Subscriber

SubscriberId 237626  
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Coverages

Id BenefitType Plan CoverageLevel SubscriberPremium BillingPremium Volume OriginalEffectiveDate ChangeEffectiveDate TerminationDate TerminationReasonId
2505275 medical Medical - PPO Plus Plan EE 7.96 17.24 49.94 2011-04-28 2013-07-25