Subscriber

SubscriberId 237601  
First Name  
Last Name  
Middle Name  
Gender  
BirthDate  
Marital Status  
Address 1  
Address 2  
City  
State  
Zip Code  
HomePhone  
email  

                   

Coverages

Id BenefitType Plan CoverageLevel SubscriberPremium BillingPremium Volume OriginalEffectiveDate ChangeEffectiveDate TerminationDate TerminationReasonId
2505265 medical Medical - PPO Plus Plan EE 7.96 17.24 56.65 2011-06-04 2011-11-12