Subscriber

SubscriberId 448146  
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Coverages

Id BenefitType Plan CoverageLevel SubscriberPremium BillingPremium Volume OriginalEffectiveDate ChangeEffectiveDate TerminationDate TerminationReasonId
2505157 medical Medical - PPO Plus Plan EE+Family 27.13 58.78 11.0 2012-08-11 2013-03-08
2505158 dental dental EE+Family 27.13 58.78 20.0 2010-10-24 2013-02-15
2505159 vision Vision EE+Family 27.13 58.78 55.22 2013-11-17 2013-01-24