ADMINISTRATION PROVIDED BY:Diversified Administration CorporationPO Box 299, Marlborough, CT 06447860-295-0238, toll free 888-322-2524Transportation Fringe Benefit Plan • November 4th, 2013
Contract Type FiledNovember 4th, 2013Mass Transit: I authorize my Employer to deduct $ /per pay for a total of $ / per month for a Mass Transit Account on a pre-tax basis from my paycheck up to a maximum of $130.00 per month.