Attachment A - Census.xlsx

XLSX spreadsheet 353 KB Posted Nov 3, 2025

Attached to: Medical Network and Pharmacy Administration Services
Solicitation number: 25RFP17863
Issued by: Pennington County, South Dakota

View the file

Other files

File	Type	Posted
Attachment D - Questionaire.xlsx	XLSX spreadsheet	Nov 25, 2025
Attachment C Benefit Guide.pdf	PDF	Nov 25, 2025
Attachment I - Cost Proposal.xlsx	XLSX spreadsheet	Nov 25, 2025
Attachment G Roosevelt Plan SPD FY26.pdf	PDF	Nov 25, 2025
Attachment O - BHRA Business Associates Agreement.docx	DOCX document	Nov 25, 2025
Attachment K. - BIT Technology Standards.docx	DOCX document	Nov 25, 2025
Attachment G Washington Plan SPD FY26.pdf	PDF	Nov 25, 2025
Response to Offeror Questions document.docx	DOCX document	Nov 25, 2025
Attachment G Lincoln Plan SPD FY26.pdf	PDF	Nov 25, 2025
Attachment H - Network Access.xlsx	XLSX spreadsheet	Nov 25, 2025
Attachment J Security and Vendor Questions.docx	DOCX document	Nov 25, 2025
Attachment B - Offeror Privacy and Security Agreement.docx	DOCX document	Nov 25, 2025
Attachment G Jefferson Plan SPD FY26.pdf	PDF	Nov 25, 2025
Addendum 1-RFP Document.pdf	PDF	Nov 25, 2025
Attachment N - Deviations Exceptions -- 10.06.25.docx	DOCX document	Nov 25, 2025
Attachment G Lincoln Plan SPD FY26.pdf	PDF	Nov 14, 2025
Attachment I - Cost Proposal.xlsx	XLSX spreadsheet	Nov 14, 2025
Attachment N - Deviations Exceptions -- 10.06.25.docx	DOCX document	Nov 14, 2025
Attachment C Benefit Guide.pdf	PDF	Nov 14, 2025
Attachment G Washington Plan SPD FY26.pdf	PDF	Nov 14, 2025
Attachment B - Offeror Privacy and Security Agreement.docx	DOCX document	Nov 14, 2025
Attachment D - Questionaire.xlsx	XLSX spreadsheet	Nov 14, 2025
Attachment G Jefferson Plan SPD FY26.pdf	PDF	Nov 14, 2025
Attachment G Roosevelt Plan SPD FY26.pdf	PDF	Nov 14, 2025
Attachment J Security and Vendor Questions.docx	DOCX document	Nov 14, 2025
Addendum 1-RFP Document.pdf	PDF	Nov 14, 2025
Attachment H - Network Access.xlsx	XLSX spreadsheet	Nov 14, 2025
Attachment K. - BIT Technology Standards.docx	DOCX document	Nov 14, 2025
Attachment O - BHRA Business Associates Agreement.docx	DOCX document	Nov 14, 2025
Attachment I - Cost Proposal.xlsx	XLSX spreadsheet	Nov 3, 2025
Attachment N - Deviations Exceptions -- 10.06.25.docx	DOCX document	Nov 3, 2025
Attachment G Jefferson Plan SPD FY26.pdf	PDF	Nov 3, 2025
Attachment G Washington Plan SPD FY26.pdf	PDF	Nov 3, 2025
Attachment O - BHRA Business Associates Agreement.docx	DOCX document	Nov 3, 2025
RFP Document.pdf	PDF	Nov 3, 2025
Attachment B - Offeror Privacy and Security Agreement.docx	DOCX document	Nov 3, 2025
Attachment C Benefit Guide.pdf	PDF	Nov 3, 2025
Attachment G Lincoln Plan SPD FY26.pdf	PDF	Nov 3, 2025
Attachment G Roosevelt Plan SPD FY26.pdf	PDF	Nov 3, 2025
Attachment H - Network Access.xlsx	XLSX spreadsheet	Nov 3, 2025
Attachment K. - BIT Technology Standards.docx	DOCX document	Nov 3, 2025
Attachment D - Questionaire.xlsx	XLSX spreadsheet	Nov 3, 2025
Attachment J Security and Vendor Questions.docx	DOCX document	Nov 3, 2025

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Sheet0

Benefit Plan	Employee Mailing Zip Code	Employee DOB	Employee Gender
Washington $5750 High Deductible with HSA	57053	3/16/70	Female
Washington $5750 High Deductible with HSA	57501-2422	7/1/70	Male
Roosevelt $0 No Deductible	57501-2040	11/24/62	Female
Health Opt Out	57702	9/26/65	Male
Roosevelt $0 No Deductible	57078	8/10/54	Male
Lincoln $3500 High Deductible with HSA	57078-6746	3/2/57	Male
Washington $5750 High Deductible with HSA	57702	8/8/60	Female
Roosevelt $0 No Deductible	57106	1/21/66	Female
Washington $5750 High Deductible with HSA	57702-6052	5/28/74	Female
Jefferson $2000 Low Deductible	57006-5412	12/28/64	Female
Washington $5750 High Deductible with HSA	57469-9219	9/9/65	Male
Roosevelt $0 No Deductible	57006	10/24/69	Male
Washington $5750 High Deductible with HSA	57324-7700	9/16/60	Female
Jefferson $2000 Low Deductible	57040	4/4/72	Male
Washington $5750 High Deductible with HSA	57401-4911	1/17/71	Female
Washington $5750 High Deductible with HSA	57501	6/1/63	Female
Washington $5750 High Deductible with HSA	57469	12/13/62	Male
Health Opt Out	57703	6/17/69	Male
Washington $5750 High Deductible with HSA	57106	11/11/69	Female
Jefferson $2000 Low Deductible	57105	3/30/77	Male
Lincoln $3500 High Deductible with HSA	57501	7/29/64	Female
Lincoln $3500 High Deductible with HSA	57701	11/6/80	Male
Roosevelt $0 No Deductible	57744	9/21/75	Female
Washington $5750 High Deductible with HSA	57703-6435	10/5/68	Male
Washington $5750 High Deductible with HSA	57325	3/31/78	Male
Jefferson $2000 Low Deductible	57738-0043	4/21/68	Male
Washington $5750 High Deductible with HSA	57501-1635	8/25/60	Male
Health Opt Out	57718	8/18/63	Female
Lincoln $3500 High Deductible with HSA	57039	9/17/78	Female
Roosevelt $0 No Deductible	57006	4/14/64	Male
Washington $5750 High Deductible with HSA	57702	10/3/59	Male
Washington $5750 High Deductible with HSA	57108-4907	10/25/76	Male
Washington $5750 High Deductible with HSA	57702	7/10/75	Male
Health Opt Out	57501	8/9/68	Male
Washington $5750 High Deductible with HSA	57580	12/12/67	Male
Washington $5750 High Deductible with HSA	57501-3535	6/18/67	Male
Jefferson $2000 Low Deductible	57342	1/11/65	Male
Washington $5750 High Deductible with HSA	57702-6155	8/10/64	Male
Washington $5750 High Deductible with HSA	57783	8/29/81	Male
Washington $5750 High Deductible with HSA	57108	11/24/75	Male
Washington $5750 High Deductible with HSA	57456-0222	12/31/61	Female
Washington $5750 High Deductible with HSA	57103	12/18/63	Female
Lincoln $3500 High Deductible with HSA	57005	11/23/59	Female
Washington $5750 High Deductible with HSA	57106	3/7/60	Female
Washington $5750 High Deductible with HSA	57501	2/25/70	Male
Lincoln $3500 High Deductible with HSA	57501-4444	11/18/60	Male
Washington $5750 High Deductible with HSA	57730	7/8/71	Male
Lincoln $3500 High Deductible with HSA	57501	4/7/67	Male
Jefferson $2000 Low Deductible	57469-1619	11/23/65	Male
Washington $5750 High Deductible with HSA	57501-4718	9/25/70	Female
Washington $5750 High Deductible with HSA	57501-4515	10/28/75	Male
Roosevelt $0 No Deductible	57022	2/1/76	Female
Health Opt Out	57069-3419	8/19/81	Female
Lincoln $3500 High Deductible with HSA	57717-2123	9/5/76	Male
Washington $5750 High Deductible with HSA	57501-2724	11/15/63	Female
Lincoln $3500 High Deductible with HSA	57078-5109	7/14/78	Male
Lincoln $3500 High Deductible with HSA	57501	5/19/72	Male
Washington $5750 High Deductible with HSA	57501	10/24/73	Male
Health Opt Out	57501	9/29/59	Male
Washington $5750 High Deductible with HSA	57501	8/11/62	Male
Roosevelt $0 No Deductible	57783	8/30/67	Male
Lincoln $3500 High Deductible with HSA	57012	5/21/75	Male
Lincoln $3500 High Deductible with HSA	57103-6534	5/11/70	Female
Washington $5750 High Deductible with HSA	57501-4736	3/13/64	Female
Jefferson $2000 Low Deductible	57501	8/11/74	Male
Washington $5750 High Deductible with HSA	57501-4432	11/11/69	Male
Washington $5750 High Deductible with HSA	56447	5/10/66	Female
Washington $5750 High Deductible with HSA	57201-3912	3/27/69	Male
Washington $5750 High Deductible with HSA	57107	2/18/73	Female
Washington $5750 High Deductible with HSA	57501-5846	7/27/76	Female
Washington $5750 High Deductible with HSA	57005	7/27/72	Female
Washington $5750 High Deductible with HSA	57469-6610	5/31/63	Male
Washington $5750 High Deductible with HSA	57631-5105	5/8/67	Male
Washington $5750 High Deductible with HSA	59106	8/19/80	Female
Jefferson $2000 Low Deductible	57362	8/4/75	Male
Roosevelt $0 No Deductible	57501-3453	1/13/73	Male
Washington $5750 High Deductible with HSA	57501	10/24/61	Female
Washington $5750 High Deductible with HSA	57006-3543	11/2/77	Male
Roosevelt $0 No Deductible	57239	9/23/71	Male
Lincoln $3500 High Deductible with HSA	57469-1637	4/14/72	Male
Lincoln $3500 High Deductible with HSA	57469-1405	12/29/77	Female
Lincoln $3500 High Deductible with HSA	57719	5/1/66	Male
Health Opt Out	57401-8104	6/30/77	Female
Jefferson $2000 Low Deductible	57301-2216	10/16/68	Male
Lincoln $3500 High Deductible with HSA	57078	5/3/72	Male
Washington $5750 High Deductible with HSA	57042-3717	6/17/75	Male
Lincoln $3500 High Deductible with HSA	57013	3/30/74	Male
Jefferson $2000 Low Deductible	57106-0222	12/27/62	Female
Lincoln $3500 High Deductible with HSA	57033-2231	9/3/68	Male
Washington $5750 High Deductible with HSA	57501-3908	8/12/73	Female
Lincoln $3500 High Deductible with HSA	57062-0355	6/3/64	Male
Lincoln $3500 High Deductible with HSA	57110	2/13/69	Male
Lincoln $3500 High Deductible with HSA	57501-5658	2/13/69	Female
Lincoln $3500 High Deductible with HSA	57106-8839	10/29/71	Female
Washington $5750 High Deductible with HSA	57107	2/16/70	Female
Washington $5750 High Deductible with HSA	57442-8204	12/28/77	Male
Roosevelt $0 No Deductible	57071-6812	11/29/74	Female
Roosevelt $0 No Deductible	57501	2/17/79	Male
Washington $5750 High Deductible with HSA	57501	1/5/60	Female
Jefferson $2000 Low Deductible	57501-6196	9/28/61	Male
Washington $5750 High Deductible with HSA	57016-7510	10/12/71	Male
Jefferson $2000 Low Deductible	57701-7651	6/15/66	Female
Jefferson $2000 Low Deductible	57078-2204	6/4/73	Female
Roosevelt $0 No Deductible	57108	5/8/68	Male
Jefferson $2000 Low Deductible	57103	8/1/60	Male
Lincoln $3500 High Deductible with HSA	57501-4900	8/1/70	Male
Roosevelt $0 No Deductible	57717-2210	10/7/68	Male
Washington $5750 High Deductible with HSA	57501-3641	5/28/66	Female
Lincoln $3500 High Deductible with HSA	57783-9407	4/21/71	Female
Washington $5750 High Deductible with HSA	57078-3908	9/20/71	Female
Health Opt Out	57106	5/23/66	Male
Jefferson $2000 Low Deductible	57301-4855	12/17/66	Male
Washington $5750 High Deductible with HSA	57078-2533	6/16/76	Male
Washington $5750 High Deductible with HSA	56219-4068	12/20/76	Male
Washington $5750 High Deductible with HSA	57501-2204	10/28/67	Male
Washington $5750 High Deductible with HSA	57501	9/25/72	Male
Jefferson $2000 Low Deductible	57785-2811	1/15/60	Female
Washington $5750 High Deductible with HSA	57107	3/8/71	Male
Lincoln $3500 High Deductible with HSA	57005-1930	2/7/72	Male
Lincoln $3500 High Deductible with HSA	57501	1/31/75	Male
Jefferson $2000 Low Deductible	57576-5310	2/24/67	Female
Roosevelt $0 No Deductible	57010	12/29/70	Female
Jefferson $2000 Low Deductible	57103	7/27/62	Male
Jefferson $2000 Low Deductible	57501-2113	2/1/63	Male
Jefferson $2000 Low Deductible	57037	2/18/69	Female
Lincoln $3500 High Deductible with HSA	57103-5129	9/19/63	Female
Washington $5750 High Deductible with HSA	57501	9/16/63	Male
Washington $5750 High Deductible with HSA	57020	3/20/81	Male
Washington $5750 High Deductible with HSA	57106-7303	12/20/71	Male
Jefferson $2000 Low Deductible	57108	8/8/67	Female
Washington $5750 High Deductible with HSA	57301	9/4/74	Male
Washington $5750 High Deductible with HSA	57078	4/7/79	Female
Lincoln $3500 High Deductible with HSA	57006-3655	1/9/79	Male
Jefferson $2000 Low Deductible	57005-1063	6/2/69	Female
Jefferson $2000 Low Deductible	57069-3501	4/11/81	Male
Washington $5750 High Deductible with HSA	57037	1/29/65	Male
Jefferson $2000 Low Deductible	57103	11/26/60	Female
Lincoln $3500 High Deductible with HSA	57501	2/22/72	Female
Roosevelt $0 No Deductible	57069-6707	8/20/75	Female
Jefferson $2000 Low Deductible	57105-2412	12/7/67	Male
Lincoln $3500 High Deductible with HSA	57401-2115	2/15/72	Male
Washington $5750 High Deductible with HSA	57501	3/12/76	Male
Washington $5750 High Deductible with HSA	57501	7/22/83	Female
Lincoln $3500 High Deductible with HSA	57006	9/3/68	Male
Washington $5750 High Deductible with HSA	57078-5330	11/19/69	Female
Lincoln $3500 High Deductible with HSA	57078	11/21/69	Female
Washington $5750 High Deductible with HSA	57532-0925	7/9/60	Male
Lincoln $3500 High Deductible with HSA	57469-1324	8/28/62	Female
Lincoln $3500 High Deductible with HSA	57401	1/10/59	Female
Washington $5750 High Deductible with HSA	57501-4736	11/4/65	Male
Washington $5750 High Deductible with HSA	57501	5/30/76	Male
Lincoln $3500 High Deductible with HSA	57062	7/18/66	Female
Roosevelt $0 No Deductible	57107-3004	1/19/75	Male
Washington $5750 High Deductible with HSA	57106	6/10/80	Male
Lincoln $3500 High Deductible with HSA	57501-2885	6/10/61	Male
Washington $5750 High Deductible with HSA	57730	5/7/68	Male
Lincoln $3500 High Deductible with HSA	57104	2/7/62	Male
Lincoln $3500 High Deductible with HSA	57501-7302	3/19/70	Female
Washington $5750 High Deductible with HSA	57049	6/8/72	Female
Roosevelt $0 No Deductible	57078	3/31/59	Female
Washington $5750 High Deductible with HSA	57078	4/16/61	Male
Washington $5750 High Deductible with HSA	57747	2/1/77	Male
Washington $5750 High Deductible with HSA	57501-1955	3/26/63	Male
Washington $5750 High Deductible with HSA	57501	12/21/62	Male
Jefferson $2000 Low Deductible	57078	4/14/67	Female
Roosevelt $0 No Deductible	57501	5/20/74	Female
Jefferson $2000 Low Deductible	57501-2316	7/15/54	Male
Washington $5750 High Deductible with HSA	57703	8/19/73	Male
Washington $5750 High Deductible with HSA	57469-2018	4/22/68	Female
Washington $5750 High Deductible with HSA	57501-2854	9/23/70	Male
Jefferson $2000 Low Deductible	57783	4/16/72	Female
Lincoln $3500 High Deductible with HSA	57469	7/4/79	Female
Washington $5750 High Deductible with HSA	57532	9/27/57	Male
Washington $5750 High Deductible with HSA	57108	9/21/76	Male
Lincoln $3500 High Deductible with HSA	57532	7/19/77	Female
Washington $5750 High Deductible with HSA	57501	6/9/66	Male
Jefferson $2000 Low Deductible	57401-2554	8/5/56	Female
Lincoln $3500 High Deductible with HSA	57501-3418	5/25/57	Male
Roosevelt $0 No Deductible	57501-4706	12/19/63	Female
Washington $5750 High Deductible with HSA	57703-6633	8/25/66	Female
Lincoln $3500 High Deductible with HSA	57401-7627	12/17/63	Male
Jefferson $2000 Low Deductible	57501-3746	5/26/64	Female
Lincoln $3500 High Deductible with HSA	57110	10/28/65	Male
Jefferson $2000 Low Deductible	57006-1250	10/7/69	Female
Jefferson $2000 Low Deductible	57110	4/23/68	Female
Lincoln $3500 High Deductible with HSA	57501	3/3/70	Male
Washington $5750 High Deductible with HSA	56447	1/2/68	Male
Roosevelt $0 No Deductible	57469-6600	7/4/67	Female
Lincoln $3500 High Deductible with HSA	57744-5102	3/23/67	Female
Washington $5750 High Deductible with HSA	58078-6304	10/14/81	Female
Washington $5750 High Deductible with HSA	57501-4900	1/18/73	Male
Lincoln $3500 High Deductible with HSA	57078	4/9/61	Male
Lincoln $3500 High Deductible with HSA	57730	1/18/72	Female
Lincoln $3500 High Deductible with HSA	57532-0368	9/2/68	Male
Lincoln $3500 High Deductible with HSA	57455-0095	11/3/64	Female
Washington $5750 High Deductible with HSA	57481-6916	4/5/65	Female
Washington $5750 High Deductible with HSA	57501	1/28/76	Female
Washington $5750 High Deductible with HSA	57501-2110	2/12/69	Male
Lincoln $3500 High Deductible with HSA	57301-5025	3/22/76	Female
Lincoln $3500 High Deductible with HSA	57201-2962	9/1/71	Male
Jefferson $2000 Low Deductible	57532	12/7/80	Female
Jefferson $2000 Low Deductible	57078	8/5/82	Female
Jefferson $2000 Low Deductible	57567	5/24/72	Male
Lincoln $3500 High Deductible with HSA	57532	7/12/68	Female
Washington $5750 High Deductible with HSA	57032	11/6/80	Male
Washington $5750 High Deductible with HSA	57501	5/21/79	Male
Washington $5750 High Deductible with HSA	57401	5/9/77	Female
Washington $5750 High Deductible with HSA	57301	5/22/81	Male
Washington $5750 High Deductible with HSA	57501-2851	12/18/65	Male
Washington $5750 High Deductible with HSA	57501-4456	2/20/68	Female
Lincoln $3500 High Deductible with HSA	57476-2143	5/12/69	Male
Jefferson $2000 Low Deductible	57078	4/11/83	Female
Jefferson $2000 Low Deductible	57564-0373	6/6/79	Female
Washington $5750 High Deductible with HSA	57501-5928	7/9/73	Female
Washington $5750 High Deductible with HSA	57317-2117	5/16/73	Male
Jefferson $2000 Low Deductible	57103-4068	2/20/71	Female
Washington $5750 High Deductible with HSA	57063	3/31/76	Female
Washington $5750 High Deductible with HSA	57401-8134	11/27/67	Female
Lincoln $3500 High Deductible with HSA	57421-5515	10/5/82	Female
Washington $5750 High Deductible with HSA	57314-6424	2/9/69	Male
Lincoln $3500 High Deductible with HSA	57730	5/31/68	Female
Health Opt Out	57078-5201	10/26/66	Female
Jefferson $2000 Low Deductible	57078	11/20/69	Female
Jefferson $2000 Low Deductible	57559	4/16/71	Female
Washington $5750 High Deductible with HSA	57501	1/7/74	Female
Washington $5750 High Deductible with HSA	57501	6/7/72	Male
Jefferson $2000 Low Deductible	57501	3/17/80	Female
Roosevelt $0 No Deductible	57543-0221	7/29/66	Male
Washington $5750 High Deductible with HSA	57532	1/2/67	Female
Washington $5750 High Deductible with HSA	57501-2108	10/30/68	Female
Roosevelt $0 No Deductible	57201-2954	12/8/75	Female
Washington $5750 High Deductible with HSA	57438-6612	2/6/75	Female
Washington $5750 High Deductible with HSA	57501	5/28/83	Male
Washington $5750 High Deductible with HSA	57064-2021	11/3/74	Male
Washington $5750 High Deductible with HSA	57501	5/8/69	Female
Washington $5750 High Deductible with HSA	57785	2/17/68	Male
Lincoln $3500 High Deductible with HSA	57730	6/23/76	Male
Washington $5750 High Deductible with HSA	57528-6341	3/9/71	Female
Washington $5750 High Deductible with HSA	57501-1535	5/15/78	Female
Washington $5750 High Deductible with HSA	57010-7024	7/17/79	Male
Jefferson $2000 Low Deductible	57501	6/9/69	Male
Roosevelt $0 No Deductible	57501	12/17/82	Male
Jefferson $2000 Low Deductible	57532	4/2/72	Female
Washington $5750 High Deductible with HSA	57501	9/1/80	Female
Jefferson $2000 Low Deductible	57033	12/1/75	Female
Lincoln $3500 High Deductible with HSA	57469	5/2/74	Female
Jefferson $2000 Low Deductible	57469	1/8/69	Female
Lincoln $3500 High Deductible with HSA	57501-4900	4/1/73	Male
Washington $5750 High Deductible with HSA	57042-7325	10/9/66	Female
Washington $5750 High Deductible with HSA	57501	12/21/72	Male
Washington $5750 High Deductible with HSA	57201-5409	2/13/74	Male
Lincoln $3500 High Deductible with HSA	57532	6/6/72	Female
Washington $5750 High Deductible with HSA	57064	7/17/76	Male
Roosevelt $0 No Deductible	57105	12/3/70	Male
Jefferson $2000 Low Deductible	57501-3633	2/14/79	Male
Roosevelt $0 No Deductible	57078	3/3/71	Female
Lincoln $3500 High Deductible with HSA	57501	10/31/74	Female
Washington $5750 High Deductible with HSA	57501-2014	10/9/70	Female
Washington $5750 High Deductible with HSA	57053	9/1/80	Female
Health Opt Out	57005-6694	9/21/78	Male
Jefferson $2000 Low Deductible	57532	11/10/81	Male
Roosevelt $0 No Deductible	57201	7/31/68	Female
Washington $5750 High Deductible with HSA	57532	5/30/69	Male
Lincoln $3500 High Deductible with HSA	57069-1112	2/20/71	Female
Roosevelt $0 No Deductible	57501	4/19/71	Female
Washington $5750 High Deductible with HSA	57072-6307	9/22/74	Female
Washington $5750 High Deductible with HSA	57532-1013	4/27/71	Female
Washington $5750 High Deductible with HSA	57501	9/9/76	Female
Washington $5750 High Deductible with HSA	57501	12/22/81	Male
Lincoln $3500 High Deductible with HSA	57078-1855	1/6/71	Female
Jefferson $2000 Low Deductible	57005	12/30/68	Female
Washington $5750 High Deductible with HSA	57319	4/13/71	Male
Lincoln $3500 High Deductible with HSA	57066	1/13/76	Male
Lincoln $3500 High Deductible with HSA	57078-5108	4/24/75	Male
Roosevelt $0 No Deductible	57373-6800	11/17/74	Female
Washington $5750 High Deductible with HSA	57469	11/18/80	Female
Washington $5750 High Deductible with HSA	57701	10/10/73	Female
Washington $5750 High Deductible with HSA	57069	3/4/73	Female
Lincoln $3500 High Deductible with HSA	57078	5/9/68	Female
Washington $5750 High Deductible with HSA	57501	9/9/75	Female
Jefferson $2000 Low Deductible	57103-4936	1/17/72	Male
Jefferson $2000 Low Deductible	57744	7/10/71	Female
Lincoln $3500 High Deductible with HSA	57532-0685	8/9/70	Female
Lincoln $3500 High Deductible with HSA	57783	3/8/70	Male
Washington $5750 High Deductible with HSA	57501	9/30/68	Male
Jefferson $2000 Low Deductible	57469	11/25/71	Female
Jefferson $2000 Low Deductible	57501-5222	10/20/72	Female
Washington $5750 High Deductible with HSA	57501	12/29/70	Male
Washington $5750 High Deductible with HSA	57501	6/19/72	Female
Roosevelt $0 No Deductible	57501	2/13/71	Male
Lincoln $3500 High Deductible with HSA	57301-3554	4/21/76	Male
Jefferson $2000 Low Deductible	57532	1/13/77	Female
Lincoln $3500 High Deductible with HSA	57719-8509	9/9/81	Male
Washington $5750 High Deductible with HSA	57069	5/11/82	Female
Washington $5750 High Deductible with HSA	57006-2714	2/15/76	Male
Lincoln $3500 High Deductible with HSA	57201	10/8/76	Female
Jefferson $2000 Low Deductible	57718	2/18/80	Female
Washington $5750 High Deductible with HSA	57037	4/7/71	Male
Roosevelt $0 No Deductible	57501-3905	3/27/73	Male
Washington $5750 High Deductible with HSA	57551	8/28/81	Male
Washington $5750 High Deductible with HSA	57469	7/19/72	Female
Washington $5750 High Deductible with HSA	57751	8/22/78	Female
Jefferson $2000 Low Deductible	57274-1010	8/17/73	Male
Washington $5750 High Deductible with HSA	57501-2856	9/24/76	Male
Washington $5750 High Deductible with HSA	57532	3/2/82	Male
Washington $5750 High Deductible with HSA	57501	3/26/80	Female
Lincoln $3500 High Deductible with HSA	57701	2/27/78	Male
Washington $5750 High Deductible with HSA	57501	9/7/78	Male
Roosevelt $0 No Deductible	57028	9/7/78	Female
Washington $5750 High Deductible with HSA	57049	11/26/79	Male
Washington $5750 High Deductible with HSA	57501	3/19/75	Female
Lincoln $3500 High Deductible with HSA	57501-3133	8/19/77	Male
Washington $5750 High Deductible with HSA	57004	8/14/80	Male
Washington $5750 High Deductible with HSA	57301	4/10/75	Male
Washington $5750 High Deductible with HSA	57006	10/11/81	Male
Washington $5750 High Deductible with HSA	57783	6/14/78	Female
Washington $5750 High Deductible with HSA	57064	5/28/78	Female
Washington $5750 High Deductible with HSA	57424	8/28/71	Female
Roosevelt $0 No Deductible	57701	7/16/74	Male
Washington $5750 High Deductible with HSA	57020	3/6/80	Female
Washington $5750 High Deductible with HSA	57783-8613	1/7/78	Female
Washington $5750 High Deductible with HSA	57501	10/8/73	Male
Washington $5750 High Deductible with HSA	57040	5/20/72	Male
Washington $5750 High Deductible with HSA	57522-2015	12/14/71	Female
Lincoln $3500 High Deductible with HSA	57532-2356	11/5/79	Female
Lincoln $3500 High Deductible with HSA	57028-1229	5/15/82	Female
Jefferson $2000 Low Deductible	57523-6134	11/25/73	Male
Washington $5750 High Deductible with HSA	57528	9/25/82	Male
Lincoln $3500 High Deductible with HSA	57501-1452	1/11/74	Female
Washington $5750 High Deductible with HSA	57501	8/13/78	Male
Washington $5750 High Deductible with HSA	57501	12/12/81	Female
Jefferson $2000 Low Deductible	57078-4613	6/15/79	Female
Washington $5750 High Deductible with HSA	57401	9/30/72	Male
Health Opt Out	57006	10/19/71	Male
Lincoln $3500 High Deductible with HSA	57501	3/18/76	Male
Washington $5750 High Deductible with HSA	57501	3/5/76	Male
Washington $5750 High Deductible with HSA	57532	1/19/79	Female
Washington $5750 High Deductible with HSA	57034	8/14/74	Female
Washington $5750 High Deductible with HSA	57108	7/14/77	Female
Jefferson $2000 Low Deductible	57106	9/22/75	Male
Lincoln $3500 High Deductible with HSA	57501-6312	11/22/77	Male
Roosevelt $0 No Deductible	57501	10/3/76	Male
Washington $5750 High Deductible with HSA	57469	1/23/81	Female
Jefferson $2000 Low Deductible	57744-9709	4/10/82	Male
Roosevelt $0 No Deductible	57045-7201	2/7/79	Female
Lincoln $3500 High Deductible with HSA	57104	10/23/73	Male
Washington $5750 High Deductible with HSA	57501	1/13/61	Male
Lincoln $3500 High Deductible with HSA	57501-3715	6/29/46	Female
Washington $5750 High Deductible with HSA	57108	1/13/63	Male
Washington $5750 High Deductible with HSA	57501	12/23/55	Female
Washington $5750 High Deductible with HSA	57703-6394	11/23/61	Female
Jefferson $2000 Low Deductible	57701	1/19/60	Male
Roosevelt $0 No Deductible	57532-2087	12/5/59	Male
Roosevelt $0 No Deductible	57709-0058	2/14/61	Female
Jefferson $2000 Low Deductible	57469-7013	8/11/58	Male
Lincoln $3500 High Deductible with HSA	57532-0385	9/17/54	Male
Jefferson $2000 Low Deductible	57702	4/23/60	Male
Health Opt Out	57702	4/12/47	Male
Lincoln $3500 High Deductible with HSA	57703-0135	2/23/49	Male
Jefferson $2000 Low Deductible	57501	12/11/48	Female
Jefferson $2000 Low Deductible	57501-5440	5/30/63	Male
Lincoln $3500 High Deductible with HSA	57501-2836	5/19/62	Female
Health Opt Out	57106	3/1/48	Female
Jefferson $2000 Low Deductible	57501	8/26/52	Male
Health Opt Out	57501-2340	10/19/48	Male
Washington $5750 High Deductible with HSA	57555	3/14/50	Female
Washington $5750 High Deductible with HSA	57501-5749	2/5/47	Female
Roosevelt $0 No Deductible	57110	5/3/65	Female
Health Opt Out	57501	2/15/54	Male
Washington $5750 High Deductible with HSA	57501	4/23/62	Male
Lincoln $3500 High Deductible with HSA	57501-3630	12/3/49	Male
Washington $5750 High Deductible with HSA	57107	8/16/65	Female
Jefferson $2000 Low Deductible	57702-5226	11/11/61	Female
Jefferson $2000 Low Deductible	57006-1916	12/3/50	Male
Health Opt Out	57501	9/25/51	Female
Washington $5750 High Deductible with HSA	57501	5/22/52	Female
Jefferson $2000 Low Deductible	57785	10/13/52	Male
Washington $5750 High Deductible with HSA	57564	11/13/66	Female
Jefferson $2000 Low Deductible	57469-6601	12/16/50	Female
Health Opt Out	57469	2/3/50	Female
Washington $5750 High Deductible with HSA	57501-0495	1/14/62	Male
Jefferson $2000 Low Deductible	57106-0564	8/4/61	Female
Washington $5750 High Deductible with HSA	57501-2629	9/15/65	Female
Washington $5750 High Deductible with HSA	57580-2401	7/13/66	Male
Washington $5750 High Deductible with HSA	57078	9/6/52	Male
Roosevelt $0 No Deductible	57501	9/4/63	Female
Washington $5750 High Deductible with HSA	57501-3629	9/20/67	Female
Washington $5750 High Deductible with HSA	57062-2197	6/19/58	Female
Jefferson $2000 Low Deductible	57325	8/29/55	Male
Jefferson $2000 Low Deductible	57059	11/15/57	Female
Washington $5750 High Deductible with HSA	57005-1751	7/11/68	Male
Roosevelt $0 No Deductible	57078	8/23/55	Male
Roosevelt $0 No Deductible	57268-0442	7/22/57	Female
Jefferson $2000 Low Deductible	57301	4/20/55	Female
Roosevelt $0 No Deductible	57501-2012	9/7/61	Female
Washington $5750 High Deductible with HSA	57350	5/25/54	Male
Jefferson $2000 Low Deductible	57501	9/4/55	Female
Lincoln $3500 High Deductible with HSA	57532	9/10/66	Female
Roosevelt $0 No Deductible	57551	3/31/68	Female
Roosevelt $0 No Deductible	57649	5/12/66	Female
Roosevelt $0 No Deductible	57469-0386	12/15/56	Male
Lincoln $3500 High Deductible with HSA	57501-4806	7/25/68	Female
Lincoln $3500 High Deductible with HSA	57532	7/13/55	Male
Jefferson $2000 Low Deductible	57501	3/25/59	Male
Jefferson $2000 Low Deductible	57321-7909	6/25/70	Female
Washington $5750 High Deductible with HSA	57311-8010	10/4/63	Male
Washington $5750 High Deductible with HSA	57103-7227	5/12/69	Male
Washington $5750 High Deductible with HSA	57108	12/17/67	Male
Washington $5750 High Deductible with HSA	57783-8905	10/6/63	Male
Roosevelt $0 No Deductible	57105	11/2/70	Female
Washington $5750 High Deductible with HSA	57106	12/1/65	Male
Lincoln $3500 High Deductible with HSA	57106	4/11/66	Female
Jefferson $2000 Low Deductible	57601-1517	4/5/57	Male
Jefferson $2000 Low Deductible	57066	5/2/64	Female
Jefferson $2000 Low Deductible	57201-3115	9/24/54	Female
Roosevelt $0 No Deductible	57069	10/24/70	Male
Health Opt Out	57106	11/30/57	Female
Jefferson $2000 Low Deductible	57501	7/7/67	Male
Washington $5750 High Deductible with HSA	41091	8/15/64	Male
Washington $5750 High Deductible with HSA	57501	7/31/63	Male
Washington $5750 High Deductible with HSA	57104-5823	3/15/64	Female
Jefferson $2000 Low Deductible	57105	11/16/63	Female
Jefferson $2000 Low Deductible	57108	6/24/69	Female
Washington $5750 High Deductible with HSA	57501-2328	9/8/68	Female
Jefferson $2000 Low Deductible	57469	4/2/54	Female
Jefferson $2000 Low Deductible	57252	3/23/67	Male
Jefferson $2000 Low Deductible	57501-2666	11/22/55	Female
Lincoln $3500 High Deductible with HSA	57107-1094	11/24/70	Male
Washington $5750 High Deductible with HSA	57730-7114	10/10/69	Female
Washington $5750 High Deductible with HSA	57551	2/13/71	Male
Washington $5750 High Deductible with HSA	57701	1/18/72	Female
Jefferson $2000 Low Deductible	57532	2/6/64	Female
Washington $5750 High Deductible with HSA	57501	1/4/64	Female
Jefferson $2000 Low Deductible	57501-4114	1/5/56	Female
Jefferson $2000 Low Deductible	57501	7/6/68	Male
Health Opt Out	57106	3/17/57	Male
Jefferson $2000 Low Deductible	57703-9688	7/15/69	Male
Lincoln $3500 High Deductible with HSA	57717	11/29/61	Female
Washington $5750 High Deductible with HSA	57501-5641	3/21/72	Male
Washington $5750 High Deductible with HSA	57501	3/28/70	Female
Lincoln $3500 High Deductible with HSA	57325-2120	5/8/66	Male
Washington $5750 High Deductible with HSA	57501-8003	1/30/64	Female
Jefferson $2000 Low Deductible	57078-5110	1/20/72	Female
Jefferson $2000 Low Deductible	57501	9/29/70	Female
Health Opt Out	57501	9/27/67	Male
Washington $5750 High Deductible with HSA	57785	5/12/64	Female
Lincoln $3500 High Deductible with HSA	57440	3/5/69	Female
Roosevelt $0 No Deductible	57262-1600	7/11/59	Male
Washington $5750 High Deductible with HSA	57501-5772	10/7/65	Male
Washington $5750 High Deductible with HSA	57401-6142	11/6/71	Male
Roosevelt $0 No Deductible	57501	6/8/58	Female
Roosevelt $0 No Deductible	57401	4/28/57	Female
Washington $5750 High Deductible with HSA	57069-2003	1/28/59	Female
Washington $5750 High Deductible with HSA	57342-6533	10/9/63	Female
Lincoln $3500 High Deductible with HSA	57201	10/11/67	Male
Lincoln $3500 High Deductible with HSA	57532	4/25/71	Male
Washington $5750 High Deductible with HSA	57532	9/1/61	Female
Jefferson $2000 Low Deductible	57350	11/10/65	Female
Washington $5750 High Deductible with HSA	57501-6131	1/10/68	Male
Washington $5750 High Deductible with HSA	57702-9236	1/5/72	Male
Jefferson $2000 Low Deductible	57783	11/24/72	Male
Jefferson $2000 Low Deductible	57078	5/7/66	Male
Jefferson $2000 Low Deductible	57301	3/5/68	Male
Washington $5750 High Deductible with HSA	57501	11/3/64	Male
Roosevelt $0 No Deductible	57501-2012	11/8/63	Male
Lincoln $3500 High Deductible with HSA	57103-6567	2/28/62	Male
Washington $5750 High Deductible with HSA	57501	12/14/76	Female
Washington $5750 High Deductible with HSA	57401	4/30/77	Male
Washington $5750 High Deductible with HSA	57066	7/11/74	Male
Roosevelt $0 No Deductible	57730	5/13/72	Female
Washington $5750 High Deductible with HSA	57401	1/20/66	Female
Jefferson $2000 Low Deductible	57701	8/29/73	Female
Jefferson $2000 Low Deductible	57718-9746	8/18/63	Female
Roosevelt $0 No Deductible	57380-0425	1/10/63	Male
Lincoln $3500 High Deductible with HSA	57783	6/12/64	Female
Washington $5750 High Deductible with HSA	57108	1/16/67	Male
Washington $5750 High Deductible with HSA	57042-1633	10/19/65	Male
Roosevelt $0 No Deductible	57430-5011	1/29/69	Female
Jefferson $2000 Low Deductible	57226-2144	3/14/64	Male
Roosevelt $0 No Deductible	57702-8911	10/5/61	Female
Washington $5750 High Deductible with HSA	57532	5/20/66	Male
Washington $5750 High Deductible with HSA	57384-8409	8/21/64	Female
Lincoln $3500 High Deductible with HSA	57501-5232	6/14/62	Female
Washington $5750 High Deductible with HSA	57501	6/2/68	Female
Washington $5750 High Deductible with HSA	57064	10/14/64	Female
Washington $5750 High Deductible with HSA	57501-3716	7/20/77	Female
Health Opt Out	57785	8/1/77	Female
Health Opt Out	57501	3/11/63	Female
Washington $5750 High Deductible with HSA	57501	10/28/67	Male
Jefferson $2000 Low Deductible	57108	10/23/63	Female
Jefferson $2000 Low Deductible	57069-2007	6/13/64	Female
Lincoln $3500 High Deductible with HSA	57469	7/22/77	Male
Jefferson $2000 Low Deductible	57501-2544	7/3/77	Male
Washington $5750 High Deductible with HSA	57469-1129	9/18/62	Male
Washington $5750 High Deductible with HSA	57501	11/30/76	Female
Health Opt Out	57106-5437	12/31/76	Female
Washington $5750 High Deductible with HSA	57501	8/20/61	Female
Washington $5750 High Deductible with HSA	57469	1/25/73	Female
Washington $5750 High Deductible with HSA	57501-2329	1/29/69	Male
Washington $5750 High Deductible with HSA	57108	10/8/62	Male
Washington $5750 High Deductible with HSA	57501	1/3/71	Female
Washington $5750 High Deductible with HSA	57501-6132	4/11/72	Female
Washington $5750 High Deductible with HSA	57501-8103	8/20/65	Male
Washington $5750 High Deductible with HSA	57078	9/20/67	Female
Roosevelt $0 No Deductible	57401	3/26/77	Male
Lincoln $3500 High Deductible with HSA	57501	1/1/63	Female
Washington $5750 High Deductible with HSA	57005-2607	7/12/67	Male
Washington $5750 High Deductible with HSA	57350-3149	12/19/68	Female
Washington $5750 High Deductible with HSA	57501	10/29/72	Female
Roosevelt $0 No Deductible	57501	12/31/70	Female
Jefferson $2000 Low Deductible	57104	11/26/72	Male
Jefferson $2000 Low Deductible	57078	10/22/62	Female
Washington $5750 High Deductible with HSA	57055	5/29/76	Female
Lincoln $3500 High Deductible with HSA	57070	11/13/68	Male
Washington $5750 High Deductible with HSA	57401-2966	3/26/64	Male
Washington $5750 High Deductible with HSA	57078	1/15/63	Male
Lincoln $3500 High Deductible with HSA	57702-3454	3/11/76	Female
Washington $5750 High Deductible with HSA	57501-2701	1/2/63	Male
Washington $5750 High Deductible with HSA	57401-5841	4/26/66	Male
Lincoln $3500 High Deductible with HSA	57701	10/2/55	Female
Jefferson $2000 Low Deductible	57104	2/19/68	Female
Washington $5750 High Deductible with HSA	57106-5337	8/10/63	Male
Washington $5750 High Deductible with HSA	57501	9/24/70	Male
Washington $5750 High Deductible with HSA	57042-7332	1/14/66	Female
Washington $5750 High Deductible with HSA	57107-1290	8/11/71	Male
Jefferson $2000 Low Deductible	57773-0022	10/16/60	Female
Lincoln $3500 High Deductible with HSA	57501-3628	10/11/60	Female
Lincoln $3500 High Deductible with HSA	57501-3628	10/11/60	Female
Lincoln $3500 High Deductible with HSA	57469-0437	12/30/63	Female
Washington $5750 High Deductible with HSA	57522-0132	7/21/64	Female
Washington $5750 High Deductible with HSA	57501-3536	4/11/72	Female
Health Opt Out	57747	11/11/59	Male
Washington $5750 High Deductible with HSA	57424	3/5/69	Female
Lincoln $3500 High Deductible with HSA	57501	3/14/69	Male
Lincoln $3500 High Deductible with HSA	57703	11/15/71	Male
Lincoln $3500 High Deductible with HSA	57501	1/15/59	Male
Lincoln $3500 High Deductible with HSA	57103-3543	10/23/63	Male
Washington $5750 High Deductible with HSA	57580-1625	11/11/73	Male
Lincoln $3500 High Deductible with HSA	57106-3234	9/17/62	Female
Washington $5750 High Deductible with HSA	57501	6/17/71	Male
Lincoln $3500 High Deductible with HSA	57720-0031	5/9/62	Female
Washington $5750 High Deductible with HSA	57501	5/27/70	Male
Jefferson $2000 Low Deductible	57350	8/13/68	Female
Jefferson $2000 Low Deductible	57231-0161	12/12/61	Female
Washington $5750 High Deductible with HSA	57108	10/13/72	Male
Lincoln $3500 High Deductible with HSA	57702	12/7/60	Male
Lincoln $3500 High Deductible with HSA	57501-2886	10/13/72	Male
Lincoln $3500 High Deductible with HSA	57006-6507	9/20/63	Male
Washington $5750 High Deductible with HSA	57769	3/27/71	Male
Washington $5750 High Deductible with HSA	57301	8/8/69	Male
Lincoln $3500 High Deductible with HSA	57066-5915	7/26/71	Female
Jefferson $2000 Low Deductible	57077	6/8/62	Female
Washington $5750 High Deductible with HSA	57501	6/30/63	Female
Health Opt Out	57747	7/3/65	Female
Washington $5750 High Deductible with HSA	57313	7/14/72	Female
Jefferson $2000 Low Deductible	57747	11/4/70	Male
Washington $5750 High Deductible with HSA	57501	4/21/67	Male
Lincoln $3500 High Deductible with HSA	57702-6530	3/29/67	Female
Lincoln $3500 High Deductible with HSA	57564-0911	8/1/63	Female
Lincoln $3500 High Deductible with HSA	57350-4716	3/14/69	Male
Lincoln $3500 High Deductible with HSA	57078-2550	10/2/60	Female
Washington $5750 High Deductible with HSA	57501-4456	2/26/66	Male
Washington $5750 High Deductible with HSA	57301-6263	5/15/61	Female
Jefferson $2000 Low Deductible	57745	10/1/70	Female
Lincoln $3500 High Deductible with HSA	57501-6243	7/24/73	Female
Lincoln $3500 High Deductible with HSA	57078-3635	1/27/68	Female
Lincoln $3500 High Deductible with HSA	57078-2313	3/14/71	Male
Jefferson $2000 Low Deductible	57201-2834	2/26/61	Male
Roosevelt $0 No Deductible	57532	9/5/59	Female
Washington $5750 High Deductible with HSA	57501-5719	1/28/66	Male
Washington $5750 High Deductible with HSA	57069-2512	2/18/64	Male
Roosevelt $0 No Deductible	57401-8493	12/24/60	Male
Washington $5750 High Deductible with HSA	57401-2155	11/24/61	Male
Lincoln $3500 High Deductible with HSA	57059-0324	12/29/67	Male
Washington $5750 High Deductible with HSA	57066-0011	10/12/64	Female
Washington $5750 High Deductible with HSA	57501-5733	8/15/72	Female
Washington $5750 High Deductible with HSA	57110	10/25/62	Female
Washington $5750 High Deductible with HSA	57469	9/14/61	Male
Lincoln $3500 High Deductible with HSA	57062	11/19/63	Female
Lincoln $3500 High Deductible with HSA	57770-0965	3/5/61	Female
Washington $5750 High Deductible with HSA	57501-5706	8/24/63	Male
Washington $5750 High Deductible with HSA	57350-2214	9/25/70	Female
Washington $5750 High Deductible with HSA	57103	11/19/69	Female
Jefferson $2000 Low Deductible	57045	6/18/66	Male
Washington $5750 High Deductible with HSA	57701-8636	12/26/70	Male
Washington $5750 High Deductible with HSA	57702	6/28/61	Male
Washington $5750 High Deductible with HSA	57262-7033	4/6/62	Male
Washington $5750 High Deductible with HSA	57201	6/7/71	Male
Washington $5750 High Deductible with HSA	57063-0092	2/12/66	Female
Roosevelt $0 No Deductible	57301	7/17/59	Male
Washington $5750 High Deductible with HSA	57325	5/2/72	Male
Washington $5750 High Deductible with HSA	57066-6015	9/7/62	Male
Washington $5750 High Deductible with HSA	57401-1914	8/27/63	Female
Washington $5750 High Deductible with HSA	57501-4142	7/8/69	Male
Washington $5750 High Deductible with HSA	57769-7256	5/28/72	Female
Health Opt Out	68774	8/23/74	Female
Jefferson $2000 Low Deductible	57601	8/26/71	Male
Washington $5750 High Deductible with HSA	57106	6/7/74	Female
Washington $5750 High Deductible with HSA	57106	6/7/74	Female
Health Opt Out	57501	9/16/74	Female
Washington $5750 High Deductible with HSA	57501-2541	7/7/62	Male
Washington $5750 High Deductible with HSA	57501-2348	10/2/60	Male
Jefferson $2000 Low Deductible	57702-2029	1/9/61	Female
Washington $5750 High Deductible with HSA	57006	9/28/67	Male
Jefferson $2000 Low Deductible	57783-9765	10/2/63	Male
Lincoln $3500 High Deductible with HSA	57401-8722	5/29/65	Female
Washington $5750 High Deductible with HSA	57501-3408	12/17/65	Female
Washington $5750 High Deductible with HSA	57532	8/5/70	Female
Washington $5750 High Deductible with HSA	57481-0094	10/17/61	Female
Lincoln $3500 High Deductible with HSA	57066-2163	8/9/74	Male
Washington $5750 High Deductible with HSA	57104	8/23/74	Male
Washington $5750 High Deductible with HSA	57754	5/13/61	Male
Washington $5750 High Deductible with HSA	57532	3/29/70	Male
Lincoln $3500 High Deductible with HSA	57719	2/27/60	Female
Lincoln $3500 High Deductible with HSA	57501-5819	11/6/59	Female
Washington $5750 High Deductible with HSA	57564-6904	5/26/59	Female
Lincoln $3500 High Deductible with HSA	57501	2/9/58	Female
Washington $5750 High Deductible with HSA	57532	7/18/67	Female
Washington $5750 High Deductible with HSA	57442	3/28/71	Male
Washington $5750 High Deductible with HSA	57201	6/3/63	Female
Jefferson $2000 Low Deductible	57501	9/6/60	Female
Washington $5750 High Deductible with HSA	57110-3018	6/24/60	Female
Washington $5750 High Deductible with HSA	57632-0323	8/5/67	Male
Health Opt Out	57702-8170	9/23/65	Male
Washington $5750 High Deductible with HSA	57501-4426	7/26/61	Male
Lincoln $3500 High Deductible with HSA	57501-2880	11/5/71	Male
Washington $5750 High Deductible with HSA	57520	8/30/64	Female
Washington $5750 High Deductible with HSA	57501	7/1/70	Female
Washington $5750 High Deductible with HSA	57025-6411	9/7/61	Female
Washington $5750 High Deductible with HSA	57223-2136	9/22/69	Female
Jefferson $2000 Low Deductible	57301-2174	7/31/74	Male
Lincoln $3500 High Deductible with HSA	57424	1/11/75	Male
Washington $5750 High Deductible with HSA	57501-4305	4/17/63	Male
Washington $5750 High Deductible with HSA	57005-1934	1/21/74	Female
Washington $5750 High Deductible with HSA	57703	2/11/63	Male
Lincoln $3500 High Deductible with HSA	57501	3/17/60	Female
Washington $5750 High Deductible with HSA	57005	8/20/69	Male
Jefferson $2000 Low Deductible	57501	4/18/61	Male
Jefferson $2000 Low Deductible	57046	2/24/76	Male
Washington $5750 High Deductible with HSA	57401-1119	3/27/64	Male
Health Opt Out	57201	12/17/61	Female
Washington $5750 High Deductible with HSA	57401-4917	4/8/69	Female
Washington $5750 High Deductible with HSA	57037-5306	3/26/61	Female
Lincoln $3500 High Deductible with HSA	57501	3/17/64	Female
Washington $5750 High Deductible with HSA	57501	1/17/68	Male
Washington $5750 High Deductible with HSA	57436	12/19/62	Male
Lincoln $3500 High Deductible with HSA	57037-0074	10/16/73	Male
Washington $5750 High Deductible with HSA	57212-5500	2/13/71	Male
Jefferson $2000 Low Deductible	57401-7048	3/24/76	Female
Washington $5750 High Deductible with HSA	57028	1/31/69	Male
Roosevelt $0 No Deductible	57401-8485	3/25/76	Female
Lincoln $3500 High Deductible with HSA	57006-7280	3/16/67	Male
Washington $5750 High Deductible with HSA	57754-1907	3/10/71	Female
Washington $5750 High Deductible with HSA	57783	3/10/69	Male
Lincoln $3500 High Deductible with HSA	57501	7/26/60	Male
Jefferson $2000 Low Deductible	57401-6028	5/19/62	Male
Jefferson $2000 Low Deductible	57301	3/27/76	Female
Lincoln $3500 High Deductible with HSA	57501-1923	2/3/60	Female
Lincoln $3500 High Deductible with HSA	57783-0874	1/13/64	Male
Lincoln $3500 High Deductible with HSA	57501-1642	5/29/62	Female
Jefferson $2000 Low Deductible	57501	12/6/63	Male
Roosevelt $0 No Deductible	57631-6708	3/21/76	Female
Washington $5750 High Deductible with HSA	57201	6/10/74	Male
Roosevelt $0 No Deductible	57066	8/30/63	Female
Jefferson $2000 Low Deductible	57501	6/23/62	Female
Washington $5750 High Deductible with HSA	57325	3/5/65	Female
Roosevelt $0 No Deductible	57248-0225	7/2/69	Male
Lincoln $3500 High Deductible with HSA	57501-4107	8/14/71	Male
Lincoln $3500 High Deductible with HSA	57078	9/28/62	Female
Washington $5750 High Deductible with HSA	57350	9/12/62	Female
Washington $5750 High Deductible with HSA	57702-8634	7/31/60	Male
Jefferson $2000 Low Deductible	57501	10/8/72	Female
Lincoln $3500 High Deductible with HSA	57501	9/22/64	Male
Jefferson $2000 Low Deductible	57501-2348	10/2/61	Male
Jefferson $2000 Low Deductible	57501-2807	5/7/62	Male
Jefferson $2000 Low Deductible	57501-2925	4/15/63	Female
Washington $5750 High Deductible with HSA	57401	12/11/73	Male
Roosevelt $0 No Deductible	57580-2520	2/5/65	Male
Lincoln $3500 High Deductible with HSA	57078	7/27/63	Male
Lincoln $3500 High Deductible with HSA	57702	12/6/72	Female
Lincoln $3500 High Deductible with HSA	57062	8/17/61	Female
Washington $5750 High Deductible with HSA	57369	9/19/76	Male
Roosevelt $0 No Deductible	57069-2027	1/8/77	Female
Washington $5750 High Deductible with HSA	57501	11/19/69	Female
Lincoln $3500 High Deductible with HSA	57702-4309	12/4/62	Female
Health Opt Out	57501-0355	2/9/60	Female
Jefferson $2000 Low Deductible	57469-2020	12/22/61	Male
Washington $5750 High Deductible with HSA	57501	10/1/67	Female
Jefferson $2000 Low Deductible	57108	12/26/72	Female
Washington $5750 High Deductible with HSA	57223-2051	6/7/76	Female
Jefferson $2000 Low Deductible	57501	12/5/63	Female
Washington $5750 High Deductible with HSA	57537-4910	6/28/64	Male
Lincoln $3500 High Deductible with HSA	57006	6/9/64	Female
Lincoln $3500 High Deductible with HSA	57501	12/10/67	Female
Washington $5750 High Deductible with HSA	57702	4/24/65	Male
Lincoln $3500 High Deductible with HSA	57501-3644	5/31/66	Female
Lincoln $3500 High Deductible with HSA	57069-3132	1/1/64	Female
Lincoln $3500 High Deductible with HSA	57501-1445	2/23/64	Female
Washington $5750 High Deductible with HSA	57501	10/2/65	Female
Jefferson $2000 Low Deductible	57522	10/28/64	Female
Roosevelt $0 No Deductible	57103	4/16/61	Female
Washington $5750 High Deductible with HSA	57006-4532	11/14/68	Male
Jefferson $2000 Low Deductible	57501-6237	5/3/64	Male
Jefferson $2000 Low Deductible	57701	12/30/64	Female
Jefferson $2000 Low Deductible	57501-2933	2/23/64	Female
Roosevelt $0 No Deductible	57501-6264	4/2/78	Male
Lincoln $3500 High Deductible with HSA	57078-2130	12/10/68	Female
Roosevelt $0 No Deductible	57469-1347	12/13/66	Female
Jefferson $2000 Low Deductible	57761-6112	6/18/63	Female
Roosevelt $0 No Deductible	57005-1407	2/2/66	Female
Washington $5750 High Deductible with HSA	57793	4/12/67	Male
Washington $5750 High Deductible with HSA	57469	2/18/63	Female
Jefferson $2000 Low Deductible	57501-2920	9/28/69	Male
Washington $5750 High Deductible with HSA	57022	5/13/71	Male
Washington $5750 High Deductible with HSA	57785	5/2/66	Male
Washington $5750 High Deductible with HSA	57532	4/27/63	Female
Lincoln $3500 High Deductible with HSA	57301-3749	7/14/67	Male
Washington $5750 High Deductible with HSA	57479-0043	7/16/63	Female
Lincoln $3500 High Deductible with HSA	57066-2215	6/12/64	Male
Washington $5750 High Deductible with HSA	57501	2/12/65	Female
Health Opt Out	57720	10/11/66	Male
Lincoln $3500 High Deductible with HSA	57110	9/21/76	Male
Jefferson $2000 Low Deductible	57701-5767	2/20/66	Female
Washington $5750 High Deductible with HSA	57301-4763	3/2/66	Male
Jefferson $2000 Low Deductible	57350-2835	10/16/66	Female
Washington $5750 High Deductible with HSA	57273	6/23/80	Female
Lincoln $3500 High Deductible with HSA	57031	8/31/64	Male
Jefferson $2000 Low Deductible	57110-6746	10/14/69	Female
Washington $5750 High Deductible with HSA	57717	1/17/78	Male
Jefferson $2000 Low Deductible	57785-1827	10/8/64	Male
Jefferson $2000 Low Deductible	57106	5/30/77	Male
Washington $5750 High Deductible with HSA	57105	8/6/75	Female
Washington $5750 High Deductible with HSA	57501-1946	10/1/65	Female
Jefferson $2000 Low Deductible	57501-2920	6/23/69	Female
Roosevelt $0 No Deductible	57501	1/11/67	Male
Lincoln $3500 High Deductible with HSA	57501	8/24/64	Female
Washington $5750 High Deductible with HSA	57501-5781	1/28/72	Female
Washington $5750 High Deductible with HSA	57078	7/27/70	Male
Washington $5750 High Deductible with HSA	57501-2733	10/30/65	Male
Lincoln $3500 High Deductible with HSA	57501-8000	10/1/66	Female
Roosevelt $0 No Deductible	57501	7/8/72	Male
Roosevelt $0 No Deductible	57501-5875	8/21/74	Male
Washington $5750 High Deductible with HSA	57201	6/20/70	Female
Roosevelt $0 No Deductible	57078	9/12/78	Male
Washington $5750 High Deductible with HSA	57071-9029	3/23/68	Female
Washington $5750 High Deductible with HSA	57501	5/7/79	Male
Washington $5750 High Deductible with HSA	57063	1/28/71	Male
Washington $5750 High Deductible with HSA	57702-5043	11/15/68	Male
Roosevelt $0 No Deductible	57108-7517	12/26/80	Male
Washington $5750 High Deductible with HSA	57006-8539	4/19/78	Female
Washington $5750 High Deductible with HSA	57401-6554	2/23/80	Female
Washington $5750 High Deductible with HSA	57033	8/22/81	Male
Jefferson $2000 Low Deductible	57501	3/18/70	Male
Washington $5750 High Deductible with HSA	57501	10/28/67	Female
Washington $5750 High Deductible with HSA	57110	1/19/69	Female
Jefferson $2000 Low Deductible	57103	10/23/75	Female
Washington $5750 High Deductible with HSA	57501-2888	6/5/72	Male
Washington $5750 High Deductible with HSA	57501-2804	1/10/80	Male
Washington $5750 High Deductible with HSA	57241-5219	1/8/73	Male
Roosevelt $0 No Deductible	57006-1930	8/21/71	Male
Washington $5750 High Deductible with HSA	57501	6/19/68	Male
Washington $5750 High Deductible with HSA	57501	1/9/68	Female
Washington $5750 High Deductible with HSA	57501	4/22/65	Female
Washington $5750 High Deductible with HSA	57501	6/14/73	Male
Roosevelt $0 No Deductible	57035	9/2/77	Female
Jefferson $2000 Low Deductible	57401-3816	10/5/63	Female
Washington $5750 High Deductible with HSA	57201-5409	8/18/74	Female
Washington $5750 High Deductible with HSA	57078	12/1/68	Male
Washington $5750 High Deductible with HSA	57501-4430	7/6/75	Male
Roosevelt $0 No Deductible	57532	11/13/80	Female
Washington $5750 High Deductible with HSA	57501	2/27/69	Male
Washington $5750 High Deductible with HSA	57006-5419	8/18/79	Female
Washington $5750 High Deductible with HSA	57107	10/25/69	Male
Washington $5750 High Deductible with HSA	57078-1958	3/28/70	Female
Jefferson $2000 Low Deductible	57532	9/30/64	Male
Washington $5750 High Deductible with HSA	57702	8/1/75	Male
Roosevelt $0 No Deductible	57702	12/6/76	Male
Washington $5750 High Deductible with HSA	57580-1363	6/8/64	Male
Washington $5750 High Deductible with HSA	57580	11/22/71	Female
Roosevelt $0 No Deductible	57078-3110	9/3/70	Female
Lincoln $3500 High Deductible with HSA	57075	9/9/70	Male
Lincoln $3500 High Deductible with HSA	57469	1/9/65	Female
Lincoln $3500 High Deductible with HSA	57110	9/27/67	Female
Washington $5750 High Deductible with HSA	57078-3827	7/22/77	Female
Washington $5750 High Deductible with HSA	57201	11/28/72	Female
Roosevelt $0 No Deductible	57078	10/3/72	Female
Washington $5750 High Deductible with HSA	57522-0041	2/23/65	Male
Lincoln $3500 High Deductible with HSA	57501-5678	7/17/78	Female
Washington $5750 High Deductible with HSA	57501	11/28/72	Female
Washington $5750 High Deductible with HSA	57401	1/4/74	Female
Washington $5750 High Deductible with HSA	57108	2/27/69	Male
Washington $5750 High Deductible with HSA	57501-2662	2/19/71	Female
Jefferson $2000 Low Deductible	57501-7303	7/6/74	Female
Washington $5750 High Deductible with HSA	57501-3542	9/4/68	Female
Jefferson $2000 Low Deductible	57461-0216	12/9/64	Female
Washington $5750 High Deductible with HSA	57501	10/8/65	Male
Washington $5750 High Deductible with HSA	57025	3/20/71	Female
Lincoln $3500 High Deductible with HSA	57501-0582	5/13/73	Male
Washington $5750 High Deductible with HSA	57501	10/22/68	Female
Washington $5750 High Deductible with HSA	57501	6/22/73	Male
Washington $5750 High Deductible with HSA	57110-2835	3/18/82	Female
Health Opt Out	57005-1914	6/24/76	Female
Jefferson $2000 Low Deductible	57501	12/13/78	Male
Washington $5750 High Deductible with HSA	57532	4/2/69	Female
Washington $5750 High Deductible with HSA	57078-2326	10/28/68	Female
Washington $5750 High Deductible with HSA	57078-4423	7/15/74	Female
Washington $5750 High Deductible with HSA	57501	10/8/67	Female
Washington $5750 High Deductible with HSA	57106	8/7/77	Female
Washington $5750 High Deductible with HSA	57501	8/17/83	Male
Washington $5750 High Deductible with HSA	57325	3/9/83	Male
Lincoln $3500 High Deductible with HSA	57501-4722	10/24/70	Male
Washington $5750 High Deductible with HSA	57501	10/14/82	Female
Jefferson $2000 Low Deductible	57066	2/9/80	Female
Washington $5750 High Deductible with HSA	57501	12/27/75	Female
Jefferson $2000 Low Deductible	57078	10/29/80	Male
Roosevelt $0 No Deductible	57501	2/12/68	Female
Roosevelt $0 No Deductible	57501	6/27/79	Female
Roosevelt $0 No Deductible	57532-0894	6/22/73	Female
Roosevelt $0 No Deductible	57064-2396	9/12/70	Male
Jefferson $2000 Low Deductible	57078	3/21/78	Female
Washington $5750 High Deductible with HSA	57702	9/20/70	Female
Lincoln $3500 High Deductible with HSA	57363	10/14/75	Male
Jefferson $2000 Low Deductible	57058-0214	1/30/70	Male
Washington $5750 High Deductible with HSA	57501	11/1/74	Female
Washington $5750 High Deductible with HSA	57501	12/19/75	Male
Jefferson $2000 Low Deductible	57469	4/18/69	Male
Jefferson $2000 Low Deductible	57103	5/17/68	Female
Washington $5750 High Deductible with HSA	57501-2714	1/19/72	Female
Washington $5750 High Deductible with HSA	57580-1529	12/9/66	Female
Washington $5750 High Deductible with HSA	57501	10/13/68	Female
Jefferson $2000 Low Deductible	57532	8/2/68	Female
Jefferson $2000 Low Deductible	57532-2119	5/24/68	Male
Jefferson $2000 Low Deductible	57225	3/11/66	Male
Washington $5750 High Deductible with HSA	57501	1/10/78	Male
Washington $5750 High Deductible with HSA	57078	9/5/73	Female
Jefferson $2000 Low Deductible	57078	8/4/76	Male
Health Opt Out	57501	5/2/81	Female
Washington $5750 High Deductible with HSA	57103	6/30/71	Male
Washington $5750 High Deductible with HSA	57501	9/23/78	Male
Roosevelt $0 No Deductible	57461	9/19/71	Female
Washington $5750 High Deductible with HSA	57501	1/9/76	Male
Jefferson $2000 Low Deductible	57719-9726	12/13/80	Male
Washington $5750 High Deductible with HSA	57501	11/23/78	Female
Washington $5750 High Deductible with HSA	57401-2674	6/11/73	Female
Washington $5750 High Deductible with HSA	57638	4/27/80	Male
Jefferson $2000 Low Deductible	57501	8/25/75	Female
Roosevelt $0 No Deductible	57069-1007	10/28/79	Female
Washington $5750 High Deductible with HSA	57501	9/12/79	Male
Lincoln $3500 High Deductible with HSA	57476	6/14/71	Female
Lincoln $3500 High Deductible with HSA	57078-2713	9/3/67	Male
Roosevelt $0 No Deductible	57701	2/14/69	Male
Jefferson $2000 Low Deductible	57078-2553	8/28/69	Male
Lincoln $3500 High Deductible with HSA	56164	11/7/66	Male
Washington $5750 High Deductible with HSA	57078-1737	9/25/79	Male
Jefferson $2000 Low Deductible	57022-5204	7/2/79	Male
Health Opt Out	57103-7655	5/16/75	Male
Washington $5750 High Deductible with HSA	57078-4700	10/20/75	Male
Washington $5750 High Deductible with HSA	57005	4/29/74	Female
Roosevelt $0 No Deductible	57108	8/12/73	Female
Lincoln $3500 High Deductible with HSA	57401-8434	9/3/69	Male
Jefferson $2000 Low Deductible	57037-0281	4/24/72	Female
Washington $5750 High Deductible with HSA	57718-9357	8/6/73	Male

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Nov 10, 2025.