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(enter) Salary (enter) Age (enter) Optional Life Insurance/For more information about our disability plan =Coverage amount is the death benefit paid to your beneficiaryEnter your FTEFamily coverageSingle coverage Total CostMŮ PaysEnter Spouse's FTE30 day waiting period90 day waiting periodAnnual Salary Spousal HDHPSingle HDHPFamily HDHPState HSA FamilyState HSA SpousalState HSA IndividualEmployee Receives AnnuallyEmployees Bi-weekly Premium MŮ monthlyOverage DependentsHealth Insurance PremiumsPart Time Employee Rates:Employees may choose up to seven times their annual salary"NOTICE: Effective January 1, 2011 6employees may contact the Gabor Agency at 800 330-6115*1https://web1.lifebenefits.com/lb/florida/home.htmaccess their website:8for online beneficiary Designation and Will preparation.+provided through Minnesota Life Insurance; 9$25,000 Basic Life benefit is free to full time employeesSpousal - Your coverageSpousal - Spouse Coverage %MŮ Bi-weekley PremiumEffective June 2014 CALCULATION ONLY NEEDED IFFTE LESS THAN .75Age Revised 11/02/15:; +<5==J>?2@NccB T8 "hss  dMbP?_*+%&?'?(?)?M HP Deskjet 6940 series$C od,,LetterDINU"P Pv\P SMTJ@ HP Deskjet 6940 seriesInputBinUpperTrayRESDLLUniresDLLHPPreAnalysisFalseMSPreAnalysisFalseHPReportSymmetricMarginsFalseHPMinimizeMarginsTrueHPAlignMarginsForMDTrueDuplexNONEHPPrintPreviewFalseHPOverSprayOptionAutomaticHPOverSpray100HPBorderLessPhotoFalseHPBorderLessAutoFitFalseHPCustomBorderlessTrueHPOutputOrderReverseTrueJobUITruePaperSizeLETTEROrientationPORTRAITHPPaperSizeDuplexConstraintsINDEX_CARD_3X5HPNUseDiffFirstPageChoiceTrueHPMediaTypeDuplexConstraintsHP_PHOTO_GREETING_CARDSHPDryTimeOptionAutomaticHPDryTime0HPInkVolumeOptionAutomaticHPInkVolumeNormalHPPrintInGrayScaleFalsePrintQualityNormalPrintQualityGroupPQGroup_2HPJobAccountingHPJOBACCT_JOBACNT_TIMESTAMPHPColorModeCOLOR_MODEHPPDLTypePDL_PCL3HPPJLEncoding8bitEncodingHPXMLFileUsedhpf6940t.xmlHPPosterPrintingFalseHPPosterPrintingOptionPOSTER_2HPMediaTypeTreeviewPopupTrueColorModeColor24TextAsBlackFalseMediaTypeAUTOMATICResolution600dpiPQDPIInstalledHPMirrorPrintFalseHPAutoDuplexScalingTrueHPPrintOnBothSidesManuallyFalseHPManualDuplexDialogItemsInstructionID_01_FACEUP-NOROTATEHPManualDuplexPageRotateUserRotateHPManualFeedOrientationFACEUPHPSpeedMechFastDraftHPOutputBinOrientationFACEUPHPManualDuplexDialogModelModalHPManualDuplexPageOrderOddPagesFirstHPMapManualFeedToTray1FalseHPSendPJLUsageCmdLNNAME_COUSPSAlignmentFileHPZ3Awn7PSServicesOptionHPServiceFileNameEndHPCleaningFilesDataHP_Clean_TestPageHPConsumerCustomPaperHPCustomHPColorSelectionForHPAEnabledHPSmartDuplexSinglePageJobTrueHPBornOnDateHPBODHPInputColorSpaceCOLORSMARTJobUINetworkTrueHPDriverDataDriverDataHPICCProfileNamesRGB_0Color_0Space_0Profile_1icmHPDisplayPrintingHelpRegPathHPCustomSizeCommandTRUEHPSendPreloadCommandTRUEESPRITSupportedTrueHPUseAutoDuplexUnitFalseHPHideManualFeedTrueHPRESDLLNameHPFRES50HPRedEyeReductionOnHPDigitalImagingHPHomePrintingHPSmartFocusOnHPContrastOffHPDigitalFlashOffHPSharpnessOffHPSmoothingOffHPJpegPngPassthroughTrueHPReverseBandOrderForEvenPagesReverseBandOrderHalftoneHT_PATSIZE_DEMŮLTHPQuietPrintingFalseHPHTDLLNameHPFIGlhnHPMHDLLNameHPFIME50HPHPAFilterTrueHPIntentPERCEPTUALHPInstalledPrintCartridgesTRICOLOR_BLACKHPAdvancedColorSettingTrueHPICCPrinterFamily5700_6500HPCRDCommandTrueHPSendUnitMeasureCommandTRUEHPPaperSizeTreeviewPopupMetricPIUPHdLetter o [none] [none]4Pd?SMCGOUGH44dPrint driver host for 32bit app<splwow64.exeC:\WINDOWS\splwow64.exe"d,,??&U} Z}  Z} qZ} qZ} Z} Z}  Z}  Z"   8 @ 8 @ @  P @ P @ P P @ @ PPPh@\@\@\@\c\]\]\]\d\]\@oop Y. ! 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