SubscriberId	237621
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
2505273	medical	Medical - PPO Plus Plan	EE+Dependent	14.94	32.37	19.45	2011-06-11	2013-09-03