SubscriberId	1134132
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Id	BenefitType	Plan	CoverageLevel	SubscriberPremium	BillingPremium	Volume	OriginalEffectiveDate	ChangeEffectiveDate	TerminationDate	TerminationReasonId
2505174	medical	HMO	EE	11.97	25.93	74.34	2013-04-28	2011-08-24