Billing and Payments
Billing and Payments / List Bill
It is YOUR responsibility as the policyholder to ensure that premiums are only being paid for individuals who meet the eligibility requirements stated in your P...
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Combined Bill GL158998 for January
GL158998
Combined Bill
Monthly E-Bill
Generated on 02/01/2025
Not Finalized
Billing Period
01/01/2025 - 01/31/2025
Due on 01/01/2025
Invoice
Remittance Coupon
Total Amount Due
$4,690.34
Policy #GL158998 - Life
Policy #LTD129730 - Disability
Policy #STD56082 - Disability
Current Premium$620.01
Current Premium$1,899.23
Current Premium$945.59
Due and Unpaid$5,363.81
Premium Adjustments$0.00
Total Premium$7,728.64
Less Payment Received$3,038.30
Total Amount Due$4,690.34
List Bill Details
All adjustments made will reflect once the bill is Recalculated / Finalized
Members (10)
| Name | Date Of Birth | Total Premium $2,364.84 |
|---|---|---|
| Doe, Portland - 550 Main St, 2285 SE 45th Ave, Portland, OR 97030, 64 | 02/26/2002 | $0.02 |
| Doe, Hartford - 100 Main St, 2285 SE 45th Ave, Hartford, CT 06103, 58 | 07/08/1988 | $0.02 |
| Doe, Portland - 550 Main St, 2285 SE 45th Ave, Portland, OR 97030, 41 | 03/09/2002 | $0.02 |
| Doe, Salem - 12 River Rd, 884 King St, Salem, OR 97301, 37 | 11/14/1989 | $0.02 |
| Doe, Eugene - 9 Oak Ln, 44 Pearl St, Eugene, OR 97401, 29 | 05/30/1997 | $0.02 |
| Doe, Bend - 301 Pine St, 17 Wall St, Bend, OR 97701, 52 | 09/02/1974 | $0.02 |