SubscriberId	237569
First Name
Last Name
Middle Name
Gender
BirthDate
Marital Status
Address 1
Address 2
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State
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HomePhone
email

                   

Id	BenefitType	Plan	CoverageLevel	SubscriberPremium	BillingPremium	Volume	OriginalEffectiveDate	ChangeEffectiveDate	TerminationDate	TerminationReasonId
2505245	medical	Medical - PPO Plus Plan	EE+Dependent	14.94	32.37	91.76	2013-09-07	2010-10-02