SubscriberId	1216484
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Id	BenefitType	Plan	CoverageLevel	SubscriberPremium	BillingPremium	Volume	OriginalEffectiveDate	ChangeEffectiveDate	TerminationDate	TerminationReasonId
2505177	medical	Medical - PPO Plus Plan	EE	7.96	17.24	186.86	2012-09-20	2010-02-17