Welcome John Smith
ABC Company
| Billing Division | Effective Date | City, State | Coverage |
|---|---|---|---|
| 0001 | 12/01/2003 | Portland, OR | Additional Life; Basic AD&D; Basic Life; Dependent AD&D; Dependents Life |
| 0002 | 12/01/2003 | Portland, OR | Additional Life; Basic AD&D; Basic Life; Dependent AD&D; Dependents Life |
| 0003 | 12/01/2003 | Portland, OR | Additional Life; Basic AD&D; Basic Life; Dependent AD&D; Dependents Life |
| Billing Division | Effective Date | City, State | Coverage |
|---|---|---|---|
| 0001 | 08/01/2004 | Portland, OR | Long Term Disability; Long Term Disability Buy Up, Short Term Disability |
| 0002 | 08/01/2004 | Portland, OR | Long Term Disability; Long Term Disability Buy Up, Short Term Disability |
| 0003 | 08/01/2004 | Portland, OR | Long Term Disability; Long Term Disability Buy Up, Short Term Disability |