long Term Disab Plan 4: 45-49358.98260.40
178631,606.291174,673.46Long Term Disab Plan 4: 60-641(10.19)1165,201.63Long Term Disab Plan 4: 45-492134,503.412194,533.4011311.12
Short Term Disab Higher Ed Plan B18.04Long Term Disab Plan 4: 65-6932968.11229.41Long Term Disab Plan 4: 65-6933903.48Long Term Disab Plan 4: 50-5411.38Long Term Disab Plan 4: 50-54249.32STD55000Short Term Disab Higher Ed Plan A329.45
178129,520.80Long Term Disab Plan 4: 70+121.471144,505.70Long Term Disab Plan 4: 70+122.82249.32354.31211640,058.98
Short Term Disab State Plan A1(37.96)13349.19Long Term Disab Plan 4: 65-6932987.7814413.02354.312286,446.74Short Term Disab Higher Ed Plan B211037,037.25
887.8058000Long Term Disab Plan 1: 0-291(3.27)Long Term Disab Plan 4: 70+121.47STD55000Short Term Disab Higher Ed Plan A18.842236,352.28Long Term Disab Plan 4: 55-59117.13Short Term Disab State Plan A1(15.05)
16201.45STD55000Short Term Disab Higher Ed Plan A185333,167.5614382.196(109.38)Long Term Disab Plan 4: 55-59117.131735,728.696(87.48)
48476.10Short Term Disab Higher Ed Plan B18.04STD55000Short Term Disab Higher Ed Plan A217.00205439,186.58277.62Long Term Disab Plan 4: 60-64150.4511110.49
236036,044.98180830,285.36195735,130.72Short Term Disab Higher Ed Plan B5(40.20)1695,735.97233.70266444,294.46
Short Term Disab State Plan B215.30Short Term Disab State Plan A1(11.92)Short Term Disab Higher Ed Plan B18.04199235,380.32Long Term Disab Plan 4: 60-642(9.56)1245,671.5513193.06
878.29780.59191532,265.56Short Term Disab State Plan A115.971235,728.70Long Term Disab Plan 4: 65-6934955.6346548.06
10117.449149.22Short Term Disab State Plan A1(15.21)2(31.04)Long Term Disab Plan 4: 65-6934994.76Long Term Disab Plan 4: 70+122.82Short Term Disab State Plan B19.31
261035,341.2450479.094(51.93)52599.49Long Term Disab Plan 4: 70+122.8214421.812(38.77)
Grand Total259,951.77239236,305.099117.1412186.9315452.01STD55000Short Term Disab Higher Ed Plan A216642,006.9010110.54
Short Term Disab State Plan B4(28.26)52537.5321328.31STD55000Short Term Disab Higher Ed Plan A3(25.84)Short Term Disab Higher Ed Plan B206536,394.1217162.05
7117.48243737,034.84250842,022.79210640,293.25Short Term Disab State Plan A15130.539121.13
10246.8312195.86Short Term Disab State Plan B4(45.46)Short Term Disab Higher Ed Plan B202335,866.9552548.40282241,453.47
262235,347.26Short Term Disab State Plan B4(48.26)590.60Short Term Disab State Plan A116.2520(292.72)560001(24.13)
580001(11.19)11141.978101.042(26.68)28417.17Grand Total307,489.92
Grand Total261,854.5117182.6815168.5618221.72264544,240.40
13171.85269339,989.4420339.25Short Term Disab State Plan B18.52
265035,844.05Grand Total300,970.2113(158.88)3(18.57)
Grand Total267,394.4351583.20619.55
256542,976.6316173.83
Short Term Disab State Plan B1(4.15)9113.87
1044.86280441,435.54
1496.68Grand Total310,584.21
16173.83
274540,905.31
Grand Total305,680.81

July 23 - June 24 July 2023 Pass Through Payments August 2023 Pass Through Payments September 2023 Pass Through Payments October 2023 Pass Through Payments November 2023 Pass Through Payments December 2023 Pass Through Payments January 2024 Pass Through Payments February 2024 Pass Through Payments March 2024 Pass Through Payments April 2024 Pass Through Payments May 2024 Pass Through Payments June 2024 Pass Through Payments

Sum of Sum Current DeductionSum of Sum Current DeductionSum of Sum Current DeductionSum of Sum Current DeductionSum of Sum Current DeductionSum of Sum Current Deduction
Vendor NameDeduction CodeFund CodePlan DescriptionCountTotalVendor NameDeduction CodeFund CodePlan DescriptionCountTotalVendor NameDeduction CodeFund CodePlan DescriptionCountTotalVendor NameDeduction CodeFund CodePlan DescriptionCountTotalVendor NameDeduction CodeFund CodePlan DescriptionCountTotalVendor NameDeduction CodeFund CodePlan DescriptionCountTotalVendor NameDeduction CodeFund CodePlan DescriptionCountTotalVendor NameDeduction CodeFund CodePlan DescriptionSum of CountTotalVendor NameDeduction Code
Metropolitan Life Insurance CompanyLTD55000Long Term Disab Plan 1: 0-2914.89Metropolitan Life Insurance CompanyLTD55000Long Term Disab Plan 1: 0-2917.35Metropolitan Life Insurance CompanyLTD55000Long Term Disab Plan 1: 0-29413.24Metropolitan Life Insurance CompanyLTD55000Long Term Disab Plan 1: 0-2927.8Metropolitan Life Insurance CompanyLTD55000Long Term Disab Plan 1: 0-2913.88Metropolitan Life Insurance CompanyLTD55000Long Term Disab Plan 1: 0-2914.75Metropolitan Life Insurance CompanyLTD55000Long Term Disab Plan 1: 0-291225.45Metropolitan Life Insurance CompanyLTD55000Long Term Disab Plan 1: 0-293683.39Metropolitan Life Insurance CompanyLTD
310.94310.943241,492.50517.9518.8518.82360.08Long Term Disab Plan 1: 30-343372.97

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