Affordable Care Act
Starting in 2014, all individuals are required to have minimum essential coverage, which includes all Uniformed Service Members (Active duty, selective reserve, orretired reserved) and their eligible family members. As a Tricare beneficiary, you have minimum essential coverage with Tricare.
Retiree Account Statement
Statement Effective Date New Pay Due as of Last 4ssn
January 21, 2015 January 30, 2015 *** ** 1855
Please Remember to Notify DFAS if your address changes
LT Joseph Albano Buenviaje
3455 Senn Road
San Diego, CA. 92136
DFAS - CL Point of Contact
Defense Finance And Accounting Service
US Military Retirement Pay
P. O. Box 7130
London, KY 40742- 7130
COMMERCIAL: 216-522-5955
TOLL FREE: 1-800-321-3080
TOLL FREE FAX: 1-800-469-6999
PAY ITEM DESCRIPTION
Gross Pay: $2,375.00
SBP Costs: $ 274.00
Taxable Income $2,101.00
FITW: $ 121.60
Allotments/Bonds $ 350.00
Debt Relief: $ 299.00
Car Payment $ 330.40
Net Pay $ 1,000.00
Payment Address
Direct Deposit
Year to date summary (for information only)
Taxable Income: $2,101.00
Federal Income Tax Withheld: $ 121.60
Taxes
Federal Withholding Status: Single
Total Exemptions: 1
Federal Income Tax Withheld: $ 121.60
This is your monthly retiree account statement. It summarizes the state of your account as of the date shown. Please review your address, banking, beneficiary, pay and allotment information regularly.