Interactive Demonstration - Enrollment Maintenance - Add Employee Confirmation

July 30, 2010

Successful addition. Please note the following information:

Member Number:	00250631598
Group Number:	20883-000-00000-28011

Last Name:	GONZALEZ
First Name:	JONATHON Middle Initial: O
Gender:	Male
Date of Birth:	03/15/1942
Marital Status:	Single

Address Line 1:	300 MAIN STREET
City:	ANYWHERE
State:	USA Zip Code: 55555

Hire Date:	01/01/2007
Effective Date:	04/01/2007
Qualifying Event:	Open Enrollment

Add Successful. An ID Card has been Requested.

Update Completed by: SalesUser on Thursday 11th of January 2007 at 1:18:28 PM