SubscriberId	1214820
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Id	BenefitType	Plan	CoverageLevel	SubscriberPremium	BillingPremium	Volume	OriginalEffectiveDate	ChangeEffectiveDate	TerminationDate	TerminationReasonId
2505175	medical	Medical - PPO Plus Plan	EE	7.96	17.24	93.41	2012-10-17	2012-08-28