COLB_Member Level Census_1.5.2024.xlsx

XLSX spreadsheet 792 KB Posted Feb 22, 2024

Attached to: Pharmacy Benefits Management Services
Solicitation number: HR-24-389
Issued by: Los Angeles County, California

About this file

Written by GovTribe AI · Jun 3, 2026

This file is a member-level census data extract from the City of Long Beach (COLB) health benefits plan, dated January 15, 2024. The spreadsheet contains comprehensive enrollment information for active employees, retirees, spouses, and dependents covered under the municipal health insurance program.

The dataset includes 1,000+ individual member records with the following data elements: member relationship descriptor (Employee, Spouse, Dependent, Other), date of birth, gender, zip code, coverage tier description (Employee Only, Employee + Spouse, Employee + Child(ren), Family), enrollment status (Active or Cobra), and retirement status (Active, Retiree, Non-Medicare, Medicare). All listed members show a current account identifier of 276800 and maintain Active status as of the extract date. Coverage tiers reflect various family composition combinations, with the majority of records indicating Family tier coverage. Geographic distribution spans multiple California zip codes, predominantly in the Long Beach and surrounding Orange County areas (90808, 90815, 90713, 92646, 92649), as well as scattered national locations. The data serves as a baseline enrollment roster for the municipal benefits program and supports actuarial analysis, premium modeling, and plan administration functions.

View the file

Other files

File	Type	Posted
Attachment A~6.pdf	PDF	Feb 22, 2024
COLB - Cost Proposal Template .xlsx	XLSX spreadsheet	Feb 22, 2024
HR-24-389 ~ Final.pdf	PDF	Feb 22, 2024
COLB_Bidder Release_Rx Claims Files_2023 CY Data.xlsx	XLSX spreadsheet	Feb 22, 2024
2018 SPD City of Long Beach Prescription Drug Plan - HMO & PPO.pdf	PDF	Feb 22, 2024
HR-24-389 Addendum 1 QA Memo.at~1.pdf	PDF	Feb 22, 2024
NOI + Selection Memo RFP No. HR-24-389.pdf	PDF	Feb 22, 2024
HR-24-389 ~ Narrative Proposal Template.docx	DOCX document	Feb 22, 2024
Attachment B Equal Benefits Ordinace Form~33.pdf	PDF	Feb 22, 2024
2014-2018 SPD COLB Prescription Drug Plan - HMO & PPO.pdf	PDF	Feb 22, 2024
NOI to Award (ShortList) RFP HR 24-389.pdf	PDF	Feb 22, 2024

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The file's text, extracted by GovTribe without its formatting.

COLB Census from AA_pulled Jan

Member Relationship Desc	Member DOB	Gender	Zip	Coverage Tier Description	Active, Retiree (Non-Medicare vs Medicare)	Current Status	Account
Spouse	10/10/82	M	90715	Employee + Spouse	Active	Active	276800
Dependent	7/14/06	F	90713	Family	Retiree	Active	276800
Dependent	11/4/17	F	90805	Family	Active	Active	276800
Employee	2/28/64	M	92626	Family	Retiree	Active	276800
Spouse	5/2/70	M	90815	Family	Active	Active	276800
Spouse	10/1/70	F	91387	Family	Retiree	Active	276800
Spouse	7/14/83	F	90713	Family	Retiree	Active	276800
Employee	2/10/60	M	92562	Employee Only	Retiree	Active	276800
Spouse	7/2/68	M	90712	Family	Active	Active	276800
Dependent	8/3/20	F	90808	Family	Retiree	Active	276800
Spouse	2/24/61	F	91791	Employee + Spouse	Retiree	Active	276800
Employee	5/27/86	F	90703	Family	Retiree	Active	276800
Employee	8/3/66	M	75035	Family	Retiree	Active	276800
Dependent	8/3/20	M	90808	Family	Retiree	Active	276800
Spouse	7/12/42	F	90802	Employee + Spouse	Retiree	Active	276800
Spouse	6/27/75	F	90808	Family	Retiree	Active	276800
Spouse	4/8/66	F	90805	Family	Retiree	Active	276800
Spouse	8/24/85	F	90804	Employee + Spouse	Retiree	Active	276800
Dependent	8/22/19	M	90620	Family	Retiree	Active	276800
Employee	8/14/53	M	90806	Employee + Spouse	Retiree	Active	276800
Employee	11/1/91	M	90732	Employee Only	Retiree	Active	276800
Employee	9/3/88	F	90804	Employee Only	Retiree	Active	276800
Dependent	8/9/22	M	92882	Family	Active	Active	276800
Spouse	3/15/92	F	90505	Family	Active	Active	276800
Dependent	6/23/98	F	59901	Family	Retiree	Active	276800
Employee	8/13/66	M	90808	Family	Retiree	Active	276800
Dependent	9/29/98	F	83801	Employee + Child(ren)	Retiree	Active	276800
Dependent	11/23/99	F	95682	Family	Retiree	Active	276800
Dependent	12/22/05	F	90815	Family	Retiree	Active	276800
Employee	4/15/65	M	59937	Family	Retiree	Active	276800
Spouse	2/19/66	M	90043	Family	Active	Active	276800
Spouse	12/30/58	M	90815	Employee + Spouse	Retiree	Active	276800
Spouse	5/6/68	M	91780	Family	Retiree	Active	276800
Spouse	5/23/52	M	90803	Employee + Spouse	Retiree	Active	276800
Spouse	3/27/62	F	92646	Employee + Spouse	Retiree	Active	276800
Dependent	5/25/98	F	90814	Family	Retiree	Active	276800
Spouse	6/1/55	F	90277	Employee + Child(ren)	Retiree	Active	276800
Employee	5/28/53	M	90815	Employee + Spouse	Retiree	Active	276800
Dependent	5/11/03	M	90815	Family	Retiree	Active	276800
Spouse	7/9/77	F	92503	Family	Active	Active	276800
Employee	11/15/70	F	90303	Employee Only	Retiree	Active	276800
Employee	10/9/61	M	90815	Employee Only	Retiree	Active	276800
Employee	12/10/73	F	90807	Family	Active	Active	276800
Employee	10/14/60	F	92845	Employee + Spouse	Retiree	Active	276800
Employee	3/22/90	F	90703	Family	Retiree	Active	276800
Dependent	5/18/03	M	92646	Family	Retiree	Active	276800
Spouse	3/26/66	F	83616	Family	Retiree	Active	276800
Spouse	6/5/79	F	92691	Family	Retiree	Active	276800
Employee	10/10/63	M	90808	Employee + Spouse	Retiree	Active	276800
Employee	3/12/63	M	86327	Employee + Spouse	Retiree	Active	276800
Employee	3/5/63	M	90814	Employee Only	Retiree	Active	276800
Other	7/9/94	F	91750	Family	Retiree	Active	276800
Spouse	4/13/79	F	90808	Family	Retiree	Active	276800
Spouse	8/24/60	M	90808	Employee + Child(ren)	Retiree	Active	276800
Spouse	12/11/63	M	90806	Employee + Spouse	Active	Active	276800
Spouse	1/28/70	F	90630	Family	Retiree	Active	276800
Employee	10/22/61	M	90744	Employee + Spouse	Active	Active	276800
Spouse	4/17/60	M	90804	Employee + Spouse	Retiree	Active	276800
Employee	9/2/75	M	90716	Family	Retiree	Active	276800
Spouse	6/10/85	F	92879	Family	Retiree	Active	276800
Employee	3/27/66	M	90720	Family	Retiree	Active	276800
Dependent	3/26/04	M	90815	Family	Retiree	Active	276800
Dependent	7/21/06	M	92821	Family	Retiree	Active	276800
Dependent	9/14/04	F	90808	Family	Retiree	Active	276800
Spouse	3/25/67	F	90815	Family	Retiree	Active	276800
Spouse	4/25/67	F	90815	Employee + Spouse	Retiree	Active	276800
Spouse	4/21/56	F	92867	Employee + Spouse	Retiree	Active	276800
Employee	12/15/69	M	90808	Employee Only	Retiree	Active	276800
Employee	9/1/73	F	90620	Employee Only	Retiree	Active	276800
Spouse	10/30/68	F	59911	Family	Retiree	Active	276800
Spouse	3/19/85	F	92869	Family	Retiree	Active	276800
Employee	2/22/70	M	90815	Employee + Spouse	Retiree	Active	276800
Spouse	6/16/61	F	90802	Employee + Spouse	Retiree	Active	276800
Employee	11/18/75	M	90805	Family	Retiree	Active	276800
Spouse	1/23/62	F	92630	Family	Retiree	Active	276800
Spouse	1/26/83	F	90806	Family	Active	Active	276800
Spouse	10/6/58	F	92683	Employee + Spouse	Retiree	Active	276800
Employee	9/5/77	F	90502	Employee Only	Retiree	Active	276800
Spouse	10/27/68	M	90745	Employee + Spouse	Retiree	Active	276800
Dependent	10/14/21	F	90808	Employee + Spouse	Retiree	Active	276800
Employee	7/21/79	M	90712	Family	Retiree	Active	276800
Employee	12/2/72	F	90745	Family	Retiree	Active	276800
Dependent	8/29/16	M	90740	Family	Retiree	Active	276800
Dependent	9/10/99	F	90713	Family	Retiree	Active	276800
Employee	1/1/67	M	92618	Family	Retiree	Active	276800
Employee	1/9/68	F	90808	Employee Only	Retiree	Active	276800
Dependent	4/8/22	M	90703	Family	Retiree	Active	276800
Spouse	1/29/88	F	90803	Family	Retiree	Active	276800
Dependent	2/11/03	F	90805	Employee + Spouse	Retiree	Active	276800
Employee	11/25/61	M	92673	Employee + Spouse	Retiree	Active	276800
Spouse	4/8/66	F	91607	Employee + Spouse	Retiree	Active	276800
Employee	3/9/87	M	90712	Family	Retiree	Active	276800
Spouse	9/20/69	F	90808	Employee + Spouse	Active	Active	276800
Employee	3/31/61	F	90815	Employee + Spouse	Retiree	Active	276800
Employee	6/17/73	M	90712	Employee + Spouse	Active	Active	276800
Employee	3/29/90	M	92024	Family	Retiree	Active	276800
Other	9/29/91	M	92646	Family	Retiree	Active	276800
Employee	6/5/67	M	86406	Employee Only	Retiree	Active	276800
Employee	4/25/58	M	90808	Family	Retiree	Active	276800
Employee	7/26/60	F	86303	Employee + Spouse	Retiree	Active	276800
Employee	5/13/64	M	92782	Employee Only	Retiree	Active	276800
Spouse	10/13/56	M	90740	Employee + Spouse	Retiree	Active	276800
Employee	1/9/63	F	90630	Employee + Spouse	Retiree	Active	276800
Spouse	5/21/66	F	90808	Employee + Spouse	Retiree	Active	276800
Employee	3/2/70	F	90660	Family	Active	Active	276800
Dependent	10/13/03	M	92587	Family	Retiree	Active	276800
Dependent	6/15/10	M	92647	Family	Retiree	Active	276800
Dependent	6/7/02	M	90745	Family	Retiree	Active	276800
Employee	7/30/51	M	90266	Employee + Spouse	Retiree	Active	276800
Employee	5/31/72	M	92801	Family	Retiree	Active	276800
Spouse	10/13/71	F	90720	Family	Retiree	Active	276800
Employee	11/24/74	F	90706	Family	Retiree	Active	276800
Other	3/12/93	M	92647	Family	Active	Active	276800
Employee	12/22/61	F	90814	Employee Only	Retiree	Active	276800
Employee	11/7/82	M	84020	Employee + Spouse	Retiree	Active	276800
Employee	7/20/84	M	90631	Family	Active	Active	276800
Employee	10/11/61	M	90815	Employee + Spouse	Retiree	Active	276800
Employee	12/12/74	F	92807	Family	Retiree	Active	276800
Employee	3/23/60	M	28801	Employee + Spouse	Retiree	Active	276800
Employee	8/4/68	M	37660	Family	Retiree	Active	276800
Spouse	3/30/59	M	90803	Family	Retiree	Active	276800
Dependent	6/17/09	F	90808	Family	Retiree	Active	276800
Employee	3/19/59	M	83616	Family	Retiree	Active	276800
Employee	6/23/58	M	90740	Employee + Spouse	Retiree	Active	276800
Employee	3/27/78	M	90810	Employee + Spouse	Retiree	Active	276800
Dependent	5/21/19	F	90808	Family	Retiree	Active	276800
Employee	12/18/92	M	92708	Employee + Spouse	Active	Active	276800
Employee	4/8/70	F	90713	Family	Active	Active	276800
Spouse	4/27/82	M	90815	Family	Retiree	Active	276800
Employee	12/5/66	M	92708	Employee Only	Retiree	Active	276800
Employee	1/22/82	M	90706	Family	Retiree	Active	276800
Employee	11/2/59	F	86301	Employee + Spouse	Retiree	Active	276800
Spouse	12/28/84	M	92870	Family	Active	Active	276800
Spouse	12/24/58	M	90732	Employee + Spouse	Retiree	Active	276800
Spouse	6/17/71	F	92630	Family	Retiree	Active	276800
Spouse	12/19/62	F	71854	Employee + Child(ren)	Retiree	Active	276800
Spouse	3/29/64	F	90806	Employee + Spouse	Retiree	Active	276800
Spouse	12/1/59	F	92672	Employee + Child(ren)	Retiree	Active	276800
Spouse	7/31/70	F	92691	Family	Retiree	Active	276800
Employee	3/28/69	M	90806	Family	Retiree	Active	276800
Employee	9/29/65	F	90815	Employee Only	Retiree	Active	276800
Dependent	7/26/04	M	92551	Family	Active	Active	276800
Spouse	9/25/74	F	92879	Family	Retiree	Active	276800
Employee	4/17/81	F	90713	Family	Retiree	Active	276800
Employee	5/10/62	M	93723	Employee + Spouse	Retiree	Active	276800
Dependent	9/1/06	F	92694	Family	Retiree	Active	276800
Employee	7/14/67	M	90805	Family	Retiree	Active	276800
Employee	9/4/60	M	92626	Employee Only	Retiree	Active	276800
Employee	9/7/74	M	90803	Employee Only	Retiree	Active	276800
Spouse	7/17/65	F	90720	Family	Retiree	Active	276800
Employee	9/8/73	F	90805	Employee + Spouse	Active	Active	276800
Spouse	3/11/75	F	92532	Family	Active	Active	276800
Dependent	2/18/15	M	90810	Family	Active	Active	276800
Spouse	7/30/60	F	98686	Employee + Spouse	Retiree	Active	276800
Employee	8/3/72	M	90701	Family	Retiree	Active	276800
Spouse	5/8/66	M	90808	Family	Retiree	Active	276800
Spouse	10/6/65	F	90720	Employee + Spouse	Retiree	Active	276800
Spouse	4/25/61	F	90807	Family	Retiree	Active	276800
Employee	9/18/81	F	90260	Family	Retiree	Active	276800
Spouse	5/10/61	M	92614	Family	Retiree	Active	276800
Employee	7/18/70	M	90046	Employee + Spouse	Active	Active	276800
Employee	6/2/62	M	90815	Employee + Spouse	Retiree	Active	276800
Spouse	5/16/74	M	90046	Employee + Spouse	Active	Active	276800
Employee	8/6/63	M	90804	Employee Only	Active	Active	276800
Dependent	1/24/00	M	92683	Family	Retiree	Active	276800
Employee	7/8/86	M	90260	Family	Retiree	Active	276800
Employee	7/16/69	M	90806	Family	Active	Active	276800
Employee	10/9/65	M	92845	Family	Retiree	Active	276800
Employee	5/15/82	M	90810	Family	Active	Active	276800
Employee	7/16/73	M	90630	Family	Retiree	Active	276800
Employee	3/13/85	M	90802	Family	Retiree	Active	276800
Spouse	1/28/68	M	92821	Family	Retiree	Active	276800
Spouse	8/14/62	F	90504	Employee + Spouse	Retiree	Active	276800
Spouse	11/22/60	F	92683	Employee + Child(ren)	Retiree	Active	276800
Employee	9/29/72	M	90631	Employee Only	Retiree	Active	276800
Spouse	9/28/61	M	90802	Employee + Spouse	Retiree	Active	276800
Employee	10/19/86	M	90815	Family	Active	Active	276800
Spouse	7/19/66	M	28801	Employee + Spouse	Retiree	Active	276800
Spouse	6/15/71	F	91106	Family	Retiree	Active	276800
Employee	10/2/82	F	90715	Family	Retiree	Active	276800
Employee	1/26/01	F	90808	Employee Only	Retiree	Active	276800
Spouse	3/9/84	M	90803	Family	Retiree	Active	276800
Spouse	10/26/66	F	92649	Employee + Spouse	Retiree	Active	276800
Spouse	12/2/67	F	90720	Family	Retiree	Active	276800
Employee	9/4/65	M	90744	Employee Only	Retiree	Active	276800
Employee	2/18/97	F	90720	Employee Only	Cobra	Active	276800
Spouse	11/17/89	F	90249	Employee + Spouse	Retiree	Active	276800
Spouse	5/7/69	F	59901	Family	Retiree	Active	276800
Spouse	12/26/71	F	90807	Family	Active	Active	276800
Employee	3/31/77	M	90803	Family	Retiree	Active	276800
Employee	3/25/65	F	90807	Employee Only	Retiree	Active	276800
Employee	11/1/58	M	90815	Employee Only	Retiree	Active	276800
Spouse	8/4/83	F	90815	Family	Retiree	Active	276800
Spouse	8/14/61	F	02818	Employee + Child(ren)	Retiree	Active	276800
Employee	3/23/74	M	90810	Family	Retiree	Active	276800
Employee	10/17/56	M	91016	Employee + Spouse	Retiree	Active	276800
Employee	11/2/63	M	90808	Family	Retiree	Active	276800
Spouse	8/19/60	M	90815	Employee + Spouse	Retiree	Active	276800
Employee	7/9/66	M	90808	Employee + Spouse	Retiree	Active	276800
Spouse	1/15/62	F	90808	Employee + Spouse	Retiree	Active	276800
Dependent	8/23/15	M	90806	Family	Retiree	Active	276800
Employee	9/18/69	M	90815	Employee + Spouse	Retiree	Active	276800
Spouse	10/21/53	M	90720	Employee + Spouse	Retiree	Active	276800
Employee	12/31/57	M	91801	Employee Only	Retiree	Active	276800
Employee	11/15/69	M	90712	Family	Retiree	Active	276800
Dependent	4/24/03	F	32226	Family	Retiree	Active	276800
Dependent	6/28/07	M	91710	Family	Retiree	Active	276800
Employee	6/24/59	M	90814	Employee Only	Retiree	Active	276800
Dependent	8/6/20	F	90806	Family	Retiree	Active	276800
Dependent	12/18/12	M	92691	Family	Retiree	Active	276800
Dependent	8/19/99	F	90815	Employee + Spouse	Retiree	Active	276800
Spouse	11/7/60	F	92688	Employee + Child(ren)	Retiree	Active	276800
Spouse	3/10/43	F	89005	Employee + Spouse	Retiree	Active	276800
Spouse	1/22/65	F	92677	Family	Retiree	Active	276800
Employee	1/1/66	M	90815	Employee + Spouse	Retiree	Active	276800
Employee	9/2/74	M	92562	Family	Active	Active	276800
Employee	10/28/65	M	90808	Employee Only	Retiree	Active	276800
Employee	3/13/68	M	90630	Family	Active	Active	276800
Spouse	12/10/60	M	90704	Family	Retiree	Active	276800
Spouse	12/2/60	M	97209	Employee + Child(ren)	Retiree	Active	276800
Spouse	2/11/77	F	92647	Family	Active	Active	276800
Dependent	9/29/17	M	92630	Family	Retiree	Active	276800
Employee	7/7/75	M	90805	Employee Only	Retiree	Active	276800
Employee	12/22/90	M	90706	Employee Only	Retiree	Active	276800
Spouse	12/6/70	F	92557	Family	Retiree	Active	276800
Employee	6/27/78	F	90814	Employee + Spouse	Active	Active	276800
Employee	12/1/62	F	90804	Employee Only	Retiree	Active	276800
Employee	1/1/78	F	90807	Family	Retiree	Active	276800
Spouse	11/6/85	F	90715	Family	Retiree	Active	276800
Employee	4/23/91	M	90814	Employee + Spouse	Retiree	Active	276800
Employee	12/8/83	F	90805	Employee Only	Retiree	Active	276800
Employee	1/30/62	F	90806	Employee Only	Retiree	Active	276800
Dependent	5/2/10	F	90621	Family	Retiree	Active	276800
Employee	7/26/72	F	90660	Employee Only	Active	Active	276800
Dependent	7/3/09	M	90807	Family	Retiree	Active	276800
Dependent	7/8/08	F	90502	Family	Active	Active	276800
Employee	1/24/66	F	90703	Family	Retiree	Active	276800
Employee	12/9/59	F	90045	Employee + Spouse	Retiree	Active	276800
Employee	2/19/70	M	90815	Employee + Spouse	Retiree	Active	276800
Dependent	10/19/06	F	92708	Family	Retiree	Active	276800
Spouse	2/14/61	F	92683	Employee + Spouse	Retiree	Active	276800
Spouse	3/19/56	M	90804	Employee + Spouse	Retiree	Active	276800
Spouse	12/2/65	F	90808	Employee + Spouse	Retiree	Active	276800
Employee	2/3/35	M	92563	Employee Only	Retiree	Active	276800
Employee	11/9/86	F	90710	Employee + Spouse	Retiree	Active	276800
Employee	6/28/75	F	92831	Employee + Spouse	Retiree	Active	276800
Employee	2/16/70	M	77429	Employee Only	Retiree	Active	276800
Spouse	2/4/64	M	90813	Family	Active	Active	276800
Spouse	11/3/57	F	90604	Family	Retiree	Active	276800
Employee	10/5/62	M	90815	Family	Active	Active	276800
Employee	9/17/57	M	92648	Employee + Spouse	Retiree	Active	276800
Spouse	3/3/64	M	90808	Employee + Spouse	Retiree	Active	276800
Employee	10/24/67	F	92869	Family	Retiree	Active	276800
Spouse	4/8/65	F	90805	Employee + Child(ren)	Retiree	Active	276800
Employee	10/16/65	M	90802	Employee + Spouse	Retiree	Active	276800
Spouse	1/31/71	F	92845	Family	Retiree	Active	276800
Employee	10/3/79	M	92805	Family	Retiree	Active	276800
Employee	7/1/97	M	90813	Employee Only	Active	Active	276800
Spouse	1/19/61	M	90815	Family	Retiree	Active	276800
Spouse	10/31/64	F	90807	Employee + Spouse	Retiree	Active	276800
Spouse	5/20/53	M	90808	Employee + Spouse	Active	Active	276800
Employee	3/28/66	M	92649	Employee + Spouse	Retiree	Active	276800
Dependent	5/3/07	M	92692	Family	Retiree	Active	276800
Employee	7/2/83	M	90813	Employee Only	Retiree	Active	276800
Employee	4/11/70	F	90810	Family	Active	Active	276800
Employee	4/25/60	F	90808	Employee Only	Retiree	Active	276800
Employee	12/25/57	M	92585	Employee + Spouse	Retiree	Active	276800
Dependent	5/9/00	M	90815	Family	Retiree	Active	276800
Employee	9/2/60	M	90706	Employee Only	Retiree	Active	276800
Employee	2/4/62	M	90808	Family	Retiree	Active	276800
Employee	10/17/58	M	90808	Employee + Spouse	Retiree	Active	276800
Employee	5/12/66	F	92832	Family	Active	Active	276800
Spouse	3/12/64	F	90713	Employee + Spouse	Active	Active	276800
Employee	3/19/82	F	90807	Family	Active	Active	276800
Spouse	11/26/77	F	90713	Family	Retiree	Active	276800
Spouse	12/20/58	F	52328	Employee + Child(ren)	Retiree	Active	276800
Employee	12/8/60	M	85338	Family	Retiree	Active	276800
Spouse	9/29/67	F	92646	Family	Retiree	Active	276800
Employee	10/25/62	F	90802	Employee + Spouse	Retiree	Active	276800
Employee	8/22/62	M	90805	Family	Retiree	Active	276800
Employee	1/30/74	M	90804	Family	Retiree	Active	276800
Employee	8/19/77	M	90807	Employee Only	Retiree	Active	276800
Dependent	8/5/99	M	90808	Employee + Spouse	Retiree	Active	276800
Employee	6/9/71	F	90803	Employee + Spouse	Retiree	Active	276800
Spouse	5/20/79	F	92551	Family	Active	Active	276800
Other	5/21/96	F	90815	Family	Retiree	Active	276800
Dependent	4/9/09	F	91766	Family	Retiree	Active	276800
Dependent	10/20/05	F	90720	Family	Retiree	Active	276800
Employee	5/17/58	M	90801	Employee Only	Retiree	Active	276800
Spouse	2/24/78	M	92870	Family	Active	Active	276800
Employee	4/12/63	M	90832	Employee Only	Retiree	Active	276800
Spouse	4/3/82	F	90713	Employee + Spouse	Retiree	Active	276800
Employee	8/20/64	M	92646	Employee + Spouse	Active	Active	276800
Employee	12/16/71	F	90808	Family	Retiree	Active	276800
Employee	9/28/74	M	90502	Family	Retiree	Active	276800
Employee	6/20/59	M	90807	Employee Only	Retiree	Active	276800
Employee	10/16/73	F	90242	Employee + Spouse	Active	Active	276800
Employee	5/26/68	M	90807	Employee Only	Retiree	Active	276800
Spouse	8/7/59	M	90805	Employee + Spouse	Active	Active	276800
Dependent	3/19/22	M	90710	Employee + Spouse	Retiree	Active	276800
Dependent	12/31/01	M	90720	Family	Retiree	Active	276800
Spouse	3/18/65	F	90807	Employee + Spouse	Retiree	Active	276800
Employee	3/11/59	F	90808	Employee + Spouse	Retiree	Active	276800
Employee	2/9/86	M	90706	Family	Retiree	Active	276800
Spouse	1/15/83	F	91352	Family	Retiree	Active	276800
Dependent	5/29/09	F	90808	Family	Retiree	Active	276800
Employee	6/28/92	F	92647	Employee + Spouse	Retiree	Active	276800
Dependent	7/14/11	F	90002	Family	Active	Active	276800
Employee	1/22/66	M	92660	Employee Only	Retiree	Active	276800
Employee	9/16/77	M	92805	Employee Only	Retiree	Active	276800
Spouse	9/9/62	F	90713	Employee + Spouse	Retiree	Active	276800
Spouse	1/22/53	M	90746	Employee + Spouse	Retiree	Active	276800
Employee	2/10/89	F	90808	Employee + Spouse	Retiree	Active	276800
Spouse	1/8/62	F	89460	Employee + Spouse	Retiree	Active	276800
Dependent	12/30/03	F	90814	Family	Retiree	Active	276800
Employee	6/11/91	F	90026	Employee + Spouse	Retiree	Active	276800
Employee	7/22/72	M	92683	Family	Active	Active	276800
Employee	9/11/72	M	92610	Family	Retiree	Active	276800
Spouse	1/15/62	F	37327	Employee + Spouse	Retiree	Active	276800
Employee	7/8/41	F	92596	Employee Only	Retiree	Active	276800
Employee	12/6/86	F	90706	Employee + Spouse	Retiree	Active	276800
Employee	10/1/91	M	92649	Employee Only	Retiree	Active	276800
Employee	7/2/63	F	90601	Employee + Spouse	Retiree	Active	276800
Spouse	6/28/78	F	90810	Family	Retiree	Active	276800
Dependent	11/22/01	F	90720	Family	Retiree	Active	276800
Employee	11/2/80	F	92886	Family	Retiree	Active	276800
Employee	4/24/58	M	92843	Employee Only	Retiree	Active	276800
Employee	7/25/68	F	90803	Employee + Spouse	Active	Active	276800
Employee	2/3/70	M	90805	Employee + Spouse	Retiree	Active	276800
Spouse	7/28/71	M	90810	Family	Active	Active	276800
Employee	11/15/50	M	76226	Employee + Spouse	Retiree	Active	276800
Employee	6/25/49	M	90803	Employee + Spouse	Retiree	Active	276800
Dependent	8/30/18	M	90712	Family	Active	Active	276800
Spouse	5/27/69	F	90805	Employee + Spouse	Retiree	Active	276800
Employee	9/20/63	M	59828	Employee + Spouse	Retiree	Active	276800
Employee	4/3/59	M	92648	Employee + Spouse	Retiree	Active	276800
Employee	3/29/50	F	92009	Employee Only	Retiree	Active	276800
Spouse	1/19/77	F	90807	Family	Retiree	Active	276800
Spouse	1/16/73	F	90712	Employee + Spouse	Retiree	Active	276800
Spouse	3/4/67	F	92503	Family	Retiree	Active	276800
Spouse	3/3/87	F	92688	Family	Retiree	Active	276800
Dependent	11/8/21	F	92691	Family	Retiree	Active	276800
Spouse	2/1/69	F	90720	Family	Retiree	Active	276800
Spouse	4/30/56	F	92708	Employee + Spouse	Retiree	Active	276800
Employee	11/19/69	F	90713	Family	Retiree	Active	276800
Employee	9/10/69	F	90805	Employee Only	Retiree	Active	276800
Other	4/15/86	M	90804	Family	Retiree	Active	276800
Spouse	11/22/55	M	86406	Employee + Spouse	Retiree	Active	276800
Employee	4/1/89	M	90805	Family	Retiree	Active	276800
Dependent	3/26/13	M	90808	Employee + Spouse	Active	Active	276800
Employee	1/11/58	F	92504	Employee Only	Retiree	Active	276800
Spouse	3/21/55	F	85254	Employee + Spouse	Retiree	Active	276800
Dependent	4/17/17	M	90720	Family	Retiree	Active	276800
Employee	9/14/70	F	90806	Family	Active	Active	276800
Spouse	4/1/63	M	90712	Family	Retiree	Active	276800
Spouse	1/31/89	M	90805	Family	Active	Active	276800
Employee	9/30/65	F	90805	Family	Retiree	Active	276800
Employee	10/28/64	F	90808	Employee Only	Retiree	Active	276800
Employee	1/18/45	M	92649	Employee Only	Retiree	Active	276800
Other	2/25/03	M	90805	Family	Active	Active	276800
Spouse	4/1/69	F	89183	Family	Retiree	Active	276800
Spouse	12/14/59	M	92708	Employee + Child(ren)	Retiree	Active	276800
Employee	6/18/59	M	90805	Employee Only	Retiree	Active	276800
Employee	10/29/66	M	90815	Employee + Spouse	Retiree	Active	276800
Employee	10/3/72	F	90808	Employee Only	Retiree	Active	276800
Spouse	2/28/73	F	92646	Family	Retiree	Active	276800
Employee	6/19/68	M	90744	Employee Only	Retiree	Active	276800
Employee	3/12/66	M	90808	Family	Retiree	Active	276800
Dependent	1/8/05	M	90650	Family	Retiree	Active	276800
Spouse	3/17/70	F	90602	Family	Retiree	Active	276800
Employee	3/15/60	M	93561	Family	Retiree	Active	276800
Spouse	10/30/70	F	90815	Family	Retiree	Active	276800
Employee	5/19/95	M	90680	Employee Only	Retiree	Active	276800
Employee	7/14/74	F	90712	Employee Only	Retiree	Active	276800
Dependent	1/31/00	F	92649	Family	Retiree	Active	276800
Spouse	9/19/62	F	92656	Employee + Spouse	Retiree	Active	276800
Spouse	1/24/56	M	90630	Employee + Spouse	Retiree	Active	276800
Spouse	4/29/85	F	92530	Family	Retiree	Active	276800
Spouse	4/23/83	F	90810	Employee + Spouse	Retiree	Active	276800
Employee	4/7/85	F	90802	Employee Only	Retiree	Active	276800
Spouse	9/10/65	M	92647	Family	Retiree	Active	276800
Spouse	11/5/66	M	76087	Employee + Spouse	Cobra	Active	276800
Employee	10/21/69	M	90755	Family	Retiree	Active	276800
Spouse	12/30/70	F	92602	Family	Retiree	Active	276800
Spouse	10/6/73	M	90808	Family	Retiree	Active	276800
Employee	2/15/73	F	90804	Employee Only	Retiree	Active	276800
Spouse	12/14/71	F	92882	Employee + Spouse	Retiree	Active	276800
Dependent	10/15/01	F	90808	Family	Active	Active	276800
Dependent	10/18/03	F	90802	Family	Active	Active	276800
Dependent	11/18/98	M	90505	Family	Active	Active	276800
Spouse	2/9/63	F	89705	Employee + Spouse	Retiree	Active	276800
Dependent	10/6/07	F	92646	Family	Retiree	Active	276800
Spouse	1/15/79	F	90808	Family	Retiree	Active	276800
Spouse	2/11/60	M	92504	Employee + Child(ren)	Retiree	Active	276800
Dependent	3/2/18	M	92883	Family	Retiree	Active	276800
Spouse	1/3/89	F	91745	Family	Active	Active	276800
Employee	11/21/61	M	91001	Employee + Spouse	Retiree	Active	276800
Spouse	10/12/43	M	89014	Employee + Spouse	Retiree	Active	276800
Spouse	3/1/94	F	90650	Family	Retiree	Active	276800
Dependent	10/16/15	M	90810	Employee + Spouse	Retiree	Active	276800
Employee	8/28/50	F	91702	Employee Only	Retiree	Active	276800
Employee	8/25/76	M	92615	Family	Active	Active	276800
Dependent	1/14/02	M	90706	Family	Retiree	Active	276800
Dependent	11/14/03	F	02818	Employee + Child(ren)	Retiree	Active	276800
Spouse	2/4/89	F	90706	Family	Retiree	Active	276800
Spouse	10/8/57	F	90808	Family	Retiree	Active	276800
Spouse	8/4/77	M	90706	Family	Active	Active	276800
Dependent	11/11/03	F	92882	Family	Retiree	Active	276800
Spouse	5/24/72	F	90713	Family	Active	Active	276800
Dependent	2/27/17	F	91762	Family	Retiree	Active	276800
Employee	7/25/68	F	90804	Employee + Spouse	Retiree	Active	276800
Employee	3/22/74	M	90047	Family	Retiree	Active	276800
Employee	12/15/61	M	92647	Employee + Spouse	Retiree	Active	276800
Dependent	11/12/99	F	90808	Family	Retiree	Active	276800
Dependent	9/12/07	F	90815	Family	Retiree	Active	276800
Employee	12/29/62	M	90808	Family	Retiree	Active	276800
Spouse	2/21/57	F	91016	Employee + Spouse	Retiree	Active	276800
Spouse	2/23/49	F	90803	Employee + Spouse	Retiree	Active	276800
Employee	3/25/89	F	92336	Employee Only	Active	Active	276800
Spouse	11/2/45	F	90808	Employee + Spouse	Retiree	Active	276800
Employee	11/13/80	F	90094	Employee Only	Retiree	Active	276800
Employee	8/31/57	M	90720	Employee Only	Retiree	Active	276800
Employee	12/21/60	M	92882	Family	Retiree	Active	276800
Employee	1/31/77	M	92705	Family	Retiree	Active	276800
Employee	9/3/61	M	92860	Family	Retiree	Active	276800
Spouse	10/3/84	F	90815	Family	Active	Active	276800
Spouse	4/8/88	F	91387	Employee + Spouse	Retiree	Active	276800
Dependent	2/20/01	F	92629	Family	Retiree	Active	276800
Employee	10/17/69	M	92780	Employee Only	Retiree	Active	276800
Employee	3/24/55	F	90805	Employee Only	Retiree	Active	276800
Dependent	2/17/20	F	90746	Family	Retiree	Active	276800
Employee	2/27/74	F	90713	Employee Only	Retiree	Active	276800
Dependent	12/18/01	F	90706	Family	Active	Active	276800
Dependent	11/2/11	F	92823	Family	Retiree	Active	276800
Employee	8/10/63	M	92557	Family	Retiree	Active	276800
Employee	10/22/80	F	90713	Employee Only	Retiree	Active	276800
Employee	8/3/72	M	92691	Family	Retiree	Active	276800
Employee	10/2/62	M	90703	Family	Retiree	Active	276800
Employee	10/9/71	F	92620	Family	Retiree	Active	276800
Dependent	9/18/98	M	92054	Family	Active	Active	276800
Spouse	12/23/69	F	92614	Family	Retiree	Active	276800
Spouse	6/4/58	M	92832	Family	Active	Active	276800
Employee	12/6/78	F	91752	Employee Only	Retiree	Active	276800
Employee	6/27/82	M	90803	Employee Only	Retiree	Active	276800
Spouse	5/2/54	F	90806	Employee + Spouse	Retiree	Active	276800
Employee	12/25/61	F	90745	Employee Only	Retiree	Active	276800
Spouse	5/16/75	F	90755	Family	Retiree	Active	276800
Employee	10/12/61	M	90810	Employee Only	Retiree	Active	276800
Employee	1/17/62	M	92801	Employee Only	Retiree	Active	276800
Employee	7/24/70	M	91702	Employee + Spouse	Active	Active	276800
Spouse	6/15/66	F	92649	Family	Retiree	Active	276800
Employee	2/6/58	M	90713	Employee Only	Retiree	Active	276800
Employee	7/26/82	M	90504	Employee Only	Retiree	Active	276800
Spouse	5/20/80	F	92860	Family	Retiree	Active	276800
Employee	1/22/45	F	90630	Employee Only	Retiree	Active	276800
Spouse	1/2/89	F	92804	Family	Retiree	Active	276800
Dependent	5/13/05	F	90740	Family	Retiree	Active	276800
Spouse	7/24/62	F	92782	Employee + Child(ren)	Retiree	Active	276800
Employee	7/6/67	F	90746	Employee Only	Retiree	Active	276800
Employee	1/1/70	M	90630	Family	Retiree	Active	276800
Spouse	11/17/87	F	92691	Family	Retiree	Active	276800
Employee	10/15/63	M	98837	Employee Only	Retiree	Active	276800
Employee	12/29/55	F	90740	Employee Only	Retiree	Active	276800
Employee	9/27/73	M	78070	Employee + Spouse	Retiree	Active	276800
Employee	8/12/85	M	90744	Employee Only	Retiree	Active	276800
Spouse	11/17/57	F	90808	Employee + Spouse	Retiree	Active	276800
Employee	1/14/73	M	90813	Employee Only	Retiree	Active	276800
Spouse	10/19/80	F	90703	Family	Retiree	Active	276800
Spouse	3/11/84	F	92683	Family	Retiree	Active	276800
Employee	11/13/62	F	90713	Employee Only	Retiree	Active	276800
Spouse	3/16/66	F	90808	Employee + Spouse	Retiree	Active	276800
Spouse	4/6/83	M	90807	Family	Active	Active	276800
Dependent	2/14/06	M	92841	Family	Active	Active	276800
Employee	4/10/67	M	90631	Employee Only	Retiree	Active	276800
Employee	3/4/64	M	90808	Employee + Spouse	Retiree	Active	276800
Employee	4/21/71	F	90807	Employee Only	Retiree	Active	276800
Employee	5/5/60	M	92649	Family	Retiree	Active	276800
Spouse	6/13/70	F	92845	Family	Retiree	Active	276800
Dependent	7/9/99	M	90808	Family	Retiree	Active	276800
Employee	5/30/60	M	90731	Employee + Spouse	Retiree	Active	276800
Spouse	6/21/73	F	92880	Employee + Spouse	Retiree	Active	276800
Employee	8/8/61	F	90803	Employee Only	Retiree	Active	276800
Employee	10/5/61	M	86440	Employee + Spouse	Retiree	Active	276800
Dependent	11/19/07	F	90301	Family	Retiree	Active	276800
Employee	10/13/71	F	90810	Family	Retiree	Active	276800
Employee	2/17/79	F	91755	Family	Retiree	Active	276800
Employee	10/6/59	M	92705	Family	Retiree	Active	276800
Spouse	2/27/68	F	90805	Employee + Spouse	Retiree	Active	276800
Spouse	7/22/78	F	90713	Family	Retiree	Active	276800
Dependent	2/21/98	M	90815	Family	Retiree	Active	276800
Dependent	3/6/00	M	92253	Employee + Child(ren)	Retiree	Active	276800
Spouse	4/17/57	F	90808	Employee + Spouse	Retiree	Active	276800
Employee	1/24/60	M	90720	Employee + Spouse	Retiree	Active	276800
Employee	7/15/55	M	90501	Employee Only	Retiree	Active	276800
Spouse	12/12/67	F	90805	Employee + Spouse	Active	Active	276800
Dependent	12/3/14	M	90810	Employee + Spouse	Retiree	Active	276800
Dependent	12/4/97	M	90803	Family	Retiree	Active	276800
Dependent	7/3/04	F	90803	Family	Retiree	Active	276800
Employee	1/11/91	F	90808	Employee Only	Retiree	Active	276800
Employee	2/23/77	F	90807	Employee + Spouse	Active	Active	276800
Dependent	1/1/08	M	90713	Family	Retiree	Active	276800
Dependent	7/31/06	F	91304	Family	Retiree	Active	276800
Employee	3/22/76	M	92562	Family	Retiree	Active	276800
Employee	10/12/60	M	92630	Family	Retiree	Active	276800
Employee	6/27/75	M	90802	Employee Only	Active	Active	276800
Employee	6/3/70	M	90715	Employee + Spouse	Active	Active	276800
Employee	1/20/46	F	90715	Employee Only	Retiree	Active	276800
Employee	12/4/61	M	90043	Employee + Spouse	Retiree	Active	276800
Employee	6/6/89	F	90802	Employee Only	Retiree	Active	276800
Employee	7/12/83	F	90807	Employee Only	Active	Active	276800
Employee	1/9/64	M	90631	Employee + Spouse	Retiree	Active	276800
Dependent	6/27/04	M	90804	Family	Active	Active	276800
Spouse	6/9/52	M	90713	Employee + Spouse	Active	Active	276800
Employee	3/5/69	M	90720	Family	Retiree	Active	276800
Employee	1/24/63	F	90280	Employee Only	Retiree	Active	276800
Spouse	12/6/77	F	92861	Employee + Spouse	Retiree	Active	276800
Employee	5/11/71	M	90241	Family	Retiree	Active	276800
Employee	2/7/73	M	90278	Employee + Spouse	Retiree	Active	276800
Dependent	4/6/01	M	90809	Employee + Spouse	Active	Active	276800
Spouse	7/17/76	F	91103	Family	Retiree	Active	276800
Spouse	11/17/58	F	90604	Employee + Child(ren)	Retiree	Active	276800
Dependent	5/16/18	M	90804	Employee + Spouse	Retiree	Active	276800
Employee	7/12/61	M	91208	Employee Only	Retiree	Active	276800
Spouse	4/26/60	F	78130	Employee + Spouse	Retiree	Active	276800
Spouse	2/27/80	F	90806	Employee + Spouse	Retiree	Active	276800
Employee	5/16/66	M	59912	Family	Retiree	Active	276800
Spouse	1/9/73	F	90807	Family	Retiree	Active	276800
Employee	11/5/72	F	90723	Employee Only	Active	Active	276800
Employee	6/29/60	M	90605	Employee Only	Retiree	Active	276800
Employee	5/14/66	F	90805	Employee Only	Retiree	Active	276800
Spouse	8/2/60	M	90805	Family	Active	Active	276800
Employee	3/8/37	F	90803	Employee Only	Retiree	Active	276800
Employee	8/25/64	F	90704	Employee Only	Retiree	Active	276800
Employee	6/27/84	M	90808	Employee + Spouse	Retiree	Active	276800
Dependent	10/20/14	F	90706	Family	Retiree	Active	276800
Dependent	10/20/01	F	90715	Employee + Spouse	Active	Active	276800
Employee	11/13/72	M	92647	Family	Retiree	Active	276800
Spouse	2/24/59	M	90713	Employee + Spouse	Retiree	Active	276800
Employee	12/23/71	F	90631	Employee Only	Retiree	Active	276800
Spouse	10/30/76	F	90650	Family	Retiree	Active	276800
Spouse	2/14/90	F	91752	Family	Retiree	Active	276800
Employee	12/25/89	F	92831	Family	Retiree	Active	276800
Spouse	10/25/78	M	90815	Family	Retiree	Active	276800
Employee	10/5/84	M	90602	Employee Only	Retiree	Active	276800
Employee	11/20/68	M	90049	Family	Retiree	Active	276800
Spouse	10/29/67	F	53066	Family	Retiree	Active	276800
Employee	12/1/83	F	90803	Employee Only	Retiree	Active	276800
Employee	8/30/68	M	92649	Family	Retiree	Active	276800
Employee	11/23/71	M	90805	Employee Only	Active	Active	276800
Spouse	7/12/54	M	90805	Employee + Spouse	Active	Active	276800
Employee	2/10/92	F	90744	Family	Retiree	Active	276800
Employee	9/21/62	F	90804	Employee + Spouse	Retiree	Active	276800
Employee	9/16/90	F	92683	Family	Active	Active	276800
Spouse	6/25/88	F	92653	Family	Retiree	Active	276800
Spouse	6/5/69	F	90602	Employee + Spouse	Retiree	Active	276800
Employee	8/1/62	F	90717	Employee Only	Retiree	Active	276800
Spouse	7/17/80	F	92646	Family	Retiree	Active	276800
Spouse	7/17/65	M	65672	Family	Retiree	Active	276800
Spouse	1/24/64	F	90803	Employee + Spouse	Retiree	Active	276800
Spouse	7/12/96	F	90805	Family	Retiree	Active	276800
Spouse	10/6/66	F	92801	Employee + Spouse	Active	Active	276800
Employee	5/10/70	F	90660	Employee + Spouse	Retiree	Active	276800
Employee	6/9/69	F	90806	Family	Retiree	Active	276800
Spouse	5/1/89	F	92649	Family	Retiree	Active	276800
Employee	11/30/55	M	90808	Employee + Spouse	Retiree	Active	276800
Employee	5/4/63	F	90807	Employee + Spouse	Active	Active	276800
Spouse	8/25/80	F	90631	Family	Retiree	Active	276800
Employee	9/8/59	M	90808	Employee Only	Active	Active	276800
Employee	1/10/62	M	90630	Employee + Spouse	Retiree	Active	276800
Employee	8/23/72	F	90808	Family	Retiree	Active	276800
Employee	4/16/86	M	90305	Employee Only	Retiree	Active	276800
Employee	10/4/59	M	90713	Family	Retiree	Active	276800
Employee	10/14/47	F	92612	Employee Only	Retiree	Active	276800
Employee	10/15/55	F	90805	Employee + Spouse	Retiree	Active	276800
Spouse	6/29/69	F	92646	Employee + Spouse	Retiree	Active	276800
Employee	12/28/82	F	90808	Family	Retiree	Active	276800
Employee	10/10/83	F	90803	Employee Only	Retiree	Active	276800
Spouse	8/2/46	M	90274	Employee + Spouse	Retiree	Active	276800
Spouse	1/22/64	F	90808	Employee + Spouse	Active	Active	276800
Dependent	1/13/98	M	90814	Family	Retiree	Active	276800
Spouse	7/18/81	F	90806	Family	Active	Active	276800
Employee	9/19/57	M	90808	Employee Only	Retiree	Active	276800
Employee	5/18/79	M	90808	Employee Only	Retiree	Active	276800
Employee	6/17/68	M	92882	Employee + Spouse	Retiree	Active	276800
Spouse	9/22/88	F	90713	Family	Retiree	Active	276800
Dependent	5/26/98	M	92673	Employee + Child(ren)	Retiree	Active	276800
Spouse	12/8/82	F	90815	Family	Retiree	Active	276800
Spouse	11/30/65	F	86314	Employee + Spouse	Retiree	Active	276800
Dependent	2/22/04	M	90723	Family	Active	Active	276800
Spouse	2/25/81	F	92865	Family	Retiree	Active	276800
Employee	9/23/80	M	92646	Family	Retiree	Active	276800
Employee	8/27/80	F	90807	Family	Retiree	Active	276800
Spouse	2/18/63	F	90602	Employee + Spouse	Retiree	Active	276800
Employee	2/16/71	M	92653	Family	Retiree	Active	276800
Employee	12/6/81	F	90712	Employee + Spouse	Retiree	Active	276800
Employee	4/6/88	F	90062	Employee Only	Retiree	Active	276800
Spouse	9/26/69	F	92692	Family	Retiree	Active	276800
Dependent	1/25/03	M	90808	Family	Retiree	Active	276800
Dependent	6/7/99	F	92626	Family	Retiree	Active	276800
Employee	12/17/90	F	90803	Family	Retiree	Active	276800
Employee	8/15/87	M	92530	Employee + Spouse	Retiree	Active	276800
Employee	5/5/63	M	90292	Family	Retiree	Active	276800
Spouse	11/26/81	M	90713	Family	Retiree	Active	276800
Employee	6/24/58	F	90807	Employee Only	Retiree	Active	276800
Employee	11/21/79	M	92883	Family	Retiree	Active	276800
Spouse	6/1/65	F	90740	Family	Retiree	Active	276800
Spouse	11/29/89	F	92646	Family	Retiree	Active	276800
Employee	3/30/60	M	91791	Employee + Spouse	Retiree	Active	276800
Spouse	12/31/92	F	90810	Family	Retiree	Active	276800
Employee	4/29/93	M	91311	Employee Only	Retiree	Active	276800
Employee	9/25/71	F	90712	Family	Active	Active	276800
Employee	11/15/62	M	90745	Employee + Spouse	Active	Active	276800
Employee	3/14/59	M	90813	Employee Only	Retiree	Active	276800
Employee	10/8/56	M	30180	Employee Only	Retiree	Active	276800
Spouse	5/1/72	M	90808	Family	Retiree	Active	276800
Employee	11/14/70	M	90806	Employee Only	Retiree	Active	276800
Employee	7/3/67	M	90245	Employee Only	Retiree	Active	276800
Employee	1/25/74	F	90808	Family	Retiree	Active	276800
Employee	8/12/62	M	91107	Family	Retiree	Active	276800
Employee	8/8/66	M	90713	Employee + Spouse	Retiree	Active	276800
Dependent	8/8/14	F	90806	Family	Retiree	Active	276800
Employee	10/28/77	M	92683	Employee Only	Retiree	Active	276800
Employee	10/25/61	F	90805	Family	Active	Active	276800
Dependent	7/25/05	F	92673	Family	Retiree	Active	276800
Employee	12/25/79	F	90808	Family	Retiree	Active	276800
Employee	7/20/86	F	90810	Employee + Spouse	Retiree	Active	276800
Employee	3/18/73	M	90804	Family	Retiree	Active	276800
Employee	7/28/60	M	90808	Employee + Spouse	Active	Active	276800
Employee	2/27/69	M	90808	Family	Retiree	Active	276800
Spouse	5/10/62	M	90807	Employee + Spouse	Active	Active	276800
Spouse	3/5/65	M	91001	Family	Retiree	Active	276800
Employee	10/2/82	F	90630	Family	Retiree	Active	276800
Dependent	2/11/17	M	90631	Family	Retiree	Active	276800
Employee	3/4/58	M	84790	Employee Only	Retiree	Active	276800
Employee	10/12/43	M	90713	Employee Only	Retiree	Active	276800
Employee	7/19/81	M	92845	Family	Retiree	Active	276800
Employee	3/25/68	F	90807	Family	Retiree	Active	276800
Employee	1/26/75	F	90630	Family	Retiree	Active	276800
Spouse	2/25/71	F	92870	Family	Active	Active	276800
Dependent	4/5/23	M	90501	Family	Retiree	Active	276800
Employee	8/24/62	M	90505	Family	Retiree	Active	276800
Employee	1/2/77	M	90815	Family	Retiree	Active	276800
Employee	10/24/62	M	90712	Employee + Spouse	Retiree	Active	276800
Employee	11/13/59	F	90808	Employee + Spouse	Retiree	Active	276800
Spouse	8/13/83	F	90815	Family	Retiree	Active	276800
Dependent	2/20/12	F	90814	Family	Retiree	Active	276800
Dependent	3/30/01	F	90813	Family	Retiree	Active	276800
Employee	10/16/91	F	90712	Employee Only	Retiree	Active	276800
Dependent	8/28/11	M	90249	Family	Retiree	Active	276800
Employee	7/14/88	F	90292	Employee Only	Retiree	Active	276800
Employee	12/21/73	M	90814	Employee Only	Retiree	Active	276800
Employee	3/14/81	M	92805	Employee Only	Active	Active	276800
Spouse	7/28/71	F	90808	Family	Retiree	Active	276800
Employee	5/24/57	M	90630	Employee + Spouse	Retiree	Active	276800
Employee	8/7/70	M	90807	Family	Retiree	Active	276800
Spouse	10/5/60	F	92673	Employee + Child(ren)	Retiree	Active	276800
Employee	5/21/43	F	90813	Employee + Spouse	Retiree	Active	276800
Dependent	9/16/98	F	90249	Family	Active	Active	276800
Spouse	4/1/85	F	92865	Family	Retiree	Active	276800
Employee	6/25/79	M	90803	Employee Only	Retiree	Active	276800
Spouse	8/29/60	F	90808	Employee + Spouse	Retiree	Active	276800
Dependent	12/27/01	M	89141	Family	Retiree	Active	276800
Employee	8/14/48	M	86327	Employee + Spouse	Retiree	Active	276800
Employee	1/31/61	M	92844	Employee + Spouse	Retiree	Active	276800
Spouse	2/27/67	F	91789	Family	Active	Active	276800
Spouse	11/18/60	F	92844	Employee + Spouse	Retiree	Active	276800
Spouse	10/30/59	F	76086	Employee + Child(ren)	Blank	Active	276800
Dependent	10/12/07	M	90815	Family	Retiree	Active	276800
Spouse	10/31/70	F	90755	Family	Retiree	Active	276800
Spouse	5/22/50	M	92840	Employee + Spouse	Active	Active	276800
Dependent	6/7/22	F	90713	Family	Retiree	Active	276800
Spouse	7/1/82	F	92840	Family	Retiree	Active	276800
Spouse	5/20/74	F	90266	Family	Retiree	Active	276800
Spouse	11/22/57	F	90262	Employee + Spouse	Active	Active	276800
Employee	1/26/87	F	90713	Family	Retiree	Active	276800
Spouse	3/19/84	F	92648	Employee + Spouse	Retiree	Active	276800
Employee	7/9/85	F	90712	Employee + Spouse	Active	Active	276800
Employee	5/19/81	M	90808	Family	Retiree	Active	276800
Employee	11/24/61	F	90807	Employee + Spouse	Retiree	Active	276800
Spouse	10/12/81	F	90620	Family	Retiree	Active	276800
Dependent	12/12/03	M	83815	Family	Retiree	Active	276800
Employee	7/15/57	M	91741	Employee + Spouse	Retiree	Active	276800
Employee	11/30/72	M	90638	Family	Retiree	Active	276800
Dependent	7/16/16	M	90740	Family	Retiree	Active	276800
Spouse	1/12/68	F	92604	Family	Retiree	Active	276800
Spouse	5/21/62	F	92673	Employee + Spouse	Retiree	Active	276800
Spouse	3/4/55	M	92067	Employee + Spouse	Retiree	Active	276800
Spouse	5/9/62	M	90815	Family	Retiree	Active	276800
Employee	5/29/58	M	90808	Employee Only	Retiree	Active	276800
Employee	9/29/63	F	90712	Employee Only	Retiree	Active	276800
Dependent	1/20/05	M	90220	Family	Active	Active	276800
Employee	9/17/59	M	92649	Employee + Spouse	Active	Active	276800
Employee	9/19/80	F	92646	Family	Retiree	Active	276800
Employee	8/21/64	M	92620	Family	Retiree	Active	276800
Employee	7/16/71	M	92646	Family	Retiree	Active	276800
Employee	3/7/64	M	48221	Family	Retiree	Active	276800
Employee	2/15/71	M	90713	Family	Retiree	Active	276800
Employee	4/20/78	F	90706	Family	Active	Active	276800
Spouse	7/31/89	F	92882	Family	Retiree	Active	276800
Spouse	9/4/83	F	92807	Family	Active	Active	276800
Spouse	6/25/66	F	90808	Employee + Spouse	Retiree	Active	276800
Spouse	8/19/64	M	92646	Family	Active	Active	276800
Employee	8/31/86	F	90804	Family	Retiree	Active	276800
Employee	12/21/70	M	90623	Employee + Spouse	Retiree	Active	276800
Employee	6/22/74	M	90815	Employee Only	Retiree	Active	276800
Dependent	10/12/05	F	90807	Family	Retiree	Active	276800
Employee	8/30/93	M	90716	Family	Active	Active	276800
Spouse	9/8/62	F	90630	Family	Retiree	Active	276800
Spouse	9/15/56	F	90810	Employee + Spouse	Retiree	Active	276800
Spouse	12/6/87	F	90808	Family	Retiree	Active	276800
Employee	4/22/60	M	92653	Employee + Spouse	Retiree	Active	276800
Spouse	2/1/84	M	90712	Employee + Spouse	Retiree	Active	276800
Employee	8/29/77	M	92683	Family	Active	Active	276800
Employee	3/14/61	M	90815	Family	Retiree	Active	276800
Dependent	12/30/18	F	90805	Family	Active	Active	276800
Employee	11/22/82	M	91767	Family	Active	Active	276800
Spouse	10/7/75	F	90713	Family	Retiree	Active	276800
Spouse	9/3/60	F	92677	Employee + Child(ren)	Retiree	Active	276800
Spouse	10/14/59	F	92676	Employee + Child(ren)	Retiree	Active	276800
Spouse	1/29/83	F	90810	Family	Active	Active	276800
Employee	10/15/82	F	90808	Family	Active	Active	276800
Dependent	6/14/01	M	90802	Family	Retiree	Active	276800
Employee	10/22/57	M	90640	Employee + Spouse	Active	Active	276800
Spouse	9/29/63	F	90501	Employee + Spouse	Active	Active	276800
Employee	7/5/61	M	91001	Employee + Spouse	Retiree	Active	276800
Employee	11/28/66	F	76087	Employee + Spouse	Cobra	Active	276800
Spouse	5/28/63	F	90803	Employee + Spouse	Retiree	Active	276800
Spouse	12/28/62	F	92646	Family	Retiree	Active	276800
Spouse	12/5/76	M	90247	Employee + Spouse	Active	Active	276800
Employee	4/17/66	M	92604	Employee Only	Retiree	Active	276800
Employee	9/25/68	M	92867	Family	Retiree	Active	276800
Employee	4/21/67	F	90815	Family	Retiree	Active	276800
Spouse	3/2/56	M	90815	Employee + Child(ren)	Retiree	Active	276800
Dependent	5/28/98	M	90275	Family	Retiree	Active	276800
Dependent	11/29/00	F	92845	Family	Retiree	Active	276800
Spouse	3/4/57	F	91746	Employee + Spouse	Retiree	Active	276800
Spouse	8/25/72	M	90808	Family	Active	Active	276800
Other	8/27/91	F	90712	Employee + Spouse	Active	Active	276800
Employee	7/9/88	F	90805	Employee + Spouse	Retiree	Active	276800
Spouse	7/27/89	F	90807	Family	Retiree	Active	276800
Employee	12/29/80	M	90712	Employee Only	Retiree	Active	276800
Employee	12/8/68	F	90810	Family	Active	Active	276800
Dependent	12/18/01	F	91362	Family	Retiree	Active	276800
Employee	4/13/77	M	92646	Family	Retiree	Active	276800
Employee	5/28/81	F	90803	Family	Retiree	Active	276800
Employee	4/14/64	F	90755	Employee Only	Retiree	Active	276800
Spouse	9/1/62	F	90807	Family	Retiree	Active	276800
Employee	10/14/65	M	92649	Employee Only	Retiree	Active	276800
Spouse	4/28/63	M	90701	Family	Retiree	Active	276800
Employee	11/9/67	M	90713	Family	Retiree	Active	276800
Employee	8/7/58	F	90505	Employee + Spouse	Retiree	Active	276800
Spouse	4/1/82	F	92886	Family	Retiree	Active	276800
Employee	11/24/60	M	92647	Employee + Spouse	Retiree	Active	276800
Spouse	10/23/70	F	90808	Family	Retiree	Active	276800
Dependent	12/27/02	M	90503	Family	Retiree	Active	276800
Employee	1/28/55	M	90802	Employee + Spouse	Retiree	Active	276800
Spouse	8/18/81	F	90620	Family	Retiree	Active	276800
Spouse	1/8/67	M	90802	Family	Retiree	Active	276800
Employee	7/28/81	M	90807	Family	Retiree	Active	276800
Employee	7/16/72	F	90808	Family	Retiree	Active	276800
Employee	11/6/67	F	90808	Employee Only	Retiree	Active	276800
Employee	9/28/81	M	90803	Employee Only	Retiree	Active	276800
Employee	2/11/70	M	92683	Family	Active	Active	276800
Dependent	4/11/11	M	90810	Family	Active	Active	276800
Employee	9/25/64	M	90713	Employee + Spouse	Active	Active	276800
Employee	9/20/58	M	90815	Employee + Spouse	Retiree	Active	276800
Employee	3/23/64	F	90806	Employee Only	Retiree	Active	276800
Spouse	4/14/74	M	90806	Family	Retiree	Active	276800
Employee	1/4/86	M	90805	Family	Retiree	Active	276800
Spouse	3/31/87	F	90804	Employee + Spouse	Retiree	Active	276800
Employee	8/27/87	F	90744	Employee + Spouse	Retiree	Active	276800
Employee	3/8/83	M	92845	Family	Retiree	Active	276800
Employee	9/14/66	M	92845	Employee + Spouse	Retiree	Active	276800
Employee	2/4/60	M	35058	Family	Retiree	Active	276800
Spouse	10/27/69	F	90245	Family	Retiree	Active	276800
Employee	6/27/71	M	90746	Family	Retiree	Active	276800
Employee	7/19/72	F	92886	Family	Active	Active	276800
Dependent	12/17/04	M	90815	Family	Retiree	Active	276800
Spouse	9/25/65	F	91748	Employee + Spouse	Retiree	Active	276800
Spouse	8/18/80	F	92833	Family	Retiree	Active	276800
Spouse	7/22/82	F	90806	Family	Retiree	Active	276800
Spouse	12/8/90	F	90631	Family	Retiree	Active	276800
Employee	12/26/59	F	90808	Employee + Spouse	Retiree	Active	276800
Employee	10/2/67	M	90803	Employee Only	Retiree	Active	276800
Employee	7/13/34	F	98576	Employee Only	Retiree	Active	276800
Employee	4/11/91	M	90740	Employee + Spouse	Retiree	Active	276800
Spouse	4/19/88	F	90810	Family	Retiree	Active	276800
Employee	8/12/71	F	90712	Family	Active	Active	276800
Spouse	2/21/89	F	90620	Family	Retiree	Active	276800
Spouse	7/27/91	F	92646	Family	Retiree	Active	276800
Spouse	6/14/89	F	92649	Family	Retiree	Active	276800
Employee	10/4/58	M	89411	Employee + Spouse	Retiree	Active	276800
Spouse	8/22/71	F	92804	Family	Active	Active	276800
Spouse	2/5/85	F	92647	Family	Retiree	Active	276800
Employee	4/26/61	M	37087	Employee + Spouse	Retiree	Active	276800
Spouse	4/22/77	F	90043	Employee + Spouse	Retiree	Active	276800
Spouse	5/30/91	F	92620	Family	Retiree	Active	276800
Employee	2/11/94	F	92571	Family	Retiree	Active	276800
Employee	5/31/67	M	90805	Family	Retiree	Active	276800
Spouse	5/4/57	F	92679	Employee + Spouse	Retiree	Active	276800
Employee	4/5/60	F	92627	Employee Only	Active	Active	276800
Dependent	10/31/01	M	90603	Family	Retiree	Active	276800
Employee	6/24/68	M	90810	Employee + Spouse	Active	Active	276800
Dependent	6/24/08	F	92705	Family	Retiree	Active	276800
Spouse	10/7/59	F	90805	Employee + Child(ren)	Retiree	Active	276800
Spouse	11/6/64	F	92691	Family	Retiree	Active	276800
Employee	3/31/68	M	90815	Employee + Spouse	Retiree	Active	276800
Employee	12/8/57	M	92683	Employee Only	Retiree	Active	276800
Employee	9/10/60	M	90240	Employee Only	Retiree	Active	276800
Employee	11/25/56	M	90505	Employee + Spouse	Retiree	Active	276800
Employee	4/18/85	F	90278	Family	Retiree	Active	276800
Dependent	1/23/23	M	90808	Family	Retiree	Active	276800
Employee	8/27/86	F	90304	Family	Retiree	Active	276800
Spouse	5/8/91	F	90602	Family	Retiree	Active	276800
Spouse	3/28/63	F	90815	Employee + Spouse	Retiree	Active	276800
Spouse	11/12/80	F	92675	Family	Retiree	Active	276800
Employee	3/25/78	M	91604	Employee Only	Retiree	Active	276800
Employee	11/22/64	F	90810	Employee Only	Active	Active	276800
Spouse	4/23/78	F	90810	Family	Retiree	Active	276800
Dependent	7/24/04	F	92677	Family	Retiree	Active	276800
Employee	3/5/78	M	90270	Family	Retiree	Active	276800
Employee	6/17/85	M	92653	Family	Retiree	Active	276800
Employee	5/29/58	M	90755	Employee Only	Retiree	Active	276800
Employee	10/12/72	M	90755	Employee Only	Retiree	Active	276800
Employee	9/19/58	M	90740	Employee + Spouse	Retiree	Active	276800
Spouse	3/13/65	M	90706	Employee + Spouse	Retiree	Active	276800
Spouse	11/9/93	F	92584	Family	Retiree	Active	276800
Employee	11/12/92	F	90745	Employee Only	Retiree	Active	276800
Dependent	3/10/98	M	90807	Family	Active	Active	276800
Employee	3/4/58	M	90805	Family	Retiree	Active	276800
Employee	12/5/64	M	92886	Employee + Spouse	Retiree	Active	276800
Dependent	2/12/00	F	90720	Employee + Child(ren)	Retiree	Active	276800
Spouse	3/16/67	F	80027	Family	Retiree	Active	276800
Employee	9/2/57	M	90746	Employee Only	Retiree	Active	276800
Spouse	10/1/56	M	86301	Employee + Spouse	Retiree	Active	276800
Dependent	9/10/07	F	90706	Family	Active	Active	276800
Dependent	6/11/99	M	90803	Family	Active	Active	276800
Dependent	11/26/06	M	90064	Family	Retiree	Active	276800
Employee	7/31/75	F	90805	Family	Active	Active	276800
Spouse	3/6/79	F	90813	Family	Retiree	Active	276800
Spouse	10/3/59	F	92708	Employee + Child(ren)	Retiree	Active	276800
Employee	10/18/86	F	90815	Family	Retiree	Active	276800
Dependent	9/12/03	F	90720	Family	Retiree	Active	276800
Spouse	7/7/68	F	80923	Family	Retiree	Active	276800
Dependent	10/21/19	M	90815	Family	Active	Active	276800
Employee	10/13/91	M	91762	Family	Retiree	Active	276800
Dependent	9/10/08	M	90706	Family	Active	Active	276800
Employee	2/24/67	M	92881	Family	Retiree	Active	276800
Spouse	6/18/62	M	92833	Family	Active	Active	276800
Dependent	7/23/98	F	37330	Family	Retiree	Active	276800
Employee	12/28/75	F	90275	Family	Retiree	Active	276800
Spouse	2/27/63	M	90601	Employee + Spouse	Retiree	Active	276800
Employee	6/20/68	M	90805	Employee + Spouse	Active	Active	276800
Employee	4/13/56	M	85344	Employee Only	Retiree	Active	276800
Spouse	3/23/63	M	90808	Family	Active	Active	276800
Employee	10/4/70	F	90805	Employee + Spouse	Active	Active	276800
Spouse	10/17/66	F	92646	Employee + Spouse	Active	Active	276800
Spouse	9/10/67	M	90712	Family	Active	Active	276800
Spouse	11/8/58	F	90805	Employee + Spouse	Retiree	Active	276800
Spouse	9/18/89	F	92083	Family	Retiree	Active	276800
Spouse	11/9/62	M	90808	Employee + Spouse	Retiree	Active	276800
Spouse	11/9/83	F	92886	Family	Retiree	Active	276800
Employee	12/30/82	F	90807	Family	Retiree	Active	276800
Spouse	5/9/66	F	90803	Employee + Spouse	Retiree	Active	276800
Dependent	5/7/18	M	90278	Family	Retiree	Active	276800
Spouse	10/26/90	F	90502	Family	Retiree	Active	276800
Employee	8/31/58	M	92867	Employee + Spouse	Retiree	Active	276800
Employee	10/19/76	M	90240	Employee Only	Retiree	Active	276800
Dependent	1/23/13	M	90620	Family	Active	Active	276800
Spouse	8/14/54	F	76226	Employee + Spouse	Retiree	Active	276800
Employee	5/18/76	M	83616	Family	Retiree	Active	276800
Spouse	1/24/70	F	90713	Employee + Spouse	Active	Active	276800
Employee	1/25/57	M	92649	Employee Only	Active	Active	276800
Employee	3/10/76	F	90723	Family	Retiree	Active	276800

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 Jun 3, 2026.