SubscriberId	680917
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
2505167	medical	HMO	EE+Family	34.72	75.22	61.26	2011-10-08	2012-02-02
2505168	dental	dental	EE+Family	34.72	75.22	197.6	2010-09-28	2010-01-28
2505169	vision	Vision	EE+Family	34.72	75.22	61.82	2013-03-11	2013-10-04