SubscriberId	237553
First Name
Last Name
Middle Name
Gender
BirthDate
Marital Status
Address 1
Address 2
City
State
Zip Code
HomePhone
email

                   

Id	BenefitType	Plan	CoverageLevel	SubscriberPremium	BillingPremium	Volume	OriginalEffectiveDate	ChangeEffectiveDate	TerminationDate	TerminationReasonId
2505234	medical	HMO	EE	11.97	25.93	35.55	2012-05-10	2012-09-14