SubscriberId	237595
First Name
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Address 1
Address 2
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email

                   

Id	BenefitType	Plan	CoverageLevel	SubscriberPremium	BillingPremium	Volume	OriginalEffectiveDate	ChangeEffectiveDate	TerminationDate	TerminationReasonId
2505259	medical	HMO	EE+Family	34.72	75.22	139.05	2012-09-28	2012-11-07
2505260	dental	HMO	EE+Family	34.72	75.22	95.0	2013-04-26	2010-08-27
2505261	vision	HMO	EE+Family	34.72	75.22	51.68	2010-12-28	2013-07-24