Lead Type: Group Health
Date Received: 01/05/2006
Contact Information:
Business Name: ViewSpace Index Company
Contact Name: Ezio Batta
Address: 73-15 88th Street Glendale, NY 1385
Phone Number: 718-275-1168
Fax: 718-275-1104
Email: ezio88@aol.com
Business Information:
Industry: Plastics Product Manufacturing
Nature of business: Manufactured products from plastic sheeting and paper, ie: index tabs
Number of owners: 1
Number of FT emp: 9
Number of PT emp: 2
Number of subs: 0
Insurance and Underwriting Information:
Currently insured for Health?: Yes
If yes, Carrier: Aetna
Expiration date: 03/31/2006
Plan Features:
Date Needed: 04/01/2006
Census:
EE=Employee EC=Employee & Child ES=Employee & Spouse FM=Family
WV=Waive all Coverage
Emp# Sex DOB or Age Health Dental
---- ---- ---------- ------ ------
1 M 44 FM FM
2 M 53 EE EE
3 F 29 ES ES
4 M 40 EE EE
5 F 23 EE EE
6 F 44 FM FM
7 F 33 ES ES
8 M 39 EE EE
9 F 56 EE EE
10 F 28 EE EE
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