CH Enrollment Review - Group Health Insurance Tennessee

CareHarmony Medical, Dental and Vision form.

Preparing your 2025 Benefit Enrollment Form…

Review your 2024 benefits

Name: KACEE DOCKERY
Email:
Employee Number:

Your current 2024 benefits:

BRITTANY HARDMAN
DOB: March 31, 1991 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Waived
Dental: Enrolled
Vision: Waived

KACEE DOCKERY
DOB: July 1, 2010 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

DESMOND HARDMAN
DOB: October 27, 2010 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

Name: DESMOND HARDMAN
Email:
Employee Number:

Your current 2024 benefits:

BRITTANY HARDMAN
DOB: March 31, 1991 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Waived
Dental: Enrolled
Vision: Waived

KACEE DOCKERY
DOB: July 1, 2010 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

DESMOND HARDMAN
DOB: October 27, 2010 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

Name: VIRGINA TUCKER
Email:
Employee Number:

Your current 2024 benefits:

CARTER TUCKER
DOB: April 28, 1991 – (Male)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Waived

VIRGINA TUCKER
DOB: December 8, 2022 – (Female)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

Name: CALYN BREWER
Email:
Employee Number:

Your current 2024 benefits:

WENDY BREWER
DOB: June 8, 1978 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

CALYN BREWER
DOB: May 1, 2001 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Waived
Vision: Waived

JAXON STEWART
DOB: October 11, 2012 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: JAXON STEWART
Email:
Employee Number:

Your current 2024 benefits:

WENDY BREWER
DOB: June 8, 1978 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

CALYN BREWER
DOB: May 1, 2001 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Waived
Vision: Waived

JAXON STEWART
DOB: October 11, 2012 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: MICHAEL LOVEALL
Email:
Employee Number:

Your current 2024 benefits:

LINDSAY LOVEALL
DOB: August 20, 1982 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

MICHAEL LOVEALL
DOB: August 6, 1978 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

AIDAN LOVEALL
DOB: December 30, 2005 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

MEG LOVEALL
DOB: December 20, 2003 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: AIDAN LOVEALL
Email:
Employee Number:

Your current 2024 benefits:

LINDSAY LOVEALL
DOB: August 20, 1982 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

MICHAEL LOVEALL
DOB: August 6, 1978 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

AIDAN LOVEALL
DOB: December 30, 2005 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

MEG LOVEALL
DOB: December 20, 2003 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: MEG LOVEALL
Email:
Employee Number:

Your current 2024 benefits:

LINDSAY LOVEALL
DOB: August 20, 1982 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

MICHAEL LOVEALL
DOB: August 6, 1978 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

AIDAN LOVEALL
DOB: December 30, 2005 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

MEG LOVEALL
DOB: December 20, 2003 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: HUDSON DION
Email:
Employee Number:

Your current 2024 benefits:

PAIGE MURPHY
DOB: October 31, 1993 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

HUDSON DION
DOB: April 16, 2022 – (Male)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: DANIELLE MAYES
Email:
Employee Number:

Your current 2024 benefits:

WYATT MAYES
DOB: August 18, 1969 – (Male)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

DANIELLE MAYES
DOB: August 3, 2001 – (Female)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

Name: RUSSELL FRYMIRE
Email:
Employee Number:

Your current 2024 benefits:

RIVON FRYMIRE
DOB: July 14, 1977 – (Female)

SUBSCRIBER
Tier: Employee/Spouse

Health: Waived
Dental: Enrolled
Vision: Enrolled

RUSSELL FRYMIRE
DOB: November 4, 1978 – (Female)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: COLT BOYCE
Email:
Employee Number:

Your current 2024 benefits:

JENNA STRITZEL
DOB: April 18, 1993 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Waived
Dental: Enrolled
Vision: Enrolled

COLT BOYCE
DOB: December 26, 2019 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

SAWYER STRITZEL
DOB: March 29, 2012 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

PEYTON TAYLOR
DOB: May 2, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: SAWYER STRITZEL
Email:
Employee Number:

Your current 2024 benefits:

JENNA STRITZEL
DOB: April 18, 1993 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Waived
Dental: Enrolled
Vision: Enrolled

COLT BOYCE
DOB: December 26, 2019 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

SAWYER STRITZEL
DOB: March 29, 2012 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

PEYTON TAYLOR
DOB: May 2, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: PEYTON TAYLOR
Email:
Employee Number:

Your current 2024 benefits:

JENNA STRITZEL
DOB: April 18, 1993 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Waived
Dental: Enrolled
Vision: Enrolled

COLT BOYCE
DOB: December 26, 2019 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

SAWYER STRITZEL
DOB: March 29, 2012 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

PEYTON TAYLOR
DOB: May 2, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: ANDREW TYER
Email:
Employee Number:

Your current 2024 benefits:

ANDREW TYER
DOB: May 29, 1998 – (Male)

SPOUSE

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

LEVI TYER
DOB: June 1, 2022 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

Name: LEVI TYER
Email:
Employee Number:

Your current 2024 benefits:

ANDREW TYER
DOB: May 29, 1998 – (Male)

SPOUSE

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

LEVI TYER
DOB: June 1, 2022 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

Name: KINLEY NICCUM
Email:
Employee Number:

Your current 2024 benefits:

KARI NICCUM
DOB: March 17, 1983 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

KINLEY NICCUM
DOB: April 24, 2018 – (Female)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: MICHAEL RIVERS
Email:
Employee Number:

Your current 2024 benefits:

RACHEL RIVERS
DOB: August 31, 1985 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

MICHAEL RIVERS
DOB: May 21, 1986 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

MACKENZIE RIVERS
DOB: September 8, 2016 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

RYLEE RIVERS
DOB: October 14, 2020 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

SAMANTHA RIVERS
DOB: December 9, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: MACKENZIE RIVERS
Email:
Employee Number:

Your current 2024 benefits:

RACHEL RIVERS
DOB: August 31, 1985 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

MICHAEL RIVERS
DOB: May 21, 1986 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

MACKENZIE RIVERS
DOB: September 8, 2016 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

RYLEE RIVERS
DOB: October 14, 2020 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

SAMANTHA RIVERS
DOB: December 9, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: RYLEE RIVERS
Email:
Employee Number:

Your current 2024 benefits:

RACHEL RIVERS
DOB: August 31, 1985 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

MICHAEL RIVERS
DOB: May 21, 1986 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

MACKENZIE RIVERS
DOB: September 8, 2016 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

RYLEE RIVERS
DOB: October 14, 2020 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

SAMANTHA RIVERS
DOB: December 9, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: SAMANTHA RIVERS
Email:
Employee Number:

Your current 2024 benefits:

RACHEL RIVERS
DOB: August 31, 1985 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

MICHAEL RIVERS
DOB: May 21, 1986 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

MACKENZIE RIVERS
DOB: September 8, 2016 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

RYLEE RIVERS
DOB: October 14, 2020 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

SAMANTHA RIVERS
DOB: December 9, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: EVAN DEGROOT
Email:
Employee Number:

Your current 2024 benefits:

TIFFANY ROBERTS
DOB: July 3, 1983 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

EVAN DEGROOT
DOB: November 26, 2011 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

RAAGAN DEGROOT
DOB: June 9, 2014 – (Female)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

Name: RAAGAN DEGROOT
Email:
Employee Number:

Your current 2024 benefits:

TIFFANY ROBERTS
DOB: July 3, 1983 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

EVAN DEGROOT
DOB: November 26, 2011 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

RAAGAN DEGROOT
DOB: June 9, 2014 – (Female)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

Name: JOSHUA POLNOFF
Email:
Employee Number:

Your current 2024 benefits:

HSU SAN
DOB: March 29, 1994 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

JOSHUA POLNOFF
DOB: April 7, 1992 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

COLT POLNOFF
DOB: June 20, 2019 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

REMINGTON POLNOFF
DOB: November 25, 2020 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: COLT POLNOFF
Email:
Employee Number:

Your current 2024 benefits:

HSU SAN
DOB: March 29, 1994 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

JOSHUA POLNOFF
DOB: April 7, 1992 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

COLT POLNOFF
DOB: June 20, 2019 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

REMINGTON POLNOFF
DOB: November 25, 2020 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: REMINGTON POLNOFF
Email:
Employee Number:

Your current 2024 benefits:

HSU SAN
DOB: March 29, 1994 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

JOSHUA POLNOFF
DOB: April 7, 1992 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

COLT POLNOFF
DOB: June 20, 2019 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

REMINGTON POLNOFF
DOB: November 25, 2020 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: ISABEL TEJADA
Email:
Employee Number:

Your current 2024 benefits:

KRISTI PERRY
DOB: October 26, 1978 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

ISABEL TEJADA
DOB: September 14, 2005 – (Female)

CHILD

Health: Plan 1 – HSA 5400
Dental: Waived
Vision: Waived

Name: JAMES MAY
Email:
Employee Number:

Your current 2024 benefits:

JAMES MAY
DOB: August 19, 1996 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

AILYNN BROWN
DOB: October 5, 2011 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

PHOENIX BROWN
DOB: February 16, 2009 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: AILYNN BROWN
Email:
Employee Number:

Your current 2024 benefits:

JAMES MAY
DOB: August 19, 1996 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

AILYNN BROWN
DOB: October 5, 2011 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

PHOENIX BROWN
DOB: February 16, 2009 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: PHOENIX BROWN
Email:
Employee Number:

Your current 2024 benefits:

JAMES MAY
DOB: August 19, 1996 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

AILYNN BROWN
DOB: October 5, 2011 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

PHOENIX BROWN
DOB: February 16, 2009 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: BRAELYN ADAMS
Email:
Employee Number:

Your current 2024 benefits:

JENNIFER ADAMS
DOB: April 25, 1983 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

BRAELYN ADAMS
DOB: March 15, 2011 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

TRENTON BAUMAN
DOB: May 31, 2002 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

TRINITY BAUMAN
DOB: May 3, 2005 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: TRENTON BAUMAN
Email:
Employee Number:

Your current 2024 benefits:

JENNIFER ADAMS
DOB: April 25, 1983 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

BRAELYN ADAMS
DOB: March 15, 2011 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

TRENTON BAUMAN
DOB: May 31, 2002 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

TRINITY BAUMAN
DOB: May 3, 2005 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: TRINITY BAUMAN
Email:
Employee Number:

Your current 2024 benefits:

JENNIFER ADAMS
DOB: April 25, 1983 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

BRAELYN ADAMS
DOB: March 15, 2011 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

TRENTON BAUMAN
DOB: May 31, 2002 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

TRINITY BAUMAN
DOB: May 3, 2005 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: ANGEL UGALDE
Email:
Employee Number:

Your current 2024 benefits:

ODALYS MASSIA
DOB: August 14, 1991 – (Female)

SUBSCRIBER
Tier: Employee/Spouse

Health: Waived
Dental: Enrolled
Vision: Enrolled

ANGEL UGALDE
DOB: August 9, 1980 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: ARCHIBALD PURDIE
Email:
Employee Number:

Your current 2024 benefits:

NICOLE PURDIE
DOB: May 16, 1998 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Waived

ARCHIBALD PURDIE
DOB: September 19, 2023 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: CHRISTOPHER COLE
Email:
Employee Number:

Your current 2024 benefits:

ROCHELE COLE
DOB: October 23, 1971 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Waived
Vision: Enrolled

CHRISTOPHER COLE
DOB: July 3, 1972 – (Male)

SPOUSE

Health: Waived
Dental: Waived
Vision: Enrolled

CORBIN GARCIA
DOB: April 18, 2001 – (Male)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

Name: CORBIN GARCIA
Email:
Employee Number:

Your current 2024 benefits:

ROCHELE COLE
DOB: October 23, 1971 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Waived
Vision: Enrolled

CHRISTOPHER COLE
DOB: July 3, 1972 – (Male)

SPOUSE

Health: Waived
Dental: Waived
Vision: Enrolled

CORBIN GARCIA
DOB: April 18, 2001 – (Male)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

Name: MICHAEL COLONPEREZ
Email:
Employee Number:

Your current 2024 benefits:

ANDREA HIGHLANDER
DOB: September 6, 1988 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

MICHAEL COLONPEREZ
DOB: June 6, 1981 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

ANNALYSIA COLONPEREZ
DOB: June 6, 2011 – (Female)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

MICHAEL COLONPEREZ JR
DOB: July 1, 2015 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

Name: ANNALYSIA COLONPEREZ
Email:
Employee Number:

Your current 2024 benefits:

ANDREA HIGHLANDER
DOB: September 6, 1988 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

MICHAEL COLONPEREZ
DOB: June 6, 1981 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

ANNALYSIA COLONPEREZ
DOB: June 6, 2011 – (Female)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

MICHAEL COLONPEREZ JR
DOB: July 1, 2015 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

Name: MICHAEL COLONPEREZ JR
Email:
Employee Number:

Your current 2024 benefits:

ANDREA HIGHLANDER
DOB: September 6, 1988 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

MICHAEL COLONPEREZ
DOB: June 6, 1981 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

ANNALYSIA COLONPEREZ
DOB: June 6, 2011 – (Female)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

MICHAEL COLONPEREZ JR
DOB: July 1, 2015 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

Name: GARLAND BROWN
Email:
Employee Number:

Your current 2024 benefits:

CRYSTAL BROWN
DOB: January 9, 1992 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

GARLAND BROWN
DOB: July 19, 2016 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

MADYSIN BROWN
DOB: January 22, 2011 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: MADYSIN BROWN
Email:
Employee Number:

Your current 2024 benefits:

CRYSTAL BROWN
DOB: January 9, 1992 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

GARLAND BROWN
DOB: July 19, 2016 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

MADYSIN BROWN
DOB: January 22, 2011 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: THEOFILO ALLEN
Email:
Employee Number:

Your current 2024 benefits:

NESHUNTA ALLEN
DOB: June 22, 1981 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

THEOFILO ALLEN
DOB: August 8, 1980 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

BRAYDEN ALLEN
DOB: June 7, 2019 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

BRYCEN ALLEN
DOB: September 25, 2014 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

HAILEY JOHNSON
DOB: December 11, 2002 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: BRAYDEN ALLEN
Email:
Employee Number:

Your current 2024 benefits:

NESHUNTA ALLEN
DOB: June 22, 1981 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

THEOFILO ALLEN
DOB: August 8, 1980 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

BRAYDEN ALLEN
DOB: June 7, 2019 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

BRYCEN ALLEN
DOB: September 25, 2014 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

HAILEY JOHNSON
DOB: December 11, 2002 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: BRYCEN ALLEN
Email:
Employee Number:

Your current 2024 benefits:

NESHUNTA ALLEN
DOB: June 22, 1981 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

THEOFILO ALLEN
DOB: August 8, 1980 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

BRAYDEN ALLEN
DOB: June 7, 2019 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

BRYCEN ALLEN
DOB: September 25, 2014 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

HAILEY JOHNSON
DOB: December 11, 2002 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: HAILEY JOHNSON
Email:
Employee Number:

Your current 2024 benefits:

NESHUNTA ALLEN
DOB: June 22, 1981 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

THEOFILO ALLEN
DOB: August 8, 1980 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

BRAYDEN ALLEN
DOB: June 7, 2019 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

BRYCEN ALLEN
DOB: September 25, 2014 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

HAILEY JOHNSON
DOB: December 11, 2002 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: AARON BARGERY
Email:
Employee Number:

Your current 2024 benefits:

DENISE BARGERY
DOB: September 26, 1969 – (Female)

SUBSCRIBER
Tier: Employee/Spouse

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

AARON BARGERY
DOB: November 12, 1967 – (Male)

SPOUSE

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: BRADLEY HALL
Email:
Employee Number:

Your current 2024 benefits:

TERESA HALL
DOB: August 31, 1969 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

BRADLEY HALL
DOB: August 7, 1969 – (Male)

SPOUSE

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

COURTNEY HALL
DOB: January 18, 2003 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

KATHRYN HALL
DOB: December 16, 2001 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: COURTNEY HALL
Email:
Employee Number:

Your current 2024 benefits:

TERESA HALL
DOB: August 31, 1969 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

BRADLEY HALL
DOB: August 7, 1969 – (Male)

SPOUSE

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

COURTNEY HALL
DOB: January 18, 2003 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

KATHRYN HALL
DOB: December 16, 2001 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: KATHRYN HALL
Email:
Employee Number:

Your current 2024 benefits:

TERESA HALL
DOB: August 31, 1969 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

BRADLEY HALL
DOB: August 7, 1969 – (Male)

SPOUSE

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

COURTNEY HALL
DOB: January 18, 2003 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

KATHRYN HALL
DOB: December 16, 2001 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: KALEB WEDEMEIER
Email:
Employee Number:

Your current 2024 benefits:

KELLI WEDEMEIER
DOB: April 10, 1990 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

KALEB WEDEMEIER
DOB: February 18, 2011 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

KARSON WEDEMEIER
DOB: May 2, 2011 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: KARSON WEDEMEIER
Email:
Employee Number:

Your current 2024 benefits:

KELLI WEDEMEIER
DOB: April 10, 1990 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

KALEB WEDEMEIER
DOB: February 18, 2011 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

KARSON WEDEMEIER
DOB: May 2, 2011 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: ELLIOTT DURBALA
Email:
Employee Number:

Your current 2024 benefits:

AMY DURBALA
DOB: June 18, 1979 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Waived
Dental: Enrolled
Vision: Waived

ELLIOTT DURBALA
DOB: May 3, 2011 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

ETHAN DURBALA
DOB: April 7, 2010 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

JAXSON DURBALA
DOB: May 26, 2006 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

NATALIE DURBALA
DOB: November 28, 2008 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

NICHOLAS DURBALA
DOB: April 24, 2010 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

PYPER KERBY-DURBALA
DOB: December 24, 2004 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

Name: ETHAN DURBALA
Email:
Employee Number:

Your current 2024 benefits:

AMY DURBALA
DOB: June 18, 1979 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Waived
Dental: Enrolled
Vision: Waived

ELLIOTT DURBALA
DOB: May 3, 2011 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

ETHAN DURBALA
DOB: April 7, 2010 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

JAXSON DURBALA
DOB: May 26, 2006 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

NATALIE DURBALA
DOB: November 28, 2008 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

NICHOLAS DURBALA
DOB: April 24, 2010 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

PYPER KERBY-DURBALA
DOB: December 24, 2004 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

Name: JAXSON DURBALA
Email:
Employee Number:

Your current 2024 benefits:

AMY DURBALA
DOB: June 18, 1979 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Waived
Dental: Enrolled
Vision: Waived

ELLIOTT DURBALA
DOB: May 3, 2011 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

ETHAN DURBALA
DOB: April 7, 2010 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

JAXSON DURBALA
DOB: May 26, 2006 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

NATALIE DURBALA
DOB: November 28, 2008 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

NICHOLAS DURBALA
DOB: April 24, 2010 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

PYPER KERBY-DURBALA
DOB: December 24, 2004 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

Name: NATALIE DURBALA
Email:
Employee Number:

Your current 2024 benefits:

AMY DURBALA
DOB: June 18, 1979 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Waived
Dental: Enrolled
Vision: Waived

ELLIOTT DURBALA
DOB: May 3, 2011 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

ETHAN DURBALA
DOB: April 7, 2010 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

JAXSON DURBALA
DOB: May 26, 2006 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

NATALIE DURBALA
DOB: November 28, 2008 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

NICHOLAS DURBALA
DOB: April 24, 2010 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

PYPER KERBY-DURBALA
DOB: December 24, 2004 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

Name: NICHOLAS DURBALA
Email:
Employee Number:

Your current 2024 benefits:

AMY DURBALA
DOB: June 18, 1979 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Waived
Dental: Enrolled
Vision: Waived

ELLIOTT DURBALA
DOB: May 3, 2011 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

ETHAN DURBALA
DOB: April 7, 2010 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

JAXSON DURBALA
DOB: May 26, 2006 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

NATALIE DURBALA
DOB: November 28, 2008 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

NICHOLAS DURBALA
DOB: April 24, 2010 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

PYPER KERBY-DURBALA
DOB: December 24, 2004 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

Name: PYPER KERBY-DURBALA
Email:
Employee Number:

Your current 2024 benefits:

AMY DURBALA
DOB: June 18, 1979 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Waived
Dental: Enrolled
Vision: Waived

ELLIOTT DURBALA
DOB: May 3, 2011 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

ETHAN DURBALA
DOB: April 7, 2010 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

JAXSON DURBALA
DOB: May 26, 2006 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

NATALIE DURBALA
DOB: November 28, 2008 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

NICHOLAS DURBALA
DOB: April 24, 2010 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

PYPER KERBY-DURBALA
DOB: December 24, 2004 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

Name: DARBY JOHNSON
Email:
Employee Number:

Your current 2024 benefits:

TIFFANY ROBINSON
DOB: June 9, 1975 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DARBY JOHNSON
DOB: March 29, 2003 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DARIANA JOHNSON
DOB: April 26, 2001 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DONOVAN JOHNSON
DOB: July 1, 2004 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

CHRISTOPHER RHODES
DOB: October 16, 1999 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

RONISHA ROBINSON
DOB: March 12, 2010 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: DARIANA JOHNSON
Email:
Employee Number:

Your current 2024 benefits:

TIFFANY ROBINSON
DOB: June 9, 1975 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DARBY JOHNSON
DOB: March 29, 2003 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DARIANA JOHNSON
DOB: April 26, 2001 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DONOVAN JOHNSON
DOB: July 1, 2004 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

CHRISTOPHER RHODES
DOB: October 16, 1999 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

RONISHA ROBINSON
DOB: March 12, 2010 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: DONOVAN JOHNSON
Email:
Employee Number:

Your current 2024 benefits:

TIFFANY ROBINSON
DOB: June 9, 1975 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DARBY JOHNSON
DOB: March 29, 2003 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DARIANA JOHNSON
DOB: April 26, 2001 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DONOVAN JOHNSON
DOB: July 1, 2004 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

CHRISTOPHER RHODES
DOB: October 16, 1999 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

RONISHA ROBINSON
DOB: March 12, 2010 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: CHRISTOPHER RHODES
Email:
Employee Number:

Your current 2024 benefits:

TIFFANY ROBINSON
DOB: June 9, 1975 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DARBY JOHNSON
DOB: March 29, 2003 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DARIANA JOHNSON
DOB: April 26, 2001 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DONOVAN JOHNSON
DOB: July 1, 2004 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

CHRISTOPHER RHODES
DOB: October 16, 1999 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

RONISHA ROBINSON
DOB: March 12, 2010 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: RONISHA ROBINSON
Email:
Employee Number:

Your current 2024 benefits:

TIFFANY ROBINSON
DOB: June 9, 1975 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DARBY JOHNSON
DOB: March 29, 2003 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DARIANA JOHNSON
DOB: April 26, 2001 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DONOVAN JOHNSON
DOB: July 1, 2004 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

CHRISTOPHER RHODES
DOB: October 16, 1999 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

RONISHA ROBINSON
DOB: March 12, 2010 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: PEDRO TORRES
Email:
Employee Number:

Your current 2024 benefits:

TANICIA GUTIERREZ
DOB: January 30, 1996 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

PEDRO TORRES
DOB: August 16, 1995 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

LORELAI DAVIS
DOB: July 17, 2014 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

JERIC TORRES
DOB: June 21, 2022 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

RIVER TORRES
DOB: July 27, 2021 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

STONEY TORRES
DOB: February 10, 2025 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

MADELYNN VALVERDE
DOB: December 16, 2011 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: LORELAI DAVIS
Email:
Employee Number:

Your current 2024 benefits:

TANICIA GUTIERREZ
DOB: January 30, 1996 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

PEDRO TORRES
DOB: August 16, 1995 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

LORELAI DAVIS
DOB: July 17, 2014 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

JERIC TORRES
DOB: June 21, 2022 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

RIVER TORRES
DOB: July 27, 2021 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

STONEY TORRES
DOB: February 10, 2025 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

MADELYNN VALVERDE
DOB: December 16, 2011 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: JERIC TORRES
Email:
Employee Number:

Your current 2024 benefits:

TANICIA GUTIERREZ
DOB: January 30, 1996 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

PEDRO TORRES
DOB: August 16, 1995 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

LORELAI DAVIS
DOB: July 17, 2014 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

JERIC TORRES
DOB: June 21, 2022 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

RIVER TORRES
DOB: July 27, 2021 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

STONEY TORRES
DOB: February 10, 2025 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

MADELYNN VALVERDE
DOB: December 16, 2011 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: RIVER TORRES
Email:
Employee Number:

Your current 2024 benefits:

TANICIA GUTIERREZ
DOB: January 30, 1996 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

PEDRO TORRES
DOB: August 16, 1995 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

LORELAI DAVIS
DOB: July 17, 2014 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

JERIC TORRES
DOB: June 21, 2022 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

RIVER TORRES
DOB: July 27, 2021 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

STONEY TORRES
DOB: February 10, 2025 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

MADELYNN VALVERDE
DOB: December 16, 2011 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: STONEY TORRES
Email:
Employee Number:

Your current 2024 benefits:

TANICIA GUTIERREZ
DOB: January 30, 1996 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

PEDRO TORRES
DOB: August 16, 1995 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

LORELAI DAVIS
DOB: July 17, 2014 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

JERIC TORRES
DOB: June 21, 2022 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

RIVER TORRES
DOB: July 27, 2021 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

STONEY TORRES
DOB: February 10, 2025 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

MADELYNN VALVERDE
DOB: December 16, 2011 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: MADELYNN VALVERDE
Email:
Employee Number:

Your current 2024 benefits:

TANICIA GUTIERREZ
DOB: January 30, 1996 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

PEDRO TORRES
DOB: August 16, 1995 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

LORELAI DAVIS
DOB: July 17, 2014 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

JERIC TORRES
DOB: June 21, 2022 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

RIVER TORRES
DOB: July 27, 2021 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

STONEY TORRES
DOB: February 10, 2025 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

MADELYNN VALVERDE
DOB: December 16, 2011 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: WAYLENN MURDOCK
Email:
Employee Number:

Your current 2024 benefits:

BRITTANIE MURDOCK
DOB: December 21, 1996 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Waived

WAYLENN MURDOCK
DOB: June 24, 2021 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

Name: TARA KENNEY
Email:
Employee Number:

Your current 2024 benefits:

JOHN MCDONOUGH
DOB: July 7, 1994 – (Male)

SUBSCRIBER
Tier: Employee/Spouse

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

TARA KENNEY
DOB: August 26, 1994 – (Female)

SPOUSE

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: JORY TODD
Email:
Employee Number:

Your current 2024 benefits:

SHELBY TODD
DOB: October 31, 1992 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

JORY TODD
DOB: October 25, 1990 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

AVA TODD
DOB: April 23, 2019 – (Female)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: AVA TODD
Email:
Employee Number:

Your current 2024 benefits:

SHELBY TODD
DOB: October 31, 1992 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

JORY TODD
DOB: October 25, 1990 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

AVA TODD
DOB: April 23, 2019 – (Female)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: JUSTIN BLALOCK
Email:
Employee Number:

Your current 2024 benefits:

OLIVIA BLALOCK
DOB: September 26, 1989 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

JUSTIN BLALOCK
DOB: April 16, 1986 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

ELLA BLALOCK
DOB: March 23, 2016 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

MORA BLALOCK
DOB: January 30, 2019 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: ELLA BLALOCK
Email:
Employee Number:

Your current 2024 benefits:

OLIVIA BLALOCK
DOB: September 26, 1989 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

JUSTIN BLALOCK
DOB: April 16, 1986 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

ELLA BLALOCK
DOB: March 23, 2016 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

MORA BLALOCK
DOB: January 30, 2019 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: MORA BLALOCK
Email:
Employee Number:

Your current 2024 benefits:

OLIVIA BLALOCK
DOB: September 26, 1989 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

JUSTIN BLALOCK
DOB: April 16, 1986 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

ELLA BLALOCK
DOB: March 23, 2016 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

MORA BLALOCK
DOB: January 30, 2019 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: ROSHAWN LEWIS
Email:
Employee Number:

Your current 2024 benefits:

ROSHAWN LEWIS
DOB: December 25, 1989 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Waived

Name: EDWARD BOSWORTH
Email:
Employee Number:

Your current 2024 benefits:

MELISSA BOSWORTH
DOB: August 1, 1973 – (Female)

SUBSCRIBER
Tier: Employee/Spouse

Health: Waived
Dental: Waived
Vision: Enrolled

EDWARD BOSWORTH
DOB: August 5, 1977 – (Male)

SPOUSE

Health: Waived
Dental: Waived
Vision: Enrolled

Name: DONNIE MINER
Email:
Employee Number:

Your current 2024 benefits:

TRICIA DOTSON
DOB: September 20, 1971 – (Female)

SUBSCRIBER
Tier: Employee/Spouse

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Waived

DONNIE MINER
DOB: May 13, 1974 – (Male)

SPOUSE

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Waived

Name: LEO JOHNSON III
Email:
Employee Number:

Your current 2024 benefits:

LEO JOHNSON III
DOB: April 15, 2015 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: JASON DOVER
Email:
Employee Number:

Your current 2024 benefits:

KILEY DOVER
DOB: April 13, 1979 – (Female)

SUBSCRIBER
Tier: Employee/Spouse

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

JASON DOVER
DOB: August 31, 1980 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: MICHAEL LOVELADY
Email:
Employee Number:

Your current 2024 benefits:

SHEA LOVELADY
DOB: April 25, 1975 – (Female)

SUBSCRIBER
Tier: Employee/Spouse

Health: Waived
Dental: Enrolled
Vision: Enrolled

MICHAEL LOVELADY
DOB: March 12, 1971 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: BRANDON BAKER
Email:
Employee Number:

Your current 2024 benefits:

BRANDON BAKER
DOB: January 1, 1995 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

OLIVER BAKER
DOB: January 29, 2019 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

CARTER LEONE
DOB: August 17, 2013 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

Name: OLIVER BAKER
Email:
Employee Number:

Your current 2024 benefits:

BRANDON BAKER
DOB: January 1, 1995 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

OLIVER BAKER
DOB: January 29, 2019 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

CARTER LEONE
DOB: August 17, 2013 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

Name: CARTER LEONE
Email:
Employee Number:

Your current 2024 benefits:

BRANDON BAKER
DOB: January 1, 1995 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

OLIVER BAKER
DOB: January 29, 2019 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

CARTER LEONE
DOB: August 17, 2013 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

Name: COREY TRAHAN
Email:
Employee Number:

Your current 2024 benefits:

KATIE TRAHAN
DOB: July 16, 1992 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Waived

COREY TRAHAN
DOB: March 19, 1992 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Waived

DAMIEN TRAHAN
DOB: December 3, 2020 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

KAELON TRAHAN
DOB: September 19, 2018 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

Name: DAMIEN TRAHAN
Email:
Employee Number:

Your current 2024 benefits:

KATIE TRAHAN
DOB: July 16, 1992 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Waived

COREY TRAHAN
DOB: March 19, 1992 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Waived

DAMIEN TRAHAN
DOB: December 3, 2020 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

KAELON TRAHAN
DOB: September 19, 2018 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

Name: KAELON TRAHAN
Email:
Employee Number:

Your current 2024 benefits:

KATIE TRAHAN
DOB: July 16, 1992 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Waived

COREY TRAHAN
DOB: March 19, 1992 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Waived

DAMIEN TRAHAN
DOB: December 3, 2020 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

KAELON TRAHAN
DOB: September 19, 2018 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

Name: SEAN HUFFMAN
Email:
Employee Number:

Your current 2024 benefits:

RACHELL HUFFMAN
DOB: August 18, 1964 – (Female)

SUBSCRIBER
Tier: Employee/Spouse

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

SEAN HUFFMAN
DOB: April 1, 1969 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: RAYMOND MOTT
Email:
Employee Number:

Your current 2024 benefits:

TANEKA MOTT
DOB: August 30, 1988 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

RAYMOND MOTT
DOB: January 17, 1977 – (Male)

SPOUSE

Health: Waived
Dental: Waived
Vision: Enrolled

JOURNEY MOTT
DOB: May 28, 2020 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ZANIAH MOTT
DOB: July 17, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: JOURNEY MOTT
Email:
Employee Number:

Your current 2024 benefits:

TANEKA MOTT
DOB: August 30, 1988 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

RAYMOND MOTT
DOB: January 17, 1977 – (Male)

SPOUSE

Health: Waived
Dental: Waived
Vision: Enrolled

JOURNEY MOTT
DOB: May 28, 2020 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ZANIAH MOTT
DOB: July 17, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: ZANIAH MOTT
Email:
Employee Number:

Your current 2024 benefits:

TANEKA MOTT
DOB: August 30, 1988 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

RAYMOND MOTT
DOB: January 17, 1977 – (Male)

SPOUSE

Health: Waived
Dental: Waived
Vision: Enrolled

JOURNEY MOTT
DOB: May 28, 2020 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ZANIAH MOTT
DOB: July 17, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: CHARLES THOMPSPN III
Email:
Employee Number:

Your current 2024 benefits:

CHARLES THOMPSPN III
DOB: July 31, 1981 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Waived

Name: TY PAGE
Email:
Employee Number:

Your current 2024 benefits:

ERIN TREVATHAN
DOB: January 15, 1987 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

TY PAGE
DOB: September 26, 1983 – (Male)

SPOUSE

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

JUSTICE TREVATHAN
DOB: March 18, 2007 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: JUSTICE TREVATHAN
Email:
Employee Number:

Your current 2024 benefits:

ERIN TREVATHAN
DOB: January 15, 1987 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

TY PAGE
DOB: September 26, 1983 – (Male)

SPOUSE

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

JUSTICE TREVATHAN
DOB: March 18, 2007 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: TATE TYREE
Email:
Employee Number:

Your current 2024 benefits:

BRANDY TYREE
DOB: October 29, 1973 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Waived
Dental: Enrolled
Vision: Enrolled

TATE TYREE
DOB: May 27, 2010 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: ASHTON ARKEL
Email:
Employee Number:

Your current 2024 benefits:

RACHEL ARKEL
DOB: August 25, 1975 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

ASHTON ARKEL
DOB: January 19, 2010 – (Male)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

ELLIOTT ARKEL
DOB: April 12, 2012 – (Male)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

Name: ELLIOTT ARKEL
Email:
Employee Number:

Your current 2024 benefits:

RACHEL ARKEL
DOB: August 25, 1975 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

ASHTON ARKEL
DOB: January 19, 2010 – (Male)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

ELLIOTT ARKEL
DOB: April 12, 2012 – (Male)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

Name: KEVON FINCH
Email:
Employee Number:

Your current 2024 benefits:

AMANDA SIMMONS
DOB: June 3, 1979 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

KEVON FINCH
DOB: May 16, 2005 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: MICHAEL SANCHEZ
Email:
Employee Number:

Your current 2024 benefits:

CASSANDRA SANCHEZ
DOB: May 29, 1986 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

MICHAEL SANCHEZ
DOB: September 9, 1985 – (Male)

SPOUSE

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Waived

GRACIE SANCHEZ
DOB: July 23, 2012 – (Female)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

HUNTER SANCHEZ
DOB: March 27, 2009 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

Name: GRACIE SANCHEZ
Email:
Employee Number:

Your current 2024 benefits:

CASSANDRA SANCHEZ
DOB: May 29, 1986 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

MICHAEL SANCHEZ
DOB: September 9, 1985 – (Male)

SPOUSE

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Waived

GRACIE SANCHEZ
DOB: July 23, 2012 – (Female)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

HUNTER SANCHEZ
DOB: March 27, 2009 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

Name: HUNTER SANCHEZ
Email:
Employee Number:

Your current 2024 benefits:

CASSANDRA SANCHEZ
DOB: May 29, 1986 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

MICHAEL SANCHEZ
DOB: September 9, 1985 – (Male)

SPOUSE

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Waived

GRACIE SANCHEZ
DOB: July 23, 2012 – (Female)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

HUNTER SANCHEZ
DOB: March 27, 2009 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

Name: DAVID LOMAS
Email:
Employee Number:

Your current 2024 benefits:

GERADA LOMAS
DOB: June 5, 1984 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Waived

DAVID LOMAS
DOB: July 24, 1985 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Waived

ALYSSA LOMAS
DOB: January 29, 2003 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

ANAYA LOMAS
DOB: April 18, 2006 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

AVA LOMAS
DOB: November 10, 2016 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

Name: ALYSSA LOMAS
Email:
Employee Number:

Your current 2024 benefits:

GERADA LOMAS
DOB: June 5, 1984 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Waived

DAVID LOMAS
DOB: July 24, 1985 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Waived

ALYSSA LOMAS
DOB: January 29, 2003 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

ANAYA LOMAS
DOB: April 18, 2006 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

AVA LOMAS
DOB: November 10, 2016 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

Name: ANAYA LOMAS
Email:
Employee Number:

Your current 2024 benefits:

GERADA LOMAS
DOB: June 5, 1984 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Waived

DAVID LOMAS
DOB: July 24, 1985 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Waived

ALYSSA LOMAS
DOB: January 29, 2003 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

ANAYA LOMAS
DOB: April 18, 2006 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

AVA LOMAS
DOB: November 10, 2016 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

Name: AVA LOMAS
Email:
Employee Number:

Your current 2024 benefits:

GERADA LOMAS
DOB: June 5, 1984 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Waived

DAVID LOMAS
DOB: July 24, 1985 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Waived

ALYSSA LOMAS
DOB: January 29, 2003 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

ANAYA LOMAS
DOB: April 18, 2006 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

AVA LOMAS
DOB: November 10, 2016 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

Name: EMILY LAWRENCE
Email:
Employee Number:

Your current 2024 benefits:

ASHLEY EDGE
DOB: July 15, 1979 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

EMILY LAWRENCE
DOB: June 17, 2003 – (Female)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

BRYLEE LILLY
DOB: July 31, 2012 – (Female)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: BRYLEE LILLY
Email:
Employee Number:

Your current 2024 benefits:

ASHLEY EDGE
DOB: July 15, 1979 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

EMILY LAWRENCE
DOB: June 17, 2003 – (Female)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

BRYLEE LILLY
DOB: July 31, 2012 – (Female)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: MANUEL PIMENTEL JR
Email:
Employee Number:

Your current 2024 benefits:

CHIKA BRINTON-PIMENTEL
DOB: February 17, 1982 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Waived
Vision: Waived

MANUEL PIMENTEL JR
DOB: December 15, 1977 – (Male)

SPOUSE

Health: Plan 3 – PPO 4600
Dental: Waived
Vision: Waived

ARIEZ PIMENTEL
DOB: August 19, 2003 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Waived
Vision: Waived

Name: ARIEZ PIMENTEL
Email:
Employee Number:

Your current 2024 benefits:

CHIKA BRINTON-PIMENTEL
DOB: February 17, 1982 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Waived
Vision: Waived

MANUEL PIMENTEL JR
DOB: December 15, 1977 – (Male)

SPOUSE

Health: Plan 3 – PPO 4600
Dental: Waived
Vision: Waived

ARIEZ PIMENTEL
DOB: August 19, 2003 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Waived
Vision: Waived

Name: ELISHA FARMER
Email:
Employee Number:

Your current 2024 benefits:

LATOYA FARMER
DOB: March 24, 1983 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Waived
Dental: Enrolled
Vision: Enrolled

ELISHA FARMER
DOB: November 18, 2011 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

DERRICK FARMER JR
DOB: October 16, 2004 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: DERRICK FARMER JR
Email:
Employee Number:

Your current 2024 benefits:

LATOYA FARMER
DOB: March 24, 1983 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Waived
Dental: Enrolled
Vision: Enrolled

ELISHA FARMER
DOB: November 18, 2011 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

DERRICK FARMER JR
DOB: October 16, 2004 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: MICHAEL THORSBY
Email:
Employee Number:

Your current 2024 benefits:

LEAH THORSBY
DOB: August 29, 1968 – (Female)

SUBSCRIBER
Tier: Employee/Spouse

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

MICHAEL THORSBY
DOB: July 1, 1954 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: TEAGUN STRAHLEY
Email:
Employee Number:

Your current 2024 benefits:

CRYSTAL STRAHLEY
DOB: April 7, 1981 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Waived
Dental: Enrolled
Vision: Enrolled

TEAGUN STRAHLEY
DOB: June 16, 2009 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: ELI CORRON
Email:
Employee Number:

Your current 2024 benefits:

NATHANIEL CORRON
DOB: September 3, 1988 – (Male)

SUBSCRIBER
Tier: Employee/Child

Health: Waived
Dental: Enrolled
Vision: Waived

ELI CORRON
DOB: June 22, 2019 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Waived

Name: OAKLEY BAKER
Email:
Employee Number:

Your current 2024 benefits:

CHELSEA REA
DOB: August 14, 1987 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

OAKLEY BAKER
DOB: October 22, 2018 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

WILLOW BAKER
DOB: July 1, 2021 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: WILLOW BAKER
Email:
Employee Number:

Your current 2024 benefits:

CHELSEA REA
DOB: August 14, 1987 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

OAKLEY BAKER
DOB: October 22, 2018 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

WILLOW BAKER
DOB: July 1, 2021 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: STEVEN STOTTS
Email:
Employee Number:

Your current 2024 benefits:

STEVEN STOTTS
DOB: March 17, 1988 – (Male)

SPOUSE

Health: Waived
Dental: Waived
Vision: Enrolled

COLTON STOTTS
DOB: March 14, 2013 – (Male)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

ISAIAH STOTTS
DOB: December 30, 2019 – (Male)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

LILLIAN STOTTS
DOB: September 30, 2014 – (Female)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

Name: COLTON STOTTS
Email:
Employee Number:

Your current 2024 benefits:

STEVEN STOTTS
DOB: March 17, 1988 – (Male)

SPOUSE

Health: Waived
Dental: Waived
Vision: Enrolled

COLTON STOTTS
DOB: March 14, 2013 – (Male)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

ISAIAH STOTTS
DOB: December 30, 2019 – (Male)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

LILLIAN STOTTS
DOB: September 30, 2014 – (Female)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

Name: ISAIAH STOTTS
Email:
Employee Number:

Your current 2024 benefits:

STEVEN STOTTS
DOB: March 17, 1988 – (Male)

SPOUSE

Health: Waived
Dental: Waived
Vision: Enrolled

COLTON STOTTS
DOB: March 14, 2013 – (Male)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

ISAIAH STOTTS
DOB: December 30, 2019 – (Male)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

LILLIAN STOTTS
DOB: September 30, 2014 – (Female)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

Name: LILLIAN STOTTS
Email:
Employee Number:

Your current 2024 benefits:

STEVEN STOTTS
DOB: March 17, 1988 – (Male)

SPOUSE

Health: Waived
Dental: Waived
Vision: Enrolled

COLTON STOTTS
DOB: March 14, 2013 – (Male)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

ISAIAH STOTTS
DOB: December 30, 2019 – (Male)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

LILLIAN STOTTS
DOB: September 30, 2014 – (Female)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

Name: JUSTIN HITI
Email:
Employee Number:

Your current 2024 benefits:

ASHLEY HITI
DOB: May 25, 1989 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

JUSTIN HITI
DOB: January 11, 1986 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

KAITLYN HITI
DOB: August 12, 2016 – (Female)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

LOGAN HITI
DOB: January 18, 2014 – (Male)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: KAITLYN HITI
Email:
Employee Number:

Your current 2024 benefits:

ASHLEY HITI
DOB: May 25, 1989 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

JUSTIN HITI
DOB: January 11, 1986 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

KAITLYN HITI
DOB: August 12, 2016 – (Female)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

LOGAN HITI
DOB: January 18, 2014 – (Male)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: LOGAN HITI
Email:
Employee Number:

Your current 2024 benefits:

ASHLEY HITI
DOB: May 25, 1989 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

JUSTIN HITI
DOB: January 11, 1986 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

KAITLYN HITI
DOB: August 12, 2016 – (Female)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

LOGAN HITI
DOB: January 18, 2014 – (Male)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: PERRY DELL
Email:
Employee Number:

Your current 2024 benefits:

MELISSA DELL
DOB: October 3, 1976 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

PERRY DELL
DOB: February 28, 2011 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

Name: AURELIA MAXWELL
Email:
Employee Number:

Your current 2024 benefits:

VIRGINIA MAXWELL
DOB: June 23, 1983 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

AURELIA MAXWELL
DOB: July 11, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

JACKSON STROTHER
DOB: April 28, 2020 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

MAXWELL STROTHER
DOB: May 5, 2023 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: JACKSON STROTHER
Email:
Employee Number:

Your current 2024 benefits:

VIRGINIA MAXWELL
DOB: June 23, 1983 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

AURELIA MAXWELL
DOB: July 11, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

JACKSON STROTHER
DOB: April 28, 2020 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

MAXWELL STROTHER
DOB: May 5, 2023 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: MAXWELL STROTHER
Email:
Employee Number:

Your current 2024 benefits:

VIRGINIA MAXWELL
DOB: June 23, 1983 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

AURELIA MAXWELL
DOB: July 11, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

JACKSON STROTHER
DOB: April 28, 2020 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

MAXWELL STROTHER
DOB: May 5, 2023 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: KATILANN CLANTON
Email:
Employee Number:

Your current 2024 benefits:

KASHARNE CLANTON
DOB: August 6, 1979 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

KATILANN CLANTON
DOB: April 6, 2002 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: BERNARD LOUIS
Email:
Employee Number:

Your current 2024 benefits:

AYLEAH LOUIS
DOB: May 6, 1987 – (Female)

SUBSCRIBER
Tier: Employee/Spouse

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Waived

BERNARD LOUIS
DOB: January 23, 1985 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Waived

Name: ANSLEY BELLINGER
Email:
Employee Number:

Your current 2024 benefits:

ANSLEY BELLINGER
DOB: June 15, 2009 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

CALLIE BELLINGER
DOB: August 28, 2006 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: CALLIE BELLINGER
Email:
Employee Number:

Your current 2024 benefits:

ANSLEY BELLINGER
DOB: June 15, 2009 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

CALLIE BELLINGER
DOB: August 28, 2006 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: DEREK DUPLESSIS
Email:
Employee Number:

Your current 2024 benefits:

DANIELLE DUPLESSIS
DOB: May 4, 1984 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DEREK DUPLESSIS
DOB: October 26, 1974 – (Male)

SPOUSE

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

MASON DUPLESSIS
DOB: February 26, 2016 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: MASON DUPLESSIS
Email:
Employee Number:

Your current 2024 benefits:

DANIELLE DUPLESSIS
DOB: May 4, 1984 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DEREK DUPLESSIS
DOB: October 26, 1974 – (Male)

SPOUSE

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

MASON DUPLESSIS
DOB: February 26, 2016 – (Male)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: AMBER SMITH
Email:
Employee Number:

Your current 2024 benefits:

COREY SMITH
DOB: October 26, 1987 – (Male)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

AMBER SMITH
DOB: May 17, 1988 – (Female)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

CORA SMITH
DOB: September 10, 2018 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

GABRIELLE SMITH
DOB: March 18, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ISABELLA SMITH
DOB: September 29, 2008 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: CORA SMITH
Email:
Employee Number:

Your current 2024 benefits:

COREY SMITH
DOB: October 26, 1987 – (Male)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

AMBER SMITH
DOB: May 17, 1988 – (Female)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

CORA SMITH
DOB: September 10, 2018 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

GABRIELLE SMITH
DOB: March 18, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ISABELLA SMITH
DOB: September 29, 2008 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: GABRIELLE SMITH
Email:
Employee Number:

Your current 2024 benefits:

COREY SMITH
DOB: October 26, 1987 – (Male)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

AMBER SMITH
DOB: May 17, 1988 – (Female)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

CORA SMITH
DOB: September 10, 2018 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

GABRIELLE SMITH
DOB: March 18, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ISABELLA SMITH
DOB: September 29, 2008 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: ISABELLA SMITH
Email:
Employee Number:

Your current 2024 benefits:

COREY SMITH
DOB: October 26, 1987 – (Male)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

AMBER SMITH
DOB: May 17, 1988 – (Female)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

CORA SMITH
DOB: September 10, 2018 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

GABRIELLE SMITH
DOB: March 18, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ISABELLA SMITH
DOB: September 29, 2008 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: KADEALYN MUNIZ
Email:
Employee Number:

Your current 2024 benefits:

KERRI TREVINO
DOB: March 29, 1987 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

KADEALYN MUNIZ
DOB: July 21, 2004 – (Female)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: RENDALL NELMS
Email:
Employee Number:

Your current 2024 benefits:

ADASSIA NELMS
DOB: June 19, 1993 – (Female)

SUBSCRIBER
Tier: Employee/Spouse

Health: Waived
Dental: Waived
Vision: Enrolled

RENDALL NELMS
DOB: November 21, 1993 – (Male)

SPOUSE

Health: Waived
Dental: Waived
Vision: Enrolled

Name: BRODERICK DUFFY
Email:
Employee Number:

Your current 2024 benefits:

CHAROLETTE FOSTER
DOB: May 24, 1987 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Waived
Vision: Enrolled

BRODERICK DUFFY
DOB: October 27, 1990 – (Male)

SPOUSE

Health: Waived
Dental: Waived
Vision: Enrolled

ATLANTA DUFFY
DOB: March 10, 2014 – (Female)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

CHADRICK HALL
DOB: December 27, 2007 – (Male)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

Name: ATLANTA DUFFY
Email:
Employee Number:

Your current 2024 benefits:

CHAROLETTE FOSTER
DOB: May 24, 1987 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Waived
Vision: Enrolled

BRODERICK DUFFY
DOB: October 27, 1990 – (Male)

SPOUSE

Health: Waived
Dental: Waived
Vision: Enrolled

ATLANTA DUFFY
DOB: March 10, 2014 – (Female)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

CHADRICK HALL
DOB: December 27, 2007 – (Male)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

Name: CHADRICK HALL
Email:
Employee Number:

Your current 2024 benefits:

CHAROLETTE FOSTER
DOB: May 24, 1987 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Waived
Vision: Enrolled

BRODERICK DUFFY
DOB: October 27, 1990 – (Male)

SPOUSE

Health: Waived
Dental: Waived
Vision: Enrolled

ATLANTA DUFFY
DOB: March 10, 2014 – (Female)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

CHADRICK HALL
DOB: December 27, 2007 – (Male)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled

Name: MEGAN BRINK
Email:
Employee Number:

Your current 2024 benefits:

KESHANE HONG GAN
DOB: July 24, 1994 – (Male)

SUBSCRIBER
Tier: Employee/Spouse

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

MEGAN BRINK
DOB: June 24, 1995 – (Female)

SPOUSE

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Waived

Name: CAYDEN CONNER
Email:
Employee Number:

Your current 2024 benefits:

RAQUEL BOYKIN
DOB: October 2, 1994 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

CAYDEN CONNER
DOB: December 21, 2016 – (Male)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: ADAM HUNT
Email:
Employee Number:

Your current 2024 benefits:

DONNA HUNT
DOB: July 30, 1970 – (Female)

SUBSCRIBER
Tier: Employee/Spouse

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

ADAM HUNT
DOB: June 11, 1974 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: RACHEL NASH
Email:
Employee Number:

Your current 2024 benefits:

TAMARA SMITH
DOB: July 21, 1973 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

RACHEL NASH
DOB: January 5, 2006 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

RAINA NASH
DOB: March 7, 2002 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

RALYNN NASH
DOB: November 28, 1999 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

RENEE NASH
DOB: July 29, 2003 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ROBIN NASH
DOB: December 3, 2000 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: RAINA NASH
Email:
Employee Number:

Your current 2024 benefits:

TAMARA SMITH
DOB: July 21, 1973 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

RACHEL NASH
DOB: January 5, 2006 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

RAINA NASH
DOB: March 7, 2002 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

RALYNN NASH
DOB: November 28, 1999 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

RENEE NASH
DOB: July 29, 2003 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ROBIN NASH
DOB: December 3, 2000 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: RALYNN NASH
Email:
Employee Number:

Your current 2024 benefits:

TAMARA SMITH
DOB: July 21, 1973 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

RACHEL NASH
DOB: January 5, 2006 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

RAINA NASH
DOB: March 7, 2002 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

RALYNN NASH
DOB: November 28, 1999 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

RENEE NASH
DOB: July 29, 2003 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ROBIN NASH
DOB: December 3, 2000 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: RENEE NASH
Email:
Employee Number:

Your current 2024 benefits:

TAMARA SMITH
DOB: July 21, 1973 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

RACHEL NASH
DOB: January 5, 2006 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

RAINA NASH
DOB: March 7, 2002 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

RALYNN NASH
DOB: November 28, 1999 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

RENEE NASH
DOB: July 29, 2003 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ROBIN NASH
DOB: December 3, 2000 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: ROBIN NASH
Email:
Employee Number:

Your current 2024 benefits:

TAMARA SMITH
DOB: July 21, 1973 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

RACHEL NASH
DOB: January 5, 2006 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

RAINA NASH
DOB: March 7, 2002 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

RALYNN NASH
DOB: November 28, 1999 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

RENEE NASH
DOB: July 29, 2003 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ROBIN NASH
DOB: December 3, 2000 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: ALEX JEROME
Email:
Employee Number:

Your current 2024 benefits:

DAVIDA JEROME
DOB: May 11, 1974 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

ALEX JEROME
DOB: April 13, 1972 – (Male)

SPOUSE

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

ALEXA JEROME
DOB: February 19, 2006 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: ALEXA JEROME
Email:
Employee Number:

Your current 2024 benefits:

DAVIDA JEROME
DOB: May 11, 1974 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

ALEX JEROME
DOB: April 13, 1972 – (Male)

SPOUSE

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

ALEXA JEROME
DOB: February 19, 2006 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: JAIDA THOMPSON
Email:
Employee Number:

Your current 2024 benefits:

TEQUILA THOMPSON
DOB: May 17, 1988 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

JAIDA THOMPSON
DOB: October 4, 2006 – (Female)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: DARRIS FIELDS
Email:
Employee Number:

Your current 2024 benefits:

LAKISHA FIELDS
DOB: November 11, 1986 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DARRIS FIELDS
DOB: June 25, 1983 – (Male)

SPOUSE

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

JOYELLE FIELDS
DOB: August 26, 2015 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: JOYELLE FIELDS
Email:
Employee Number:

Your current 2024 benefits:

LAKISHA FIELDS
DOB: November 11, 1986 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DARRIS FIELDS
DOB: June 25, 1983 – (Male)

SPOUSE

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

JOYELLE FIELDS
DOB: August 26, 2015 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: EASTON GREENE
Email:
Employee Number:

Your current 2024 benefits:

JILLIAN GREENE
DOB: November 26, 1979 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

EASTON GREENE
DOB: September 15, 2014 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

Name: MADDOX MUHALI
Email:
Employee Number:

Your current 2024 benefits:

MORNAE NWUDE
DOB: April 4, 1993 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

MADDOX MUHALI
DOB: February 23, 2018 – (Male)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

MEKKAH MUHALI
DOB: August 17, 2020 – (Female)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: MEKKAH MUHALI
Email:
Employee Number:

Your current 2024 benefits:

MORNAE NWUDE
DOB: April 4, 1993 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

MADDOX MUHALI
DOB: February 23, 2018 – (Male)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

MEKKAH MUHALI
DOB: August 17, 2020 – (Female)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: JOSH COPELAND
Email:
Employee Number:

Your current 2024 benefits:

JENNIFER COPELAND
DOB: November 24, 1980 – (Female)

Subscriber
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

JOSH COPELAND
DOB: December 18, 1980 – (Female)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

COLTON COPELAND
DOB: June 8, 2007 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

HOLLIS COPELAND
DOB: January 8, 2019 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ROSALYN COPELAND
DOB: November 6, 2017 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

SARA TERRELL
DOB: March 28, 2007 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: COLTON COPELAND
Email:
Employee Number:

Your current 2024 benefits:

JENNIFER COPELAND
DOB: November 24, 1980 – (Female)

Subscriber
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

JOSH COPELAND
DOB: December 18, 1980 – (Female)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

COLTON COPELAND
DOB: June 8, 2007 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

HOLLIS COPELAND
DOB: January 8, 2019 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ROSALYN COPELAND
DOB: November 6, 2017 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

SARA TERRELL
DOB: March 28, 2007 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: HOLLIS COPELAND
Email:
Employee Number:

Your current 2024 benefits:

JENNIFER COPELAND
DOB: November 24, 1980 – (Female)

Subscriber
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

JOSH COPELAND
DOB: December 18, 1980 – (Female)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

COLTON COPELAND
DOB: June 8, 2007 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

HOLLIS COPELAND
DOB: January 8, 2019 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ROSALYN COPELAND
DOB: November 6, 2017 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

SARA TERRELL
DOB: March 28, 2007 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: ROSALYN COPELAND
Email:
Employee Number:

Your current 2024 benefits:

JENNIFER COPELAND
DOB: November 24, 1980 – (Female)

Subscriber
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

JOSH COPELAND
DOB: December 18, 1980 – (Female)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

COLTON COPELAND
DOB: June 8, 2007 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

HOLLIS COPELAND
DOB: January 8, 2019 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ROSALYN COPELAND
DOB: November 6, 2017 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

SARA TERRELL
DOB: March 28, 2007 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: SARA TERRELL
Email:
Employee Number:

Your current 2024 benefits:

JENNIFER COPELAND
DOB: November 24, 1980 – (Female)

Subscriber
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

JOSH COPELAND
DOB: December 18, 1980 – (Female)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

COLTON COPELAND
DOB: June 8, 2007 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

HOLLIS COPELAND
DOB: January 8, 2019 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ROSALYN COPELAND
DOB: November 6, 2017 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

SARA TERRELL
DOB: March 28, 2007 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: JACOB PERDUE
Email:
Employee Number:

Your current 2024 benefits:

OLIVIA CRAIG
DOB: December 10, 1995 – (Female)

SUBSCRIBER
Tier: Employee/Spouse

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

JACOB PERDUE
DOB: October 7, 1997 – (Male)

SPOUSE

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: DESTINY EVANS
Email:
Employee Number:

Your current 2024 benefits:

APRIL EVANS
DOB: February 20, 1981 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

DESTINY EVANS
DOB: May 24, 2005 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: JOHN LIANG
Email:
Employee Number:

Your current 2024 benefits:

GEE KWUN LIANG
DOB: October 1, 1986 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

JOHN LIANG
DOB: April 28, 1977 – (Male)

SPOUSE

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

LUKE LIANG
DOB: February 16, 2017 – (Male)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

MARCUS LIANG
DOB: September 29, 2019 – (Male)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: LUKE LIANG
Email:
Employee Number:

Your current 2024 benefits:

GEE KWUN LIANG
DOB: October 1, 1986 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

JOHN LIANG
DOB: April 28, 1977 – (Male)

SPOUSE

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

LUKE LIANG
DOB: February 16, 2017 – (Male)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

MARCUS LIANG
DOB: September 29, 2019 – (Male)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: MARCUS LIANG
Email:
Employee Number:

Your current 2024 benefits:

GEE KWUN LIANG
DOB: October 1, 1986 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

JOHN LIANG
DOB: April 28, 1977 – (Male)

SPOUSE

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

LUKE LIANG
DOB: February 16, 2017 – (Male)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

MARCUS LIANG
DOB: September 29, 2019 – (Male)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: PARKER RICKER
Email:
Employee Number:

Your current 2024 benefits:

PAULA RICKER
DOB: September 16, 1964 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

PARKER RICKER
DOB: August 17, 2010 – (Female)

CHILD

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: RAHMAN JONES
Email:
Employee Number:

Your current 2024 benefits:

BROOKE JONES
DOB: January 29, 1991 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

RAHMAN JONES
DOB: September 19, 1991 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

GENESIS JONES
DOB: January 15, 2015 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

JEWELL JONES
DOB: October 1, 2013 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ALISHA WALTERS
DOB: November 19, 2011 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

CADENCE WALTERS
DOB: July 7, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

SUMMER WALTERS
DOB: August 29, 2009 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: GENESIS JONES
Email:
Employee Number:

Your current 2024 benefits:

BROOKE JONES
DOB: January 29, 1991 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

RAHMAN JONES
DOB: September 19, 1991 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

GENESIS JONES
DOB: January 15, 2015 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

JEWELL JONES
DOB: October 1, 2013 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ALISHA WALTERS
DOB: November 19, 2011 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

CADENCE WALTERS
DOB: July 7, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

SUMMER WALTERS
DOB: August 29, 2009 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: JEWELL JONES
Email:
Employee Number:

Your current 2024 benefits:

BROOKE JONES
DOB: January 29, 1991 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

RAHMAN JONES
DOB: September 19, 1991 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

GENESIS JONES
DOB: January 15, 2015 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

JEWELL JONES
DOB: October 1, 2013 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ALISHA WALTERS
DOB: November 19, 2011 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

CADENCE WALTERS
DOB: July 7, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

SUMMER WALTERS
DOB: August 29, 2009 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: ALISHA WALTERS
Email:
Employee Number:

Your current 2024 benefits:

BROOKE JONES
DOB: January 29, 1991 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

RAHMAN JONES
DOB: September 19, 1991 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

GENESIS JONES
DOB: January 15, 2015 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

JEWELL JONES
DOB: October 1, 2013 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ALISHA WALTERS
DOB: November 19, 2011 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

CADENCE WALTERS
DOB: July 7, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

SUMMER WALTERS
DOB: August 29, 2009 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: CADENCE WALTERS
Email:
Employee Number:

Your current 2024 benefits:

BROOKE JONES
DOB: January 29, 1991 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

RAHMAN JONES
DOB: September 19, 1991 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

GENESIS JONES
DOB: January 15, 2015 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

JEWELL JONES
DOB: October 1, 2013 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ALISHA WALTERS
DOB: November 19, 2011 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

CADENCE WALTERS
DOB: July 7, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

SUMMER WALTERS
DOB: August 29, 2009 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: SUMMER WALTERS
Email:
Employee Number:

Your current 2024 benefits:

BROOKE JONES
DOB: January 29, 1991 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

RAHMAN JONES
DOB: September 19, 1991 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

GENESIS JONES
DOB: January 15, 2015 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

JEWELL JONES
DOB: October 1, 2013 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

ALISHA WALTERS
DOB: November 19, 2011 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

CADENCE WALTERS
DOB: July 7, 2013 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

SUMMER WALTERS
DOB: August 29, 2009 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: ELI WHITE
Email:
Employee Number:

Your current 2024 benefits:

RACHEL HOWELL
DOB: December 16, 1988 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

ELI WHITE
DOB: August 11, 2015 – (Male)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

ELLA WHITE
DOB: August 16, 2013 – (Female)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: ELLA WHITE
Email:
Employee Number:

Your current 2024 benefits:

RACHEL HOWELL
DOB: December 16, 1988 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

ELI WHITE
DOB: August 11, 2015 – (Male)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

ELLA WHITE
DOB: August 16, 2013 – (Female)

CHILD

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: RONICA PATEL
Email:
Employee Number:

Your current 2024 benefits:

RONICA PATEL
DOB: March 11, 1996 – (Male)

SPOUSE

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

Name: GEORGE GILLILAND
Email:
Employee Number:

Your current 2024 benefits:

CARRIE GILLILAND
DOB: August 30, 1977 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

GEORGE GILLILAND
DOB: July 26, 1972 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

GEORGE BENJAMIN GILLILAND
DOB: October 13, 2001 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

MEKENZIE BARROWS
DOB: March 26, 2002 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

COEN BARROWS
DOB: August 11, 2004 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: GEORGE BENJAMIN GILLILAND
Email:
Employee Number:

Your current 2024 benefits:

CARRIE GILLILAND
DOB: August 30, 1977 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

GEORGE GILLILAND
DOB: July 26, 1972 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

GEORGE BENJAMIN GILLILAND
DOB: October 13, 2001 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

MEKENZIE BARROWS
DOB: March 26, 2002 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

COEN BARROWS
DOB: August 11, 2004 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: MEKENZIE BARROWS
Email:
Employee Number:

Your current 2024 benefits:

CARRIE GILLILAND
DOB: August 30, 1977 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

GEORGE GILLILAND
DOB: July 26, 1972 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

GEORGE BENJAMIN GILLILAND
DOB: October 13, 2001 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

MEKENZIE BARROWS
DOB: March 26, 2002 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

COEN BARROWS
DOB: August 11, 2004 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: COEN BARROWS
Email:
Employee Number:

Your current 2024 benefits:

CARRIE GILLILAND
DOB: August 30, 1977 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

GEORGE GILLILAND
DOB: July 26, 1972 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

GEORGE BENJAMIN GILLILAND
DOB: October 13, 2001 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

MEKENZIE BARROWS
DOB: March 26, 2002 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

COEN BARROWS
DOB: August 11, 2004 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: ANTHONY HENSLEY
Email:
Employee Number:

Your current 2024 benefits:

HOLLY HENSLEY
DOB: January 31, 1981 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

ANTHONY HENSLEY
DOB: November 10, 1973 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

BRETT HENSLEY
DOB: November 8, 2018 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: BRETT HENSLEY
Email:
Employee Number:

Your current 2024 benefits:

HOLLY HENSLEY
DOB: January 31, 1981 – (Female)

SUBSCRIBER
Tier: Family

Health: Plan 3 – PPO 4600
Dental: Enrolled
Vision: Enrolled

ANTHONY HENSLEY
DOB: November 10, 1973 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

BRETT HENSLEY
DOB: November 8, 2018 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: LENA MYERS
Email:
Employee Number:

Your current 2024 benefits:

TIMICA ABRAHAM-MYERS
DOB: January 23, 1982 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

LENA MYERS
DOB: February 19, 2006 – (Female)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

TAUREAS MYERS
DOB: September 16, 2008 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

LAMAR MYERS
DOB: April 14, 2013 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

ZAMIR MYERS
DOB: May 12, 2022 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

Name: TAUREAS MYERS
Email:
Employee Number:

Your current 2024 benefits:

TIMICA ABRAHAM-MYERS
DOB: January 23, 1982 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

LENA MYERS
DOB: February 19, 2006 – (Female)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

TAUREAS MYERS
DOB: September 16, 2008 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

LAMAR MYERS
DOB: April 14, 2013 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

ZAMIR MYERS
DOB: May 12, 2022 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

Name: LAMAR MYERS
Email:
Employee Number:

Your current 2024 benefits:

TIMICA ABRAHAM-MYERS
DOB: January 23, 1982 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

LENA MYERS
DOB: February 19, 2006 – (Female)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

TAUREAS MYERS
DOB: September 16, 2008 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

LAMAR MYERS
DOB: April 14, 2013 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

ZAMIR MYERS
DOB: May 12, 2022 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

Name: ZAMIR MYERS
Email:
Employee Number:

Your current 2024 benefits:

TIMICA ABRAHAM-MYERS
DOB: January 23, 1982 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

LENA MYERS
DOB: February 19, 2006 – (Female)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

TAUREAS MYERS
DOB: September 16, 2008 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

LAMAR MYERS
DOB: April 14, 2013 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

ZAMIR MYERS
DOB: May 12, 2022 – (Male)

CHILD

Health: Plan 1 – HSA 5400
Dental: Enrolled
Vision: Enrolled

Name: JADYN FIFE
Email:
Employee Number:

Your current 2024 benefits:

ASHLEY CRAIG
DOB: October 14, 1986 – (FEMALE)

SUBSCRIBER
Tier: Employee/Child

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

JADYN FIFE
DOB: February 4, 2006 – (FEMALE)

CHILD
Tier: Employee/Child

Health: Plan 2 – HSA 3600
Dental: Enrolled
Vision: Enrolled

Name: ISAAC MCKEE
Email:
Employee Number:

Your current 2024 benefits:

LETICIA MCKEE
DOB: August 25, 1981 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

ISAAC MCKEE
DOB: November 17, 1979 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

CHLOE MCKEE
DOB: August 23, 2004 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

EMMA MCKEE
DOB: June 20, 2005 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

AIDAN MCKEE
DOB: August 11, 2007 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

BRADLEY MCKEE
DOB: February 21, 2020 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: CHLOE MCKEE
Email:
Employee Number:

Your current 2024 benefits:

LETICIA MCKEE
DOB: August 25, 1981 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

ISAAC MCKEE
DOB: November 17, 1979 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

CHLOE MCKEE
DOB: August 23, 2004 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

EMMA MCKEE
DOB: June 20, 2005 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

AIDAN MCKEE
DOB: August 11, 2007 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

BRADLEY MCKEE
DOB: February 21, 2020 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: EMMA MCKEE
Email:
Employee Number:

Your current 2024 benefits:

LETICIA MCKEE
DOB: August 25, 1981 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

ISAAC MCKEE
DOB: November 17, 1979 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

CHLOE MCKEE
DOB: August 23, 2004 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

EMMA MCKEE
DOB: June 20, 2005 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

AIDAN MCKEE
DOB: August 11, 2007 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

BRADLEY MCKEE
DOB: February 21, 2020 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: AIDAN MCKEE
Email:
Employee Number:

Your current 2024 benefits:

LETICIA MCKEE
DOB: August 25, 1981 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

ISAAC MCKEE
DOB: November 17, 1979 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

CHLOE MCKEE
DOB: August 23, 2004 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

EMMA MCKEE
DOB: June 20, 2005 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

AIDAN MCKEE
DOB: August 11, 2007 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

BRADLEY MCKEE
DOB: February 21, 2020 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: BRADLEY MCKEE
Email:
Employee Number:

Your current 2024 benefits:

LETICIA MCKEE
DOB: August 25, 1981 – (Female)

SUBSCRIBER
Tier: Family

Health: Waived
Dental: Enrolled
Vision: Enrolled

ISAAC MCKEE
DOB: November 17, 1979 – (Male)

SPOUSE

Health: Waived
Dental: Enrolled
Vision: Enrolled

CHLOE MCKEE
DOB: August 23, 2004 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

EMMA MCKEE
DOB: June 20, 2005 – (Female)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

AIDAN MCKEE
DOB: August 11, 2007 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

BRADLEY MCKEE
DOB: February 21, 2020 – (Male)

CHILD

Health: Waived
Dental: Enrolled
Vision: Enrolled

Name: LEILA HAMILTON
Email:
Employee Number:

Your current 2024 benefits:

ROSETTA TATE
DOB: November 1, 1988 – (Female)

SUBSCRIBER
Tier: Employee/Child

Health: Waived
Dental: Enrolled
Vision: Enrolled

LEILA HAMILTON
DOB: September 16, 2004 – (Female)

CHILD

Health: Waived
Dental: Waived
Vision: Enrolled