AFLAC Results View

EMPLOYEE: AARON, DOROTHEA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P0Y6X0S4	B70200	CANCER	B70003GA	H-L0046

EMPLOYEE: ABAD, KIMBERLY | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3168075	A78200	CANCER	A780030GA	H-L0046

EMPLOYEE: ABAD, RASHAD | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9D6R0	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: ABRAMS, CHRISTIAN | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9G074	Q60400	PAYROLL LIFE	N/A	A64015

EMPLOYEE: ADAIR, TERRY | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B2212136	A76100	CANCER	A76003RGA	H-L0046

EMPLOYEE: ADAMS, MELISSA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3529608	A78200	CANCER	A780030GA	H-L0046

EMPLOYEE: ADAMS, MELISSA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P0Y6X0V2	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: ADAMS, SHELLIE | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B1834741	A-34400	ACCIDENT	A-34003	H-L0046

EMPLOYEE: ADAMS, SHELLIE | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B2359714	A76100	CANCER	A76003RGA	H-L0046

EMPLOYEE: ADAMS, STEPHANIE | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9D5T7	B70100	CANCER	B70003GA	H-L0046

EMPLOYEE: ALEXANDER, GLORIDINE | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3170153	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: ALEXANDER, GLORIDINE | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3377907	A78200	CANCER	A780030GA	H-L0046

EMPLOYEE: ALEXANDER, GLORIDINE | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1B54624	Q60200	PAYROLL LIFE	N/A	A64015

EMPLOYEE: ALEXANDER, JAMES | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9G037	Q60400	PAYROLL LIFE	N/A	A64015

EMPLOYEE: ALEXANDER, VIRGINIA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3529610	A78200	CANCER	A780030GA	H-L0046

EMPLOYEE: ALLEN, BRENT | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B2720417	A35400	ACCIDENT	A35003GA	H-L0046

EMPLOYEE: ALLEN, BRENT | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3257308	A78200	CANCER	A780030GA	H-L0046

EMPLOYEE: ALLEN, BRENT | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1B546W7	Q60300	PAYROLL LIFE	N/A	A64015

EMPLOYEE: ALLEN, CATRICE | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3048395	A78300	CANCER	A780030GA	H-L0046

EMPLOYEE: ALLEN, CATRICE | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3377945	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: ALLEN, TANYA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	A5539766	A-75200	CANCER	A-75003	H-L0046

EMPLOYEE: ALLEN, TRENT | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B2221977	A-34400	ACCIDENT	A-34003	H-L0046

EMPLOYEE: ANDERSON, BETTY | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B2563879	A35400	ACCIDENT	A35003GA	H-L0046

EMPLOYEE: ANDERSON, BETTY | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B2848711	A78300	CANCER	A780030GA	H-L0046

EMPLOYEE: ANDERSON, FRANCES | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B2559734	A76100	CANCER	A76003RGA	H-L0046

EMPLOYEE: ANDERSON, FRANCES | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B2563880	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: ANDERSON, TIFFANY | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1B553A4	Q60400	PAYROLL LIFE	N/A	A64015

EMPLOYEE: ANDERSON, TINA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1B5Z1W1	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: ANDRE, KAREN | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1B55335	Q60200	PAYROLL LIFE	N/A	A64015

EMPLOYEE: ANDREWS, ANGELA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1B552V7	Q60400	PAYROLL LIFE	N/A	A64015

EMPLOYEE: ANDREWS, DON | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	A9985234	A-59100	CANCER	A-90021R	H-L0046

EMPLOYEE: ANDREWS, DON | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B2368074	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: ANDREWS, DON | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1B546F1	Q60400	PAYROLL LIFE	N/A	A64015

EMPLOYEE: ANDREWS, DOROTHY | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9G0A0	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: ANDREWS, PERSECO | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3528905	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: ANDREWS, REGINA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B1834670	A-34400	ACCIDENT	A-34003	H-L0046

EMPLOYEE: ANDREWS, REGINA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P6665985	A-18200	HOSPITAL INTENSIVE CARE	A-90021R	H-L0046

EMPLOYEE: ANDREWS, REGINA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P6665986	A-59200	CANCER	A-90021R	H-L0046

EMPLOYEE: ANTHONY, WILLIAM | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3637858	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: ANTOINE, JEAN | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1B518S3	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: ARMSTRONG, EARL | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1A108A8	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: ASHLEY, MICHAEL | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3048534	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: ASHLEY, MICHAEL | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3168126	A78300	CANCER	A780030GA	H-L0046

EMPLOYEE: ASHLEY, SONJA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9D5T0	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: ASHLEY, SONJA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9D5Z0	Q60300	PAYROLL LIFE	N/A	A64015

EMPLOYEE: ASHLEY, THERESA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9F9Z3	B70100	CANCER	B70003GA	H-L0046

EMPLOYEE: ASHLEY, THERESA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9G021	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: ATMORE-WALKER, STEPHANIE | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1B553R9	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BAGGARLEY, KORY | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9D5S4	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BAILEY, ANNA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3528896	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BAILEY, ANNA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P0Y6X0H0	B70200	CANCER	B70003GA	H-L0046

EMPLOYEE: BAILEY, DAPHNE | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3377949	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BAINES, BRANDIS | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9D6D5	B70100	CANCER	B70003GA	H-L0046

EMPLOYEE: BAINES, BRANDIS | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9D6G4	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BAITY, DEMICA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P0Y6X0G8	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BAITY, DEMICA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1A108F5	B70200	CANCER	B70003GA	H-L0046

EMPLOYEE: BANKS, SUVONEER | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1B546Y7	Q60300	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BANKS, TONY | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3377910	A78200	CANCER	A780030GA	H-L0046

EMPLOYEE: BANKS, TONY | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9D6G6	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BARBEE, BRANDYN | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3637911	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BARBEE, BRANDYN | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1B576H8	B70200	CANCER	B70003GA	H-L0046

EMPLOYEE: BARKER, CHRIS | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	A5539738	A-58200	CANCER	A-90021R	H-L0046

EMPLOYEE: BARKER, CHRIS | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	A6389026	A-18200	HOSPITAL INTENSIVE CARE	A-90021R	H-L0046

EMPLOYEE: BARKER, CHRIS | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B2368080	A-34400	ACCIDENT	A-34003	H-L0046

EMPLOYEE: BARLOW, CASSANDRA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9G070	Q60400	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BARLOW, SHEILA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9D6C5	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BARNES, CURTISA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9D6K2	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BARNES, LISA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1B553M2	Q60300	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BARNES, LISA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1B55426	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BARNES, KIMBERLY | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3529613	A78200	CANCER	A780030GA	H-L0046

EMPLOYEE: BARNES, KIMBERLY | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1A0Z2W9	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BARNES, KIMBERLY | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1B546E5	Q60300	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BATTLE, BRITTANY | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1B553K3	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BATTLE, LAKEERIA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3475964	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BATTLE, TRENDA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3377913	A78300	CANCER	A780030GA	H-L0046

EMPLOYEE: BEALE, ORTON | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9G048	B70100	CANCER	B70003GA	H-L0046

EMPLOYEE: BEALE, ORTON | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9G083	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BEARDEN, ALICIA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3529615	A78300	CANCER	A780030GA	H-L0046

EMPLOYEE: BELL, ANTANARO | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B1675236	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BELL, ANTANARO | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B1675309	A76100	CANCER	A76003RGA	H-L0046

EMPLOYEE: BELL, ANTANARO | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9D6H7	Q60400	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BELL, LOVONDA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9D6D0	Q60300	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BELL, LOVONDA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9D6J8	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BELL, LOVONDA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9D6L3	B70100	CANCER	B70003GA	H-L0046

EMPLOYEE: BELL, SHANTAY | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B2563869	A35400	ACCIDENT	A35003GA	H-L0046

EMPLOYEE: BELLAMY, NAKESHIA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1A108E8	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BERTA, MIKAELA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1B553K6	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BETHEA, MAURICE | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B2222001	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BETHEA, MAURICE | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B2720318	A78300	CANCER	A780030GA	H-L0046

EMPLOYEE: BILLINGSLEA, YERBY | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9D688	Q60200	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BILLS, KIMBERLY | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B2020499	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BILLS, KIMBERLY | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9D6S2	Q60400	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BILLS, KIMBERLY | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	PE213842	A-75200	CANCER	A-75003	H-L0046

EMPLOYEE: BLACKBURN, DARLENE | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1B55396	Q60200	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BLANDING, JAMES | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3168132	A78200	CANCER	A780030GA	H-L0046

EMPLOYEE: BLANDING, JAMES | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1B518G4	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BLASINGAME, SHANDRAL | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9D5P4	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BLOCKER, TONGALA | PIN: Bibb2025!

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EMPLOYEE: BLOCKER, TONGALA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	B3168029	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BLOCKER, TONGALA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1B54650	Q60300	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BLUFORD, ALYSIA | PIN: Bibb2025!

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0	B3136352	A35400	ACCIDENT	A35003GA	H-L0046

EMPLOYEE: BLUFORD, ALYSIA | PIN: Bibb2025!

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EMPLOYEE: BOLDEN, DOLETREANN | PIN: Bibb2025!

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EMPLOYEE: BOLDEN, DOLETREANN | PIN: Bibb2025!

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EMPLOYEE: BOLSTON-WILLIAMS, TAMARA | PIN: Bibb2025!

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EMPLOYEE: BOLSTON-WILLIAMS, TAMARA | PIN: Bibb2025!

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0	P1B546D0	Q60300	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BONE, CATHERINE | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

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EMPLOYEE: BOOZE, SHACONYA | PIN: Bibb2025!

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EMPLOYEE: BOOZE, SHACONYA | PIN: Bibb2025!

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EMPLOYEE: BOWENS, BERNARD | PIN: Bibb2025!

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EMPLOYEE: BOWLES, JACQUELINE | PIN: Bibb2025!

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0	P1B546E7	Q60200	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BOYNTON, DELPHIA | PIN: Bibb2025!

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EMPLOYEE: BOYNTON, DELPHIA | PIN: Bibb2025!

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0	B1235739	A-18200	HOSPITAL INTENSIVE CARE	A-90021R	H-L0046

EMPLOYEE: BOZEMAN, KNIKKIA | PIN: Bibb2025!

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EMPLOYEE: BRADFORD, DENNA | PIN: Bibb2025!

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0	B3048454	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BRADFORD, DENNA | PIN: Bibb2025!

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0	P2838111	A-59100	CANCER	A-90021R	H-L0046

EMPLOYEE: BRADLEY, JULIE | PIN: Bibb2025!

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0	P1A108C6	B70100	CANCER	B70003GA	H-L0046

EMPLOYEE: BRAGG, ELIZABETH | PIN: Bibb2025!

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0	P1C9D651	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BRANTLEY, RHONDA | PIN: Bibb2025!

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EMPLOYEE: BRANTLEY, RHONDA | PIN: Bibb2025!

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0	P1B55316	Q60300	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BRASWELL, JOYCE | PIN: Bibb2025!

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EMPLOYEE: BRIDGES, BEN | PIN: Bibb2025!

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0	B1098061	A-75200	CANCER	A-75003	H-L0046

EMPLOYEE: BRIDGES, BEN | PIN: Bibb2025!

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EMPLOYEE: BROADUS, KIMBERLY | PIN: Bibb2025!

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0	B3529501	A78200	CANCER	A780030GA	H-L0046

EMPLOYEE: BROADUS, KIMBERLY | PIN: Bibb2025!

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EMPLOYEE: BROCATO, SANDRA | PIN: Bibb2025!

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EMPLOYEE: BRONSON, MARISSA | PIN: Bibb2025!

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EMPLOYEE: BRONSON, MARISSA | PIN: Bibb2025!

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EMPLOYEE: BROWN, ANDRESA | PIN: Bibb2025!

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EMPLOYEE: BROWN, ANDRESA | PIN: Bibb2025!

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EMPLOYEE: BROWN, DIANA | PIN: Bibb2025!

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EMPLOYEE: BROWN, EUNDRA | PIN: Bibb2025!

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EMPLOYEE: BROWN, GENEVA | PIN: Bibb2025!

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EMPLOYEE: BROWN, GREGORY | PIN: Bibb2025!

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EMPLOYEE: BROWN, GREGORY | PIN: Bibb2025!

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EMPLOYEE: BROWN, GREGORY | PIN: Bibb2025!

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0	P1B54651	Q60300	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BROWN, MELANIE | PIN: Bibb2025!

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EMPLOYEE: BROWN, MELANIE | PIN: Bibb2025!

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EMPLOYEE: BROWN, RASHUNDRA | PIN: Bibb2025!

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EMPLOYEE: BROWN, RAVEN | PIN: Bibb2025!

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EMPLOYEE: BROWN, RENATA | PIN: Bibb2025!

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EMPLOYEE: BROWN, RENATA | PIN: Bibb2025!

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EMPLOYEE: BROWN, SHEANGELA | PIN: Bibb2025!

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EMPLOYEE: BROWN, SHIRLEY | PIN: Bibb2025!

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EMPLOYEE: BROWN, SHIRLEY | PIN: Bibb2025!

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EMPLOYEE: BROWN, SHIRLEY | PIN: Bibb2025!

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EMPLOYEE: BROWN, SHIRLEY | PIN: Bibb2025!

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EMPLOYEE: BROWN, SHUWANDA | PIN: Bibb2025!

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EMPLOYEE: BROWN, TERRELL | PIN: Bibb2025!

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EMPLOYEE: BROWN, TERRELL | PIN: Bibb2025!

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EMPLOYEE: BRUNDAGE, KENNETH | PIN: Bibb2025!

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EMPLOYEE: BRUNDAGE, KENNETH | PIN: Bibb2025!

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EMPLOYEE: BRUNDAGE, KENNETH | PIN: Bibb2025!

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EMPLOYEE: BRYAN, SHANNON | PIN: Bibb2025!

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EMPLOYEE: BRYAN, SHANNON | PIN: Bibb2025!

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EMPLOYEE: BRYAN, SHANNON | PIN: Bibb2025!

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EMPLOYEE: BRYANT, AHLEESHA | PIN: Bibb2025!

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EMPLOYEE: BRYANT, CALANDRA | PIN: Bibb2025!

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EMPLOYEE: BRYANT, CALANDRA | PIN: Bibb2025!

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EMPLOYEE: BRYANT, CHRISTIAN | PIN: Bibb2025!

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EMPLOYEE: BRYANT, SHERVITA | PIN: Bibb2025!

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EMPLOYEE: BRYANT, SHERVITA | PIN: Bibb2025!

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EMPLOYEE: BRYAN-WALKER, ELDA | PIN: Bibb2025!

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EMPLOYEE: BRYAN-WALKER, ELDA | PIN: Bibb2025!

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EMPLOYEE: BUCKHOLTZ, IRIS | PIN: Bibb2025!

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EMPLOYEE: BUCKNER, DIARA | PIN: Bibb2025!

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EMPLOYEE: BURGESS, SUSAN | PIN: Bibb2025!

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0	P1C9D5S6	Q60200	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BURNEY, LAQUISHA | PIN: Bibb2025!

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EMPLOYEE: BURNEY, OEISHA | PIN: Bibb2025!

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EMPLOYEE: BURTON, SHANA | PIN: Bibb2025!

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EMPLOYEE: BURTON, SHANA | PIN: Bibb2025!

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0	P1B546F8	Q60400	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BUSBEE, REBECCA | PIN: Bibb2025!

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0	P1B546Z7	Q60200	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BUTLER, ANGELA | PIN: Bibb2025!

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EMPLOYEE: BUTLER, ANGELA | PIN: Bibb2025!

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EMPLOYEE: BUTLER, ANGELA | PIN: Bibb2025!

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0	P1C9D6G9	Q60300	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BUTLER, SANDIE | PIN: Bibb2025!

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EMPLOYEE: BYRD, AREE | PIN: Bibb2025!

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0	B3588651	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BYRD, AREE | PIN: Bibb2025!

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0	P1B546A6	Q60400	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BYRD, EVELYN | PIN: Bibb2025!

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0	B3588702	B70100	CANCER	B70003GA	H-L0046

EMPLOYEE: BYRD, EVELYN | PIN: Bibb2025!

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0	P1B518W9	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: BYRD, EVELYN | PIN: Bibb2025!

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0	P1B546Y9	Q60300	PAYROLL LIFE	N/A	A64015

EMPLOYEE: BYRD, WILLIE | PIN: Bibb2025!

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EMPLOYEE: BYRD, WILLIE | PIN: Bibb2025!

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0	B3588652	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: CABINESS, RONISHIA | PIN: Bibb2025!

GROUP #	POLICY #	SERIES #	LINE OF BUSINESS NAME	ADDITION/REINSTATEMENT FORM	DELETION FORM

0	P1C9G029	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: CALDWELL, JUDITH | PIN: Bibb2025!

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0	B2559746	A76100	CANCER	A76003RGA	H-L0046

EMPLOYEE: CALDWELL, JUDITH | PIN: Bibb2025!

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EMPLOYEE: DRISKELL, HERMAN | PIN: Bibb2025!

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EMPLOYEE: DRISKELL, VALERIE | PIN: Bibb2025!

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EMPLOYEE: DRISKELL, VALERIE | PIN: Bibb2025!

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EMPLOYEE: DRISKELL, VALERIE | PIN: Bibb2025!

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EMPLOYEE: DUNCAN, CHANTELLE | PIN: Bibb2025!

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EMPLOYEE: DUPREE, JAMESHIA | PIN: Bibb2025!

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EMPLOYEE: EARLS, MADISYN | PIN: Bibb2025!

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EMPLOYEE: EDWARDS, BRANDI | PIN: Bibb2025!

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EMPLOYEE: EDWARDS, BRANDI | PIN: Bibb2025!

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EMPLOYEE: ELLINGTON, WARREN | PIN: Bibb2025!

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EMPLOYEE: ELLIOTT, LESLIE | PIN: Bibb2025!

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EMPLOYEE: ELLIOTT, LESLIE | PIN: Bibb2025!

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EMPLOYEE: ELLIOTT, LESLIE | PIN: Bibb2025!

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EMPLOYEE: ENGLISH, TIFFANY | PIN: Bibb2025!

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EMPLOYEE: ENGRAM, JACQULYN | PIN: Bibb2025!

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EMPLOYEE: ENNIS, KAREN | PIN: Bibb2025!

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EMPLOYEE: EUBANKS, PARIS | PIN: Bibb2025!

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EMPLOYEE: EUBANKS, PARIS | PIN: Bibb2025!

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0	P1C9D6F2	Q60400	PAYROLL LIFE	N/A	A64015

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0	P1A108B9	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: FOSTER, GARY | PIN: Bibb2025!

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EMPLOYEE: FOSTER, GARY | PIN: Bibb2025!

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0	P1C9D6L6	Q60400	PAYROLL LIFE	N/A	A64015

EMPLOYEE: FOSTER, ROBYN | PIN: Bibb2025!

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0	B3377881	A78200	CANCER	A780030GA	H-L0046

EMPLOYEE: FOSTER, TARCO | PIN: Bibb2025!

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EMPLOYEE: FOUST, RENEE | PIN: Bibb2025!

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EMPLOYEE: FOY, DARA | PIN: Bibb2025!

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EMPLOYEE: FRANKLIN, CHRISTINA | PIN: Bibb2025!

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0	B3528986	A363OF	ACCIDENT	A36003GA	H-L0046

EMPLOYEE: FRANKLIN, CONSUELLA | PIN: Bibb2025!

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0	P1B54639	Q60300	PAYROLL LIFE	N/A	A64015

EMPLOYEE: FRANKLIN-HARDEN, VALEKA | PIN: Bibb2025!

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EMPLOYEE: FRANKLIN-HARDEN, VALEKA | PIN: Bibb2025!

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EMPLOYEE: FRAZIER, EMANUEL | PIN: Bibb2025!

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EMPLOYEE: FREEMAN, LISA | PIN: Bibb2025!

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EMPLOYEE: FREEMAN, VICTOR | PIN: Bibb2025!

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EMPLOYEE: FRENCH, TIMOTHY | PIN: Bibb2025!

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EMPLOYEE: FUERNISS, RONALD | PIN: Bibb2025!

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0	B3168108	A78300	CANCER	A780030GA	H-L0046

EMPLOYEE: FUERNISS, RONALD | PIN: Bibb2025!

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EMPLOYEE: FULLER, CHARLIE | PIN: Bibb2025!

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EMPLOYEE: FULLER, CHARLIE | PIN: Bibb2025!

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EMPLOYEE: FULLER, CHERYL | PIN: Bibb2025!

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EMPLOYEE: FULLER, ERIC | PIN: Bibb2025!

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EMPLOYEE: FULLER, ERIC | PIN: Bibb2025!

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0	P1C9G062	B70200	CANCER	B70003GA	H-L0046

EMPLOYEE: FULLER, LUCRETIA | PIN: Bibb2025!

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EMPLOYEE: GAINES, SHAMERE | PIN: Bibb2025!

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EMPLOYEE: GAINEY, CATHERINE | PIN: Bibb2025!

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EMPLOYEE: GALES, VICKIE | PIN: Bibb2025!

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EMPLOYEE: GALES, VICKIE | PIN: Bibb2025!

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EMPLOYEE: GARNETT, KRISTIE | PIN: Bibb2025!

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EMPLOYEE: GARRETT-BOYD, LISA | PIN: Bibb2025!

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EMPLOYEE: GEIBEL, JENNIFER | PIN: Bibb2025!

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EMPLOYEE: GIBBS, COREY | PIN: Bibb2025!

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0	P1B54693	Q60300	PAYROLL LIFE	N/A	A64015

EMPLOYEE: GIBSON, ARRIKA | PIN: Bibb2025!

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EMPLOYEE: GIBSON, ARRIKA | PIN: Bibb2025!

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EMPLOYEE: GIBSON, ARRIKA | PIN: Bibb2025!

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0	P1B552W0	Q60400	PAYROLL LIFE	N/A	A64015

EMPLOYEE: GIBSON, KEIANNA | PIN: Bibb2025!

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EMPLOYEE: GIBSON, LONZIE | PIN: Bibb2025!

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EMPLOYEE: GIBSON, REENE | PIN: Bibb2025!

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EMPLOYEE: GIBSON, REENE | PIN: Bibb2025!

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EMPLOYEE: GIBSON, SHANDREKA | PIN: Bibb2025!

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EMPLOYEE: GIBSON, SHANDREKA | PIN: Bibb2025!

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EMPLOYEE: GIEGLER, JENNIFER | PIN: Bibb2025!

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EMPLOYEE: GIEGLER, MATTHEW | PIN: Bibb2025!

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EMPLOYEE: GIEGLER, MATTHEW | PIN: Bibb2025!

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EMPLOYEE: GILBERT, LASHONDA | PIN: Bibb2025!

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EMPLOYEE: GILBERT, LASHONDA | PIN: Bibb2025!

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EMPLOYEE: GILBERT, MARVIN | PIN: Bibb2025!

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EMPLOYEE: GILBERT, MARVIN | PIN: Bibb2025!

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EMPLOYEE: GILBERT, MARVIN | PIN: Bibb2025!

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EMPLOYEE: GILLIS, JANESEIA | PIN: Bibb2025!

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EMPLOYEE: GITSCHLAG, AMY | PIN: Bibb2025!

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EMPLOYEE: GITSCHLAG, AMY | PIN: Bibb2025!

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EMPLOYEE: GITTENS, LATRICIA | PIN: Bibb2025!

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EMPLOYEE: GITTENS, LATRICIA | PIN: Bibb2025!

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EMPLOYEE: GLANTON, CARLA | PIN: Bibb2025!

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EMPLOYEE: GLOVER, ANASTASHIA | PIN: Bibb2025!

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0	P1B552U4	Q60400	PAYROLL LIFE	N/A	A64015

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0	P1B553L1	A363OF	ACCIDENT	A36003GA	H-L0046

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0	P1B553B8	Q60300	PAYROLL LIFE	N/A	A64015

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0	P1B546C1	Q60400	PAYROLL LIFE	N/A	A64015

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0	B1675223	A-34400	ACCIDENT	A-34003	H-L0046

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