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| Step 1: View, Delete or Edit your work. |
| Step 2: Print Detail if hard copy required. |
| Step 3: Select Submit to complete your transaction/s. |
Please Note: '' '' Marked changes will need additional processing by The Standard and may require that we contact you. |
Update Employee / Dependent
Policy: | 00 123456 ABC CO | Division: | 0001 ABC 1 | Billing Category: | 0100 |
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SSN: | 133-45-9999 | Name: |
Brown, Jane |
Earnings:  |
$55,000.00 Annual |
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Employee Updates: |
Employee Information |
, Salary Information |
, Billing Category |
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Policy: | 00 123456 ABC CO | Division: | 0001 ABC 1 | Billing Category: | 0100 |
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 SSN: |
144-56-9999 | Name: |
Jones, Bill |
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Date: |
01/30/2006 |
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Policy: | 00 123456 ABC CO | Division: | 0001 ABC 1 | Billing Category: | 0100 |
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SSN: | 144-56-9999 | Name: |
Jones, Bill |
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Reason: |
Employment Terminate |
Date: |
01/01/2006 |
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Policy: | 00 123456 ABC CO | Division: | 0001 ABC 1 | Billing Category: | 0100 |
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SSN: | 123-45-9999 | Name: |
Smith, John |
Gender: |
M |
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DOB: |
03/27/1964 |
Hire Date: |
01/01/2002 |
Family Indicator: |
Member |
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Earnings:  |
$150,000.00 Annual |
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Sort Order: |
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1 Add Employee 1 Update Employee / Dependent 1 Reinstate Employee 1 Terminate Employee |
| Information submitted after 5:00 pm Pacific will be processed the following day. |
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