SubscriberId	250295
First Name
Last Name
Middle Name
Gender
BirthDate
Marital Status
Address 1
Address 2
City
State
Zip Code
HomePhone
email

                   

Id	BenefitType	Plan	CoverageLevel	SubscriberPremium	BillingPremium	Volume	OriginalEffectiveDate	ChangeEffectiveDate	TerminationDate	TerminationReasonId
2505283	medical	HMO	EE+Dependent	22.38	48.49	139.05	2011-03-19	2010-03-22