Interactive Demonstration - Employer Connection

On June 3, we will be upgrading our benefits administration system. As part of this upgrade, the employer portal will be updated, and new user registrations will not be available until June 3. Please visit our upgrade resources and FAQs to learn more.

May 19, 2026

My Invoices Invoice Summary Administration Adjustments Active Subscribers Claim Payment Information Recap by Sub Location Reconciliation of Account

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Invoice Number:	148348
Reconciliation Period:	01/01/2007 - 01/31/2007

Master Number:	03000-00
Group Number:	93705-000-00000-00000
Description:
Phone Number:	(999) 999-0000

SELF INSURED

BENEFITS ADMINISTRATOR

321 UNIVERSITY AVENUE

ANYWHERE, USA 55555-0000


Due Date	02/10/2007
Total Administration Adjustments	$	8.30
Claim Payments		4,559.60
Current Administration Billed		348.60
Balance From Current Billing		4,916.50

Total Amount Due	$	4,916.50

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