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    Check Stub 1

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    jakesiagriffin
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    11 views1 page

    Check Stub 1

    Uploaded by

    jakesiagriffin

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    of 1

    Optum Services, Inc Pay Group: O16-OSI Bi-Weekly Payroll Business Unit: UHGID

    OPERATING AS: OPTUM Pay Begin Date: 12/31/2023 Advice #: 000000059163090


    ATTN--OPERATIONS, MN008-B213 Pay End Date: 01/13/2024 Advice Date: 01/19/2024
    9900 BREN ROAD EAST
    MINNETONKA, MN 55343 (800)561-0861 Employer ID: 454683454
    TAX DATA: Federal TX State TX State
    JAKESIA GRIFFIN Employee ID: 001837162 Resident Work
    230 UVALDE RD Department: 85310-OptumRx PBM Operations Marital Status: Single N/A N/A
    APT 492 Location: TX TELECOMMUTER Allowances: N/A 0 0
    HOUSTON, TX 77015 Job Title: Sr Pharm PA/Appeals Technician
    % Gross AZ:
    Pay Rate: $21.300000 Hourly
    FLSA Status: Nonexempt Addl.
    Amount:

    HOURS AND EARNINGS TAXES


    ------------------ Current ------------------- ---------- YTD -------------
    Description Rate Hours Earnings Hours Earnings Description Current YTD
    Company Paid Holiday Hours 21.300000 8.00 170.40 16.00 340.80 Fed Withholdng 158.88 311.12
    Regular 21.300000 74.55 1,587.92 142.60 3,037.39 Fed MED/EE 29.60 57.88
    Shift Differential Hours @20% 4.260000 45.00 191.70 45.00 191.70 Fed OASDI/EE 126.54 247.47
    Shift Differential Hours @ 7% 1.491000 16.15 24.08 32.28 48.13
    Overtime-FLSA 1.68 55.54 9.01 290.67
    Unpaid Time Off 21.300000 1.82 38.77 1.82 38.77
    Unplanned PTO 0.00 4.00 85.20

    TOTAL: 147.20 2,029.64 250.71 3,993.89 TOTAL: 315.02 616.47

    BEFORE-TAX DEDUCTIONS AFTER-TAX DEDUCTIONS EMPLOYER PAID BENEFITS


    Description Current YTD Description Current YTD Description Current YTD
    401(K) Savings Plan 60.89 119.82 Critical Illness-Employee 0.25 0.50 401(K) Savings Plan 60.89 119.82
    401(K) Savings Plan 20.30 39.94 401(K) Savings Plan 10.15 19.97
    Dental Pre-Tax 3.31 6.62 Employer Contribution HSA 19.23 38.46
    Medical Pre-Tax 30.46 60.92 GTL Imputed Income* 1.11 2.22
    Prior Year Premium Discount -50.00 -50.00 Peloton Imputed Income* 0.00 24.72
    Vision Pre-Tax 5.88 11.76
    TOTAL: 70.84 189.06 TOTAL: 0.25 0.50 *TAXABLE

    TOTAL GROSS FED TAXABLE GROSS TOTAL TAXES TOTAL DEDUCTIONS NET PAY
    Current 2,029.64 1,959.91 315.02 71.09 1,643.53
    YTD 3,993.89 3,831.77 616.47 189.56 3,187.86
    LEAVE PLAN NET PAY DISTRIBUTION
    Paid Time Off: 20.99 Payment Type Account Type Account Number Amount
    Purchased PTO: 0.00 Advice #000000059163090 Checking *********2613 50.00
    Sick: 0.00 Checking **********5718 1,593.53
    Float Hol: 8.00

    TOTAL: 1,643.53

    Please note that overtime is calculated after 40 hours worked in a week. Holiday pay and PTO are not considered hours worked.

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