SubscriberId	250291
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
2505280	medical	HMO	EE+Dependent	22.38	48.49	77.18	2012-12-17	2012-09-12