SubscriberId	237573
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
2505246	medical	Medical - PPO Base Plan	EE+Family	27.13	58.78	91.66	2010-10-04	2012-02-09