4-ATTACHMENT D - Employee Census Data.pdf

1 MB Posted

Attached to
Stop Loss Insurance
Solicitation number
26RFP020
Issued by
Travis County, Austin City, Texas

About this file

Written by GovTribe AI ·

This document appears to be an employee census data file containing detailed information about employees, including their date of birth, gender, zip code, employment status, medical plan details, and coverage tier. The data includes multiple entries for employees with varying employment statuses such as full-time active, terminated active, and part-time active. Most employees are enrolled in BCBS Medical plans, with coverage options including High Deductible Health Plan (HDHP), HMO, and different coverage tiers like Employee Only, Employee and Children, and Family. The data spans multiple zip codes primarily in the Austin, Texas area, with employee birthdates ranging from the 1940s to the early 2000s. The employment statuses and termination dates suggest this is a comprehensive snapshot of an organization's workforce at a specific point in time, likely for benefits or administrative purposes.

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10-ATTACHMENT J - BCBS Summary of Benefits and Coverage - Blue Essentials HMO.pdf PDF
12-ATTACHMENT L - Aetna Stop Loss Renewal Plan.pdf PDF
8-ATTACHMENT H - 2024 YTD Claim Analysis.pdf PDF
9-ATTACHMENT I - 2025 YTD Claim Analysis.pdf PDF
2-ATTACHMENT B - Stop Loss RFP Workbook.xlsx XLSX spreadsheet
1-ATTACHMENT A - Required Forms.pdf PDF
5-ATTACHMENT E - Medical HDHP Benefits Program.pdf PDF
6-ATTACHMENT F - Medical Blue Essentials Benefits Program.pdf PDF
11-ATTACHMENT K - BCBS Summary of Benefits - HSA Plan.pdf PDF
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3-ATTACHMENT C - 2026 Proposed Medical Plan Designs.pdf PDF
7-ATTACHMENT G - 2023 YTD Claim Analysis.pdf PDF
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DOB Gender Zip Status Benefit Status Medical Plan Medical Tier Medical Term Date 6/12/1972 Female 78747 Full-time active BCBS Medical HDHP Employee and Children 1/23/1969 Male 78640 Full-time active BCBS Medical HMO Employee Only 10/1/1968 Female 78664 Terminated active term 9/1/2021

12/13/1964 Female 78621 Terminated active term 1/1/2022 6/27/1939 Male 78748 Terminated active 4/20/1964 Male 78736 Terminated active term Employee Only 12/31/2022 4/17/1980 Female 78744 Full-time active BCBS Medical HDHP Employee Only 9/12/1977 Female 78653 Full-time active BCBS Medical HDHP Employee Only 9/7/1989 Female 78753 Full-time active BCBS Medical HDHP Employee Only

3/21/1962 Female 78728 Full-time active BCBS Medical HDHP Employee Only 7/7/1969 Female 78741 Full-time active BCBS Medical HDHP Employee Only

9/21/1978 Female 78744 Full-time active BCBS Medical HMO Employee Only 8/9/1952 Female 78723 Full-time active BCBS Medical HDHP Employee Only 7/6/1968 Male 78617 Full-time active BCBS Medical HMO Employee Only

10/7/1970 Male 78741 Full-time active BCBS Medical HDHP Employee Only 10/2/1963 Female 78640 Full-time active BCBS Medical HMO Employee Only 4/5/1969 Male 78653 Full-time active BCBS Medical HDHP Employee Only

8/28/1985 Female 78741 Full-time active BCBS Medical HDHP Employee Only 7/5/1988 Male 78747 Terminated active term 8/31/2022

8/19/1960 Male 78602 Full-time active BCBS Medical HDHP Employee Only 1/3/1982 Male 78610 Terminated active term 2/28/2025

6/11/1967 Female 78723 Full-time active BCBS Medical HMO Employee Only 5/30/1963 Female 78660 Full-time active BCBS Medical HMO Employee Only 4/14/1997 Female 78723 Full-time active BCBS Medical HMO Employee Only 4/28/1974 Female 78728 Full-time active BCBS Medical HDHP Employee Only 1/2/1968 Male 78758 Terminated active term 9/30/2023

3/19/1998 Female 78753 Terminated active term 2/28/2022 4/9/1991 Female 78744 Terminated active term 5/31/2024

10/23/1959 Female 78744 Terminated active term 8/31/2022 2/13/1971 Female 78612 Full-time active BCBS Medical HDHP Employee Only 4/4/1992 Female 78640 Terminated active term 8/31/2022

5/29/1981 Female 78655 Full-time active BCBS Medical HDHP Employee Only 5/10/1980 Female 78747 Full-time active BCBS Medical HDHP Employee Only 10/6/1959 Female 78723 Full-time active BCBS Medical HDHP Employee OnlyCONFID

ENTIAL

1/14/1987 Female 78621 Full-time active BCBS Medical HDHP Employee Only 1/10/1960 Male 78662 Full-time active BCBS Medical HDHP Employee Only 5/20/1951 Male 78747 Full-time active BCBS Medical HMO Employee Only 6/30/1960 Male 78617 Full-time active BCBS Medical HDHP Employee Only 4/11/1981 Female 78724 Full-time active BCBS Medical HDHP Employee and Children 10/3/1950 Male 78757 Full-time active BCBS Medical HMO Employee Only 11/4/1950 Male 78744 Full-time active BCBS Medical HMO Employee Only 2/21/1975 Female 78653 Terminated active term 10/31/2023 6/19/1974 Female 78644 Full-time active waive

10/29/1986 Male 40475 Terminated active term 8/31/2022 7/27/1956 Male 78745 Full-time active BCBS Medical HDHP Employee Only 2/19/1992 Female 78617 Full-time active BCBS Medical HDHP Employee Only 9/27/1946 Male 78725 Full-time active BCBS Medical HDHP Employee Only

11/19/1977 Female 78752 Full-time active BCBS Medical HDHP Employee Only 11/27/1967 Female 78653 Terminated active term 10/31/2022 3/16/1988 Male 78610 Full-time active BCBS Medical HDHP Employee Only 9/2/1983 Female 78748 Terminated active term 9/1/2021

11/4/1958 Female 78724 Full-time active BCBS Medical HDHP Employee Only 7/29/1963 Female 78653 Terminated active term 9/1/2021 4/6/1974 Male 78653 Terminated active term 2/28/2022 4/7/1939 Male 78744 Full-time active BCBS Medical HMO Employee Only

11/2/1999 Male 78610 Terminated active term 2/28/2022 8/18/1985 Female 78640 Full-time active BCBS Medical HMO Employee Only 7/14/1976 Male 78665 Full-time active BCBS Medical HDHP Employee Only

10/28/1964 Female 78745 Full-time active BCBS Medical HDHP Employee and Children 5/25/1983 Female 78724 Full-time active BCBS Medical HDHP Employee Only 6/15/1962 Female 78652 Full-time active BCBS Medical HMO Employee Only 7/14/1991 Female 78621 Full-time active BCBS Medical HDHP Employee Only 7/5/1956 Female 78617 Terminated active term 4/30/2023

2/26/1991 Male 78704 Full-time active BCBS Medical HMO Employee Only 5/22/1959 Female 78744 Terminated active term 8/31/2022

11/13/1991 Female 78744 Terminated active term 2/28/2023 11/14/1989 Female 78617 Terminated active term 10/31/2020 3/15/1958 Female 78754 Terminated active term 10/31/2024 12/4/1957 Male 78748 Terminated activeCONFID

5/4/1974 Female 78724 Terminated active term 8/31/2022 4/29/1959 Male 78745 Full-time active BCBS Medical HMO Employee Only 6/16/1994 Female 78745 Terminated active term 10/31/2021 2/26/1988 Female 78160 Terminated active term 3/31/2021 4/30/1953 Male 78616 Full-time active waive 8/23/1954 Male 78744 Full-time active term 2/1/2021 9/1/1985 Female 78702 Terminated active term 9/1/2021

2/12/1957 Male 78665 Full-time active BCBS Medical HDHP Employee Only 1/15/1965 Male 78726 Terminated active term 1/31/2022 3/24/1961 Female 78648 Terminated active term 2/28/2022 2/4/1986 Female 78660 Terminated active term 4/30/2022

3/26/1999 Male 78641 Terminated active 9/17/2002 Male 78062 Terminated active term 8/31/2022 4/10/2000 Female 78747 Full-time active BCBS Medical HDHP Employee Only 4/22/2000 Female 78745 Terminated active

11/13/1965 Male 78754 Terminated active 9/5/2000 Female 78747 Full-time active BCBS Medical HDHP Employee Only

1/29/1971 Male 78745 Terminated active 12/3/1963 Female 78702 Full-time active BCBS Medical HDHP Employee Only 1/18/1984 Male 78748 Terminated active 6/10/1984 Female 78724 Full-time active BCBS Medical HDHP Employee Only 3/24/2003 Male 78634 eave of Absenc active term 3/31/2025

11/16/1951 Male 78735 Full-time active BCBS Medical HDHP Employee Only 10/9/2001 Male 78616 Full-time active BCBS Medical HDHP Employee Only 10/4/1999 Male 78724 Terminated active 4/13/1968 Female 78610 Full-time active BCBS Medical HDHP Employee Only 3/1/1964 Female 78754 Terminated active term 5/31/2023

9/22/2003 Male 78610 Terminated active term 1/1/2024 8/27/1990 Female 78653 Terminated active term 2/28/2025 8/13/1993 Male 78613 Terminated active 4/19/1965 Male 78741 Full-time active BCBS Medical HDHP Employee Only 9/28/1986 Female 78759 Terminated active term 8/31/2024 6/16/1980 Female 78747 Full-time active BCBS Medical HDHP Employee and Children 4/14/1997 Male 78747 Terminated active 2/7/1990 Female 78745 Full-time active BCBS Medical HDHP Employee OnlyCONFID

4/29/1983 Male 78613 Full-time active BCBS Medical HDHP Employee Only 7/2/1968 Male 78759 Terminated active term 12/31/2024

6/16/1991 Female 78613 Full-time active BCBS Medical HDHP Employee Only 9/23/1957 Male 78745 Full-time active waive 5/24/1964 Male 78723 Terminated active 2/6/1970 Female 78748 Full-time active BCBS Medical HMO Employee and Children

10/24/1979 Female 78744 Full-time active BCBS Medical HMO Employee Only 5/25/1964 Male 78616 Terminated cobra term 10/31/2021 11/3/1978 Female 78664 Terminated cobra 6/11/1961 Female 78744 Terminated active term 8/31/2025

10/11/1955 Female 78748 Full-time active term 8/31/2025 8/12/1955 Female 78723 Full-time active term 12/31/2020

10/24/1960 Female 78744 Full-time active term 8/31/2025 7/30/1961 Male 78745 Terminated active term 9/30/2022 3/20/1993 Female 78723 Terminated active term 9/30/2022 1/17/1951 Female 78724 Terminated active term 12/31/2023 3/8/1958 Female 78653 Terminated active

12/7/1982 Female 78744 Terminated active term 11/30/2022 4/25/1966 Female 78640 Full-time active term 8/31/2025 9/28/1954 Female 78745 Full-time active term 8/31/2025 7/29/1954 Female 78644 Terminated active term 1/1/2023 5/26/1991 Female 78660 Full-time active BCBS Medical HMO Employee Only 6/16/1953 Female 78745 Full-time active BCBS Medical HDHP Employee Only 8/13/1993 Female 78610 Full-time active BCBS Medical HMO Employee Only 6/6/1956 Female 78617 Full-time active BCBS Medical HDHP Employee Only

3/27/1961 Female 78660 Full-time active BCBS Medical HMO Employee Only 12/18/1959 Female 78757 Terminated active term 12/31/2024

3/3/1974 Female 78610 Full-time active BCBS Medical HMO Employee Only 11/15/1956 Female 78652 Full-time active BCBS Medical HDHP Employee Only

7/8/1987 Female 78744 Full-time active BCBS Medical HDHP Employee Only 6/16/1969 Female 78660 Full-time active BCBS Medical HDHP Employee Only 6/22/1969 Male 78736 Full-time active BCBS Medical HDHP Employee Only 6/13/1985 Female 78615 Full-time active BCBS Medical HDHP Employee Only 9/30/1970 Female 78753 Full-time active BCBS Medical HMO Employee Only 3/7/1977 Male 78747 Full-time active BCBS Medical HDHP Employee OnlyCONFID

7/24/1991 Female 77506 Terminated active term 3/31/2025 9/27/1970 Female 78754 Full-time active BCBS Medical HDHP Employee Only 5/29/1965 Female 78610 Full-time active BCBS Medical HMO Employee Only 2/13/1990 Female 78724 Full-time active BCBS Medical HDHP Employee Only 8/2/1971 Female 78739 Full-time active BCBS Medical HDHP Employee Only

11/9/1976 Female 78747 Full-time active BCBS Medical HDHP Employee Only 1/10/1967 Female 78728 Full-time active BCBS Medical HDHP Employee Only 8/24/1989 Female 78644 Full-time active BCBS Medical HMO Employee Only

10/23/1968 Female 76504 Terminated active waive 10/15/1952 Female 78727 Full-time active BCBS Medical HDHP Employee Only 11/12/1945 Female 78724 Full-time active BCBS Medical HMO Employee Only

2/1/1976 Female 78616 Full-time active BCBS Medical HDHP Employee Only 10/16/1961 Female 78749 Full-time active BCBS Medical HDHP Employee Only 9/21/1991 Female 78660 Full-time active BCBS Medical HDHP Employee Only 3/4/1969 Female 78723 Full-time active BCBS Medical HDHP Employee Only

8/28/1999 Female 78660 Full-time active BCBS Medical HDHP Employee Only 9/6/1969 Female 78744 Full-time active BCBS Medical HDHP Employee Only

3/14/1962 Female 78660 Full-time active BCBS Medical HDHP Employee Only 6/18/1965 Male 78704 Full-time active BCBS Medical HDHP Employee Only 3/9/1961 Female 78704 Terminated active

8/25/1964 Female 78724 Full-time active BCBS Medical HDHP Employee Only 5/4/1963 Female 78752 Full-time active BCBS Medical HMO Employee Only

5/16/1966 Female 78747 Full-time active BCBS Medical HDHP Employee Only 7/25/1966 Female 78757 Full-time active BCBS Medical HDHP Employee Only

10/18/1970 Female 78744 Full-time active BCBS Medical HMO Employee Only 7/24/1959 Female 78745 Full-time active BCBS Medical HDHP Employee Only 6/12/1986 Female 78744 Full-time active BCBS Medical HDHP Employee Only 8/19/1973 Female 78741 Full-time active BCBS Medical HMO Employee Only

11/19/1988 Female 78666 Full-time active BCBS Medical HDHP Employee Only 10/21/1973 Female 78748 Full-time active BCBS Medical HDHP Employee Only 11/13/1968 Female 78727 Full-time active BCBS Medical HDHP Employee Only 3/17/1964 Female 78744 Terminated active term 12/31/2022 2/19/1975 Female 78653 Full-time active BCBS Medical HMO Employee Only 8/4/1977 Female 78741 Full-time active waive

2/14/1983 Female 78621 Full-time active BCBS Medical HDHP Employee OnlyCONFID

9/18/1969 Female 78748 Full-time active BCBS Medical HDHP Employee Only 7/14/1968 Male 78660 Full-time active BCBS Medical HDHP Employee Only 7/29/1977 Female 78745 Full-time active BCBS Medical HDHP Employee Only 9/26/1967 Male 78702 Full-time active BCBS Medical HDHP Employee Only

11/13/1973 Male 78724 Full-time active BCBS Medical HMO Employee Only 9/10/1968 Female 78653 Full-time active BCBS Medical HDHP Employee and Children 8/5/1960 Female 78749 Full-time active BCBS Medical HMO Employee Only 9/4/1986 Female 78723 Full-time active BCBS Medical HDHP Employee Only 7/3/1959 Female 78748 Full-time active BCBS Medical HMO Employee Only 2/6/1960 Female 78640 Terminated active term 7/30/2024 8/5/1968 Female 78621 Full-time active BCBS Medical HMO Employee Only

1/19/1963 Female 78744 Full-time active BCBS Medical HDHP Employee Only 9/3/1972 Female 78739 Full-time active BCBS Medical HDHP Family

5/22/1964 Female 78652 Full-time active BCBS Medical HDHP Employee Only 12/2/1971 Male 78652 Full-time active BCBS Medical HMO Employee Only

11/25/1964 Female 78748 Terminated active term 6/30/2025 4/13/1961 Female 78621 Full-time active BCBS Medical HDHP Employee Only 7/8/1981 Female 78745 Full-time active BCBS Medical HDHP Employee and Children 2/1/1982 Female 78617 Full-time active BCBS Medical HMO Employee Only

12/9/1965 Female 78749 Full-time active BCBS Medical HDHP Employee Only 7/4/1977 Female 78744 Full-time active waive 6/9/1981 Female 78745 Full-time active BCBS Medical HDHP Employee and Children

8/22/1970 Female 78719 Full-time active BCBS Medical HMO Employee Only 2/26/1971 Female 78723 Full-time active BCBS Medical HDHP Employee Only 6/2/1970 Female 78681 Terminated active term 8/30/2024

3/17/1965 Female 78640 Terminated active term 11/30/2024 12/30/1970 Female 78660 Terminated active term 10/31/2024 3/24/1962 Female 78758 Full-time active BCBS Medical HDHP Employee Only 3/4/1952 Female 78745 Full-time active BCBS Medical HMO Employee Only

3/28/1979 Female 78725 Full-time active BCBS Medical HDHP Employee Only 5/16/1963 Female 78745 Full-time active BCBS Medical HDHP Employee Only 2/2/1979 Female 78704 Terminated active term 10/31/2022

7/18/1996 Female 78641 Terminated active term 1/31/2024 7/23/1960 Female 78727 Full-time active BCBS Medical HDHP Employee Only 12/1/1954 Female 78744 Full-time active BCBS Medical HDHP Employee OnlyCONFID

8/3/1972 Female 78739 Full-time active BCBS Medical HDHP Employee and Children 11/3/1988 Male 78704 Full-time active BCBS Medical HMO Employee Only 8/5/1972 Female 78610 Full-time active BCBS Medical HDHP Employee Only

4/28/1962 Female 78669 Terminated active term 6/30/2025 1/14/1960 Female 78739 Full-time active BCBS Medical HDHP Employee Only 2/26/1989 Female 78754 Full-time active BCBS Medical HDHP Employee Only 6/21/1980 Female 78754 Full-time active BCBS Medical HDHP Employee and Children 8/18/1958 Male 78610 Full-time active BCBS Medical HDHP Family 3/4/1981 Female 78758 Full-time active BCBS Medical HMO Employee Only

8/18/1981 Male 78748 Full-time active BCBS Medical HMO Employee and Children 9/23/1981 Female 78640 Terminated active term 9/30/2024 9/30/1979 Female 78744 Terminated active term 5/31/2025 9/14/1992 Female 78702 Full-time active BCBS Medical HDHP Employee and Children 9/26/1969 Female 78616 Full-time active BCBS Medical HMO Employee Only 4/7/1970 Female 78744 Full-time active BCBS Medical HDHP Employee Only

6/23/1969 Female 78724 Full-time active BCBS Medical HDHP Employee Only 4/5/1976 Female 78664 Full-time active BCBS Medical HDHP Employee Only

7/24/1966 Female 78748 Full-time active BCBS Medical HDHP Employee Only 7/8/1982 Female 78724 Full-time active BCBS Medical HDHP Employee Only

1/31/1966 Female 78626 Terminated active waive 3/4/1960 Female 78748 Full-time active BCBS Medical HMO Employee Only

4/23/1986 Female 78753 Full-time active BCBS Medical HDHP Employee Only 4/8/1962 Female 78610 Full-time active BCBS Medical HMO Employee Only

10/23/1968 Female 78753 Full-time active BCBS Medical HMO Employee Only 9/27/1960 Male 78660 Full-time active BCBS Medical HDHP Employee Only 2/23/1983 Male 78704 Full-time active BCBS Medical HDHP Employee Only 2/27/1953 Female 78722 Full-time active BCBS Medical HMO Employee Only 6/22/1991 Female 78723 Full-time active BCBS Medical HDHP Employee and Children 6/9/1976 Female 78634 Full-time active BCBS Medical HDHP Employee Only 1/1/1971 Female 78702 Full-time active BCBS Medical HDHP Employee and Children

2/13/1959 Female 78753 Full-time active BCBS Medical HDHP Employee Only 4/14/1988 Female 78626 Full-time active BCBS Medical HMO Employee Only 2/26/1964 Male 78756 Full-time active BCBS Medical HDHP Employee Only 8/12/1960 Female 78748 Full-time active BCBS Medical HDHP Employee and Spouse 8/20/1979 Female 78721 Full-time active BCBS Medical HDHP Employee OnlyCONFID

7/25/1956 Female 78730 Full-time active BCBS Medical HMO Employee Only 7/25/1980 Male 78652 Full-time active BCBS Medical HDHP Employee Only 3/27/1964 Female 78610 Full-time active BCBS Medical HMO Employee Only 7/12/1995 Female 78723 Full-time active BCBS Medical HDHP Employee Only 1/3/1985 Female 78640 Full-time active BCBS Medical HDHP Employee Only

7/20/1961 Female 78749 Full-time active waive 10/8/1968 Female 78758 Terminated active term 12/31/2021 1/25/1970 Female 78747 Full-time active BCBS Medical HDHP Employee Only

10/15/1970 Female 76574 Full-time active BCBS Medical HMO Employee Only 10/13/1961 Female 78744 Full-time active BCBS Medical HDHP Employee Only 5/28/1960 Female 78745 Full-time active BCBS Medical HMO Employee Only 1/30/1961 Female 78745 Full-time active BCBS Medical HDHP Employee Only 2/10/1991 Female 78758 Full-time active BCBS Medical HDHP Employee Only 3/8/1954 Female 78704 Full-time active BCBS Medical HMO Employee Only

9/10/1971 Female 78660 Full-time active BCBS Medical HDHP Employee Only 2/10/1985 Female 78653 Full-time active BCBS Medical HDHP Employee and Children 6/13/1972 Female 78747 Full-time active BCBS Medical HMO Employee Only 8/14/1961 Female 78727 Full-time active BCBS Medical HDHP Employee and Children

12/10/1988 Female 78744 Full-time active BCBS Medical HMO Employee Only 11/7/1972 Female 78653 Full-time active BCBS Medical HMO Employee and Spouse 9/29/1990 Female 78744 Full-time active BCBS Medical HMO Employee Only

12/22/1964 Female 78758 Full-time active BCBS Medical HMO Employee Only 5/30/1996 Female 78653 Terminated active term 10/31/2023 11/8/1991 Female 78752 Full-time active BCBS Medical HDHP Employee Only 3/6/1989 Female 78744 Full-time active BCBS Medical HDHP Employee and Children

5/11/1987 Female 78724 Full-time active BCBS Medical HDHP Employee Only 6/10/1966 Female 78745 Full-time active waive 3/9/2001 Male 78748 Full-time active BCBS Medical HDHP Employee Only

4/16/1975 Female 78745 Full-time active term 12/31/2024 7/10/1993 Female 78947 Full-time active BCBS Medical HDHP Employee Only 3/1/1957 Female 78736 Full-time active BCBS Medical HMO Employee Only

8/30/1968 Female 78722 Full-time active BCBS Medical HMO Employee Only 1/18/1984 Female 78758 Full-time active BCBS Medical HDHP Employee Only 3/6/2001 Female 78640 Full-time active BCBS Medical HMO Employee Only

11/8/1986 Female 78702 Full-time active BCBS Medical HDHP Employee OnlyCONFID

1/28/1996 Female 78731 Full-time active BCBS Medical HDHP Employee Only 10/11/2002 Female 76502 Full-time active term 10/31/2024

8/9/1979 Female 78748 Full-time active 9/30/1973 Female 78610 Terminated active term 11/30/2024 1/1/2003 Female 78748 Full-time active BCBS Medical HDHP Employee Only

7/13/2003 Female 78758 Terminated active term 12/31/2023 8/15/2002 Female 78744 Full-time active term 12/31/2024 4/14/1976 Female 78613 Full-time active BCBS Medical HDHP Employee Only 6/2/1972 Female 78749 Full-time active BCBS Medical HDHP Family

4/18/1977 Female 78748 Full-time active BCBS Medical HMO Employee Only 11/6/1977 Male 78721 Terminated active term 12/31/2023 3/6/1985 Male 78666 Full-time active BCBS Medical HDHP Family 9/7/1989 Female 78617 Full-time active BCBS Medical HDHP Employee Only

12/10/1991 Female 78759 Full-time active BCBS Medical HMO Employee Only 11/5/1992 Female 78656 Full-time active BCBS Medical HDHP Employee and Children

11/28/1990 Female 78750 Full-time active BCBS Medical HDHP Employee Only 6/28/1999 Female 78748 Full-time active BCBS Medical HDHP Employee Only 9/8/1983 Female 78748 Full-time active BCBS Medical HDHP Employee Only

3/11/1972 Female 78731 Full-time active term 8/31/2025 2/2/1999 Female 78660 Full-time active BCBS Medical HDHP Employee Only

12/20/1961 Female 78748 Full-time active BCBS Medical HDHP Employee Only 4/4/1986 Female 78739 Full-time active term 12/31/2023

1/26/1974 Female 78723 Terminated active term 12/31/2023 2/18/1978 Female 78749 Full-time active BCBS Medical HDHP Employee Only 1/25/1987 Female 78749 Full-time active waive 5/2/1982 Female 78757 Full-time active BCBS Medical HDHP Employee and Children

10/22/1960 Female 78745 Full-time active BCBS Medical HDHP Employee Only 1/21/1999 Female 78747 Full-time active BCBS Medical HDHP Employee Only 5/19/1999 Female 78747 Full-time active BCBS Medical HDHP Employee Only 5/31/1978 Female 78749 Full-time active BCBS Medical HMO Employee Only 9/27/2000 Male 78660 Terminated active term 1/1/2024

12/30/1968 Female 78749 Full-time active waive 3/20/1995 Female 78727 Terminated active term 1/1/2024 10/5/1974 Male 78660 Full-time active waive 7/7/1996 Female 78753 Full-time active BCBS Medical HDHP Employee OnlyCONFID

3/25/1979 Female 78739 Full-time active waive 2/17/2000 Female 78610 Terminated active term 1/1/2024 2/20/1984 Male 78610 Full-time active BCBS Medical HDHP Employee Only 4/14/1962 Female 78749 Full-time active BCBS Medical HDHP Employee Only 8/29/1999 Male 78744 Terminated active term 10/31/2023 1/17/1953 Male 78749 Terminated active 8/30/1961 Male 78739 Full-time active BCBS Medical HMO Employee Only 5/26/1979 Female 78753 Full-time active BCBS Medical HDHP Employee Only 5/19/1992 Female 78754 Terminated active term 7/30/2024 1/3/1985 Female 78754 Full-time active BCBS Medical HDHP Employee and Children

12/11/1994 Female 78754 Full-time active BCBS Medical HDHP Employee Only 5/10/1990 Female 78653 Full-time active BCBS Medical HMO Employee and Children 4/11/1995 Female 78721 Full-time active BCBS Medical HDHP Employee Only 7/12/1998 Male 78752 Terminated active term 12/31/2024 3/18/1984 Female 78757 Full-time active waive 7/17/1989 Female 78759 Terminated active term 3/31/2025 1/18/1999 Female 78644 Full-time active term 12/31/2024 8/9/1997 Female 78757 Full-time active BCBS Medical HDHP Employee Only 3/7/1995 Male 77833 Full-time active BCBS Medical HDHP Employee Only

2/16/1974 Female 78749 Full-time active BCBS Medical HDHP Employee Only 7/5/1974 Female 78660 Full-time active BCBS Medical HDHP Employee Only

4/21/1989 Female 78754 Full-time active BCBS Medical HDHP Employee Only 5/9/1997 Female 78621 Terminated active term 12/31/2024

5/11/1964 Female 78754 Full-time active BCBS Medical HMO Employee Only 10/17/1991 Female 78660 Full-time active BCBS Medical HDHP Employee Only

8/8/2000 Female 78660 Full-time active BCBS Medical HMO Employee Only 1/11/1991 Female 78744 Full-time active BCBS Medical HDHP Employee Only 8/11/1997 Female 78617 Full-time active BCBS Medical HDHP Employee Only 4/27/1989 Female 78747 Full-time active BCBS Medical HDHP Employee and Children

10/16/1987 Female 78748 Full-time active BCBS Medical HDHP Employee Only 8/8/1986 Female 78744 Full-time active BCBS Medical HDHP Employee Only

6/30/1988 Female 78704 Terminated active waive 5/17/1983 Female 78731 Terminated active term 1/1/2024 11/2/1983 Female 78758 Full-time active BCBS Medical HDHP Employee and Children 1/28/1978 Female 77433 Terminated activeCONFID

11/25/1995 Female 78757 Terminated active 10/22/1987 Male 78724 Terminated active term 3/31/2024 7/30/1998 Male 78735 Terminated active 5/9/1994 Female 78681 Full-time active BCBS Medical HDHP Employee Only

8/31/1986 Female 78724 Full-time active BCBS Medical HDHP Employee Only 6/30/1962 Female 78748 Terminated active term 11/30/2024 9/22/2001 Male 78753 Full-time active BCBS Medical HMO Employee Only 11/9/1994 Male 78753 Full-time active BCBS Medical HDHP Employee Only 10/8/1983 Female 78653 Full-time active BCBS Medical HMO Employee Only

11/10/1981 Female 78760 Full-time active BCBS Medical HDHP Employee Only 7/17/1998 Male 78736 Terminated active term 8/31/2024 10/5/1962 Female 78744 Full-time active BCBS Medical HDHP Employee Only 6/17/1982 Female 78731 Terminated active term 8/31/2024 4/13/1955 Female 78717 Full-time active BCBS Medical HDHP Employee Only 8/31/1964 Female 78660 Full-time active

12/29/1976 Female 78702 Full-time active BCBS Medical HMO Employee Only 10/3/1990 Female 78721 Full-time active waive

12/14/1976 Male 78751 Full-time active BCBS Medical HDHP Employee Only 9/25/1992 Male 78660 Full-time active BCBS Medical HMO Employee Only 7/15/1962 Male 78617 Terminated active 4/23/1980 Male 78753 Full-time active waive 8/25/1990 Female 78754 Full-time active BCBS Medical HDHP Employee and Children 5/25/1972 Female 78644 Full-time active BCBS Medical HDHP Employee Only 4/12/1988 Female 78741 Full-time active 5/13/1994 Female 78701 Full-time active BCBS Medical HDHP Employee Only 2/27/1977 Female 78642 Full-time active BCBS Medical HDHP Employee Only 8/2/2003 Male 78745 Full-time active BCBS Medical HMO Employee Only 5/8/1974 Female 78745 Full-time active BCBS Medical HDHP Employee and Children

9/25/1999 Female 78621 Full-time active BCBS Medical HDHP Employee and Children 10/7/2004 Female 78641 Full-time active BCBS Medical HDHP Employee Only 9/1/1988 Male 78754 Full-time active BCBS Medical HDHP Employee Only

10/2/1987 Male 78745 Full-time active BCBS Medical HDHP Employee Only 8/23/1998 Male 78748 Full-time active BCBS Medical HDHP Employee Only 4/22/2004 Female 78754 Full-time active BCBS Medical HMO Employee Only 7/25/1987 Female 78759 Full-time active waiveCONFID

7/27/1960 Female 78749 Full-time active waive 9/23/1997 Female 78744 Full-time active BCBS Medical HDHP Employee and Children

10/18/1994 Female 78640 Full-time active BCBS Medical HDHP Employee Only 4/21/1998 Male 78729 Full-time active BCBS Medical HDHP Employee Only 1/5/1987 Female 78723 Full-time active 6/1/1999 Male 78741 Terminated active

11/13/1981 Female 78748 Full-time active BCBS Medical HMO Employee Only 3/28/1971 Female 78745 Full-time active BCBS Medical HMO Employee Only

12/31/1987 Female 78724 Full-time active BCBS Medical HDHP Employee Only 2/23/2000 Male 78705 Full-time active BCBS Medical HMO Employee Only 8/29/1989 Female 78610 Full-time active BCBS Medical HDHP Employee Only 2/4/1975 Female 78744 Full-time active BCBS Medical HMO Employee Only 7/5/1988 Male 78717 Full-time active

3/14/1995 Female 78744 Terminated active 7/1/1988 Female 78749 Full-time active 3/3/1984 Male 78747 Full-time active

2/26/2000 Female 78724 Full-time active BCBS Medical HDHP Employee Only 1/22/1973 Female 78626 Full-time active 3/29/1986 Male 78724 Full-time active BCBS Medical HDHP Employee Only 4/21/1998 Female 78721 Full-time active BCBS Medical HDHP Employee Only 5/13/2001 Male 78748 Full-time active 2/7/1998 Male 78745 Full-time active

12/30/1975 Female 78748 Terminated active 2/7/1988 Male 48197 Terminated active

7/18/1983 Female 78748 Terminated active 1/18/2004 Female 76541 Full-time active BCBS Medical HDHP Employee Only 1/19/1996 Female 78745 Full-time active BCBS Medical HDHP Employee Only 6/24/1995 Female 78738 Full-time active BCBS Medical HMO Employee Only 3/4/1992 Female 78613 Terminated active term 5/1/2025

6/19/2003 Female 78640 Full-time active term 8/1/2025 4/19/1997 Female 78759 Full-time active BCBS Medical HMO Employee Only 3/18/1984 Female 78752 Full-time active BCBS Medical HMO Employee Only 2/7/1982 Female 78747 Full-time active 6/6/1988 Female 78739 Full-time active BCBS Medical HDHP Employee Only

10/1/1984 Female 78759 Full-time activeCONFID

2/18/1999 Female 78721 Full-time active BCBS Medical HMO Employee Only 7/13/1959 Female 78749 Full-time active BCBS Medical HDHP Employee Only 10/2/1985 Female 78744 Full-time active

11/12/1986 Male 78610 Full-time active BCBS Medical HMO Employee Only 10/8/1973 Female 78749 Full-time active 6/5/2001 Male 78748 Full-time active

10/11/1973 Female 78745 Full-time active 6/14/1967 Female 78617 Full-time active BCBS Medical HDHP Employee Only

12/28/1999 Female 78681 Full-time active BCBS Medical HDHP Employee Only 6/29/1961 Female 78747 Terminated active term 6/30/2025 8/6/1959 Male 78745 Full-time active term 8/31/2025 7/9/1959 Female 78759 Terminated active term 7/31/2024

10/27/1992 Female 78634 Terminated active term 7/30/2024 2/14/1959 Female 78731 Terminated active term 7/31/2024 4/9/1960 Female 78731 Full-time active term 3/31/2025 6/1/1958 Female 78748 Terminated active term 8/31/2023

10/8/1958 Male 78728 Full-time active term 8/31/2025 6/19/1949 Male 78744 Terminated active waive 3/15/1949 Female 78723 Terminated active waive 5/13/1967 Female 78731 Part-time active term 8/31/2023 4/21/1966 Female 78634 Terminated active term 8/31/2023 9/16/1994 Female 78617 Full-time active term 8/31/2025 7/13/1955 Male 78758 Full-time active term 8/31/2025 4/11/1994 Female 78660 Terminated active term 8/31/2023 8/23/1958 Female 78744 Terminated active term 7/31/2024 6/27/1995 Female 78745 Full-time active term 8/31/2025 6/19/1987 Female 78640 Terminated active term 7/31/2024 5/10/1969 Female 78759 Full-time active term 8/31/2025 2/13/1974 Female 78610 Terminated active term 8/31/2023 6/18/1993 Female 78666 Terminated active term 7/31/2024 5/19/1999 Female 78727 Terminated active waive 7/26/2001 Male 78723 Terminated active term 8/31/2024 7/15/1982 Female 78757 Full-time active term 8/31/2025

10/31/1993 Female 78704 Full-time active term 8/31/2025 8/1/1957 Female 78749 Full-time active waiveCONFID

8/9/1987 Female 78644 Full-time active term 8/31/2025 1/20/1970 Female 78750 Full-time active

10/30/2001 Female 78724 Full-time active term 8/31/2025 3/12/1971 Female 78754 Part-time active term 8/31/2024 2/20/1965 Female 78745 Part-time active term 8/31/2023 7/30/1970 Female 78749 Part-time active term 8/31/2022 2/7/1967 Female 78754 Part-time active term 8/31/2021

9/28/1954 Male 78731 Part-time active term 12/31/2023 7/21/1950 Female 78660 Part-time active waive 5/26/1966 Female 78749 Part-time active term 8/31/2022 3/17/1963 Female 78748 Part-time active term 7/31/2023

10/28/1959 Female 78613 Part-time active term 8/31/2024 4/25/1972 Female 78725 Terminated active term 7/31/2024 5/22/1970 Female 78737 Part-time active term 8/31/2023 2/3/1975 Male 78703 Part-time active term 8/31/2025

3/14/1988 Male 78748 Part-time active term 7/31/2024 3/23/1986 Male 78747 Part-time active term 2/28/2023 8/8/1977 Male 47630 Terminated active 7/1/1977 Female 76655 Part-time active term 12/31/2024

1/20/1985 Female 78759 Part-time active term 7/31/2024 5/21/1953 Female 78759 Part-time active waive

11/13/1999 Female 78744 Part-time active term 2/28/2025 12/30/2001 Female 76008 Terminated active

9/8/2001 Female 78006 Terminated active 11/12/1965 Female 78737 Part-time active 10/23/1963 Female 78610 Part-time active 5/21/2002 Female 78641 Terminated active 1/29/1990 Female 78702 Part-time active 6/19/1957 Female 78745 Terminated active 6/4/1965 Male 78634 Part-time active

4/20/1956 Female 78724 Part-time active 5/24/1995 Female 78724 Terminated active 1/16/1953 Female 78640 Part-time active 11/7/1954 Female 78660 Part-time active 3/16/1960 Female 78745 Part-time activeCONFID

5/1/2005 Female 78748 Part-time active 8/27/1979 Female 78744 Part-time active 9/23/2002 Female 77494 Part-time active

10/17/2003 Female 78613 Part-time active 3/19/2005 Female 78702 Part-time active 2/1/1958 Female 78759 Part-time active

1/14/1991 Female 78660 Part-time active 5/22/1968 Female 78744 Terminated active 6/23/1949 Female 78745 Part-time active 1/21/1970 Female 78617 Terminated active 5/19/1957 Female 78723 Terminated active 3/31/1951 Female 78041 Part-time active 1/17/1956 Female 78725 Terminated active

12/13/1992 Female 78757 Part-time active 8/29/1982 Female 78750 Part-time active 12/5/1954 Female 78747 Part-time active

12/18/1946 Female 78737 Part-time active 7/17/1962 Female 78745 Part-time active 4/5/1944 Female 78739 Part-time active

9/30/1954 Female 78748 Part-time active 6/14/1957 Female 78666 Part-time active 8/8/1972 Female 78739 Terminated active

3/11/2004 Female 77099 Part-time active 11/18/2004 Female 78748 Part-time active 2/17/1989 Male 78748 Part-time active 7/29/2003 Male 78739 Part-time active 3/9/2004 Female 78758 Terminated active

12/3/1972 Female 78739 Part-time active 10/17/1950 Female 78640 Part-time active 10/2/1991 Female 78744 Part-time active 7/14/1998 Female 78723 Part-time active 11/4/1975 Female 78753 Part-time active 2/12/2005 Female 77407 Part-time active 3/30/1999 Female 78744 Part-time active 4/18/1999 Female 78666 Part-time activeCONFID

12/23/1977 Female 78748 Part-time active 4/13/1977 Male 78744 Part-time active 9/11/1996 Male 78664 Part-time active

11/21/1973 Female 78741 Part-time active 4/5/1996 Female 78744 Part-time active

10/15/1962 Female 78745 Terminated active term 3/31/2024 4/5/1976 Male 78610 Full-time active waive

12/9/1995 Male 78745 Full-time active BCBS Medical HDHP Employee and Children 8/14/1977 Male 78613 Full-time active BCBS Medical HDHP Employee Only 8/29/1969 Female 78247 Terminated active term 7/31/2023 1/1/1982 Female 78653 Full-time active term 12/31/2022 4/7/1997 Male 78660 Full-time active BCBS Medical HDHP Employee Only

12/10/1995 Male 78640 Full-time active BCBS Medical HDHP Employee Only 8/23/1979 Male 78641 Terminated active waive 12/1/1990 Female 78653 Full-time active BCBS Medical HMO Employee Only 9/10/1995 Female 78653 Full-time active BCBS Medical HMO Employee Only 9/14/2000 Female 78748 Full-time active BCBS Medical HDHP Employee Only 8/22/1983 Male 78660 Full-time active BCBS Medical HMO Employee and Children

10/27/1990 Female 78665 Full-time active BCBS Medical HDHP Employee Only 9/18/1986 Male 78660 Full-time active BCBS Medical HMO Employee and Spouse 10/1/1965 Male 78130 Full-time active BCBS Medical HMO Employee Only 7/10/1968 Male 78613 Full-time active 9/7/1987 Female 78751 Full-time active BCBS Medical HDHP Employee Only 9/4/1997 Male 78016 Full-time active BCBS Medical HMO Employee Only

2/27/1977 Female 78758 Terminated active term 8/31/2024 11/18/1967 Female 78748 Full-time active term 8/31/2025 12/29/1956 Female 78758 Terminated active term 8/31/2024 2/23/1965 Female 78748 Full-time active term 8/31/2025

12/30/1989 Female 78728 Terminated active term 7/31/2024 3/28/1974 Female 78613 Full-time active term 8/31/2025 12/1/1971 Female 78753 Full-time active term 8/31/2025 10/5/1968 Female 78132 Terminated active waive 1/28/1975 Male 78729 Full-time active waive 6/30/1988 Female 78724 Full-time active term 8/31/2025 2/9/1970 Female 78737 Terminated active term 7/31/2024CONFID

2/19/1998 Female 78741 Full-time active term 8/31/2025 4/17/1989 Male 78640 Terminated active term 8/31/2025

10/27/1997 Female 78526 Terminated active term 8/31/2024 8/4/1993 Female 77459 Terminated active waive 9/1/1989 Female 78747 Terminated active term 7/31/2024

11/10/1971 Female 78744 Full-time active term 8/31/2025 12/12/1958 Female 78745 Terminated active 5/12/1994 Female 78660 Terminated active term 10/31/2024 7/16/1964 Female 78714 Full-time active BCBS Medical HMO Employee Only 5/20/1969 Female 78753 Full-time active BCBS Medical HDHP Employee Only 1/6/1975 Female 78724 Full-time active BCBS Medical HMO Employee Only 3/4/1963 Female 78745 Full-time active BCBS Medical HDHP Employee Only

8/18/1961 Female 78753 Full-time active BCBS Medical HMO Employee Only 11/8/1981 Female 78753 Full-time active BCBS Medical HDHP Employee Only 9/1/1981 Male 78757 Full-time active BCBS Medical HMO Employee Only

4/25/1968 Female 78721 Full-time active BCBS Medical HMO Employee Only 10/31/1975 Female 78747 Full-time active BCBS Medical HDHP Employee Only 12/24/1953 Female 78744 Full-time active BCBS Medical HDHP Employee Only 8/30/1979 Female 78640 Full-time active BCBS Medical HDHP Employee Only 7/4/1973 Female 78617 Full-time active BCBS Medical HMO Employee Only

4/14/1971 Female 78758 Full-time active BCBS Medical HDHP Employee Only 6/25/1970 Female 78626 Full-time active BCBS Medical HMO Employee and Children 8/29/1964 Female 78748 Full-time active BCBS Medical HDHP Employee Only 2/26/1973 Female 78723 Full-time active BCBS Medical HMO Employee Only 4/19/1987 Female 78744 Full-time active BCBS Medical HDHP Employee Only 7/18/1968 Female 78753 Full-time active term 12/31/2020 6/16/1985 Female 78750 Full-time active BCBS Medical HMO Employee Only 1/3/1970 Female 78745 Full-time active BCBS Medical HMO Employee Only

7/29/1978 Female 78744 Full-time active BCBS Medical HDHP Employee and Children 8/31/1962 Female 78642 Full-time active BCBS Medical HDHP Employee Only 8/8/1962 Female 78617 Full-time active BCBS Medical HDHP Employee Only 9/8/1986 Female 78745 Full-time active BCBS Medical HDHP Employee Only

3/10/1965 Female 78717 Full-time active BCBS Medical HDHP Employee Only 7/29/1977 Female 78702 Full-time active BCBS Medical HDHP Employee Only 6/28/1968 Female 78747 Full-time active BCBS Medical HDHP Employee OnlyCONFID

6/23/1974 Female 78666 Full-time active BCBS Medical HDHP Employee Only 9/4/1969 Female 78610 Full-time active BCBS Medical HDHP Employee Only 1/9/1983 Female 78617 Full-time active BCBS Medical HDHP Employee and Children

1/27/1966 Female 78644 Full-time active BCBS Medical HMO Employee Only 3/4/1974 Female 78748 Full-time active BCBS Medical HDHP Employee Only 4/4/1961 Female 78642 Terminated active term 12/31/2023 1/5/1969 Female 78745 Terminated active term 12/31/2023

2/15/1960 Female 78721 Full-time active BCBS Medical HMO Employee Only 7/21/1981 Female 78602 Full-time active BCBS Medical HDHP Employee Only

11/12/1957 Female 78748 Terminated active term 1/31/2024 4/18/1980 Female 78666 Full-time active BCBS Medical HDHP Employee Only 11/7/1982 Female 78660 Full-time active BCBS Medical HDHP Employee and Children 12/7/1982 Female 78747 Full-time active BCBS Medical HDHP Employee Only 3/25/1972 Female 78721 Full-time active BCBS Medical HDHP Employee Only 7/18/1970 Female 78758 Full-time active BCBS Medical HDHP Employee Only 8/27/1986 Male 78640 Full-time active BCBS Medical HDHP Employee Only

10/25/1992 Female 78727 Full-time active BCBS Medical HDHP Employee Only 7/26/1965 Female 78744 Full-time active BCBS Medical HDHP Employee Only 2/26/1999 Female 78744 Full-time active BCBS Medical HDHP Employee Only 1/3/1961 Female 78731 Full-time active BCBS Medical HDHP Employee Only

9/25/1973 Male 78744 Full-time active BCBS Medical HMO Employee Only 1/12/1980 Female 78723 Full-time active BCBS Medical HDHP Employee Only

11/28/1973 Female 78739 Full-time active BCBS Medical HDHP Employee Only 9/5/1968 Female 78745 Full-time active BCBS Medical HDHP Employee Only

11/4/1973 Female 78653 Full-time active BCBS Medical HDHP Employee Only 10/20/1966 Female 78744 Full-time active BCBS Medical HDHP Employee Only 5/16/1988 Female 78744 Full-time active BCBS Medical HDHP Employee Only

10/12/1994 Female 78660 Full-time active waive 4/2/1957 Female 78660 Full-time active

9/12/2003 Female 78748 Full-time active 6/17/1957 Female 78702 Full-time active 9/1/1977 Female 78752 Full-time active

5/13/1981 Female 78758 Full-time active 2/6/1994 Female 78745 Full-time active

9/13/1988 Female 78754 Full-time active BCBS Medical HDHP Employee OnlyCONFID

4/5/1999 Female 78723 Full-time active 5/19/1966 Female 78747 Full-time active BCBS Medical HMO Employee Only 2/12/1964 Male 78745 Full-time active BCBS Medical HDHP Employee Only

10/16/1969 Male 78744 Full-time active BCBS Medical HDHP Employee Only 1/22/1983 Female 78748 Full-time active BCBS Medical HDHP Employee and Children 7/3/1970 Female 78744 Full-time active BCBS Medical HDHP Employee Only

9/30/1964 Female 78640 Terminated active term 5/31/2024 3/21/1966 Female 78745 Full-time active BCBS Medical HMO Employee Only

11/25/1965 Female 78744 Full-time active BCBS Medical HDHP Employee Only 6/25/1985 Male 78723 Full-time active BCBS Medical HMO Employee and Children 10/4/1985 Female 78653 Full-time active BCBS Medical HMO Employee Only 3/30/1966 Female 78759 Full-time active BCBS Medical HMO Employee Only 11/4/1963 Male 78724 Full-time active BCBS Medical HMO Employee Only 3/13/1970 Female 78612 Full-time active BCBS Medical HDHP Employee Only 7/27/1975 Male 78727 Full-time active BCBS Medical HDHP Employee Only 4/1/1965 Male 78640 Terminated active term 2/28/2025

9/12/1963 Female 78723 Full-time active BCBS Medical HDHP Employee Only 1/18/1971 Male 78752 Full-time active BCBS Medical HDHP Employee and Spouse 8/22/1963 Female 78723 Full-time active BCBS Medical HMO Employee Only 7/20/1965 Female 78616 Full-time active BCBS Medical HDHP Employee Only 2/5/1962 Male 78758 Terminated active term 3/31/2024

8/22/1960 Female 78748 Full-time active BCBS Medical HMO Employee Only 4/1/1968 Male 78741 Full-time active BCBS Medical HDHP Employee Only

3/25/1962 Male 78664 Terminated active term 7/30/2024 9/19/1962 Female 78744 Terminated active term 1/31/2025 12/2/1977 Female 78617 Full-time active BCBS Medical HMO Employee Only 6/15/1962 Female 78741 Full-time active BCBS Medical HMO Employee Only 3/8/1960 Male 78748 Full-time active BCBS Medical HMO Employee Only

1/29/1966 Female 78610 Full-time active BCBS Medical HMO Employee Only 3/15/1967 Female 78723 Full-time active BCBS Medical HDHP Employee Only 6/27/1970 Male 78617 Full-time active BCBS Medical HMO Employee Only 1/21/1967 Female 78723 Terminated active term 12/31/2023 7/28/1965 Male 78753 Full-time active BCBS Medical HDHP Employee Only 2/3/1965 Male 78664 Full-time active BCBS Medical HDHP Employee Only

1/28/1967 Male 78747 Full-time active BCBS Medical HMO Employee OnlyCONFID

11/6/1966 Male 78744 Full-time active BCBS Medical HDHP Employee and Children 1/6/1961 Male 78640 Full-time active BCBS Medical HDHP Employee Only

10/14/1975 Female 78621 Full-time active BCBS Medical HMO Employee Only 5/28/1972 Female 78747 Full-time active BCBS Medical HMO Employee Only 4/18/1965 Female 78748 Full-time active BCBS Medical HMO Employee Only 8/2/1966 Female 78724 Full-time active BCBS Medical HMO Employee Only 2/3/1964 Female 78719 Full-time active BCBS Medical HMO Employee Only 4/5/1966 Female 78753 Full-time active BCBS Medical HDHP Employee Only

11/1/1961 Male 78745 Full-time active BCBS Medical HDHP Employee Only 6/7/1963 Male 78640 Full-time active BCBS Medical HMO Employee Only 4/1/1961 Female 78616 Full-time active BCBS Medical HDHP Employee Only

9/23/1967 Female 78744 Full-time active BCBS Medical HMO Employee Only 1/17/1964 Female 78745 Full-time active BCBS Medical HMO Employee Only 8/18/1970 Female 78752 Full-time active BCBS Medical HMO Employee and Children 4/18/1972 Female 78753 Full-time active BCBS Medical HDHP Employee Only 8/19/1972 Male 78741 Full-time active BCBS Medical HDHP Employee Only 4/19/1980 Female 78758 Full-time active BCBS Medical HDHP Employee and Children 5/22/1956 Male 78721 Full-time active BCBS Medical HMO Employee Only 10/9/1966 Female 78752 Terminated active term 7/31/2022 1/16/1968 Female 78617 Full-time active BCBS Medical HMO Employee Only 4/23/1970 Male 78664 Full-time active BCBS Medical HDHP Employee Only 5/20/1969 Female 78725 Full-time active BCBS Medical HDHP Employee Only 2/17/1973 Male 78723 Full-time active BCBS Medical HDHP Employee Only 5/4/1974 Female 78744 Full-time active BCBS Medical HDHP Employee Only 5/5/1982 Female 78702 Full-time active BCBS Medical HDHP Employee Only

11/25/1970 Female 78744 Full-time active BCBS Medical HDHP Employee and Children 3/9/1964 Male 78717 Full-time active BCBS Medical HDHP Employee Only

12/25/1973 Female 78617 Full-time active BCBS Medical HMO Employee Only 4/12/1985 Female 78602 Full-time active BCBS Medical HDHP Employee and Children 8/10/1984 Female 78748 Full-time active BCBS Medical HMO Employee Only 8/30/1974 Female 78724 Full-time active BCBS Medical HDHP Employee Only 8/25/1968 Female 78752 Full-time active BCBS Medical HDHP Employee Only

11/24/1973 Female 78758 Full-time active BCBS Medical HDHP Family 2/23/1980 Female 78745 Full-time active BCBS Medical HMO Employee Only

11/16/2000 Female 78759 Terminated active term 4/30/2025CONFID

1/2/1989 Male 78664 Full-time active term 1/31/2024 9/23/1984 Female 78753 Full-time active BCBS Medical HDHP Employee Only

10/13/1971 Female 78745 Terminated active 9/11/1992 Female 78617 Full-time active BCBS Medical HDHP Employee Only 7/6/1995 Female 78644 Full-time active BCBS Medical HDHP Employee Only

5/28/1968 Female 78725 Terminated active term 5/31/2024 3/16/1970 Female 78745 Full-time active BCBS Medical HDHP Employee Only 7/17/1979 Female 78747 Full-time active

12/20/1980 Female 76542 Full-time active BCBS Medical HDHP Employee Only 4/3/1995 Female 78681 Terminated active term 8/31/2025 8/1/1978 Female 78744 Full-time active BCBS Medical HDHP Employee Only

9/26/1977 Female 78617 Full-time active waive 4/24/1983 Female 76537 Full-time active BCBS Medical HDHP Employee Only 5/8/1978 Female 78753 Full-time active BCBS Medical HDHP Employee Only

6/14/1981 Female 78610 Full-time active BCBS Medical HDHP Employee Only 11/10/1969 Female 78753 Full-time active BCBS Medical HDHP Employee Only 3/18/1963 Male 78724 Full-time active BCBS Medical HDHP Employee Only 1/2/1983 Male 78617 Full-time active BCBS Medical HDHP Employee Only

9/17/1990 Male 78744 Full-time active BCBS Medical HMO Employee Only 4/13/1961 Male 78723 Full-time active BCBS Medical HDHP Employee Only 7/8/1972 Male 78616 Full-time active BCBS Medical HDHP Employee Only

2/13/1963 Male 78660 Full-time active BCBS Medical HDHP Employee Only 3/8/1960 Male 78744 Terminated active term 12/31/2024 4/6/1973 Male 78640 Full-time active BCBS Medical HDHP Employee Only

1/21/1981 Male 78660 Full-time active BCBS Medical HMO Employee and Children 8/12/1983 Male 78754 Full-time active BCBS Medical HDHP Employee Only 2/16/1971 Male 76574 Full-time active BCBS Medical HMO Employee Only 1/12/1983 Male 78744 Full-time active BCBS Medical HDHP Employee Only 9/27/1971 Male 78759 Full-time active BCBS Medical HDHP Employee Only 9/18/1966 Male 78724 Full-time active BCBS Medical HDHP Employee and Spouse 4/8/1970 Male 78745 Full-time active BCBS Medical HDHP Employee Only

3/19/1976 Male 78754 Full-time active BCBS Medical HDHP Family 8/23/1984 Male 78744 Full-time active BCBS Medical HDHP Employee Only 3/1/1964 Male 78744 Terminated active term 7/31/2025

12/4/1976 Male 78660 Full-time active term 12/31/2023CONFID

4/23/1964 Male 78724 Full-time active BCBS Medical HDHP Employee Only 4/30/1972 Male 78748 Full-time active BCBS Medical HDHP Employee Only 5/4/1986 Male 78617 Full-time active BCBS Medical HDHP Employee and Children 9/3/1982 Male 78723 Full-time active BCBS Medical HDHP Employee Only

1/28/1960 Male 78664 Full-time active BCBS Medical HDHP Employee Only 6/10/1994 Male 78745 Full-time active BCBS Medical HDHP Employee Only 9/16/1978 Male 78748 Terminated active term 7/31/2024 8/26/1991 Male 78617 Full-time active BCBS Medical HDHP Employee Only 6/9/1988 Male 78726 Full-time active BCBS Medical HDHP Employee Only

10/8/1998 Male 78626 Full-time active BCBS Medical HDHP Employee Only 9/16/1999 Male 78744 Full-time active 9/24/1969 Male 78754 Full-time active BCBS Medical HDHP Employee and Children 2/3/1946 Female 78744 Part-time active

5/20/1959 Male 78754 Part-time active 4/2/1963 Male 78745 Part-time active BCBS Medical HDHP Employee Only

7/17/1955 Male 78749 Part-time active 5/1/1957 Male 78747 Part-time active

3/11/1970 Female 78735 Part-time active 1/29/1951 Male 78717 Terminated active 5/27/1956 Female 78748 Terminated cobra term 4/30/2021 2/24/1976 Male 78734 Terminated cobra term 11/30/2020 9/9/1964 Male 78757 Terminated cobra term 12/31/2024

9/23/1966 Female 78721 Terminated cobra 5/26/1971 Female 76063 Terminated cobra term 6/30/2023 9/12/1975 Female 78752 Terminated cobra term 8/31/2022 12/1/1993 Male 78610 Full-time active BCBS Medical HDHP Employee Only 9/8/1979 Female 78641 Full-time active BCBS Medical HMO Employee Only

4/22/1994 Female 78752 Full-time active BCBS Medical HDHP Employee Only 8/19/1983 Female 78704 Full-time active BCBS Medical HDHP Employee Only 6/9/1974 Female 78640 Full-time active BCBS Medical HDHP Employee and Spouse 6/6/1983 Female 78745 Full-time active BCBS Medical HDHP Employee Only

6/11/1980 Male 78744 Full-time active BCBS Medical HDHP Family 8/19/1973 Male 78759 Full-time active BCBS Medical HDHP Employee Only 2/27/1982 Male 78660 Full-time active BCBS Medical HDHP Employee Only 2/29/1980 Male 78754 Full-time active BCBS Medical HDHP Employee and ChildrenCONFID

1/17/1970 Female 78626 Full-time active BCBS Medical HMO Employee Only 3/29/1984 Female 78752 Full-time active BCBS Medical HDHP Employee and Children

10/16/1952 Female 78758 Full-time active BCBS Medical HMO Employee Only 3/7/1993 Male 78731 Full-time active BCBS Medical HDHP Employee Only

2/16/1970 Female 78602 Full-time active BCBS Medical HMO Employee Only 10/1/1982 Female 78739 Full-time active waive 1/7/1982 Female 78634 Full-time active BCBS Medical HMO Employee and Children

10/18/1955 Female 78751 Full-time active BCBS Medical HMO Employee Only 12/4/1964 Female 78640 Full-time active BCBS Medical HMO Employee Only 5/4/1969 Female 78748 Full-time active BCBS Medical HMO Employee Only

3/25/1992 Female 78754 Full-time active BCBS Medical HDHP Employee and Children 7/1/1992 Male 78664 Terminated active term 1/31/2025

7/27/1989 Female 78745 Full-time active BCBS Medical HDHP Employee Only 3/2/1971 Female 78652 Full-time active BCBS Medical HMO Family

7/25/1967 Female 78744 Full-time active BCBS Medical HMO Employee Only 4/19/1973 Male 78749 Full-time active BCBS Medical HDHP Employee Only 9/22/1981 Female 78749 Full-time active BCBS Medical HDHP Employee and Children 6/8/1985 Female 78747 Full-time active BCBS Medical HDHP Employee Only

6/22/1985 Female 78613 Terminated active term 1/31/2025 9/23/1990 Female 78723 Full-time active BCBS Medical HDHP Employee Only 3/25/1980 Female 78747 Full-time active BCBS Medical HMO Employee Only 9/20/1987 Female 78753 Full-time active waive 10/4/1968 Female 78752 Full-time active BCBS Medical HMO Employee Only 2/11/1975 Female 78748 Full-time active term 8/31/2024 1/20/1956 Female 78723 Full-time active BCBS Medical HMO Employee Only

12/29/1982 Female 78749 Full-time active BCBS Medical HDHP Employee Only 12/18/1959 Female 78754 Full-time active BCBS Medical HDHP Employee Only 1/23/1978 Female 78749 Full-time active BCBS Medical HMO Employee and Children 7/28/1982 Male 78749 Full-time active BCBS Medical HDHP Employee Only 1/29/1972 Female 78748 Full-time active BCBS Medical HDHP Employee and…

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