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Employee Census — Acme Corp
Manage employee enrollment records, dependents, and coverage elections
Total Employees
220
Enrolled
156
Pending
18
Waived
34
Terminated
12
Employee Records
NameEE IDSSNDOBHire DateDeptDepsPlanTierStatus
Adams, JenniferEE-1001***-**-452107/15/198203/01/2018Marketing2HMO GoldFamilyEnrolled
DEPENDENTS
NameRelationshipDOBAgeCoverage
Michael AdamsSpouse05/22/198045HMO Gold
Sophie AdamsChild09/10/201213HMO Gold
Barrera, CarlosEE-1002***-**-783211/03/199006/15/2021Engineering0HMO SilverEE OnlyEnrolled

No dependents on file.

Chen, LindaEE-1003***-**-229104/28/197809/01/2015Finance3HMO GoldFamilyEnrolled
NameRelationshipDOBAgeCoverage
David ChenSpouse03/14/197650HMO Gold
Emma ChenChild08/02/200817HMO Gold
Liam ChenChild01/19/201115HMO Gold
Diaz, RosaEE-1004***-**-904102/14/198501/10/2020Operations1HMO SilverEE+SpouseEnrolled
NameRelationshipDOBAgeCoverage
Marco DiazSpouse06/30/198342HMO Silver
Evans, MarkEE-1005***-**-331708/22/199503/15/2023Sales0——Pending

Enrollment pending — awaiting employee election form submission. Open enrollment deadline: Nov 30, 2026.

Flores, MariaEE-1006***-**-558412/01/198807/01/2019HR2HMO GoldEE+ChildEnrolled
NameRelationshipDOBAgeCoverage
Ana FloresChild05/10/201511HMO Gold
Juan FloresChild11/27/20178HMO Gold
Garcia, RobertoEE-1007***-**-112206/18/197011/01/2010IT0——Waived

Coverage waived — employee has coverage through spouse's plan. Waiver on file.

Harris, SusanEE-1008***-**-667309/07/198104/15/2016Legal1PPO SilverEE+ChildEnrolled
NameRelationshipDOBAgeCoverage
Tyler HarrisChild03/21/201412PPO Silver
Ingram, DerekEE-1009***-**-884103/30/199208/20/2024Engineering0——Pending

New hire — 30-day waiting period ends Sep 19, 2024. Enrollment window opens Sep 20.

Johnson, AishaEE-1010***-**-223407/04/197502/01/2012Executive3HMO GoldFamilyEnrolled
NameRelationshipDOBAgeCoverage
Calvin JohnsonSpouse05/12/197353HMO Gold
Zoe JohnsonChild02/08/200521HMO Gold
Noah JohnsonChild09/30/200916HMO Gold
Kim, JennyEE-1011***-**-441201/22/199305/01/2022Marketing0HMO SilverEE OnlyEnrolled

No dependents enrolled.

Lewis, RobertEE-1012***-**-776204/15/196810/01/2008Operations0——Terminated

Employment terminated Aug 15, 2026. COBRA notice sent Aug 16, 2026.

Martinez, AnaEE-1013***-**-331208/12/198701/15/2020Finance2HMO GoldEE+ChildEnrolled
NameRelationshipDOBAgeCoverage
Sofia MartinezChild06/18/201610HMO Gold
Diego MartinezChild11/04/20187HMO Gold
Nelson, PaulEE-1014***-**-992305/28/198007/15/2017IT1HMO SilverEE+SpouseEnrolled
NameRelationshipDOBAgeCoverage
Tracy NelsonSpouse09/17/198144HMO Silver
Ortega, MiguelEE-1015***-**-664110/30/199611/15/2024Sales0——Pending

New hire. Enrollment window opens Dec 15, 2024.

Patel, RaviEE-1016***-**-118703/05/198904/01/2021Engineering0——Waived

Waived. Covered under VA benefits. Waiver form on file.

Quinn, RachelEE-1017***-**-552309/19/198406/01/2019HR2HMO GoldFamilyEnrolled
NameRelationshipDOBAgeCoverage
James QuinnSpouse11/11/198243HMO Gold
Lily QuinnChild04/14/201313HMO Gold
Smith, DerrickEE-1018***-**-881201/11/197403/20/2006Executive0PPO SilverEE OnlyEnrolled

No dependents on file.

Torres, ElenaEE-1019***-**-334106/25/199101/01/2023Legal0HMO SilverEE OnlyEnrolled

No dependents on file.

Vega, TomásEE-1020***-**-771812/08/197908/01/2013Operations3HMO GoldFamilyEnrolled
NameRelationshipDOBAgeCoverage
Carmen VegaSpouse07/15/198145HMO Gold
Isabella VegaChild03/30/201016HMO Gold
Marco VegaChild09/05/201312HMO Gold
Change Report
This Month
+
New Hires 3
Ortega M., Ingram D., Yuen K.
−
Terminations 2
Lewis R., Wong P.
!
Life Events (QLE) 1
Flores M. — New dependent added
Import Options
📂
Drag & drop census file
CSV or Excel (.xlsx)
AI Assistant
About the Census ▾

The Employee Census contains all employee and dependent enrollment data for this employer group. Changes here directly affect billing and coverage.

SSN Masking ▾

Social Security Numbers are masked for display (***-**-XXXX). Full SSNs are accessible to authorized users only via audit-logged view.

Status Definitions ▾
  • Enrolled: Active coverage elected and effective.
  • Pending: In waiting period or form not submitted.
  • Waived: Employee declined coverage with waiver on file.
  • Terminated: Employment ended; COBRA notice triggered.
Importing Census Data ▾

Download the template, populate with employee data, then upload. The system will flag duplicates and missing required fields before import.

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