Subscriber

SubscriberId 394036  
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Coverages

Id BenefitType Plan CoverageLevel SubscriberPremium BillingPremium Volume OriginalEffectiveDate ChangeEffectiveDate TerminationDate TerminationReasonId
2505156 medical Medical - PPO Plus Plan EE 7.96 17.24 25.0 2012-11-07 2010-10-15