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VIEW ALL ENROLLMENTS
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| Policy Number: 000001 |
Division Number: 00001 |
| Soc Sec Num |
Member Name |
Dep Coverage |
Status |
Class |
| 111-11-9999 |
Johnson,Marlene R |
Waived |
Pending |
01 – All eligible members |
| 222-11-9999 |
Jones,Karla |
Member Only |
Pending |
01 – All eligible members |
| 555-11-9999 |
Smith,John A |
Member and Family |
Pending |
01 – All eligible members |
| 666-11-9999 |
Carlson,Dan L |
Member and Family |
Pending |
01 – All eligible members |
| 333-11-9999 |
Jackson,Alex |
Waived |
Approved |
01 – All eligible members |
| 444-11-9999 |
Adams,John |
Member only |
Approved |
01 – All eligible members |
| 777-11-9999 |
Parks,Amy |
Member and Family |
Changed/Declined |
01 – All eligible members |
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