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DW
Dana Whitfield
Tamarack Benefit Partners
12 active ICHRA groups

Gideon P.

Ridgeway Precision Machining  ·  Enrolled
GP

Gideon P.

Ridgeway Precision Machining · employee RID-110
Date of birth 08/04/1999 Gender Female Tobacco No State CO
Address 287 Elk Meadow Trail, Loveland, CO Phone (970) 555-0407
1covered
Carrier Kaiser Permanente Plan Bronze HMO 7000 Metal Bronze Coverage start Jan 1, 2026 Covering Employee only
Monthly premium
$441
Bronze HMO 7000
Employer pays
$420
Reference plan — 70% of the lowest Silver
They pay
$21
about $10 a paycheck, 26 a year

Household

Who the allowance has to stretch across
EmployeeGideon P.
Spouse coveredNo
Dependants covered0
Reimbursement tierEmployee only

Paperwork

What this person has signed
ICHRA Notice (90 day)On file
Annual Coverage AttestationOn file
Plan WaiverNot applicable
Form 1095Due 28 Feb 2027
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