ADMINISTRATION PROVIDED BY:Diversified GroupPO Box 299Marlborough, CT 06447860-295-0238 x 391Toll free 888-322-2524Transportation Fringe Benefit Plan • October 20th, 2016
Mass 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 $255.00 per month.
ADMINISTRATION PROVIDED BY:Diversified Administration CorporationPO Box 299, Marlborough, CT 06447860-295-0238, toll free 888-322-2524Transportation Fringe Benefit Plan • November 4th, 2013
Mass 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.
ADMINISTRATION PROVIDED BY:Transportation Fringe Benefit Plan • October 28th, 2022
ADMINISTRATION PROVIDED BY:Transportation Fringe Benefit Plan • November 2nd, 2020
