Attachment_E-Census.xlsx

XLSX spreadsheet 585 KB Posted Aug 3, 2015

Attached to: Group Dental Plan
Solicitation number: 048-PLA-0515
Issued by: Polk County, Florida

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File	Type	Posted
048-PLA-0515_Renewal_for_2021_and_2022.pdf	PDF	Jun 11, 2020
RFP_048-PLA-0515_Board_Approval_Renewal_2019-2020.pdf	PDF	Aug 1, 2018
048-PLA-0515_Renewal_RFP-Group_Dental_Plan_2018-2020_.pdf	PDF	Jul 19, 2018
Attachment_B-Top_Dentist_List.xlsx	XLSX spreadsheet	Aug 3, 2015
Award_048-PLA-0515.pdf	PDF	Aug 3, 2015
NRBA_048-PLA-0515.pdf	PDF	Aug 3, 2015
Attachment_D-Certificate_of_Coverage.pdf	PDF	Aug 3, 2015
Attachment_F-Dental_Claims_Experience_.zip	ZIP file	Aug 3, 2015
Addendum_02.pdf	PDF	Aug 3, 2015
Attachment_B-Top_Dentist_List_REVISED.xlsx	XLSX spreadsheet	Aug 3, 2015
Attachment_A-_RFP_Proposal_Worksheet.docx	DOCX document	Aug 3, 2015
Attachment_A-RFP_Proposal_Worksheet_REVISED.docx	DOCX document	Aug 3, 2015
Addendum_01.pdf	PDF	Aug 3, 2015
048-PLA-0515_RFP-Group_Dental_Plan_.pdf	PDF	Aug 3, 2015
Attachment_C-_Top_Dental_Procedures.xlsx	XLSX spreadsheet	Aug 3, 2015
Attachment_G-Updated_Experience_Report.xlsx	XLSX spreadsheet	Aug 3, 2015

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Dental for Active and Retirees

DOB	GENDER	ZIP Code	Empl Status	Active EE Dental Plan	Active EE Dental Cov Election	Retiree Dental Plan	Retiree Dental Cov Election
11/11/1951	Female	33880	Retired			Dental - High Plan	Retiree Only
02/26/1956	Female	33813	Active	Dental - Middle Plan	Employee + Spouse
06/07/1979	Female	33830	Active	Dental - Middle Plan	Employee Only
10/22/1964	Female	33850	Active
12/28/1970	Female	33805	Active
04/10/1968	Female	33803	Active	Dental - High Plan	Employee Only
12/29/1971	Female	33860	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
01/20/1972	Female	33844	Active	Dental - Middle Plan	Employee Only
11/19/1953	Male	33880	Active	Dental - High Plan	Employee Only
01/23/1955	Female	33840	Active	Dental - Low Plan	Employee Only
06/03/1980	Female	33884	Active	Dental - Middle Plan	Employee+Child(ren)
03/31/1968	Female	33884	Active	Dental - High Plan	Employee Only
03/05/1974	Female	33811	Active	Dental - Middle Plan	Employee+Child(ren)
07/25/1958	Female	33860	Active	Dental - High Plan	EE+Spouse+Child(ren)
06/01/1946	Female	33841	Retired
01/30/1978	Female	33881	Active
07/31/1974	Female	33881	Active
01/25/1978	Female	33810	Active	Dental - Low Plan	EE+Spouse+Child(ren)
10/08/1975	Female	33805	Active	Dental - High Plan	Employee + Spouse
04/07/1951	Male	33801	Active	Dental - Middle Plan	Employee Only
02/06/1980	Female	33830	Active
11/01/1976	Female	33813	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
11/09/1955	Female	33540	Active	Dental - Low Plan	Employee Only
06/28/1968	Female	33880	Active	Dental - High Plan	Employee+Child(ren)
03/16/1978	Female	33830	Active
11/19/1962	Female	33884	Active	Dental - Middle Plan	Employee+Child(ren)
06/04/1948	Female	33813	Retired			Dental - High Plan	Ret+Spouse/MedDep
04/25/1954	Female	33809	Active
09/02/1963	Female	33844	Active	Dental - Middle Plan	Employee Only
02/12/1951	Female	33813	Active	Dental - High Plan	Employee Only
09/01/1973	Male	33859	Active	Dental - High Plan	Employee+Child(ren)
08/12/1963	Female	33846	Active	Dental - Middle Plan	Employee Only
04/06/1967	Female	33841	Active	Dental - Low Plan	EE+Spouse+Child(ren)
07/11/1962	Female	33853	Active	Dental - High Plan	Employee+Child(ren)
09/29/1959	Female	33837	Active	Dental - Low Plan	Employee + Spouse
10/04/1965	Male	33801	Active
10/07/1976	Female	33859	Active	Dental - Middle Plan	Employee Only
08/04/1958	Female	33809	Active
02/28/1943	Female	342924644	Retired			Dental - Middle Plan	Retiree Only
04/12/1967	Female	33849	Active	Dental - Middle Plan	Employee Only
05/13/1964	Female	33881	Active	Dental - Low Plan	Employee+Child(ren)
09/13/1972	Female	33809	Active
04/05/1956	Female	33853	Active
12/26/1975	Female	33884	Active	Dental - High Plan	Employee+Child(ren)
09/28/1970	Male	33810	Active	Dental - Middle Plan	Employee Only
05/05/1976	Female	33803	Active	Dental - Low Plan	Employee Only
12/13/1979	Female	33841	Active	Dental - Low Plan	Employee+Child(ren)
10/03/1951	Female	33881	Active	Dental - Middle Plan	Employee Only
06/14/1976	Female	33807	Active	Dental - Middle Plan	Employee+Child(ren)
08/15/1978	Female	33843	Active	Dental - Low Plan	EE+Spouse+Child(ren)
03/25/1965	Female	33809	Active	Dental - High Plan	EE+Spouse+Child(ren)
06/08/1975	Male	33812	Active	Dental - Low Plan	Employee Only
03/15/1976	Female	33884	Active	Dental - High Plan	Employee Only
11/05/1963	Female	33860	Active
01/05/1979	Female	33841	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
01/11/1980	Female	33853	Active	Dental - Low Plan	Employee+Child(ren)
10/23/1953	Male	33815	Active
12/02/1971	Female	33830	Active	Dental - High Plan	Employee Only
08/14/1962	Female	33803	Active
12/17/1979	Male	33896	Active	Dental - Middle Plan	Employee Only
12/18/1960	Female	338987416	Active
06/24/1955	Female	33823	Active	Dental - High Plan	Employee+Child(ren)
02/24/1980	Female	33830	Active
07/16/1980	Male	33860	Active	Dental - Middle Plan	Employee Only
07/20/1957	Male	33853	Active
01/04/1964	Female	33809	Active	Dental - Low Plan	EE+Spouse+Child(ren)
05/05/1977	Female	33841	Active	Dental - High Plan	Employee+Child(ren)
08/16/1982	Female	33847	Active	Dental - Middle Plan	Employee+Child(ren)
04/13/1968	Female	33813	Active	Dental - Middle Plan	Employee+Child(ren)
05/17/1962	Male	33827	Active	Dental - High Plan	Employee Only
02/10/1974	Female	33884	Active
06/23/1957	Female	33813	Active	Dental - Middle Plan	Employee Only
01/13/1950	Female	33884	Active	Dental - High Plan	Employee Only
12/16/1946	Female	33884	Active
04/02/1981	Female	33881	Active	Dental - High Plan	Employee Only
02/13/1983	Male	33811	Active	Dental - Low Plan	Employee Only
12/29/1964	Female	33823	Active
07/14/1973	Female	33841	Active	Dental - High Plan	Employee Only
05/14/1955	Female	33884	Active
11/10/1959	Female	33810	Active
12/05/1980	Female	33830	Active
12/11/1979	Male	33813	Active
08/11/1970	Male	33884	Active	Dental - High Plan	Employee Only
02/02/1964	Female	33809	Active	Dental - Low Plan	Employee Only
05/02/1946	Female	33880	Active
05/28/1951	Female	33884	Active	Dental - Middle Plan	Employee Only
06/28/1979	Male	33811	Active
04/20/1955	Female	33880	Active	Dental - High Plan	Employee Only
01/21/1947	Female	33844	Retired			Dental - High Plan	Retiree Only
09/13/1982	Male	33881	Active	Dental - Low Plan	Employee Only
03/02/1981	Male	33813	Active	Dental - Middle Plan	Employee Only
08/13/1979	Female	338032930	Active	Dental - High Plan	EE+Spouse+Child(ren)
08/26/1977	Female	33809	Active	Dental - Middle Plan	Employee+Child(ren)
11/04/1961	Female	33805	Active	Dental - High Plan	Employee Only
05/28/1979	Female	33860	Active
12/18/1965	Male	33881	Active	Dental - High Plan	EE+Spouse+Child(ren)
03/30/1953	Female	338843150	Active	Dental - Middle Plan	Employee + Spouse
12/27/1958	Female	33881	Active	Dental - High Plan	Employee+Child(ren)
09/07/1974	Male	33881	Active	Dental - Low Plan	Employee Only
10/13/1953	Female	33803	Active
03/14/1957	Female	33810	Active	Dental - Middle Plan	Employee Only
03/01/1968	Female	33844	Active
04/18/1962	Female	33811	Active	Dental - Middle Plan	Employee+Child(ren)
07/06/1957	Female	33860	Active	Dental - Middle Plan	Employee Only
10/16/1975	Female	33830	Active	Dental - Middle Plan	Employee Only
11/09/1949	Female	33860	Active	Dental - Middle Plan	Employee Only
07/28/1960	Female	33803	Active	Dental - Low Plan	Employee Only
01/05/1980	Female	33881	Active	Dental - Middle Plan	Employee+Child(ren)
10/13/1968	Male	33884	Active	Dental - Middle Plan	Employee Only
06/03/1966	Female	33823	Active
05/06/1960	Female	33830	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
09/26/1973	Male	33823	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
11/05/1975	Female	33823	Active	Dental - High Plan	Employee Only
12/31/1953	Female	33841	Active
01/11/1973	Female	33810	Active
05/15/1978	Male	33880	Active	Dental - Middle Plan	Employee+Child(ren)
10/25/1950	Female	33843	Active	Dental - Low Plan	Employee Only
03/17/1950	Female	33803	Active	Dental - Low Plan	Employee Only
08/05/1978	Female	33813	Active	Dental - High Plan	Employee Only
12/24/1956	Female	33809	Active	Dental - Low Plan	Employee+Child(ren)
03/26/1975	Female	33884	Active	Dental - High Plan	Employee+Child(ren)
11/26/1942	Male	33868	Retired
02/18/1972	Male	33884	Active	Dental - High Plan	Employee + Spouse
06/22/1953	Female	33809	Active	Dental - Low Plan	Employee Only
03/18/1964	Female	33827	Active	Dental - Middle Plan	Employee Only
08/09/1979	Female	33812	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
09/03/1978	Female	33881	Active
03/25/1978	Female	33803	Active	Dental - High Plan	Employee Only
04/30/1967	Female	338821695	Active	Dental - Middle Plan	Employee+Child(ren)
02/12/1969	Female	33843	Active	Dental - High Plan	Employee+Child(ren)
10/11/1976	Female	33884	Active
12/22/1970	Female	33884	Active	Dental - Middle Plan	Employee Only
12/24/1977	Female	33803	Active
08/13/1974	Male	338801151	Active	Dental - Low Plan	Employee+Child(ren)
08/21/1965	Female	33884	Active	Dental - High Plan	Employee Only
08/18/1963	Female	33843	Active	Dental - High Plan	Employee Only
07/17/1980	Female	33843	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
05/23/1970	Female	33813	Active
02/23/1966	Female	33881	Active
02/17/1957	Female	33810	Active
03/10/1960	Female	33803	Active	Dental - High Plan	Employee+Child(ren)
10/05/1964	Female	33810	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
06/01/1958	Female	33813	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
09/27/1968	Female	33843	Active
11/20/1956	Female	33839	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
01/14/1964	Female	33813	Active
05/01/1973	Female	33803	Active	Dental - Middle Plan	Employee+Child(ren)
03/27/1978	Female	33813	Active	Dental - Middle Plan	Employee Only
10/08/1970	Male	33843	Active	Dental - High Plan	Employee Only
09/10/1956	Female	33813	Active
04/01/1979	Male	33810	Active	Dental - Low Plan	Employee+Child(ren)
06/10/1947	Female	33883	Active
05/23/1937	Female	33813	Retired
12/15/1970	Female	33860	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
12/27/1967	Female	33881	Active
05/30/1973	Female	33813	Active	Dental - Middle Plan	Employee+Child(ren)
04/14/1961	Female	33809	Active	Dental - Middle Plan	Employee Only
03/10/1979	Female	33868	Active	Dental - Middle Plan	Employee Only
11/03/1969	Male	33844	Active
07/29/1974	Female	33838	Active	Dental - Middle Plan	Employee+Child(ren)
01/09/1979	Female	33805	Active	Dental - Middle Plan	Employee+Child(ren)
02/16/1973	Female	33830	Active
02/08/1977	Female	33803	Active	Dental - High Plan	Employee Only
11/19/1978	Female	33880	Active
09/16/1976	Female	33884	Active	Dental - Low Plan	Employee+Child(ren)
09/10/1958	Female	33860	Active
04/04/1977	Male	33830	Active	Dental - Middle Plan	Employee Only
09/26/1964	Female	33813	Active
02/20/1969	Female	33841	Active
12/24/1965	Female	33805	Active
10/07/1941	Female	33823	Retired
03/23/1950	Female	33844	Active
03/25/1956	Female	33805	Active
07/25/1968	Female	33823	Active	Dental - High Plan	Employee Only
08/19/1951	Female	33844	Retired
10/25/1962	Female	33812	Active	Dental - High Plan	Employee Only
12/09/1944	Female	33844	Retired
02/03/1939	Female	33844	Retired
12/18/1957	Female	33809	Active
09/25/1945	Female	33809	Retired
03/25/1948	Female	33803	Retired
07/06/1965	Male	33884	Active	Dental - High Plan	Employee+Child(ren)
02/03/1960	Female	33809	Active
10/25/1957	Female	33804	Active
10/25/1949	Female	33844	Retired			Dental - Middle Plan	Retiree Only
04/23/1953	Female	33812	Active	Dental - High Plan	Employee Only
08/08/1950	Female	33813	Retired			Dental - Middle Plan	Retiree Only
10/01/1957	Female	33853	Active
04/10/1958	Female	33801	Active	Dental - High Plan	Employee Only
08/29/1958	Female	33844	Active	Dental - Middle Plan	Employee + Spouse
11/14/1943	Female	33801	Retired			Dental - Middle Plan	Retiree Only
02/25/1959	Male	33844	Active	Dental - Middle Plan	Employee Only
10/25/1975	Male	33813	Active	Dental - High Plan	EE+Spouse+Child(ren)
11/09/1951	Female	33830	Active	Dental - Middle Plan	Employee Only
12/07/1932	Female	33837	Active
04/23/1962	Female	33851	Active	Dental - High Plan	Employee+Child(ren)
05/26/1961	Female	33881	Active	Dental - Middle Plan	Employee Only
08/23/1964	Female	33810	Active
01/22/1973	Female	33823	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
07/14/1971	Female	33860	Active	Dental - Middle Plan	Employee+Child(ren)
01/13/1976	Female	33880	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
01/29/1947	Female	33880	Active
06/25/1962	Female	33884	Active
07/14/1955	Female	33843	Active
02/26/1954	Female	33844	Retired
07/16/1948	Female	33881	Retired
09/27/1978	Female	33881	Active	Dental - High Plan	Employee+Child(ren)
04/07/1963	Female	33844	Active	Dental - High Plan	Employee Only
09/13/1951	Female	33801	Active	Dental - High Plan	Employee Only
01/12/1956	Female	33801	Active	Dental - Middle Plan	Employee Only
10/15/1960	Female	33849	Active
10/08/1952	Female	34758	Active
11/19/1952	Female	33837	Active	Dental - Middle Plan	Employee Only
12/10/1952	Female	33810	Active	Dental - High Plan	EE+Spouse+Child(ren)
06/01/1954	Female	33810	Active
02/12/1953	Female	33810	Active	Dental - Middle Plan	Employee Only
06/11/1942	Female	33811	Retired			Dental - Low Plan	Retiree Only
11/22/1970	Female	33843	Active
12/13/1960	Female	33841	Retired
06/26/1975	Female	33880	Active
06/03/1930	Female	33811	Retired
09/03/1968	Female	33801	Active
05/23/1945	Female	33810	Retired
03/09/1937	Female	33803	Active
09/10/1970	Female	33805	Retired			Dental - High Plan	Retiree Only
05/04/1956	Female	33844	Retired			Dental - High Plan	Retiree Only
12/03/1939	Female	33813	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
07/12/1944	Female	33845	Retired
06/08/1947	Female	33803	Active	Dental - Middle Plan	Employee Only
03/29/1939	Female	33844	Retired			Dental - High Plan	Retiree Only
10/31/1948	Female	33801	Retired
06/11/1958	Female	33809	Active	Dental - Middle Plan	Employee+Child(ren)
04/07/1936	Female	33804	Retired
06/14/1950	Male	33884	Active
03/17/1965	Female	34759	Active	Dental - Middle Plan	Employee+Child(ren)
04/12/1968	Female	33810	Active	Dental - Low Plan	Employee+Child(ren)
07/06/1954	Female	33809	Active	Dental - Middle Plan	Employee + Spouse
11/29/1945	Female	33827	Retired
03/15/1944	Female	33811	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
07/13/1964	Female	33810	Active
02/03/1952	Female	33803	Active	Dental - Low Plan	Employee Only
08/29/1952	Female	33805	Retired
01/06/1945	Female	33803	Retired			Dental - Middle Plan	Retiree Only
01/30/1948	Female	34105	Retired			Dental - Low Plan	Retiree Only
09/11/1934	Female	33813	Retired			Dental - High Plan	Ret+Spouse/MedDep
03/29/1955	Female	33849	Active	Dental - Low Plan	Employee Only
09/22/1977	Female	33849	Active
01/10/1971	Female	33841	Active	Dental - Middle Plan	Employee+Child(ren)
05/25/1974	Female	33810	Active	Dental - Middle Plan	Employee+Child(ren)
03/31/1954	Female	33813	Active
08/25/1965	Female	33880	Active
09/04/1946	Female	33811	Retired
05/28/1952	Female	33830	Retired			Dental - Middle Plan	Retiree Only
12/31/1964	Female	33839	Active	Dental - High Plan	Employee+Child(ren)
07/25/1944	Male	33803	Active	Dental - High Plan	Employee Only
04/30/1976	Female	33809	Active	Dental - Low Plan	Employee Only
10/19/1964	Female	33813	Active
07/29/1945	Female	33830	Retired			Dental - High Plan	Retiree Only
03/31/1977	Female	33811	Active	Dental - Middle Plan	Employee+Child(ren)
08/18/1964	Female	33809	Active
03/19/1977	Male	33813	Active	Dental - Middle Plan	Employee+Child(ren)
11/02/1969	Female	33809	Active	Dental - Middle Plan	Employee+Child(ren)
10/07/1978	Female	33813	Active	Dental - Low Plan	Employee Only
08/06/1976	Female	33881	Active	Dental - High Plan	Employee Only
02/27/1977	Female	33884	Active	Dental - Middle Plan	Employee+Child(ren)
12/22/1949	Female	33803	Active	Dental - High Plan	Employee Only
06/04/1973	Female	33809	Active	Dental - Low Plan	Employee Only
01/25/1976	Female	33881	Active	Dental - Middle Plan	Employee Only
06/30/1967	Female	33809	Active	Dental - Low Plan	Employee+Child(ren)
07/04/1962	Male	33884	Active
08/07/1980	Female	33812	Active	Dental - Middle Plan	Employee Only
07/07/1955	Female	33860	Active	Dental - Middle Plan	Employee Only
01/31/1955	Female	33880	Active	Dental - High Plan	Employee Only
04/10/1943	Male	33803	Active
12/27/1969	Male	33844	Active	Dental - Low Plan	EE+Spouse+Child(ren)
02/15/1957	Male	33809	Active	Dental - Middle Plan	Employee Only
02/07/1972	Male	33880	Active	Dental - Low Plan	Employee Only
02/03/1967	Female	33813	Active	Dental - Middle Plan	Employee+Child(ren)
11/09/1975	Female	33810	Active	Dental - Middle Plan	Employee+Child(ren)
02/12/1978	Female	33830	Active	Dental - High Plan	Employee+Child(ren)
01/10/1967	Female	33881	Active	Dental - High Plan	Employee Only
07/22/1951	Male	338031246	Active	Dental - High Plan	Employee Only
06/07/1967	Female	33813	Active
01/04/1944	Male	33898	Active	Dental - High Plan	Employee Only
04/03/1977	Female	33803	Active
10/02/1947	Female	33813	Retired
11/07/1953	Female	33880	Active	Dental - High Plan	Employee + Spouse
11/25/1969	Female	33805	Active	Dental - High Plan	Employee Only
10/31/1950	Female	33803	Retired
01/30/1952	Female	33809	Active
10/12/1954	Female	33813	Active
03/11/1950	Female	33811	Retired
05/20/1947	Male	33809	Retired			Dental - High Plan	Retiree Only
10/18/1949	Female	33803	Active	Dental - High Plan	Employee Only
07/26/1952	Female	338033590	Active	Dental - Middle Plan	Employee Only
07/22/1971	Female	33811	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
02/25/1945	Female	34606	Retired			Dental - High Plan	Retiree Only
09/19/1946	Female	33733	Retired
08/04/1947	Female	33813	Retired			Dental - High Plan	Retiree Only
09/03/1956	Male	33811	Retired
11/01/1956	Female	33813	Active
01/26/1932	Male	33801	Retired			Dental - High Plan	Retiree Only
07/17/1944	Male	33803	Retired			Dental - High Plan	Retiree Only
05/23/1954	Male	33813	Retired			Dental - High Plan	Ret+Spouse/MedDep
10/06/1939	Male	39666	Retired			Dental - High Plan	Ret+Spouse/MedDep
08/09/1952	Female	33813	Active
12/25/1965	Female	33884	Active	Dental - Low Plan	EE+Spouse+Child(ren)
03/21/1952	Female	32127	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
07/25/1949	Male	33860	Active	Dental - Middle Plan	Employee+Child(ren)
09/05/1958	Female	33811	Retired			Dental - Low Plan	Retiree Only
02/13/1962	Female	33810	Active
03/03/1949	Male	31606	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
07/16/1978	Male	33810	Active
07/31/1953	Female	33844	Active	Dental - High Plan	Employee + Spouse
09/28/1942	Female	33813	Retired
07/27/1979	Female	33860	Active	Dental - Middle Plan	Employee Only
05/21/1959	Female	33812	Active
04/17/1948	Male	342701463	Retired
06/25/1949	Female	33813	Retired
11/20/1955	Female	33813	Active	Dental - Middle Plan	Employee + Spouse
08/25/1978	Male	33812	Active
03/24/1950	Female	33811	Retired
03/17/1938	Female	32311	Retired			Dental - High Plan	Retiree Only
11/01/1967	Female	33809	Active
10/31/1953	Female	33813	Retired
02/03/1959	Female	33801	Active
05/18/1952	Female	33813	Active
12/26/1946	Female	33803	Retired
04/20/1945	Female	33813	Retired			Dental - High Plan	Ret+Spouse/MedDep
03/24/1950	Female	33803	Retired			Dental - High Plan	Retiree Only
07/08/1951	Female	33813	Retired			Dental - High Plan	Ret+Spouse/MedDep
09/25/1953	Female	33813	Active	Dental - Middle Plan	Employee + Spouse
09/18/1954	Female	33813	Active
09/10/1967	Female	33859	Active	Dental - Middle Plan	Employee + Spouse
09/21/1965	Female	33812	Active	Dental - High Plan	Employee+Child(ren)
05/26/1978	Male	33811	Active	Dental - Middle Plan	Employee Only
01/04/1967	Female	33813	Active	Dental - High Plan	Employee+Child(ren)
04/24/1958	Female	338113116	Active
01/07/1965	Female	33810	Active	Dental - High Plan	Employee Only
05/16/1945	Female	28027	Retired
03/31/1959	Female	33812	Active	Dental - High Plan	Employee + Spouse
05/22/1950	Female	33813	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
03/03/1943	Female	33813	Retired
12/13/1934	Female	33810	Retired
09/16/1975	Female	33881	Active	Dental - High Plan	Employee Only
03/10/1939	Female	33803	Retired
02/12/1960	Male	33812	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
10/07/1967	Female	33801	Active	Dental - High Plan	EE+Spouse+Child(ren)
04/21/1971	Female	33884	Active	Dental - Middle Plan	Employee+Child(ren)
11/29/1974	Female	33810	Active	Dental - Middle Plan	Employee+Child(ren)
07/16/1957	Female	33813	Active	Dental - Middle Plan	Employee Only
07/27/1933	Female	33813	Retired
10/16/1971	Male	33881	Active
04/16/1979	Female	33844	Active	Dental - High Plan	Employee+Child(ren)
05/05/1947	Female	33805	Retired
02/28/1946	Female	33809	Retired
10/20/1956	Female	33811	Retired			Dental - Middle Plan	Ret+Spouse+Child(ren
06/09/1972	Male	33809	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
11/15/1947	Female	33823	Retired			Dental - High Plan	Retiree Only
05/01/1954	Female	33812	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
11/27/1955	Female	33813	Retired
01/14/1977	Female	33830	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
10/08/1970	Female	33801	Active	Dental - Middle Plan	Employee Only
06/08/1977	Female	33809	Active	Dental - High Plan	Employee Only
06/11/1954	Female	33594	Active	Dental - Middle Plan	Employee Only
09/19/1978	Female	33594	Active	Dental - Middle Plan	Employee Only
03/08/1963	Female	33813	Active
09/05/1974	Male	33810	Active	Dental - Low Plan	Employee+Child(ren)
07/13/1958	Female	33809	Active	Dental - High Plan	Employee Only
07/10/1962	Female	33860	Active	Dental - Middle Plan	Employee+Child(ren)
04/01/1940	Female	33853	Retired
04/15/1977	Female	33884	Active	Dental - High Plan	Employee+Child(ren)
02/11/1944	Male	33843	Active	Dental - Low Plan	Employee + Spouse
12/21/1955	Female	33813	Active	Dental - High Plan	Employee + Spouse
05/06/1969	Female	33813	Active	Dental - Low Plan	Employee Only
04/23/1953	Female	33811	Retired			Dental - Middle Plan	Retiree Only
01/03/1963	Female	33823	Active
06/24/1939	Male	33603	Retired
04/06/1967	Female	33810	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
06/20/1966	Female	33837	Active	Dental - Middle Plan	Employee+Child(ren)
12/08/1946	Female	33810	Active	Dental - High Plan	Employee + Spouse
06/13/1961	Female	33809	Active	Dental - High Plan	Employee Only
07/30/1957	Female	33823	Active
07/21/1944	Female	33810	Retired
09/02/1948	Female	70456	Retired			Dental - Middle Plan	Retiree Only
06/16/1949	Female	31096	Retired			Dental - Middle Plan	Retiree Only
01/13/1956	Female	33811	Active
01/31/1941	Female	33851	Retired
05/10/1941	Female	33845	Retired
06/15/1970	Female	33881	Active	Dental - Low Plan	Employee Only
01/14/1955	Male	33809	Active	Dental - Middle Plan	Employee + Spouse
11/26/1942	Female	33813	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
06/09/1947	Female	33809	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
11/23/1967	Female	33813	Active
02/19/1973	Female	33811	Active	Dental - Low Plan	EE+Spouse+Child(ren)
12/05/1950	Female	33813	Retired
11/23/1936	Female	33853	Retired			Dental - High Plan	Ret+Spouse/MedDep
01/03/1945	Female	32741	Retired
08/04/1971	Female	33810	Active	Dental - High Plan	EE+Spouse+Child(ren)
02/02/1943	Female	33850	Active	Dental - High Plan	Employee Only
09/06/1951	Female	33813	Active	Dental - High Plan	Employee Only
05/21/1974	Female	33803	Active	Dental - Middle Plan	Employee+Child(ren)
06/27/1957	Female	33813	Active
01/01/1971	Female	33845	Active	Dental - Middle Plan	Employee+Child(ren)
01/13/1977	Female	33830	Active	Dental - Middle Plan	Employee+Child(ren)
02/08/1953	Female	33860	LOA			Dental - High Plan	Ret+Spouse/MedDep
10/04/1959	Female	33811	Active	Dental - Middle Plan	Employee Only
12/09/1954	Female	33801	Retired
11/12/1965	Female	33860	Active	Dental - Middle Plan	Employee Only
02/09/1944	Female	33823	Retired
09/20/1959	Female	33809	LOA			Dental - Middle Plan	Ret+Spouse/MedDep
10/10/1965	Female	33809	Active
12/20/1952	Female	33805	Active	Dental - Middle Plan	Employee+Child(ren)
05/05/1962	Male	33844	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
07/03/1965	Female	33803	Active	Dental - High Plan	Employee+Child(ren)
05/30/1964	Female	33811	Active	Dental - Low Plan	Employee Only
09/13/1950	Female	33802	Retired
07/19/1957	Female	33810	Active	Dental - High Plan	Employee + Spouse
01/18/1943	Female	33813	Retired
11/25/1952	Female	33813	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
07/23/1952	Female	30639	Retired
07/29/1955	Male	338033803	Active	Dental - High Plan	Employee + Spouse
07/07/1964	Female	33880	Active	Dental - High Plan	Employee + Spouse
04/02/1972	Female	33811	Active	Dental - High Plan	EE+Spouse+Child(ren)
07/20/1945	Female	33811	Retired
02/06/1969	Female	33881	Active
08/29/1970	Female	33809	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
10/18/1967	Female	33844	Active
01/21/1969	Female	33884	Active	Dental - Middle Plan	Employee Only
10/11/1944	Female	33815	Retired
12/14/1959	Female	33813	Active			Dental - High Plan	Retiree Only
10/02/1972	Female	33823	Active	Dental - Middle Plan	Employee Only
11/04/1968	Female	33813	Active	Dental - Middle Plan	Employee Only
11/21/1945	Male	33594	Active	Dental - High Plan	Employee + Spouse
11/23/1966	Female	33811	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
03/25/1951	Female	33859	Retired			Dental - High Plan	Retiree Only
03/16/1957	Female	34759	Active	Dental - High Plan	Employee Only
08/28/1946	Female	33815	Retired			Dental - Middle Plan	Retiree Only
04/29/1953	Female	275928643	Retired
12/25/1948	Female	33884	Retired
07/29/1961	Female	33809	Active	Dental - High Plan	Employee + Spouse
08/08/1946	Female	33813	Retired
05/21/1978	Female	33813	Active
10/18/1947	Female	33803	Retired
12/05/1943	Female	33844	Retired
02/12/1969	Female	33813	Active
08/29/1945	Female	33813	Retired			Dental - Low Plan	Retiree Only
01/21/1971	Female	33584	Active	Dental - Low Plan	Employee Only
06/10/1959	Female	33801	Active
09/09/1925	Female	33844	Retired			Dental - Middle Plan	Retiree Only
08/19/1964	Female	33813	Active
05/27/1959	Female	33813	Active	Dental - Middle Plan	Employee+Child(ren)
09/12/1940	Female	33919	Retired			Dental - Middle Plan	Retiree Only
04/04/1944	Female	33813	Retired
09/03/1945	Female	33812	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
08/03/1963	Female	33803	Active	Dental - High Plan	Employee Only
08/29/1951	Female	33809	Active	Dental - High Plan	Employee + Spouse
03/04/1964	Female	33813	Active
11/15/1967	Female	33841	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
12/31/1950	Female	33813	Retired
06/13/1937	Female	33860	Retired			Dental - High Plan	Ret+Spouse/MedDep
01/16/1959	Female	33830	Active	Dental - Middle Plan	Employee Only
05/29/1956	Female	33811	Active
07/17/1943	Female	33813	Retired			Dental - High Plan	Retiree Only
11/19/1946	Female	32183	Retired
06/29/1951	Female	33813	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
05/23/1958	Female	33813	Active
09/03/1960	Female	33801	Active	Dental - High Plan	Employee Only
03/05/1955	Female	33884	Active	Dental - High Plan	Employee Only
10/10/1969	Female	33803	Active	Dental - Middle Plan	Employee+Child(ren)
06/06/1950	Female	33813	Retired			Dental - Low Plan	Ret+Spouse/MedDep
12/04/1949	Male	338842983	Retired			Dental - Middle Plan	Ret+Spouse+Child(ren
10/29/1969	Male	33802	Active	Dental - Low Plan	Employee Only
11/15/1944	Female	33801	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
07/04/1969	Male	33896	Active	Dental - Middle Plan	Employee Only
09/05/1950	Female	32819	Retired
06/03/1973	Female	33813	Active	Dental - High Plan	EE+Spouse+Child(ren)
10/09/1963	Female	33813	Active	Dental - High Plan	Employee Only
11/13/1957	Female	33830	Active	Dental - High Plan	Employee Only
12/14/1953	Male	33810	Active	Dental - Low Plan	Employee + Spouse
11/28/1969	Female	33881	Active
09/23/1949	Male	33881	Active	Dental - High Plan	Employee Only
01/20/1948	Male	33884	Active
02/05/1970	Male	32821	Active	Dental - Middle Plan	Employee Only
02/06/1972	Female	33881	Active	Dental - Middle Plan	Employee Only
08/17/1955	Female	33823	Active
09/23/1947	Male	33811	Retired			Dental - Middle Plan	Retiree Only
11/16/1954	Female	33884	Active	Dental - High Plan	Employee + Spouse
08/18/1948	Female	34219	Retired			Dental - High Plan	Ret+Spouse/MedDep
03/01/1958	Female	33809	Active	Dental - Middle Plan	Employee+Child(ren)
02/27/1958	Female	33809	Active	Dental - High Plan	Employee Only
02/14/1949	Male	33810	Active	Dental - High Plan	Employee + Spouse
03/09/1965	Female	33884	Active	Dental - High Plan	EE+Spouse+Child(ren)
06/02/1948	Male	13357	Retired
02/06/1964	Male	33801	Active
08/24/1968	Male	33850	Active
08/19/1945	Female	33803	Retired
07/08/1951	Female	33843	Retired
11/29/1944	Male	30512	Retired			Dental - High Plan	Ret+Spouse/MedDep
10/12/1943	Female	33884	Retired
11/15/1949	Female	33843	Active	Dental - Middle Plan	Employee + Spouse
10/14/1949	Male	33810	Retired			Dental - High Plan	Ret+Spouse/MedDep
02/19/1953	Male	33823	Retired			Dental - High Plan	Ret+Spouse/MedDep
12/13/1959	Female	33884	Active	Dental - High Plan	Employee Only
05/21/1961	Male	33801	Active	Dental - Middle Plan	Employee+Child(ren)
12/21/1960	Female	33801	Active	Dental - High Plan	EE+Spouse+Child(ren)
09/24/1951	Female	33805	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
11/23/1950	Female	33830	Retired			Dental - High Plan	Retiree Only
10/18/1954	Male	33813	Retired			Dental - High Plan	Retiree Only
11/10/1956	Male	33880	Active
12/27/1954	Male	33884	Active	Dental - High Plan	Employee Only
03/10/1959	Female	33898	Active
01/01/1956	Male	33898	Active
08/02/1958	Male	338075737	Active
01/28/1960	Female	33812	Active
09/10/1940	Male	33881	Retired
04/23/1948	Male	33823	Retired
08/11/1941	Female	33880	Retired
11/22/1963	Female	33810	Active	Dental - Low Plan	Employee Only
05/30/1963	Female	33884	Active	Dental - Middle Plan	Employee Only
02/04/1956	Female	33809	Active
07/29/1960	Female	33810	Active	Dental - High Plan	Employee Only
09/13/1946	Male	33884	Retired			Dental - High Plan	Retiree Only
01/14/1943	Male	33830	LOA
09/10/1955	Female	33884	Active
10/17/1954	Male	33813	Active	Dental - High Plan	Employee Only
03/26/1945	Male	33810	Retired			Dental - High Plan	Retiree Only
02/21/1961	Female	338132664	Active	Dental - Middle Plan	Employee+Child(ren)
06/19/1957	Male	33805	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
03/19/1949	Female	33880	Active
12/01/1951	Female	33853	Retired
08/11/1959	Male	33803	Active	Dental - Middle Plan	Employee Only
01/31/1954	Male	33823	Retired			Dental - High Plan	Ret+Spouse/MedDep
09/30/1946	Female	33853	Retired
06/06/1952	Male	33813	Retired			Dental - High Plan	Ret+Spouse/MedDep
02/15/1949	Female	54548	Retired			Dental - High Plan	Ret+Spouse/MedDep
07/12/1957	Female	33813	Active	Dental - High Plan	Employee Only
11/01/1963	Male	33813	Active
09/12/1957	Male	33809	Active	Dental - High Plan	Employee + Spouse
10/03/1951	Female	338040645	Retired			Dental - High Plan	Retiree Only
02/01/1944	Male	33805	Retired
05/20/1942	Male	33853	Retired			Dental - High Plan	Retiree Only
08/19/1948	Male	33813	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
04/12/1968	Female	33813	Active	Dental - High Plan	EE+Spouse+Child(ren)
07/27/1946	Female	33805	Retired			Dental - Middle Plan	Retiree Only
12/06/1957	Female	33841	Active	Dental - High Plan	Employee Only
02/20/1941	Female	33850	Retired
04/02/1956	Female	33884	Active	Dental - High Plan	Employee Only
02/20/1955	Female	33884	Active	Dental - High Plan	Employee + Spouse
08/16/1945	Female	32633	Retired
11/04/1970	Male	33830	Active	Dental - Middle Plan	Employee+Child(ren)
05/15/1950	Female	33811	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
04/29/1948	Female	33813	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
01/07/1957	Male	33810	Active
02/08/1955	Female	33805	Active	Dental - Middle Plan	Employee Only
11/02/1949	Female	33884	Active	Dental - Middle Plan	Employee Only
08/30/1951	Male	33813	Active	Dental - High Plan	Employee Only
03/09/1950	Male	33881	Retired
08/12/1952	Female	33823	Retired			Dental - High Plan	Ret+Spouse/MedDep
04/14/1947	Male	33823	Retired
10/17/1947	Female	33898	Retired			Dental - Low Plan	Retiree Only
10/25/1965	Female	33813	Active	Dental - Low Plan	EE+Spouse+Child(ren)
03/03/1950	Female	33803	Active	Dental - High Plan	Employee + Spouse
02/04/1964	Female	33881	Active
06/17/1952	Female	33860	Retired			Dental - High Plan	Retiree Only
02/21/1951	Female	33841	Active	Dental - High Plan	Employee + Spouse
09/03/1947	Male	33813	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
11/03/1944	Female	33813	Retired
12/12/1940	Male	33805	Retired
06/12/1951	Male	33811	Active	Dental - High Plan	Employee Only
05/04/1959	Female	33880	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
06/16/1943	Female	33881	Retired			Dental - High Plan	Retiree Only
12/09/1941	Male	33881	Retired			Dental - High Plan	Retiree Only
07/10/1941	Female	33813	Retired
04/07/1956	Male	33881	Active
03/01/1954	Male	33881	Retired
05/21/1972	Male	33812	Active	Dental - Middle Plan	Employee+Child(ren)
07/02/1956	Female	33880	Active	Dental - High Plan	Employee + Spouse
05/25/1955	Female	33880	Active	Dental - High Plan	Employee + Spouse
09/07/1953	Female	33809	Active
11/09/1961	Female	33881	Active	Dental - Low Plan	Employee Only
11/20/1960	Female	33803	Active
03/23/1943	Female	33813	Retired			Dental - Middle Plan	Retiree Only
11/23/1944	Male	33708	Retired			Dental - Middle Plan	Retiree Only
05/15/1944	Female	33811	Retired			Dental - High Plan	Retiree Only
03/14/1952	Female	33803	Retired			Dental - High Plan	Ret+Spouse/MedDep
03/17/1966	Female	33812	Active
04/06/1961	Female	33813	Active	Dental - High Plan	Employee Only
12/15/1971	Female	33813	Active	Dental - Middle Plan	Employee+Child(ren)
06/24/1947	Female	33823	Retired			Dental - High Plan	Ret+Spouse/MedDep
11/17/1944	Male	33823	Retired
01/07/1938	Female	33813	Retired			Dental - High Plan	Retiree Only
12/11/1970	Female	33881	Active
03/20/1962	Female	33813	Active	Dental - Middle Plan	Employee + Spouse
12/02/1951	Male	33881	Retired
04/30/1945	Female	33813	Retired
07/29/1961	Female	33853	Active	Dental - Middle Plan	Employee Only
03/30/1942	Female	338153403	Retired
09/27/1975	Female	33898	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
08/08/1950	Female	33813	Retired
11/18/1950	Female	33830	Active	Dental - High Plan	Employee Only
07/10/1973	Female	33844	Active	Dental - High Plan	Employee+Child(ren)
05/19/1949	Female	33844	Retired			Dental - High Plan	Ret+Spouse/MedDep
08/07/1973	Female	33809	Active	Dental - Middle Plan	Employee+Child(ren)
12/05/1949	Female	33885	Active
10/03/1952	Female	338035474	Active	Dental - High Plan	Employee Only
10/01/1958	Female	33853	Active
03/17/1976	Female	33806	Active	Dental - High Plan	Employee Only
07/28/1967	Female	33823	Active	Dental - Middle Plan	Employee + Spouse
01/17/1977	Female	33811	Active	Dental - Middle Plan	Employee+Child(ren)
05/11/1973	Female	33880	Active	Dental - High Plan	Employee+Child(ren)
07/15/1942	Female	33810	Active
07/21/1948	Female	33846	Active	Dental - High Plan	Employee Only
03/05/1957	Female	33813	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
06/21/1956	Female	33884	Active	Dental - High Plan	Employee + Spouse
04/19/1964	Female	33813	Active	Dental - Middle Plan	Employee + Spouse
02/18/1964	Female	33810	Active	Dental - Middle Plan	Employee+Child(ren)
10/31/1959	Female	33801	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
04/02/1953	Female	34711	Active
02/09/1963	Female	33839	Active
05/26/1942	Female	33880	Retired			Dental - High Plan	Retiree Only
04/24/1955	Female	33805	Active	Dental - High Plan	Employee + Spouse
02/06/1954	Female	33812	Retired			Dental - High Plan	Retiree Only
08/29/1945	Female	33884	Retired			Dental - High Plan	Ret+Spouse/MedDep
12/05/1938	Female	33810	Retired
04/16/1954	Male	33860	Active
01/26/1965	Male	33880	Active	Dental - Middle Plan	Employee Only
07/02/1971	Female	33801	Active	Dental - Low Plan	Employee+Child(ren)
02/28/1974	Female	33823	Active
05/05/1969	Female	33831	Active
07/03/1952	Female	33860	Active
12/08/1949	Female	37369	Retired			Dental - High Plan	Ret+Spouse/MedDep
02/12/1964	Male	33801	Active	Dental - Low Plan	EE+Spouse+Child(ren)
08/01/1933	Female	33810	Retired
04/03/1951	Female	33884	Active	Dental - High Plan	Employee + Spouse
09/29/1949	Female	33810	Retired			Dental - Middle Plan	Retiree Only
01/31/1947	Female	33811	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
06/16/1974	Female	33803	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
04/16/1975	Female	33811	Active	Dental - High Plan	Employee Only
11/18/1954	Female	33859	Active	Dental - High Plan	Employee Only
08/08/1940	Male	33881	Retired
02/18/1966	Male	33823	Active
09/24/1963	Female	33813	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
11/29/1952	Male	33810	Active	Dental - High Plan	Employee + Spouse
12/19/1954	Female	33813	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
05/13/1941	Female	33801	Retired			Dental - High Plan	Retiree Only
11/03/1951	Female	33849	Retired
05/07/1930	Female	33859	Retired
05/12/1959	Female	33812	Active	Dental - Middle Plan	Employee+Child(ren)
09/05/1965	Male	33809	Active
06/18/1959	Female	33803	Active
07/06/1959	Male	33803	Active	Dental - Low Plan	Employee + Spouse
04/16/1959	Female	33830	Active	Dental - High Plan	Employee+Child(ren)
03/24/1976	Female	33860	Active	Dental - High Plan	Employee Only
08/20/1976	Female	33813	Active
06/01/1945	Female	33859	Retired
12/22/1950	Female	33813	Retired
01/13/1974	Female	33898	Active	Dental - Low Plan	Employee Only
12/06/1973	Female	33860	Active	Dental - Middle Plan	Employee Only
05/14/1969	Female	33884	Active	Dental - Middle Plan	Employee+Child(ren)
04/18/1943	Female	33881	Retired
02/19/1951	Male	338843628	Active	Dental - High Plan	Employee Only
06/06/1941	Male	33813	LOA			Dental - High Plan	Ret+Spouse/MedDep
08/15/1964	Female	33884	Active
05/11/1962	Male	33884	Active
11/11/1956	Female	33813	Active
07/28/1971	Female	33823	Active	Dental - Middle Plan	Employee Only
09/18/1952	Female	33813	Retired			Dental - Middle Plan	Retiree Only
11/12/1952	Female	33823	Retired
03/05/1948	Female	34429	Retired			Dental - High Plan	Ret+Spouse/MedDep
09/19/1966	Female	33841	Active	Dental - High Plan	EE+Spouse+Child(ren)
02/29/1944	Male	338843104	Retired
12/17/1951	Female	32643	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
11/29/1947	Female	33884	Retired
01/27/1962	Female	33898	Active
08/12/1953	Female	33884	Active
12/27/1949	Female	33860	Active	Dental - High Plan	Employee + Spouse
10/04/1967	Female	33801	Active
07/25/1945	Female	33830	Retired
01/13/1975	Female	33880	Active	Dental - High Plan	Employee Only
12/09/1955	Female	33813	Active	Dental - High Plan	Employee + Spouse
02/01/1944	Female	33719	Retired			Dental - Low Plan	Retiree Only
08/15/1961	Female	33813	Active	Dental - High Plan	Employee Only
07/31/1949	Female	33884	Active	Dental - Middle Plan	Employee + Spouse
02/15/1950	Female	33880	Retired
06/24/1951	Female	33811	Active
04/14/1962	Male	33809	Active	Dental - High Plan	Employee+Child(ren)
03/31/1963	Female	33809	Active	Dental - High Plan	Employee Only
04/28/1964	Male	33859	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
03/20/1967	Female	33801	Active	Dental - High Plan	Employee Only
07/03/1946	Female	33811	Active	Dental - High Plan	Employee + Spouse
11/15/1956	Female	33830	Retired			Dental - Middle Plan	Retiree Only
02/03/1950	Female	33884	Active
03/07/1964	Female	33880	Active	Dental - High Plan	Employee + Spouse
02/25/1971	Female	33981	Active
11/24/1967	Female	33565	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
02/21/1956	Female	33881	Active
05/30/1974	Female	33812	Active
08/30/1951	Male	29365	Retired			Dental - High Plan	Retiree Only
08/06/1971	Female	33809	Active
07/17/1966	Female	33884	Active	Dental - Middle Plan	Employee+Child(ren)
08/26/1946	Female	33810	Active	Dental - High Plan	Employee + Spouse
05/25/1962	Female	33884	Active	Dental - High Plan	EE+Spouse+Child(ren)
05/21/1952	Female	33884	Retired
06/30/1950	Female	33880	Active	Dental - High Plan	Employee Only
06/16/1946	Female	33823	Active	Dental - High Plan	Employee + Spouse
05/02/1949	Female	33884	Retired			Dental - Middle Plan	Retiree Only
06/28/1962	Female	33881	Active	Dental - Middle Plan	Employee Only
07/08/1944	Female	33880	Active	Dental - High Plan	Employee + Spouse
12/12/1947	Female	28906	Retired			Dental - Middle Plan	Retiree Only
03/30/1949	Male	28906	Retired			Dental - Middle Plan	Retiree Only
04/04/1942	Female	33853	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
11/24/1940	Female	33884	Retired			Dental - High Plan	Retiree Only
01/31/1962	Male	33884	Active
05/27/1949	Male	33868	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
07/12/1961	Female	33851	Active	Dental - Low Plan	Employee Only
07/13/1952	Female	33881	Retired
11/22/1949	Female	33860	Active	Dental - Middle Plan	Employee + Spouse
02/16/1961	Female	33898	Active
05/15/1975	Male	33811	Active
09/14/1959	Female	33884	Active	Dental - Low Plan	Employee Only
11/22/1943	Female	33880	Retired			Dental - High Plan	Ret+Spouse/MedDep
08/01/1973	Female	33809	Active	Dental - Middle Plan	Employee+Child(ren)
10/19/1962	Female	33813	Active
07/30/1946	Male	33803	Retired
02/20/1968	Female	338392400	Active	Dental - High Plan	Employee Only
08/06/1951	Female	33882	Retired
11/17/1951	Female	33841	Active	Dental - Middle Plan	Employee Only
01/14/1970	Female	33841	Active
04/11/1951	Female	33881	Active	Dental - Low Plan	Employee + Spouse
07/27/1961	Female	33823	Active	Dental - Low Plan	Employee Only
11/21/1970	Female	33841	Active
08/16/1955	Female	33884	Active
12/03/1953	Female	33809	Active	Dental - Low Plan	Employee Only
07/12/1936	Female	33823	Retired			Dental - High Plan	Ret+Spouse/MedDep
08/07/1942	Female	33881	Retired			Dental - High Plan	Ret+Spouse/MedDep
01/21/1950	Female	33853	Retired			Dental - High Plan	Retiree Only
09/13/1943	Female	33885	Retired			Dental - Low Plan	Retiree Only
10/20/1952	Female	33801	Retired			Dental - High Plan	Retiree Only
10/16/1957	Male	33860	Active	Dental - High Plan	Employee Only
11/27/1967	Female	33801	Active
01/10/1976	Female	33803	Active	Dental - Middle Plan	Employee+Child(ren)
10/17/1974	Female	33813	Active	Dental - Middle Plan	Employee Only
01/09/1936	Female	33881	Retired			Dental - Middle Plan	Ret+Spouse/MedDep
05/08/1952	Female	33898	Active	Dental - Middle Plan	Employee Only
10/17/1974	Male	33823	Active
01/19/1937	Female	33853	Retired			Dental - Middle Plan	Retiree Only
01/09/1942	Female	33881	Retired
03/25/1936	Female	33809	Retired
07/11/1956	Female	33823	Active	Dental - Low Plan	Employee Only
10/23/1963	Female	33839	Active	Dental - High Plan	Employee+Child(ren)
10/15/1946	Female	338832282	Retired
03/30/1977	Female	33844	Active
11/10/1938	Female	33801	Retired			Dental - High Plan	Ret+Spouse/MedDep
05/24/1957	Female	33881	Active	Dental - Low Plan	Employee Only
10/08/1952	Female	33809	Active
04/10/1947	Male	33801	Retired
10/15/1944	Female	33803	Retired			Dental - Middle Plan	Retiree Only
07/19/1970	Female	33813	Active	Dental - High Plan	Employee Only
05/02/1958	Female	33841	Retired			Dental - Middle Plan	Ret+Spouse+Child(ren
12/01/1963	Male	33827	Active	Dental - Middle Plan	Employee+Child(ren)
02/24/1941	Male	32903	Retired			Dental - Middle Plan	Retiree Only
05/20/1947	Female	33803	Retired			Dental - High Plan	Ret+Spouse/MedDep
09/03/1959	Female	33813	Active
06/19/1940	Female	33805	Retired			Dental - High Plan	Retiree Only
08/07/1953	Female	33813	Active	Dental - High Plan	Employee Only
05/23/1956	Female	33860	Active
01/21/1950	Female	33830	LOA			Dental - High Plan	Retiree Only
07/14/1966	Female	33707	Active	Dental - Middle Plan	Employee Only
07/23/1958	Female	33880	Active
04/30/1957	Male	33843	Active	Dental - Low Plan	EE+Spouse+Child(ren)
11/18/1964	Female	33830	Active	Dental - High Plan	EE+Spouse+Child(ren)
12/17/1946	Female	32561	Retired			Dental - High Plan	Ret+Spouse/MedDep
06/17/1969	Female	33810	Active	Dental - Middle Plan	Employee+Child(ren)
12/26/1949	Female	33823	Retired
09/27/1952	Female	33813	Active	Dental - Middle Plan	Employee + Spouse
06/04/1958	Female	33880	Active	Dental - High Plan	Employee Only
07/06/1968	Male	33898	Active	Dental - High Plan	Employee Only
02/17/1962	Female	33813	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
06/24/1961	Female	33801	Active
07/12/1959	Female	33813	Active	Dental - High Plan	EE+Spouse+Child(ren)
04/05/1960	Female	33860	Active	Dental - High Plan	Employee + Spouse
06/26/1942	Female	33807	Active	Dental - High Plan	Employee Only
02/26/1955	Female	33853	Active	Dental - High Plan	Employee Only
08/27/1955	Female	33823	Active	Dental - Middle Plan	Employee Only
03/15/1950	Female	33884	Retired			Dental - High Plan	Retiree Only
02/06/1946	Female	37880	Retired
02/01/1969	Female	33844	Active	Dental - High Plan	EE+Spouse+Child(ren)
08/07/1968	Female	33844	Active	Dental - Low Plan	Employee+Child(ren)
11/14/1950	Female	33884	Active	Dental - High Plan	Employee Only
09/08/1938	Female	33809	Retired
07/28/1941	Female	33810	Retired			Dental - High Plan	Retiree Only
09/13/1973	Female	33845	Active
07/27/1949	Female	33813	Active
07/09/1961	Male	33811	Active	Dental - Middle Plan	Employee Only
09/20/1957	Female	33823	Active
04/17/1954	Female	33803	Active	Dental - High Plan	Employee Only
08/31/1949	Female	33831	Retired
10/11/1965	Female	33884	Active	Dental - Low Plan	Employee Only
04/20/1954	Female	33813	Active	Dental - High Plan	Employee Only
06/16/1954	Male	33801	Retired
01/25/1967	Female	33547	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
08/01/1943	Female	33823	Retired			Dental - High Plan	Ret+Spouse/MedDep
01/21/1966	Female	33881	Active
04/25/1964	Female	33809	Active	Dental - High Plan	Employee + Spouse
12/21/1957	Female	33885	Active	Dental - Middle Plan	Employee+Child(ren)
02/15/1961	Male	33884	Active	Dental - Low Plan	Employee+Child(ren)
09/13/1974	Female	33830	Active	Dental - Low Plan	Employee Only
12/26/1956	Female	33813	Retired			Dental - Low Plan	Retiree Only
08/12/1975	Female	33811	Active	Dental - High Plan	EE+Spouse+Child(ren)
07/04/1969	Female	33845	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
03/29/1955	Male	33823	Active	Dental - High Plan	Employee Only
11/15/1957	Female	33884	Active	Dental - Middle Plan	Employee Only
03/19/1963	Female	338439783	Active	Dental - High Plan	EE+Spouse+Child(ren)
03/14/1973	Female	33835	Active	Dental - Middle Plan	EE+Spouse+Child(ren)
01/20/1967	Female	33801	Active	Dental - High Plan	Employee Only
03/22/1945	Female	33881	Retired			Dental - Middle Plan	Retiree Only
05/16/1971	Female	33839	Active	Dental - Middle Plan	Employee+Child(ren)
01/09/1956	Female	33853	Active	Dental - Low Plan	Employee + Spouse
10/28/1934	Male	33853	Retired			Dental - High Plan	Retiree Only
07/11/1965	Female	33823	Active	Dental - High Plan	Employee Only
02/14/1960	Female	33880	Active
05/22/1952	Female	33839	Active	Dental - High Plan	Employee Only
04/10/1947	Female	33843	Retired			Dental - Low Plan	Ret+Spouse/MedDep
03/03/1943	Male	33843	Retired
02/01/1974	Female	33801	Active	Dental - Middle Plan	Employee + Spouse
02/20/1955	Female	33805	Active	Dental - Low Plan	Employee Only
01/22/1962	Female	33811	Active	Dental - Low Plan	Employee Only
04/23/1954	Male	32790	Active	Dental - High Plan	Employee Only
11/11/1950	Male	33830	Active	Dental - High Plan	Employee Only
05/30/1962	Female	33813	Active	Dental - Low Plan	Employee+Child(ren)
02/13/1967	Female	33813	Active
09/21/1968	Male	33830	Active	Dental - Low Plan	Employee + Spouse
06/03/1949	Female	33844	Retired			Dental - High Plan	Ret+Spouse/MedDep
01/15/1952	Female	33809	Retired
01/17/1965	Male	34689	Active	Dental - Middle Plan	Employee+Child(ren)
05/17/1968	Female	33898	Active	Dental - High Plan	EE+Spouse+Child(ren)
01/25/1943	Male	33706	Retired			Dental - High Plan	Retiree Only
03/10/1945	Female	33811	Retired
11/26/1958	Female	33810	Active	Dental - Low Plan	EE+Spouse+Child(ren)
02/20/1947	Female	33884	Retired			Dental - High Plan	Retiree Only
11/04/1946	Female	33880	Retired			Dental - High Plan	Ret+Spouse/MedDep
03/10/1954	Male	33860	Active	Dental - Middle Plan	Employee Only
06/22/1935	Female	33813	Retired
07/13/1956	Female	33803	Active	Dental - Middle Plan	Employee+Child(ren)
05/06/1938	Female	33830	Retired			Dental - High Plan	Ret+Spouse/MedDep
10/18/1958	Female	33805	Active	Dental - Middle Plan	Employee Only
12/08/1960	Female	33843	Active	Dental - Middle Plan	Employee Only
11/07/1970	Female	33803	Active	Dental - Middle Plan	Employee Only
04/20/1947	Female	33813	Retired
04/08/1958	Female	33880	Active	Dental - High Plan	Employee Only
02/06/1956	Female	33839	Active
12/29/1955	Female	33849	Active
10/05/1947	Female	33881	Retired			Dental - High Plan	Retiree Only
11/25/1944	Female	33844	Retired
05/02/1947	Male	33849	Retired
05/21/1949	Female	33884	Retired			Dental - High Plan	Retiree Only
11/15/1949	Female	201400131	Retired
02/17/1952	Female	33880	LOA			Dental - High Plan	Retiree Only
02/26/1956	Male	33843	Active	Dental - Middle Plan	Employee + Spouse
08/04/1951	Female	33813	Retired
11/19/1935	Female	33884	Retired
12/21/1972	Male	33880	Active	Dental - High Plan	Employee+Child(ren)
10/13/1947	Female	33813	Retired
04/09/1970	Male	33830	Active
07/12/1949	Female	33813	Retired			Dental - Middle Plan	Retiree Only
09/25/1965	Female	33880	Active
03/10/1944	Female	33837	Retired			Dental - High Plan	Ret+Spouse/MedDep
02/12/1965	Female	33881	Active
12/06/1947	Female	33809	Retired			Dental - Middle Plan	Retiree Only
05/08/1972	Male	33823	Active
04/11/1948	Male	33823	Retired
07/25/1960	Female	33881	Active
01/09/1970	Male	33813	Active	Dental - Middle Plan	Employee Only
10/03/1962	Female	33898	Active	Dental - Middle Plan	Employee Only
09/19/1942	Female	33810	Retired			Dental - Middle Plan	Retiree Only
03/30/1943	Female	33810	Retired
03/08/1953	Female	33820	Retired
10/01/1965	Female	33813	Active
10/27/1971	Female	33813	Active	Dental - Low Plan	Employee+Child(ren)
03/31/1944	Female	32967	Retired			Dental - High Plan	Retiree Only
02/11/1952	Female	33810	Retired
05/10/1976	Male	33801	Active	Dental - Middle Plan	Employee+Child(ren)
03/22/1975	Female	33830	Active	Dental - Middle Plan	Employee+Child(ren)
01/11/1970	Female	33809	Active	Dental - Low Plan	EE+Spouse+Child(ren)

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 Jan 8, 2026.