KERTAS KERJA PERHITUNGAN IURAN JAMINAN KESEHATAN TENAGA KONTRAK APBD/PPNPN PEMERINTAH PROVINSI/KABUPATEN/KOTA……

Bulan : Agustus

NIK NIP Nomor Kartu Jumlah Jumlah Penghasilan Tunjangan Total Take
No. No. SK Nama Pegawai (Nomor Induk Segmen Ket. Gagal Istri/ Tetap (Minimal Lainnya Home Pay
(Nomor Induk Pegawai) (NOKA) Anak
Kependudukan) Suami UMK/UMP) (jika ada) (THP)

1 2 3 4 5 6 7 8 9 10=8+9

Mohon mengisi Surat Pengunduran Diri PBI TTD

ADRIANUS LAKI, S.Pd 5316011402830001 198302242022211007 0002109234947 PBI APBD Aktif
1 814.1/0405/BKD2.1/P3KG/2022 materai 10000 - - 2,966,500 185,000 3,151,500
2 814.1/0061/BKD2.1/P3KG/2022 ASTERIUS BATU, S.Sos 5316061010750003 197510102022211011 0001890396729 PPPK Aktif - - 2,966,500 185,000 3,151,500
Mohon mengisi Surat Pengunduran Diri PBI TTD
EMERENTIANA GOWA, S.Pd 5316017010830003 198310302022212021 0002108485822 PBI APBD Aktif
3 814.1/0491/BKD2.1/P3KG/2022 materai 10000 - - 2,966,500 185,000 3,151,500
4 814.1/0411/BKD2.1/P3KG/2022 FRANSISKUS MBAWO, S.Pd 5316010903830001 198303092022211006 0002820336142 PPPK Aktif - - 2,966,500 185,000 3,151,500
5 814.1/0032/BKD2.1/P3KG/2022 KRISTIANUS JADA, SE 5316070609690001 196909062022211001 0002496258898 PPPK Aktif - - 2,966,500 185,000 3,151,500
6 814.1/0433/BKD2.1/P3KG/2022 MUHAMMAD, S.Pd.I 5310110107830016 198302282022211010 Belum terdaftar Konfirmasi mau daftar faskesnya di mana? - - 2,966,500 185,000 3,151,500
7 814.1/0289/BKD2.1/P3KG/2022 MONIKA ONO, S.Sos 5316066111810001 198111212022212015 0002496258549 PPPK Aktif - - 2,966,500 185,000 3,151,500
8 814.1/0785/BKD2.1/P3KG/2022 MARIA ANGELINA ASO, S.Pd 5316035203860001 198603122022212044 0002940351039 PPPK Aktif - - 2,966,500 185,000 3,151,500
9 814.1/0056/BKD2.1/P3KG/2022 MELFINA KEKE, S.Pd 5316015912760001 197612192022212006 0002419708836 PPPK Aktif - - 2,966,500 185,000 3,151,500
10 814.1/1080/BKD2.1/P3KG/2022 MARIA MEI BAI WEA, S.Pd 5371055205900003 199005122022212028 Belum terdaftar Konfirmasi mau daftar faskesnya di mana? - - 2,966,500 185,000 3,151,500
11 814.1/1019/BKD2.1/P3KG/2022 YOHANES EMERIK ALFRED RENGGU, S.S 5308172504890002 198904252022211014 0003046060899 PPPK Aktif - - 2,966,500 185,000 3,151,500
12 814.1/0915/BKD2.1/P3KG/2022 FRANSISKA SOO, S.Pd 53525105309870004 198709132022212015 0003080862764 PPPK Aktif - - 2,966,500 185,000 3,151,500
13 814.1/1087/BKD2.1/P3KG/2022 WILFRIDUS MEOMOI, S.Pd 5316041502900001 199002152022211012 Belum terdaftar Konfirmasi mau daftar faskesnya di mana? - - 2,966,500 185,000 3,151,500
14 814.1/1094/BKD2.1/P3KG/2022 MARIANUS TEPU, S.Pd 5316012907900001 199007292022211008 0002820334566 PPPK Aktif - - 2,966,500 185,000 3,151,500
15 814.1/0485/BKD2.1/P3KG/2022 KLADIUS SIGA, S.T 5316010811830006 198311082022211006 0002221736422 PPPK Aktif - - 2,966,500 185,000 3,151,500
16 814.1/1384/BKD2.1/P3KG/2022 MARIANA APRILINA TITU, S.Pd 5371024304960003 199604032022212017 0000164130467 PPPK Aktif - - 2,966,500 185,000 3,151,500
17 814.1/1386/BKD2.1/P3KG/2022 KURRATU A'YUN, S.Pd 5206031312940002 199412032022212019 0002858244142 PPPK Aktif - - 2,966,500 185,000 3,151,500
18 814.1/1314/BKD2.1/P3KG/2022 PERPETUA HELENA NGURA, S.Pd 5308194201940002 199401022022212023 0000166041202 PPPK Aktif - - 2,966,500 185,000 3,151,500
19 814.1/1176/BKD2.1/P3KG/2022 JUMADIN RAMADHAN, S.Pd 5316011703910001 199103172022211008 0002763361574 PPPK Aktif - - 2,966,500 185,000 3,151,500
20 814.1/0884/BKD2.1/P3KG/2022 FREDERIKUS JAWA, S.Pd 5316060406870001 198706042022211005 0000869096057 PPPK Aktif - - 2,966,500 185,000 3,151,500
21 814.1/0830/BKD2.1/P3KG/2022 MARIA GORETY KAE, S.Ag 5309154805860002 198605082022212051 0002496266201 PPPK Aktif - - 2,966,500 185,000 3,151,500
22 814.1/0741/BKD2.1/P3KG/2022 KRISPINUS AJA, S.Pd 5316020410850001 198510042022211017 0002486850085 PPPK Aktif - - 2,966,500 185,000 3,151,500
23 814.1/0748/BKD2.1/P3KG/2022 MARIA KRISTIANA DEGA, S.Pd 5316075502860001 198602152022212032 0002957008421 PPPK Aktif - - 2,966,500 185,000 3,151,500
24 814.1/0731/BKD2.1/P3KG/2022 RAHMATIA, S.Pd 5316014401860001 198601042022212020 0002743639942 PPPK Aktif - - 2,966,500 185,000 3,151,500
25 814.1/1270/BKD2.1/P3KG/2022 SOFIA SEVILA HENDRIKA SOO, S.Pd 5309064412920003 199312042022212024 0000151152041 PPPK Aktif - - 2,966,500 185,000 3,151,500
Mohon mengisi Surat Pengunduran Diri PBI TTD
NICODEMUS TERRU LEO, S.Pd 5316030711890003 198911072022211010 0001578356796 PBI APBD Aktif
26 814.1/1059/BKD2.1/P3KG/2022 materai 10000 - - 2,966,500 185,000 3,151,500
27 814.1/0676/BKD2.1/P3KG/2022 KAMILUS UKU, S.Pd 5316051407850001 198507142022211011 0002866679201 PPPK Aktif - - 2,966,500 185,000 3,151,500
Mohon mengisi Surat Pengunduran Diri PBI TTD
YASINTA ENGA, S.Pd 5316054812860001 198610082022212022 0002409621838 PBI APBD Aktif
28 814.1/0809/BKD2.1/P3KG/2022 materai 10000 - - 2,966,500 185,000 3,151,500
29 814.1/0387/BKD2.1/P3KG/2022 BERNADETE TAI, S.Pt 5309014609820001 198209062022212016 0000863257419 PPPK Aktif - - 2,966,500 185,000 3,151,500
Mohon mengisi Surat Pengunduran Diri PBI TTD
YOHANES SOBA, S.Pd 5316010310850002 198510032022211009 0002109243846 PBI APBD Aktif
30 814.1/0700/BKD2.1/P3KG/2022 materai 10000 - - 2,966,500 185,000 3,151,500
31 814.1/0108/BKD2.1/P3KG/2022 SONYA DESBIANA KUSTINI MBA'U, S.Pd 5309145212770001 197712122022212006 0000206773648 PPPK Aktif - - 2,966,500 185,000 3,151,500
32 814.1/0147/BKD2.1/P3KG/2022 ANTONIUS TIA, S.Pt 53090616780001 197801162022211003 0002107330356 PPPK Aktif - - 2,966,500 185,000 3,151,500
33 814.1/0523/BKD2.1/P3KG/2022 LIDWINA LIDI, S.Pd 5316016006840005 198406202022212028 0002239193395 PPPK Aktif - - 2,966,500 185,000 3,151,500
34 814.1/0510/BKD2.1/P3KG/2022 EFREM GUNTUAL, S.Pd 5316010806840001 198406082022211014 0000210435759 PPPK Aktif - - 2,966,500 185,000 3,151,500
35 814.1/0198/BKD2.1/P3KG/2022 MARIA IMELDA DADA, SE 5316014612780004 197812062022212009 Belum terdaftar Konfirmasi mau daftar faskesnya di mana? - - 2,966,500 185,000 3,151,500
36 814.1/0195/BKD2.1/P3KG/2022 VINSENSIUS KIBO LADO, STP 5316071007790001 197907102022211010 0000199173778 PPPK Aktif - - 2,966,500 185,000 3,151,500
37 814.1/0107/BKD2.1/P3KG/2022 ELISABETH SELA, S.Pd 5316035406770001 197706142022212008 0000194949066 PPPK Aktif - - 2,966,500 185,000 3,151,500
38 814.1/0960/BKD2.1/P3KG/2022 ELISABETH PASU, S.Pd 5371044307880009 198807032022212009 Belum terdaftar Konfirmasi mau daftar faskesnya di mana? - - 2,966,500 185,000 3,151,500
39 814.1/0135/BKD2.1/P3KG/2022 ESTER MEN, S.Pd 5316016907780001 197807292022212006 Belum terdaftar Konfirmasi mau daftar faskesnya di mana? - - 2,966,500 185,000 3,151,500
Total - - 115,693,500 7,215,000 122,908,500

Catatan: Mohon untuk tidak menginsert kolom ataupun mengubah rumus pada kolom yang berwarna orange. Silahkan menginsert row untuk menambahkan rincian pegawai
 Dasar Fasilitas Kesehatan Tingkat Pertama
Perhitungan Iuran 1% Iuran 4% Total Iuran 5% No HP (Puskesmas/Dokter
Iuran (DPI) Keluarga/Klinik)

11=10 dengan maksimal 12 juta12=11x1% 13=11x4% 14=13+14 15 16

081237955042
3,151,500 31,515 126,060 157,575
3,151,500 31,515 126,060 157,575 082144497460
081339017817
3,151,500 31,515 126,060 157,575
3,151,500 31,515 126,060 157,575 081339773669
3,151,500 31,515 126,060 157,575 081236728369
3,151,500 31,515 126,060 157,575 082145965192
3,151,500 31,515 126,060 157,575 081238986991
3,151,500 31,515 126,060 157,575 081339626253
3,151,500 31,515 126,060 157,575 081239222212
3,151,500 31,515 126,060 157,575 081353258068
3,151,500 31,515 126,060 157,575 085253174477
3,151,500 31,515 126,060 157,575 082145837465
3,151,500 31,515 126,060 157,575 081236124972
3,151,500 31,515 126,060 157,575 082236058290
3,151,500 31,515 126,060 157,575 085259487151
3,151,500 31,515 126,060 157,575 085205943288
3,151,500 31,515 126,060 157,575 082145311546
3,151,500 31,515 126,060 157,575 081246493976
3,151,500 31,515 126,060 157,575 085240453417
3,151,500 31,515 126,060 157,575 082339969940
3,151,500 31,515 126,060 157,575 082339566205
3,151,500 31,515 126,060 157,575 0853339145533
3,151,500 31,515 126,060 157,575 081248330382
3,151,500 31,515 126,060 157,575 081238976973
3,151,500 31,515 126,060 157,575 081236005734

081338747505
3,151,500 31,515 126,060 157,575
3,151,500 31,515 126,060 157,575 085238987811
081256568984
3,151,500 31,515 126,060 157,575
3,151,500 31,515 126,060 157,575 081338475242
081239396310
3,151,500 31,515 126,060 157,575
3,151,500 31,515 126,060 157,575 081269383329
3,151,500 31,515 126,060 157,575 081269383329
3,151,500 31,515 126,060 157,575 082247400696
3,151,500 31,515 126,060 157,575 082339313184
3,151,500 31,515 126,060 157,575 081236714422
3,151,500 31,515 126,060 157,575 082146749233
3,151,500 31,515 126,060 157,575 081246754183
3,151,500 31,515 126,060 157,575 085205456482
 3,151,500 31,515 126,060 157,575 081238347204
122,908,500 1,229,085 4,916,340 6,145,425
1 814.1/ 0405 /BKD2.1/P3KG/2022 814.1/0405/BKD2.1/P3KG/2022
2 814.1/ 0061 /BKD2.1/P3KG/2022 814.1/0061/BKD2.1/P3KG/2022
3 814.1/ 0491 /BKD2.1/P3KG/2022 814.1/0491/BKD2.1/P3KG/2022
4 814.1/ 0411 /BKD2.1/P3KG/2022 814.1/0411/BKD2.1/P3KG/2022
5 814.1/ 0032 /BKD2.1/P3KG/2022 814.1/0032/BKD2.1/P3KG/2022
6 814.1/ 0433 /BKD2.1/P3KG/2022 814.1/0433/BKD2.1/P3KG/2022
7 814.1/ 0289 /BKD2.1/P3KG/2022 814.1/0289/BKD2.1/P3KG/2022
8 814.1/ 0785 /BKD2.1/P3KG/2022 814.1/0785/BKD2.1/P3KG/2022
9 814.1/ 0056 /BKD2.1/P3KG/2022 814.1/0056/BKD2.1/P3KG/2022
10 814.1/ 1080 /BKD2.1/P3KG/2022 814.1/1080/BKD2.1/P3KG/2022
11 814.1/ 1019 /BKD2.1/P3KG/2022 814.1/1019/BKD2.1/P3KG/2022
12 814.1/ 0915 /BKD2.1/P3KG/2022 814.1/0915/BKD2.1/P3KG/2022
13 814.1/ 1087 /BKD2.1/P3KG/2022 814.1/1087/BKD2.1/P3KG/2022
14 814.1/ 1094 /BKD2.1/P3KG/2022 814.1/1094/BKD2.1/P3KG/2022
15 814.1/ 0485 /BKD2.1/P3KG/2022 814.1/0485/BKD2.1/P3KG/2022
16 814.1/ 1384 /BKD2.1/P3KG/2022 814.1/1384/BKD2.1/P3KG/2022
17 814.1/ 1386 /BKD2.1/P3KG/2022 814.1/1386/BKD2.1/P3KG/2022
18 814.1/ 1314 /BKD2.1/P3KG/2022 814.1/1314/BKD2.1/P3KG/2022
19 814.1/ 1176 /BKD2.1/P3KG/2022 814.1/1176/BKD2.1/P3KG/2022
20 814.1/ 0884 /BKD2.1/P3KG/2022 814.1/0884/BKD2.1/P3KG/2022
21 814.1/ 0830 /BKD2.1/P3KG/2022 814.1/0830/BKD2.1/P3KG/2022
22 814.1/ 0741 /BKD2.1/P3KG/2022 814.1/0741/BKD2.1/P3KG/2022
23 814.1/ 0748 /BKD2.1/P3KG/2022 814.1/0748/BKD2.1/P3KG/2022
24 814.1/ 0731 /BKD2.1/P3KG/2022 814.1/0731/BKD2.1/P3KG/2022
25 814.1/ 1270 /BKD2.1/P3KG/2022 814.1/1270/BKD2.1/P3KG/2022
26 814.1/ 1059 /BKD2.1/P3KG/2022 814.1/1059/BKD2.1/P3KG/2022
27 814.1/ 0676 /BKD2.1/P3KG/2022 814.1/0676/BKD2.1/P3KG/2022
28 814.1/ 0809 /BKD2.1/P3KG/2022 814.1/0809/BKD2.1/P3KG/2022
29 814.1/ 0387 /BKD2.1/P3KG/2022 814.1/0387/BKD2.1/P3KG/2022
30 814.1/ 0700 /BKD2.1/P3KG/2022 814.1/0700/BKD2.1/P3KG/2022
31 814.1/ 0108 /BKD2.1/P3KG/2022 814.1/0108/BKD2.1/P3KG/2022
32 814.1/ 0147 /BKD2.1/P3KG/2022 814.1/0147/BKD2.1/P3KG/2022
33 814.1/ 0523 /BKD2.1/P3KG/2022 814.1/0523/BKD2.1/P3KG/2022
34 814.1/ 0510 /BKD2.1/P3KG/2022 814.1/0510/BKD2.1/P3KG/2022
35 814.1/ 0198 /BKD2.1/P3KG/2022 814.1/0198/BKD2.1/P3KG/2022
36 814.1/ 0195 /BKD2.1/P3KG/2022 814.1/0195/BKD2.1/P3KG/2022
37 814.1/ 0107 /BKD2.1/P3KG/2022 814.1/0107/BKD2.1/P3KG/2022
38 814.1/ 0960 /BKD2.1/P3KG/2022 814.1/0960/BKD2.1/P3KG/2022
39 814.1/ 0135 /BKD2.1/P3KG/2022 814.1/0135/BKD2.1/P3KG/2022
ADRIANUS LAKI, S.Pd
ASTERIUS BATU, S.Sos
EMERENTIANA GOWA, S.Pd
FRANSISKUS MBAWO, S.Pd
KRISTIANUS JADA, SE
MUHAMMAD, S.Pd.I
MONIKA ONO, S.Sos
MARIA ANGELINA ASO, S.Pd
MELFINA KEKE, S.Pd
MARIA MEI BAI WEA, S.Pd
YOHANES EMERIK ALFRED RENGGU, S.S
FRANSISKA SOO, S.Pd
WILFRIDUS MEOMOI, S.Pd
MARIANUS TEPU, S.Pd
KLADIUS SIGA, S.T
MARIANA APRILINA TITU, S.Pd
KURRATU A'YUN, S.Pd
PERPETUA HELENA NGURA, S.Pd
JUMADIN RAMADHAN, S.Pd
FREDERIKUS JAWA, S.Pd
MARIA GORETY KAE, S.Ag
KRISPINUS AJA, S.Pd
MARIA KRISTIANA DEGA, S.Pd
RAHMATIA, S.Pd
SOFIA SEVILA HENDRIKA SOO, S.Pd
NICODEMUS TERRU LEO, S.Pd
KAMILUS UKU, S.Pd
YASINTA ENGA, S.Pd
BERNADETE TAI, S.Pt
YOHANES SOBA, S.Pd
SONYA DESBIANA KUSTINI MBA'U, S.Pd
ANTONIUS TIA, S.Pt
LIDWINA LIDI, S.Pd
EFREM GUNTUAL, S.Pd
MARIA IMELDA DADA, SE
VINSENSIUS KIBO LADO, STP
ELISABETH SELA, S.Pd
ELISABETH PASU, S.Pd
ESTER MEN, S.Pd
Rekapan BA Rekon Kabupaten Nagekeo

Nomor Induk Jumlah yang Keterangan

No. Nama Pegawai Nomor KIS Segmen Nomor Virtual Account Bulan Tunggakan Jumlah Tunggakan Sisa Tunggakan
Kependudukan akan dikoreksi
Peserta Mandiri
1 JUMADIN RAMADHAN, S.Pd 5316011703910001 0002763361574 8888802763361574 Agustus 2022-September 2022 Rp 70,000 Rp 70,000 Rp -
Menunggak
Peserta Mandiri
2 RAHMATIA, S.Pd 5316014401860001 0002743639942 8888802743639942 Januari 2022-September 2022 Rp 945,000 Rp 70,000 Rp 875,000 Tunggakan bersama suami dan anak
Menunggak