Member Information

Member Name: Johnson,Marlene R		Social Security Number: 111-11-9999
Address: 423 Wind Rd
City: Lincoln   State: NE   Zip: 68501

Gender:	Female
Date of Birth:	06/13/1963
Date of Hire:	11/30/2004
Occupation:	Office manager
Hours Worked:	40
Earnings Paid:	Salaried

Status Information

Class:	01 – All eligible members
Department:	000001
Dependent Coverage:	Waived
Effective Date:

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