Exhibit 2.1 - Revised Vision Enrollments.xlsx

XLSX spreadsheet 41 KB Posted Jun 26, 2025

Attached to: Vision Insurance for District Employees
Solicitation number: ITB-13230
Issued by: Polk County, Florida

About this file

Written by GovTribe AI · Jul 7, 2025

The document is an employee enrollment spreadsheet for vision insurance at the St. Johns River Water Management District in Florida. The spreadsheet details comprehensive enrollment information for 268 participants across various employee classes, including Benefit Eligible Full-Time, Part-Time, Senior Management, Retirees, and Executives. The enrollment data covers vision insurance coverage levels ranging from individual ($5.40 monthly) to employee + family plans ($15.06 monthly), with participants located in multiple Florida cities such as Palatka, Jacksonville, Melbourne, St. Augustine, and Gainesville.

The enrollment data supports the district's upcoming vision insurance procurement (Quote Request 41311), which seeks a fully insured vision insurance plan effective January 1, 2026, with an anticipated two-year contract term. The current provider is EyeMed Vision Care, with employees and retirees paying 100% of premiums. The estimated annual premium is approximately $42,000, reflecting a diverse workforce with varying coverage needs. The procurement targets comprehensive vision insurance with flexible coverage options, including annual eye exams, frames, and lens benefits. The district is evaluating potential providers based on professional service quality, provider network accessibility, and cost-effectiveness, with electronic responses due by 2:00 p.m. on July 18, 2025, and potential oral presentations scheduled for August 11-13, 2025.

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Other files

File	Type	Posted
Attachment A - Vision Ins Questionnaire.xlsx	XLSX spreadsheet	Jun 26, 2025
Exhibit 2 - Vision Enrollments.xlsx	XLSX spreadsheet	Jun 26, 2025
Exhibit 4 - Vision Certificate of Insurance.pdf	PDF	Jun 26, 2025
Exhibit 2.1 - Revised Vision Enrollments.xlsx	XLSX spreadsheet	Jun 26, 2025
Exhibit 4 - Vision Certificate of Insurance.pdf	PDF	Jun 26, 2025
Exhibit 5-Provider Listing-Top Providers.xlsx	XLSX spreadsheet	Jun 26, 2025
Exhibit 1 - EyeMed Vision Summary of Benefits.pdf	PDF	Jun 26, 2025
QR 41311 - Addendum 1-FINAL.pdf	PDF	Jun 26, 2025
QR 41311 Vision Insurance - FINAL 6-26-2025.pdf	PDF	Jun 26, 2025
Exhibit 3 - EyeMed Utilization Reports.pdf	PDF	Jun 26, 2025
QR 41311 - Addendum 2-FINAL.pdf	PDF	Jun 26, 2025
QR 41311 Vision Insurance - FINAL 6-26-2025.pdf	PDF	Jun 26, 2025
Exhibit 3 - EyeMed Utilization Reports.pdf	PDF	Jun 26, 2025
Exhibit 4 - Vision Certificate of Insurance.pdf	PDF	Jun 26, 2025
QR 41311 Vision Insurance - FINAL 6-26-2025.pdf	PDF	Jun 26, 2025
Exhibit 3 - EyeMed Utilization Reports.pdf	PDF	Jun 26, 2025
Attachment A - Vision Ins Questionnaire.xlsx	XLSX spreadsheet	Jun 26, 2025
Exhibit 2 - Vision Enrollments.xlsx	XLSX spreadsheet	Jun 26, 2025
QR 41311 - Addendum 1-FINAL.pdf	PDF	Jun 26, 2025
Attachment A - Vision Ins Questionnaire.xlsx	XLSX spreadsheet	Jun 26, 2025
Exhibit 2 - Vision Enrollments.xlsx	XLSX spreadsheet	Jun 26, 2025
Exhibit 1 - EyeMed Vision Summary of Benefits.pdf	PDF	Jun 26, 2025
Exhibit 1 - EyeMed Vision Summary of Benefits.pdf	PDF	Jun 26, 2025

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Employee Enrollments

PLAN	DATE OF BIRTH	GENDER	ELIGIBILITY CLASS	ELIGIBILITY GROUP	COVERAGE LEVEL VALUE	EMPLOYEE COST MONTHLY	CITY	STATE	HOME ZIP CODE
Vision	04/06/1983	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	West Melbourne	FL	32904
Vision	04/25/1986	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Interlachen	FL	32148
Vision	09/04/1993	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Bay	FL	32907
Vision	03/11/1967	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Melbourne	FL	32935
Vision	11/21/1964	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Citra	FL	32113
Vision	07/23/1975	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	07/09/1998	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	East Palatka	FL	32131
Vision	03/29/1967	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Apopka	FL	32712
Vision	08/09/1977	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32178
Vision	01/26/1999	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Tavares	FL	32778
Vision	05/17/2000	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Sebastian	FL	32958
Vision	06/24/1970	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Hollister	FL	32147
Vision	06/07/1993	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Satellite Beach	FL	32937
Vision	03/11/1957	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Umatilla	FL	32784
Vision	08/05/2001	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Green Cove Springs	FL	32043
Vision	03/13/1995	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	St. Augustine	FL	32086
Vision	11/05/1985	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Orange Lake	FL	32681
Vision	11/12/1980	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Deland	FL	32724
Vision	03/18/1981	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Winter Park	FL	32792
Vision	08/13/1993	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Grandin	FL	32138
Vision	12/12/1996	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Green Cove Springs	FL	32043
Vision	09/26/1995	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	11/20/1963	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Saint Augustine	FL	32080
Vision	09/18/1990	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Melbourne	FL	32934
Vision	11/25/1982	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Fleming Island	FL	32003
Vision	12/10/1973	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Florahome	FL	32140
Vision	09/18/1994	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32653
Vision	07/13/1970	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Melbourne	FL	32935
Vision	12/16/1996	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	High Springs	FL	32643
Vision	09/03/1991	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Coast	FL	32137
Vision	02/12/1997	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	St. Augustine	FL	32086
Vision	04/12/1966	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32605
Vision	07/02/1994	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Winter Park	FL	32792
Vision	12/27/1996	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Keystone Heights	FL	32656
Vision	12/17/1987	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	keystone Heights	FL	32656
Vision	07/18/1999	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Altamonte Springs	FL	32714
Vision	12/15/1974	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32605
Vision	04/18/1990	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Bay	FL	32908
Vision	06/07/1999	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Winter Garden	FL	34787
Vision	05/12/1991	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Zellwood	FL	32798
Vision	11/24/1993	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Crescent City	FL	32112
Vision	10/14/1971	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Bay	FL	32909
Vision	03/03/1960	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	East Palatka	FL	32131
Vision	07/09/1972	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Summerfield	FL	34491
Vision	12/14/1967	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Oviedo	FL	32765
Vision	10/10/1998	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Mount Dora	FL	32757
Vision	10/18/1957	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Saint Augustine	FL	32084
Vision	07/19/1961	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Orlando	FL	32818
Vision	05/21/1993	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	St Augustine	FL	32092
Vision	08/17/1986	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Pierson	FL	32180
Vision	06/11/2002	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Umatilla	FL	32784
Vision	06/19/1996	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Melbourne	FL	32935
Vision	02/23/1970	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Ocala	FL	34475
Vision	03/26/1995	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Winter Garden	FL	34787
Vision	07/17/1964	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	12/31/1973	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Bay	FL	32909
Vision	11/11/1999	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Maitland	FL	32751
Vision	09/13/1982	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32606
Vision	11/21/1986	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32207
Vision	10/11/1967	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	04/05/1993	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32216
Vision	04/12/1992	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	East Palatka	FL	32131
Vision	05/08/1972	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	St. Augustine	FL	32092
Vision	02/06/1973	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Winter Garden	FL	34787
Vision	11/23/1999	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Melbourne	FL	32934
Vision	09/06/1962	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Seville	FL	32190
Vision	02/10/1960	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	New Smyrna Beach	FL	32168
Vision	01/10/1969	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32256
Vision	12/23/1994	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Deltona	FL	32725
Vision	04/04/1994	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	St. Augustine	FL	32084
Vision	04/02/1997	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Umatilla	FL	32784
Vision	09/17/1956	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Melbourne	FL	32936
Vision	10/31/1999	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Orlando	FL	32817
Vision	06/04/1998	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Fleming Island	FL	32003
Vision	10/10/1989	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	08/24/1994	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32205
Vision	11/12/1995	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Melbourne	FL	32904
Vision	01/14/1984	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Satsuma	FL	32189
Vision	02/07/1997	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Indialantic	FL	32903
Vision	07/04/1977	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Bunnell	FL	32110
Vision	04/02/1976	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Saint Augustine	FL	32086
Vision	09/14/1999	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Bay	FL	32905
Vision	03/31/1995	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Bay	FL	32908
Vision	09/01/1998	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	St. Augustine	FL	32092
Vision	04/08/1987	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Bay	FL	32909
Vision	04/10/1955	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Sarasota	FL	34239
Vision	12/25/1965	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Interlachen	FL	32148
Vision	11/18/1997	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32605
Vision	06/17/2001	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Merritt Island	FL	32953
Vision	02/18/1992	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Green Cove Springs	FL	32043
Vision	06/01/1977	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Hollister	FL	32147
Vision	07/14/1999	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	01/05/1971	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Hastings	FL	32145
Vision	12/22/1979	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Middleburg	FL	32068
Vision	11/27/1996	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	02/09/1996	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Interlachen	FL	32148
Vision	01/27/1969	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Green Cove Springs	FL	32043
Vision	09/01/1987	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	07/14/1971	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Geneva	FL	32732
Vision	07/30/1997	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32205
Vision	08/19/1976	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Melbourne	FL	32901
Vision	08/20/1995	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32607
Vision	02/28/1961	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Orlando	FL	32825
Vision	05/13/1973	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	PALATKA	FL	32177
Vision	01/21/2002	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Saint Augustine	FL	32080
Vision	11/23/1990	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Alachua	FL	32615
Vision	10/08/1959	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32605
Vision	04/01/1997	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Orange City	FL	32763
Vision	11/05/1983	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	11/26/1990	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32601
Vision	06/03/1981	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32223
Vision	06/19/1983	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32216
Vision	03/15/1998	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Apopka	FL	32712
Vision	04/11/2000	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Orange Park	FL	32065
Vision	04/19/1950	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Clermont	FL	34714
Vision	02/12/1991	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Altamonte Springs	FL	32714
Vision	08/07/1997	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Oviedo	FL	32765
Vision	02/05/1975	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Mount Dora	FL	32757
Vision	01/23/1983	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	05/15/1989	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32211
Vision	02/08/1953	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Coast	FL	32137
Vision	11/14/1957	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Orange Park	FL	32003
Vision	08/17/2000	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	09/02/1998	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	06/01/1993	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Green Cove Springs	FL	32043
Vision	01/04/1968	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palm Bay	FL	32905
Vision	08/22/1964	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Silver Springs	FL	34488
Vision	12/03/1960	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Fort McCoy	FL	32134
Vision	08/28/1977	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	01/09/1998	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	West Melbourne	FL	32904
Vision	06/10/2000	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32606
Vision	02/02/1971	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Interlachen	FL	32148
Vision	11/02/1970	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32178
Vision	04/21/1993	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	10/20/1998	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Fellsmere	FL	32948
Vision	05/02/1995	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Melbourne	FL	32935
Vision	12/08/1969	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	06/02/1993	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	St. Augustine	FL	32080
Vision	06/06/2000	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32207
Vision	09/25/1967	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Keystone Heights	FL	32656
Vision	08/07/1976	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Jacksonville	FL	32256
Vision	06/16/1989	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32641
Vision	03/18/1993	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	04/13/1997	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32641
Vision	07/04/1973	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	St. Augustine	FL	32084
Vision	12/15/1997	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Tampa	FL	33604
Vision	10/24/1961	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	05/24/1986	Female	BEPT.5 - Benefit Eligible PT.5	Pre Tax	Employee	$5.40	Belle Isle	FL	32812
Vision	09/18/1961	Female	BEPT.5 - Benefit Eligible PT.5	Pre Tax	Employee	$5.40	Palatka	FL	32177
Vision	11/02/1982	Female	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee	$5.40	Melrose	FL	32666
Vision	01/19/1962	Male	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee	$5.40	Saint Augustine	FL	32080
Vision	05/19/1968	Female	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee	$5.40	Salt Springs	FL	32134
Vision	01/11/1968	Male	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee	$5.40	Gainesville	FL	32606
Vision	05/25/1977	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palm Coast	FL	32164
Vision	11/26/1994	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palm Coast	FL	32137
Vision	07/20/1966	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palatka	FL	32177
Vision	06/29/1978	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Ponce Inlet	FL	32127
Vision	07/27/1968	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palm Coast	FL	32137
Vision	06/29/1972	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Belleview	FL	34420
Vision	05/15/1971	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Belleview	FL	34420
Vision	11/23/1957	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Keystone Heights	FL	32656
Vision	01/12/1964	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Sorrento	FL	32776
Vision	09/12/1969	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Ocala	FL	34481
Vision	05/17/1982	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Gainesville	FL	32605
Vision	12/06/1969	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Lake Mary	FL	32746
Vision	09/27/1954	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Malabar	FL	32950
Vision	08/05/1999	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	East Palatka	FL	32131
Vision	03/18/1964	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Melbourne	FL	32901
Vision	07/06/1988	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Port Orange	FL	32129
Vision	09/24/1964	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palatka	FL	32177
Vision	09/04/1960	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Gainesville	FL	32606
Vision	09/16/1992	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	East Palatka	FL	32131
Vision	05/23/1992	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Grand Island	FL	32735
Vision	10/30/1982	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Eustis	FL	32726
Vision	08/06/1963	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Orlando	FL	32818
Vision	06/24/1983	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Jacksonville	FL	32216
Vision	01/12/1962	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Orlando	FL	32803
Vision	02/02/1967	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palatka	FL	32177
Vision	03/02/1995	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	St. Augustine	FL	32092
Vision	02/27/1995	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palm Bay	FL	32907
Vision	07/08/1992	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	San Mateo	FL	32187
Vision	04/12/1973	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palm Coast	FL	32137
Vision	02/02/1962	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Ormond Beach	FL	32176
Vision	08/16/1991	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palatka	FL	32177
Vision	10/24/1996	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Jacksonville	FL	32258
Vision	03/30/1990	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Yulee	FL	32097
Vision	12/24/1974	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Melbourne	FL	32901
Vision	05/18/1971	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	St. Augustine	FL	32086
Vision	10/23/1963	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Havana	FL	32333
Vision	03/20/1964	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palatka	FL	32177
Vision	08/08/1995	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Eustis	FL	32726
Vision	08/21/1982	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	St. Augustine	FL	32084
Vision	11/10/1968	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	San Mateo	FL	32187
Vision	01/30/1961	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Orlando	FL	32806
Vision	06/27/1964	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Grand Island	FL	32735
Vision	10/10/1970	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Vero Beach	FL	32962
Vision	04/08/2001	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Gainesville	FL	32608
Vision	05/03/1977	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Casselberry	FL	32707
Vision	08/17/1959	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Jacksonville	FL	32257
Vision	09/30/1965	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	St. Augustine	FL	32080
Vision	10/25/1973	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Flagler Beach	FL	32136
Vision	06/18/1962	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Saint Augustine	FL	32080
Vision	03/23/1996	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Longwood	FL	32779
Vision	06/25/1970	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Gainesville	FL	32606
Vision	09/17/1951	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Orange Park	FL	32065
Vision	11/13/1964	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palatka	FL	32177
Vision	06/02/1977	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palm Coast	FL	32137
Vision	12/14/1987	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Orlando	FL	32806
Vision	10/26/1993	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Vero Beach	FL	32967
Vision	12/15/1993	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Longwood	FL	32750
Vision	02/25/1969	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palm Bay	FL	32907
Vision	11/12/1961	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	St. Augustine	FL	32092
Vision	05/18/1990	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	St. Augustine	FL	32086
Vision	09/13/1991	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Jacksonville	FL	32222
Vision	10/25/1963	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Melbourne	FL	32935
Vision	06/04/1960	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Melbourne	FL	32901
Vision	05/19/1971	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Melrose	FL	32666
Vision	02/23/1998	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Melbourne	FL	32935
Vision	03/28/1974	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palm Bay	FL	32909
Vision	06/17/1969	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Fleming Island	FL	32003
Vision	10/14/1971	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Jacksonville	FL	32210
Vision	01/18/1963	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Melrose	FL	32666
Vision	09/23/1969	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palatka	FL	32177
Vision	04/26/1981	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Longwood	FL	32750
Vision	08/21/1967	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	San Mateo	FL	32187
Vision	07/22/1975	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Pomona Park	FL	32181
Vision	07/03/1978	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Palm Bay	FL	32909
Vision	11/22/1980	Male	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	St Johns	FL	32259
Vision	01/08/1964	Female	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	East Palatka	FL	32131
Vision	10/21/1958	Male	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Melbourne	FL	32901
Vision	07/13/1971	Female	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	Fort Mc Coy	FL	32134
Vision	02/07/1971	Female	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + 1	$10.26	St. Augustine	FL	32092
Vision	05/11/1981	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Green Cove Springs	FL	32043
Vision	05/06/1968	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Jacksonville	FL	32218
Vision	10/25/1964	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	08/06/1983	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Pomona Park	FL	32181
Vision	11/26/1974	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	St. Augustine	FL	32084
Vision	08/13/1988	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	St. Augustine	FL	32086
Vision	12/07/1986	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Melbourne	FL	32935
Vision	10/22/1992	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	10/23/1977	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Elkton	FL	32033
Vision	08/29/1987	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	St. Cloud	FL	34772
Vision	11/09/1986	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	St. Johns	FL	32259
Vision	12/29/1962	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	East Palatka	FL	32131
Vision	03/08/1965	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Mims	FL	32754
Vision	03/16/1977	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	09/26/1977	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Saint Augustine	FL	32084
Vision	04/13/1981	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Green Cove Springs	FL	32043
Vision	06/09/1983	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Saint Augustine	FL	32080
Vision	04/19/1968	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Suwanee	GA	30024
Vision	02/19/1962	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palm Bay	FL	32909
Vision	10/30/1978	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	11/29/1995	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Ocklawaha	FL	32179
Vision	05/04/1971	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Green Cove Springs	FL	32043
Vision	05/10/1980	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	02/22/1970	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	09/09/1987	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	12/06/1988	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	06/06/1979	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	05/13/1992	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Melbourne	FL	32901
Vision	02/27/1979	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	03/30/1970	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Fruit Cove	FL	32259
Vision	01/25/1988	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Middleburg	FL	32068
Vision	07/16/1966	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Keystone Heights	FL	32656
Vision	04/24/1964	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Tallahassee	FL	32317
Vision	01/21/1976	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Jacksonville	FL	32258
Vision	07/24/1983	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Clermont	FL	34711
Vision	03/08/1973	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Interlachen	FL	32148
Vision	10/13/1965	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Saint Augustine	FL	32092
Vision	01/14/1989	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	East Palatka	FL	32131
Vision	12/31/1980	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Mims	FL	32754
Vision	06/08/1976	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palm Bay	FL	32909
Vision	10/04/1966	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Alachua	FL	32615
Vision	07/30/1969	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Satellite Beach	FL	32937
Vision	05/10/1966	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Apopka	FL	32703
Vision	11/13/1967	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Gainesville	FL	32606
Vision	09/28/1964	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Gainesville	FL	32605
Vision	06/05/1993	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	05/29/1954	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Jacksonville	FL	32258
Vision	09/28/1968	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Jacksonville	FL	32257
Vision	10/05/1965	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	11/04/1992	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	DeBary	FL	32713
Vision	07/08/1971	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Ponte Vedra	FL	32081
Vision	04/18/1983	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Newberry	FL	32669
Vision	06/03/1985	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	10/08/1971	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Keystone Heights	FL	32656
Vision	05/25/1992	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	St. Augustine	FL	32084
Vision	08/08/1973	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Florahome	FL	32140
Vision	11/05/1962	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	01/16/1980	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Dunnellon	FL	34431
Vision	08/24/1973	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Fleming Island	FL	32003
Vision	10/11/1987	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Melbourne	FL	32934
Vision	04/13/1982	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32178
Vision	07/29/1982	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Jacksonville	FL	32259
Vision	09/03/1988	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Orlando	FL	32809
Vision	03/17/1975	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Interlachen	FL	32148
Vision	08/24/1988	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Micco	FL	32976
Vision	11/25/1990	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Orange Park	FL	32073
Vision	02/19/1976	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Fruit Cove	FL	32259
Vision	01/19/1979	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	New Smyrna Beach	FL	32169
Vision	06/10/1988	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Melbourne	FL	32904
Vision	05/29/1990	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	East Palatka	FL	32131
Vision	01/04/1990	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Starke	FL	32091
Vision	06/01/1977	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Orlando	FL	32828
Vision	09/17/1970	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	West Melbourne	FL	32904
Vision	07/01/1976	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Saint Augustine	FL	32086
Vision	12/11/1995	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	San Mateo	FL	32187
Vision	03/22/1988	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Interlachen	FL	32148
Vision	07/03/1965	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palm Coast	FL	32164
Vision	03/15/1966	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Jacksonville	FL	32223
Vision	04/16/1986	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palm Bay	FL	32907
Vision	05/19/1974	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Gainesville	FL	32653
Vision	07/02/1973	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Gainesville	FL	32605
Vision	01/27/1971	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Deland	FL	32720
Vision	12/08/1971	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Fleming Island	FL	32003
Vision	08/03/1981	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Green Cove Springs	FL	32043
Vision	02/19/1986	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Melbourne	FL	32940
Vision	05/15/1972	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	San Mateo	FL	32187
Vision	06/01/1973	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Gainesville	FL	32607
Vision	09/06/1980	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Orange City	FL	32763
Vision	11/16/1963	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	St. Augustine	FL	32080
Vision	01/20/1993	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	08/20/1966	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palm Bay	FL	32907
Vision	04/04/1968	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Florahome	FL	32140
Vision	09/11/1989	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palm Coast	FL	32137
Vision	12/03/1976	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Umatilla	FL	32784
Vision	11/14/1970	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Saint Augustine	FL	32092
Vision	12/18/1992	Female	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Palatka	FL	32177
Vision	12/19/1972	Male	BEFT - Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	St Johns	FL	32259
Vision	03/06/1965	Male	EXEC - Executive Director Benefit Eligible	Executive	Employee + Family	$0.00	Seville	FL	32190
Vision	11/29/1964	Male	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	St. Augustine	FL	32086
Vision	08/05/1984	Female	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	St. Augustine	FL	32092
Vision	09/02/1965	Male	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Fleming Island	FL	32003
Vision	03/21/1980	Male	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Saint Johns	FL	32259
Vision	04/23/1958	Male	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	High Springs	FL	32643
Vision	06/10/1981	Male	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Ocoee	FL	34761
Vision	02/06/1974	Male	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Indialantic	FL	32903
Vision	10/25/1970	Male	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Ormond Beach	FL	32174
Vision	12/11/1964	Female	SMFT - Senior Management Benefit Eligible FT	Pre Tax	Employee + Family	$15.06	Middleburg	FL	32068
Vision	07/19/1957	Female	RET - Retiree	Retiree	Employee	$5.40	Satsuma	FL	32189
Vision	04/10/1955	Female	RET - Retiree	Retiree	Employee	$5.40	Florahome	FL	32140
Vision	01/19/1961	Female	RET - Retiree	Retiree	Employee	$5.40	St. Augustine	FL	32080
Vision	07/08/1956	Female	RET - Retiree	Retiree	Employee	$5.40	Hawthorne	FL	32640
Vision	06/25/1966	Female	RET - Retiree	Retiree	Employee	$5.40	Palatka	FL	32177
Vision	05/01/1957	Female	RET - Retiree	Retiree	Employee	$5.40	Palatka	FL	32177
Vision	08/26/1956	Male	RET - Retiree	Retiree	Employee	$5.40	Leesburg	FL	34748
Vision	10/11/1967	Female	RET - Retiree	Retiree	Employee	$5.40	Palm Coast	FL	32164
Vision	01/27/1955	Female	RET - Retiree	Retiree	Employee	$5.40	East Palatka	FL	32131
Vision	06/20/1959	Male	RET - Retiree	Retiree	Employee	$5.40	Gainesville	FL	32607
Vision	08/15/1960	Female	RET - Retiree	Retiree	Employee	$5.40	Apopka	FL	32703
Vision	02/07/1954	Male	RET - Retiree	Retiree	Employee	$5.40	Oviedo	FL	32765
Vision	07/04/1956	Male	RET - Retiree	Retiree	Employee	$5.40	Palatka	FL	32177
Vision	10/04/1963	Female	RET - Retiree	Retiree	Employee	$5.40	Titusville	FL	32796
Vision	05/22/1956	Female	RET - Retiree	Retiree	Employee	$5.40	Satsuma	FL	32189
Vision	04/09/1957	Male	RET - Retiree	Retiree	Employee	$5.40	Silver Springs	FL	34488
Vision	02/18/1956	Female	RET - Retiree	Retiree	Employee	$5.40	Gainesville	FL	32601
Vision	09/22/1967	Male	RET - Retiree	Retiree	Employee + 1	$10.26	Middleburg	FL	32068
Vision	03/05/1967	Female	RET - Retiree	Retiree	Employee + 1	$10.26	Palm Bay	FL	32907
Vision	02/19/1960	Female	RET - Retiree	Retiree	Employee + 1	$10.26	Palatka	FL	32177
Vision	04/30/1955	Female	RET - Retiree	Retiree	Employee + 1	$10.26	Palatka	FL	32177
Vision	04/30/1957	Female	RET - Retiree	Retiree	Employee + 1	$10.26	Palatka	FL	32177
Vision	12/21/1956	Male	RET - Retiree	Retiree	Employee + 1	$10.26	East Palatka	FL	32131
Vision	07/08/1957	Female	RET - Retiree	Retiree	Employee + 1	$10.26	Palatka	FL	32177
Vision	07/04/1958	Female	RET - Retiree	Retiree	Employee + 1	$10.26	Havana	FL	32333
Vision	08/14/1955	Female	RET - Retiree	Retiree	Employee + 1	$10.26	Interlachen	FL	32148
Vision	11/02/1957	Male	RET - Retiree	Retiree	Employee + Family	$15.06	Saint Augustine	FL	32086
Vision	12/16/1954	Male	RET - Retiree	Retiree	Employee + Family	$15.06	Melbourne	FL	32934

Report Runtime Settings

Employee Enrollments	Created on: 06/24/2025
Report Runtime Settings The following settings were used to create this report

Employees Included

Employee List

All Employees

Company Codes

RNT-St. Johns River Water

Home Departments

All Home Departments

Locations

All Locations

Business Units

All Business Units

Home Cost Numbers

All Home Cost Numbers

Plan Names

Vision

Active Only

Plan Types

All Plan Categories

Plan Types

VIS-Vision

Provider

EyeMed Vision Care

Active Only

Archived employees are NOT included

Inactive Enrollments are NOT included

Waived Enrollments are NOT included

Fields Included

Name, Position ID, Associate ID, Employee Status, Hire Date, Rehire Date, Date of Birth, Gender, Address, Job Title, Business Unit, Home Department, Location, Eligibility Class, FLSA, Plan Category, Plan Type, Provider, Plan Name, Eligibility Group, Plan Start Date, Coverage Level Value, Coverage Level Amount, Enrollment Start Date, Enrollment Eff Date, Enrollment End Date, Enrollment Status, Employee Cost, Employee Cost Period, Employer Cost Value, Employer Cost Amount, Employer Cost Period, Deduct, Pay Frequency, Deduction Code, Deduction Qualifier, Deduction Amount, Deduction Frequency

Sort Order

Company Code, Name, Plan Type

Display Options

Report Information displayed as of 06/24/2025

Note

Employee Enrollments Run Date:06/24/2025 12:00 PM EDT

File details come from the government source that posted it. Updated Jul 7, 2025.