SubscriberId	935029
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
2505172	medical	HMO	EE+Spouse	22.38	48.49	58.34	2010-05-15	2012-11-14