SubscriberId	672656
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
2505166	medical	Medical - PPO Plus Plan	EE+Family	27.13	58.78	43.74	2012-08-10	2011-02-04