SubscriberId	876691
First Name
Last Name
Middle Name
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BirthDate
Marital Status
Address 1
Address 2
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State
Zip Code
HomePhone
email

                   

Id	BenefitType	Plan	CoverageLevel	SubscriberPremium	BillingPremium	Volume	OriginalEffectiveDate	ChangeEffectiveDate	TerminationDate	TerminationReasonId
2505170	medical	HMO	EE	11.97	25.93	100.87	2011-09-14	2013-04-19