Exhibit_3_-_Census.xlsx

XLSX spreadsheet 414 KB Posted Oct 31, 2025

Attached to: Health Plan Administrative Services
Solicitation number: RFP26-0046
Issued by: Orange County, Orlando City, Florida

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Other files

File	Type	Posted
Health_Plan_Administrative_Services_(Addendum_#8_Revision).pdf	PDF	Dec 10, 2025
Health_Plan_Administrative_Services_(Addendum_#5_Revision).pdf	PDF	Nov 21, 2025
Health_Plan_Administrative_Services.pdf	PDF	Oct 31, 2025
Exhibit_3_-_Census.xlsx	XLSX spreadsheet	Oct 31, 2025
Exhibit_4_-_Claims_Reporting_Fields.pdf	PDF	Oct 31, 2025
Exhibit_6_-_2026_United_Healthcare_Summary_Booklet.pdf	PDF	Oct 31, 2025
Exhibit_4_-_Claims_Reporting_Fields.pdf	PDF	Oct 31, 2025
Exhibit_5_-_Stop_Loss_Information.pdf	PDF	Oct 31, 2025
Exhibit_2_-_Claims_Experience1.xlsx	XLSX spreadsheet	Oct 31, 2025
Exhibit_5_-_Stop_Loss_Information.pdf	PDF	Oct 31, 2025
Exhibit_2_-_Claims_Experience1.xlsx	XLSX spreadsheet	Oct 31, 2025
Exhibit_5_-_Stop_Loss_Information.pdf	PDF	Oct 31, 2025
Exhibit_6_-_2026_United_Healthcare_Summary_Booklet.pdf	PDF	Oct 31, 2025
Exhibit_4_-_Claims_Reporting_Fields.pdf	PDF	Oct 31, 2025
Exhibit_6_-_2026_United_Healthcare_Summary_Booklet.pdf	PDF	Oct 31, 2025
Exhibit_2_-_Claims_Experience1.xlsx	XLSX spreadsheet	Oct 31, 2025
Exhibit_3_-_Census.xlsx	XLSX spreadsheet	Oct 31, 2025
Exhibit_1_-_Summary_Plan_Descriptions.pdf	PDF	Oct 17, 2025
Exhibit_1_-_Summary_Plan_Descriptions.pdf	PDF	Oct 17, 2025
Exhibit_1_-_Summary_Plan_Descriptions.pdf	PDF	Oct 17, 2025

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Census Yuan

EXHIBIT "3" - CENSUS

CITY OF ORLANDO

HEALTH PLAN ADMINISTRATIVE SERVICES

RELATIONSHIP	GENDER	ZIP	COVERAGE TIER	PLAN	EMPLOYEE STATUS	DOB
Subscriber	Female	32708	Waiving Coverage	Waiving Coverage	Active	10/11/74
Subscriber	Male	34715	Waiving Coverage	Waiving Coverage	Active	2/12/88
Subscriber	Female	32127	Waiving Coverage	Waiving Coverage	Active	7/1/99
Subscriber	Male	32751	Waiving Coverage	Waiving Coverage	Active	12/11/62
Subscriber	Male	32820	Waiving Coverage	Waiving Coverage	Active	12/27/65
Subscriber	Male	32820	Waiving Coverage	Waiving Coverage	Active	6/8/87
Subscriber	Male	32792	Waiving Coverage	Waiving Coverage	Active	5/1/57
Subscriber	Male	32765	Waiving Coverage	Waiving Coverage	Active	6/18/00
Subscriber	Male	32814	Waiving Coverage	Waiving Coverage	Active	8/14/81
Subscriber	Male	34761	Waiving Coverage	Waiving Coverage	Active	6/4/97
Subscriber	Male	32832	Waiving Coverage	Waiving Coverage	Active	4/25/90
Subscriber	Male	32808	Waiving Coverage	Waiving Coverage	Active	4/2/51
Subscriber	Female	32822	Waiving Coverage	Waiving Coverage	Active	1/24/02
Subscriber	Male	32827	Waiving Coverage	Waiving Coverage	Active	9/22/79
Subscriber	Female	32822	Waiving Coverage	Waiving Coverage	Active	9/21/71
Subscriber	Male	32827	Waiving Coverage	Waiving Coverage	Active	3/31/78
Subscriber	Male	34761	Waiving Coverage	Waiving Coverage	Active	4/12/89
Subscriber	Female	32751	Waiving Coverage	Waiving Coverage	Active	2/23/77
Subscriber	Female	32808	Waiving Coverage	Waiving Coverage	Active	5/25/96
Subscriber	Male	34479-3036	Waiving Coverage	Waiving Coverage	Active	8/15/96
Subscriber	Male	32809	Waiving Coverage	Waiving Coverage	Active	1/4/00
Subscriber	Female	32751	Waiving Coverage	Waiving Coverage	Active	6/3/93
Subscriber	Female	32826	Waiving Coverage	Waiving Coverage	Active	3/9/89
Subscriber	Male	34772	Waiving Coverage	Waiving Coverage	Active	4/1/87
Subscriber	Male	32821	Waiving Coverage	Waiving Coverage	Active	3/29/92
Subscriber	Male	34761	Waiving Coverage	Waiving Coverage	Active	9/3/64
Subscriber	Male	34711	Waiving Coverage	Waiving Coverage	Active	5/1/88
Subscriber	Male	32738	Waiving Coverage	Waiving Coverage	Active	6/10/64
Subscriber	Male	34771	Waiving Coverage	Waiving Coverage	Active	12/8/61
Subscriber	Male	32766	Waiving Coverage	Waiving Coverage	Active	7/21/73
Subscriber	Male	32927	Waiving Coverage	Waiving Coverage	Active	2/28/56
Subscriber	Male	32751	Waiving Coverage	Waiving Coverage	Active	3/17/99
Subscriber	Female	34711	Waiving Coverage	Waiving Coverage	Active	5/21/76
Subscriber	Male	32811	Waiving Coverage	Waiving Coverage	Active	2/12/71
Subscriber	Female	32792	Waiving Coverage	Waiving Coverage	Active	11/8/77
Subscriber	Male	34773	Waiving Coverage	Waiving Coverage	Active	12/18/91
Subscriber	Male	34771	Waiving Coverage	Waiving Coverage	Active	9/18/92
Subscriber	Male	32824	Waiving Coverage	Waiving Coverage	Active	5/5/99
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Active	9/17/81
Subscriber	Female	32833	Waiving Coverage	Waiving Coverage	Active	5/2/01
Subscriber	Male	32750	Waiving Coverage	Waiving Coverage	Active	1/15/69
Subscriber	Male	32807	Waiving Coverage	Waiving Coverage	Active	6/25/66
Subscriber	Male	32824	Waiving Coverage	Waiving Coverage	Active	10/2/73
Subscriber	Male	32819	Waiving Coverage	Waiving Coverage	Active	6/27/01
Subscriber	Female	32806	Waiving Coverage	Waiving Coverage	Active	7/13/84
Subscriber	Female	32812	Waiving Coverage	Waiving Coverage	Active	8/7/99
Subscriber	Male	32822	Waiving Coverage	Waiving Coverage	Active	9/24/63
Subscriber	Male	32818	Waiving Coverage	Waiving Coverage	Active	3/15/82
Subscriber	Male	34711	Waiving Coverage	Waiving Coverage	Active	9/2/99
Subscriber	Female	14075	Waiving Coverage	Waiving Coverage	Active	1/26/96
Subscriber	Male	32829	Waiving Coverage	Waiving Coverage	Active	3/29/94
Subscriber	Female	32817	Waiving Coverage	Waiving Coverage	Active	9/26/01
Subscriber	Male	32808	Waiving Coverage	Waiving Coverage	Active	4/24/87
Subscriber	Male	34771	Waiving Coverage	Waiving Coverage	Active	1/3/68
Subscriber	Male	32738	Waiving Coverage	Waiving Coverage	Active	1/7/72
Subscriber	Male	33896	Waiving Coverage	Waiving Coverage	Active	8/29/57
Subscriber	Female	32712	Waiving Coverage	Waiving Coverage	Active	6/10/73
Subscriber	Male	32792	Waiving Coverage	Waiving Coverage	Active	9/10/81
Subscriber	Male	29625	Waiving Coverage	Waiving Coverage	Active	5/30/91
Subscriber	Male	32776	Waiving Coverage	Waiving Coverage	Active	12/11/84
Subscriber	Male	32821	Waiving Coverage	Waiving Coverage	Active	4/23/77
Subscriber	Male	32703	Waiving Coverage	Waiving Coverage	Active	3/1/80
Subscriber	Female	32714	Waiving Coverage	Waiving Coverage	Active	5/27/82
Subscriber	Female	32765	Waiving Coverage	Waiving Coverage	Active	1/5/01
Subscriber	Male	34769	Waiving Coverage	Waiving Coverage	Active	1/27/05
Subscriber	Male	32824	Waiving Coverage	Waiving Coverage	Active	8/26/92
Subscriber	Male	34711	Waiving Coverage	Waiving Coverage	Active	3/26/76
Subscriber	Male	32828	Waiving Coverage	Waiving Coverage	Active	11/4/91
Subscriber	Female	32837	Waiving Coverage	Waiving Coverage	Active	12/10/80
Subscriber	Male	34771	Waiving Coverage	Waiving Coverage	Active	3/5/92
Subscriber	Male	34787	Waiving Coverage	Waiving Coverage	Active	10/2/65
Subscriber	Female	32792	Waiving Coverage	Waiving Coverage	Active	2/14/00
Subscriber	Male	32708	Waiving Coverage	Waiving Coverage	Active	5/23/89
Subscriber	Female	32713	Waiving Coverage	Waiving Coverage	Active	10/19/56
Subscriber	Female	32817	Waiving Coverage	Waiving Coverage	Active	12/8/69
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Active	7/3/76
Subscriber	Male	32827	Waiving Coverage	Waiving Coverage	Active	3/10/58
Subscriber	Male	32765	Waiving Coverage	Waiving Coverage	Active	3/22/81
Subscriber	Female	32708	Waiving Coverage	Waiving Coverage	Active	11/12/82
Subscriber	Female	32724	Waiving Coverage	Waiving Coverage	Active	2/28/51
Subscriber	Male	32713	Waiving Coverage	Waiving Coverage	Active	4/20/72
Subscriber	Male	32805	Waiving Coverage	Waiving Coverage	Active	6/1/62
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Active	12/2/82
Subscriber	Male	34476	Waiving Coverage	Waiving Coverage	Active	3/5/02
Subscriber	Male	32738	Waiving Coverage	Waiving Coverage	Active	7/10/63
Subscriber	Female	32810	Waiving Coverage	Waiving Coverage	Active	10/8/58
Subscriber	Male	32720	Waiving Coverage	Waiving Coverage	Active	12/4/83
Subscriber	Female	32825	Waiving Coverage	Waiving Coverage	Active	10/30/58
Subscriber	Male	34736	Waiving Coverage	Waiving Coverage	Active	1/2/71
Subscriber	Male	32712	Waiving Coverage	Waiving Coverage	Active	8/15/51
Subscriber	Male	32746	Waiving Coverage	Waiving Coverage	Active	2/14/83
Subscriber	Female	32765	Waiving Coverage	Waiving Coverage	Active	1/2/04
Subscriber	Female	33837	Waiving Coverage	Waiving Coverage	Active	11/5/77
Subscriber	Female	32835	Waiving Coverage	Waiving Coverage	Active	8/19/61
Subscriber	Female	32809	Waiving Coverage	Waiving Coverage	Active	12/4/68
Subscriber	Female	32124	Waiving Coverage	Waiving Coverage	Active	3/27/75
Subscriber	Male	32751	Waiving Coverage	Waiving Coverage	Active	7/15/77
Subscriber	Male	32703	Waiving Coverage	Waiving Coverage	Active	12/24/71
Subscriber	Male	32725	Waiving Coverage	Waiving Coverage	Active	3/29/72
Subscriber	Male	34761	Waiving Coverage	Waiving Coverage	Active	10/4/67
Subscriber	Female	32805	Waiving Coverage	Waiving Coverage	Active	6/11/58
Subscriber	Male	32818	Waiving Coverage	Waiving Coverage	Active	4/11/69
Subscriber	Male	33896	Waiving Coverage	Waiving Coverage	Active	3/19/75
Subscriber	Male	32738	Waiving Coverage	Waiving Coverage	Active	1/10/62
Subscriber	Female	32703	Waiving Coverage	Waiving Coverage	Active	5/2/50
Subscriber	Female	32641	Waiving Coverage	Waiving Coverage	Active	7/26/73
Subscriber	Female	32778	Waiving Coverage	Waiving Coverage	Active	1/4/51
Subscriber	Male	32792	Waiving Coverage	Waiving Coverage	Active	4/25/65
Subscriber	Male	32808	Waiving Coverage	Waiving Coverage	Active	2/3/59
Subscriber	Female	32805	Waiving Coverage	Waiving Coverage	Active	8/17/57
Subscriber	Male	32826	Waiving Coverage	Waiving Coverage	Active	9/12/66
Subscriber	Male	32818	Waiving Coverage	Waiving Coverage	Active	9/22/62
Subscriber	Male	32792	Waiving Coverage	Waiving Coverage	Active	10/9/77
Subscriber	Male	32828	Waiving Coverage	Waiving Coverage	Active	8/28/72
Subscriber	Female	32803	Waiving Coverage	Waiving Coverage	Active	7/26/52
Subscriber	Male	32822	Waiving Coverage	Waiving Coverage	Active	10/6/65
Subscriber	Female	32817	Waiving Coverage	Waiving Coverage	Active	9/15/00
Subscriber	Male	32835	Waiving Coverage	Waiving Coverage	Active	9/30/63
Subscriber	Female	32763	Waiving Coverage	Waiving Coverage	Active	1/31/75
Subscriber	Male	32821	Waiving Coverage	Waiving Coverage	Active	9/4/90
Subscriber	Male	32746	Waiving Coverage	Waiving Coverage	Active	3/31/83
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Active	11/14/78
Subscriber	Male	34746	Waiving Coverage	Waiving Coverage	Active	2/13/02
Subscriber	Female	33837	Waiving Coverage	Waiving Coverage	Active	10/9/59
Subscriber	Male	32811	Waiving Coverage	Waiving Coverage	Active	8/15/56
Subscriber	Male	32765	Waiving Coverage	Waiving Coverage	Active	12/6/88
Subscriber	Male	32805	Waiving Coverage	Waiving Coverage	Active	9/1/57
Subscriber	Male	32822	Waiving Coverage	Waiving Coverage	Active	2/16/81
Subscriber	Male	34758	Waiving Coverage	Waiving Coverage	Active	5/18/05
Subscriber	Female	32817	Waiving Coverage	Waiving Coverage	Active	5/12/64
Subscriber	Female	32835	Waiving Coverage	Waiving Coverage	Active	11/26/55
Subscriber	Male	32832	Waiving Coverage	Waiving Coverage	Active	2/13/79
Subscriber	Male	34743	Waiving Coverage	Waiving Coverage	Active	8/11/93
Subscriber	Male	32807	Waiving Coverage	Waiving Coverage	Active	11/28/86
Subscriber	Male	32818	Waiving Coverage	Waiving Coverage	Active	9/16/60
Subscriber	Female	33897	Waiving Coverage	Waiving Coverage	Active	6/28/86
Subscriber	Male	32714	Waiving Coverage	Waiving Coverage	Active	2/13/76
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Active	7/26/93
Subscriber	Female	32771	Waiving Coverage	Waiving Coverage	Active	4/20/87
Subscriber	Male	32738	Waiving Coverage	Waiving Coverage	Active	9/22/98
Subscriber	Male	32792	Waiving Coverage	Waiving Coverage	Active	6/22/01
Subscriber	Male	34748	Waiving Coverage	Waiving Coverage	Active	8/25/55
Subscriber	Male	32757	Waiving Coverage	Waiving Coverage	Active	11/24/69
Subscriber	Female	34772	Waiving Coverage	Waiving Coverage	Active	6/22/66
Subscriber	Female	32712	Waiving Coverage	Waiving Coverage	Active	3/21/85
Subscriber	Female	32839	Waiving Coverage	Waiving Coverage	Active	4/3/84
Subscriber	Male	32765	Waiving Coverage	Waiving Coverage	Active	2/4/66
Subscriber	Male	32822	Waiving Coverage	Waiving Coverage	Active	4/22/99
Subscriber	Female	32701	Waiving Coverage	Waiving Coverage	Active	5/6/03
Subscriber	Male	32817	Waiving Coverage	Waiving Coverage	Active	5/30/70
Subscriber	Male	32828	Waiving Coverage	Waiving Coverage	Active	9/8/79
Subscriber	Female	32829	Waiving Coverage	Waiving Coverage	Active	7/10/95
Subscriber	Male	32765	Waiving Coverage	Waiving Coverage	Active	3/3/72
Subscriber	Female	34711	Waiving Coverage	Waiving Coverage	Active	3/22/89
Subscriber	Female	32808	Waiving Coverage	Waiving Coverage	Active	11/29/69
Subscriber	Male	34715	Waiving Coverage	Waiving Coverage	Active	2/19/54
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Active	4/17/80
Subscriber	Male	32003	Waiving Coverage	Waiving Coverage	Active	6/19/73
Subscriber	Male	32908	Waiving Coverage	Waiving Coverage	Active	2/1/92
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Active	1/21/93
Subscriber	Male	34787	Waiving Coverage	Waiving Coverage	Active	5/12/85
Subscriber	Male	32814	Waiving Coverage	Waiving Coverage	Active	11/10/68
Subscriber	Male	32810	Waiving Coverage	Waiving Coverage	Active	2/24/69
Subscriber	Male	34744	Waiving Coverage	Waiving Coverage	Active	3/26/85
Subscriber	Female	32817	Waiving Coverage	Waiving Coverage	Active	7/24/70
Subscriber	Male	34711	Waiving Coverage	Waiving Coverage	Active	5/29/69
Subscriber	Male	34772	Waiving Coverage	Waiving Coverage	Active	9/26/70
Subscriber	Male	32810	Waiving Coverage	Waiving Coverage	Active	12/20/51
Subscriber	Male	32773	Waiving Coverage	Waiving Coverage	Active	6/8/90
Subscriber	Male	32805	Waiving Coverage	Waiving Coverage	Active	9/9/46
Subscriber	Female	34742	Waiving Coverage	Waiving Coverage	Active	10/29/01
Subscriber	Male	34772	Waiving Coverage	Waiving Coverage	Active	8/16/81
Subscriber	Male	32806	Waiving Coverage	Waiving Coverage	Active	7/17/69
Subscriber	Male	32904	Waiving Coverage	Waiving Coverage	Active	11/11/70
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Active	4/19/84
Subscriber	Female	34787	Waiving Coverage	Waiving Coverage	Active	3/10/71
Subscriber	Male	32703	Waiving Coverage	Waiving Coverage	Active	8/12/76
Subscriber	Male	32713	Waiving Coverage	Waiving Coverage	Active	1/16/58
Subscriber	Male	32807	Waiving Coverage	Waiving Coverage	Active	1/13/80
Subscriber	Male	32812	Waiving Coverage	Waiving Coverage	Active	11/17/75
Subscriber	Female	32827	Waiving Coverage	Waiving Coverage	Active	11/3/82
Subscriber	Male	32832	Waiving Coverage	Waiving Coverage	Active	11/27/90
Subscriber	Male	32712	Waiving Coverage	Waiving Coverage	Active	12/3/90
Subscriber	Male	32751	Waiving Coverage	Waiving Coverage	Active	4/12/66
Subscriber	Male	34604	Waiving Coverage	Waiving Coverage	Active	5/29/69
Subscriber	Female	32808	Waiving Coverage	Waiving Coverage	Active	7/16/91
Subscriber	Male	32708	Waiving Coverage	Waiving Coverage	Active	1/9/83
Subscriber	Male	32790	Waiving Coverage	Waiving Coverage	Active	1/20/67
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Active	6/22/92
Subscriber	Female	32805	Waiving Coverage	Waiving Coverage	Active	2/5/85
Subscriber	Female	34744	Waiving Coverage	Waiving Coverage	Active	2/19/71
Subscriber	Male	32713	Waiving Coverage	Waiving Coverage	Active	12/29/79
Subscriber	Female	34771	Waiving Coverage	Waiving Coverage	Active	10/29/79
Subscriber	Male	32805	Waiving Coverage	Waiving Coverage	Active	3/6/86
Subscriber	Male	32812	Waiving Coverage	Waiving Coverage	Active	9/30/95
Subscriber	Male	32839	Waiving Coverage	Waiving Coverage	Active	6/21/80
Subscriber	Male	32792	Waiving Coverage	Waiving Coverage	Active	5/31/86
Subscriber	Male	34787	Waiving Coverage	Waiving Coverage	Active	10/10/83
Subscriber	Female	32751	Waiving Coverage	Waiving Coverage	Active	12/4/92
Subscriber	Male	34743	Waiving Coverage	Waiving Coverage	Active	7/27/87
Subscriber	Male	32703	Waiving Coverage	Waiving Coverage	Active	9/10/73
Subscriber	Female	32810	Waiving Coverage	Waiving Coverage	Active	11/5/82
Subscriber	Female	32746	Waiving Coverage	Waiving Coverage	Active	5/11/83
Subscriber	Male	32811	Waiving Coverage	Waiving Coverage	Active	6/12/97
Subscriber	Female	32808	Waiving Coverage	Waiving Coverage	Active	2/15/89
Subscriber	Male	32812	Waiving Coverage	Waiving Coverage	Active	9/17/87
Subscriber	Female	32825	Waiving Coverage	Waiving Coverage	Active	11/8/99
Subscriber	Male	34771	Waiving Coverage	Waiving Coverage	Active	12/12/80
Subscriber	Male	32818	Waiving Coverage	Waiving Coverage	Active	5/29/66
Subscriber	Male	34759	Waiving Coverage	Waiving Coverage	Active	8/25/70
Subscriber	Female	32810	Waiving Coverage	Waiving Coverage	Active	5/27/93
Subscriber	Male	34787	Waiving Coverage	Waiving Coverage	Active	8/27/94
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Active	4/17/95
Subscriber	Male	32707	Waiving Coverage	Waiving Coverage	Active	2/25/79
Subscriber	Male	32837	Waiving Coverage	Waiving Coverage	Active	6/13/96
Subscriber	Male	32780	Waiving Coverage	Waiving Coverage	Active	9/22/96
Subscriber	Female	32812	Waiving Coverage	Waiving Coverage	Active	9/17/96
Subscriber	Female	32835	Waiving Coverage	Waiving Coverage	Active	5/5/76
Subscriber	Male	32765	Waiving Coverage	Waiving Coverage	Active	12/3/97
Subscriber	Male	34771	Waiving Coverage	Waiving Coverage	Active	12/7/97
Subscriber	Female	34771	Waiving Coverage	Waiving Coverage	Active	12/22/98
Subscriber	Male	32168	Waiving Coverage	Waiving Coverage	Active	2/5/00
Subscriber	Male	32817	Waiving Coverage	Waiving Coverage	Active	3/29/90
Subscriber	Female	34761	Waiving Coverage	Waiving Coverage	Active	1/11/79
Subscriber	Male	32805	Waiving Coverage	Waiving Coverage	Active	4/18/81
Subscriber	Male	32810	Waiving Coverage	Waiving Coverage	Active	6/12/76
Subscriber	Male	34761	Waiving Coverage	Waiving Coverage	Active	6/22/91
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Active	6/30/91
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Active	10/9/81
Subscriber	Male	32833	Waiving Coverage	Waiving Coverage	Active	10/17/91
Subscriber	Male	32736	Waiving Coverage	Waiving Coverage	Active	10/17/91
Subscriber	Female	32837	Waiving Coverage	Waiving Coverage	Active	10/24/92
Subscriber	Female	32810	Waiving Coverage	Waiving Coverage	Active	6/8/93
Subscriber	Male	32803	Waiving Coverage	Waiving Coverage	Active	8/26/93
Subscriber	Male	32805	Waiving Coverage	Waiving Coverage	Active	10/4/86
Subscriber	Male	32757	Waiving Coverage	Waiving Coverage	Active	7/14/95
Subscriber	Male	32703	Waiving Coverage	Waiving Coverage	Active	6/26/80
Subscriber	Female	34772	Waiving Coverage	Waiving Coverage	Active	11/10/78
Subscriber	Female	32703	Waiving Coverage	Waiving Coverage	Active	2/29/00
Subscriber	Male	32712	Waiving Coverage	Waiving Coverage	Active	6/26/80
Subscriber	Female	32828	Waiving Coverage	Waiving Coverage	Active	7/20/00
Subscriber	Female	32751	Waiving Coverage	Waiving Coverage	Active	5/15/89
Subscriber	Male	34747	Waiving Coverage	Waiving Coverage	Active	6/18/90
Subscriber	Male	32766	Waiving Coverage	Waiving Coverage	Active	12/21/00
Subscriber	Female	32811	Waiving Coverage	Waiving Coverage	Active	10/2/90
Subscriber	Male	32708	Waiving Coverage	Waiving Coverage	Active	10/29/66
Subscriber	Male	34736	Waiving Coverage	Waiving Coverage	Active	4/15/91
Subscriber	Female	32810	Waiving Coverage	Waiving Coverage	Active	3/26/92
Subscriber	Male	32805	Waiving Coverage	Waiving Coverage	Active	9/10/77
Subscriber	Female	34761	Waiving Coverage	Waiving Coverage	Active	11/17/82
Subscriber	Female	32826	Waiving Coverage	Waiving Coverage	Active	7/18/99
Subscriber	Male	32829	Waiving Coverage	Waiving Coverage	Active	8/10/00
Subscriber	Male	32714	Waiving Coverage	Waiving Coverage	Active	1/10/01
Subscriber	Female	32805	Waiving Coverage	Waiving Coverage	Active	5/11/88
Subscriber	Male	32805	Waiving Coverage	Waiving Coverage	Active	6/1/81
Subscriber	Female	32837	Waiving Coverage	Waiving Coverage	Active	4/19/96
Subscriber	Male	34953	Waiving Coverage	Waiving Coverage	Active	10/3/81
Subscriber	Female	34436	Waiving Coverage	Waiving Coverage	Active	3/11/88
Subscriber	Male	32812	Waiving Coverage	Waiving Coverage	Active	8/19/82
Subscriber	Male	32839	Waiving Coverage	Waiving Coverage	Active	2/10/94
Subscriber	Male	32714	Waiving Coverage	Waiving Coverage	Active	10/27/94
Subscriber	Female	32832	Waiving Coverage	Waiving Coverage	Active	12/5/73
Subscriber	Male	34715	Waiving Coverage	Waiving Coverage	Active	2/28/76
Subscriber	Female	34472	Waiving Coverage	Waiving Coverage	Active	1/24/96
Subscriber	Male	32708	Waiving Coverage	Waiving Coverage	Active	4/27/96
Subscriber	Female	32828	Waiving Coverage	Waiving Coverage	Active	5/1/97
Subscriber	Female	32826	Waiving Coverage	Waiving Coverage	Active	5/23/99
Subscriber	Male	32952	Waiving Coverage	Waiving Coverage	Active	8/16/89
Subscriber	Male	32712	Waiving Coverage	Waiving Coverage	Active	6/30/76
Subscriber	Female	32832	Waiving Coverage	Waiving Coverage	Active	11/16/86
Subscriber	Female	32807	Waiving Coverage	Waiving Coverage	Active	8/28/93
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Active	5/14/87
Subscriber	Male	34743	Waiving Coverage	Waiving Coverage	Active	9/6/75
Subscriber	Male	34772	Waiving Coverage	Waiving Coverage	Active	12/23/93
Subscriber	Female	32826	Waiving Coverage	Waiving Coverage	Active	3/7/03
Subscriber	Male	32817	Waiving Coverage	Waiving Coverage	Active	6/10/92
Subscriber	Male	34746	Waiving Coverage	Waiving Coverage	Active	6/17/03
Subscriber	Male	34974	Waiving Coverage	Waiving Coverage	Active	9/10/82
Subscriber	Male	32909	Waiving Coverage	Waiving Coverage	Active	4/6/79
Subscriber	Male	32826	Waiving Coverage	Waiving Coverage	Active	2/2/74
Subscriber	Male	33431	Waiving Coverage	Waiving Coverage	Active	11/16/97
Subscriber	Female	32751	Waiving Coverage	Waiving Coverage	Active	9/10/95
Subscriber	Male	32765	Waiving Coverage	Waiving Coverage	Active	11/5/75
Subscriber	Male	33837	Waiving Coverage	Waiving Coverage	Active	7/7/94
Subscriber	Female	34746	Waiving Coverage	Waiving Coverage	Active	11/16/97
Subscriber	Male	34787	Waiving Coverage	Waiving Coverage	Active	5/17/01
Subscriber	Male	32832	Waiving Coverage	Waiving Coverage	Active	12/17/75
Subscriber	Female	32821	Waiving Coverage	Waiving Coverage	Active	5/7/00
Subscriber	Female	32828	Waiving Coverage	Waiving Coverage	Active	5/15/01
Subscriber	Male	32828	Waiving Coverage	Waiving Coverage	Active	6/21/88
Subscriber	Male	32829	Waiving Coverage	Waiving Coverage	Active	7/22/67
Subscriber	Male	32801	Waiving Coverage	Waiving Coverage	Active	9/9/80
Subscriber	Female	85215	Waiving Coverage	Waiving Coverage	Active	4/10/01
Subscriber	Female	32839	Waiving Coverage	Waiving Coverage	Active	5/5/02
Subscriber	Male	32811	Waiving Coverage	Waiving Coverage	Active	6/24/04
Subscriber	Female	34761	Waiving Coverage	Waiving Coverage	Active	10/15/02
Subscriber	Male	34761	Waiving Coverage	Waiving Coverage	Active	8/29/04
Subscriber	Female	32808	Waiving Coverage	Waiving Coverage	Active	4/26/05
Subscriber	Male	32708	Waiving Coverage	Waiving Coverage	Active	12/26/98
Subscriber	Male	32750	Waiving Coverage	Waiving Coverage	Active	7/6/02
Subscriber	Male	32858	Waiving Coverage	Waiving Coverage	Active	5/12/67
Subscriber	Female	32771	Waiving Coverage	Waiving Coverage	Active	7/24/01
Subscriber	Male	32712	Waiving Coverage	Waiving Coverage	Active	10/12/01
Subscriber	Male	32804	Waiving Coverage	Waiving Coverage	Active	1/13/01
Subscriber	Male	33134	Waiving Coverage	Waiving Coverage	Active	6/15/94
Subscriber	Male	32750	Waiving Coverage	Waiving Coverage	Active	4/11/03
Subscriber	Female	32801	Waiving Coverage	Waiving Coverage	Active	7/28/05
Subscriber	Male	32828	Waiving Coverage	Waiving Coverage	Active	5/22/01
Subscriber	Female	32219	Waiving Coverage	Waiving Coverage	Active	9/1/02
Subscriber	Male	32811	Waiving Coverage	Waiving Coverage	Active	12/18/04
Subscriber	Male	32810	Waiving Coverage	Waiving Coverage	Active	7/29/05
Subscriber	Male	32811	Waiving Coverage	Waiving Coverage	Active	3/14/01
Subscriber	Female	32839	Waiving Coverage	Waiving Coverage	Active	11/14/02
Subscriber	Male	32818	Waiving Coverage	Waiving Coverage	Active	2/6/03
Subscriber	Male	32808	Waiving Coverage	Waiving Coverage	Active	2/17/03
Subscriber	Female	32820	Waiving Coverage	Waiving Coverage	Active	6/19/73
Subscriber	Male	32811	Waiving Coverage	Waiving Coverage	Active	12/4/02
Subscriber	Female	32806	Waiving Coverage	Waiving Coverage	Active	5/28/04
Subscriber	Female	32818	Waiving Coverage	Waiving Coverage	Active	9/6/02
Subscriber	Female	32824	Waiving Coverage	Waiving Coverage	Active	11/12/01
Subscriber	Female	32789	Waiving Coverage	Waiving Coverage	Active	11/22/01
Subscriber	Female	32765	Waiving Coverage	Waiving Coverage	Active	7/10/02
Subscriber	Male	32818	Waiving Coverage	Waiving Coverage	Active	8/27/04
Subscriber	Female	32765	Waiving Coverage	Waiving Coverage	Active	11/16/04
Subscriber	Male	32805	Waiving Coverage	Waiving Coverage	Active	3/4/78
Subscriber	Male	32818	Waiving Coverage	Waiving Coverage	Active	8/31/05
Subscriber	Male	32839	Waiving Coverage	Waiving Coverage	Active	7/25/66
Subscriber	Female	32808	Waiving Coverage	Waiving Coverage	Active	8/17/95
Subscriber	Male	32702	Waiving Coverage	Waiving Coverage	Retiree	4/28/57
Subscriber	Male	32803	Waiving Coverage	Waiving Coverage	Retiree	6/28/44
Subscriber	Male	98674	Waiving Coverage	Waiving Coverage	Retiree	12/30/44
Subscriber	Male	32835	Waiving Coverage	Waiving Coverage	Retiree	3/6/57
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Retiree	1/9/41
Subscriber	Male	00637	Waiving Coverage	Waiving Coverage	Retiree	1/30/37
Subscriber	Male	32811	Waiving Coverage	Waiving Coverage	Retiree	4/16/63
Subscriber	Female	327247076	Waiving Coverage	Waiving Coverage	Retiree	3/18/51
Subscriber	Male	32811	Waiving Coverage	Waiving Coverage	Retiree	10/30/55
Subscriber	Male	34761	Waiving Coverage	Waiving Coverage	Retiree	12/6/50
Subscriber	Male	32818	Waiving Coverage	Waiving Coverage	Retiree	2/4/48
Subscriber	Female	32806	Waiving Coverage	Waiving Coverage	Retiree	4/2/43
Subscriber	Female	32751	Waiving Coverage	Waiving Coverage	Retiree	9/6/39
Subscriber	Male	32754	Waiving Coverage	Waiving Coverage	Retiree	3/4/48
Subscriber	Male	32812	Waiving Coverage	Waiving Coverage	Retiree	11/24/54
Subscriber	Male	328125265	Waiving Coverage	Waiving Coverage	Retiree	10/20/63
Subscriber	Male	32839	Waiving Coverage	Waiving Coverage	Retiree	11/5/53
Subscriber	Female	33948	Waiving Coverage	Waiving Coverage	Retiree	12/7/50
Subscriber	Male	33896	Waiving Coverage	Waiving Coverage	Retiree	8/29/57
Subscriber	Female	32837	Waiving Coverage	Waiving Coverage	Retiree	7/4/55
Subscriber	Male	32819	Waiving Coverage	Waiving Coverage	Retiree	2/28/42
Subscriber	Male	32709	Waiving Coverage	Waiving Coverage	Retiree	6/2/51
Subscriber	Male	32765	Waiving Coverage	Waiving Coverage	Retiree	12/4/52
Subscriber	Female	32835	Waiving Coverage	Waiving Coverage	Retiree	8/6/65
Subscriber	Male	30512	Waiving Coverage	Waiving Coverage	Retiree	2/21/34
Subscriber	Male	32159	Waiving Coverage	Waiving Coverage	Retiree	10/10/41
Subscriber	Male	32817	Waiving Coverage	Waiving Coverage	Retiree	2/21/55
Subscriber	Female	36561	Waiving Coverage	Waiving Coverage	Retiree	3/12/36
Subscriber	Male	32732	Waiving Coverage	Waiving Coverage	Retiree	5/10/49
Subscriber	Female	34761	Waiving Coverage	Waiving Coverage	Retiree	6/22/56
Subscriber	Female	21704	Waiving Coverage	Waiving Coverage	Retiree	7/9/55
Subscriber	Female	34761	Waiving Coverage	Waiving Coverage	Retiree	3/19/54
Subscriber	Female	30047	Waiving Coverage	Waiving Coverage	Retiree	1/4/41
Subscriber	Male	30047	Waiving Coverage	Waiving Coverage	Retiree	1/13/34
Subscriber	Female	32822	Waiving Coverage	Waiving Coverage	Retiree	12/23/50
Subscriber	Female	32801	Waiving Coverage	Waiving Coverage	Retiree	2/15/39
Subscriber	Male	32703	Waiving Coverage	Waiving Coverage	Retiree	11/4/39
Subscriber	Male	32732	Waiving Coverage	Waiving Coverage	Retiree	2/23/47
Subscriber	Male	32811	Waiving Coverage	Waiving Coverage	Retiree	8/13/49
Subscriber	Female	32818	Waiving Coverage	Waiving Coverage	Retiree	11/10/58
Subscriber	Female	34744	Waiving Coverage	Waiving Coverage	Retiree	10/20/44
Subscriber	Female	32707	Waiving Coverage	Waiving Coverage	Retiree	6/20/63
Subscriber	Male	34761	Waiving Coverage	Waiving Coverage	Retiree	3/24/57
Subscriber	Female	32805	Waiving Coverage	Waiving Coverage	Retiree	7/23/49
Subscriber	Male	32808	Waiving Coverage	Waiving Coverage	Retiree	8/23/52
Subscriber	Male	32732	Waiving Coverage	Waiving Coverage	Retiree	8/17/47
Subscriber	Female	32822	Waiving Coverage	Waiving Coverage	Retiree	5/4/49
Subscriber	Female	32811	Waiving Coverage	Waiving Coverage	Retiree	7/24/46
Subscriber	Male	32822	Waiving Coverage	Waiving Coverage	Retiree	1/25/67
Subscriber	Female	32828	Waiving Coverage	Waiving Coverage	Retiree	12/6/57
Subscriber	Male	32811	Waiving Coverage	Waiving Coverage	Retiree	8/17/57
Subscriber	Male	32817	Waiving Coverage	Waiving Coverage	Retiree	6/21/44
Subscriber	Female	32738	Waiving Coverage	Waiving Coverage	Retiree	1/1/65
Subscriber	Male	347442763	Waiving Coverage	Waiving Coverage	Retiree	5/29/48
Subscriber	Male	32818	Waiving Coverage	Waiving Coverage	Retiree	1/12/38
Subscriber	Male	32789	Waiving Coverage	Waiving Coverage	Retiree	3/20/53
Subscriber	Female	32818	Waiving Coverage	Waiving Coverage	Retiree	6/20/53
Subscriber	Male	33896	Waiving Coverage	Waiving Coverage	Retiree	12/22/38
Subscriber	Male	32811	Waiving Coverage	Waiving Coverage	Retiree	1/6/36
Subscriber	Female	31705	Waiving Coverage	Waiving Coverage	Retiree	12/17/35
Subscriber	Female	32309	Waiving Coverage	Waiving Coverage	Retiree	2/4/58
Subscriber	Female	32837	Waiving Coverage	Waiving Coverage	Retiree	5/31/34
Subscriber	Male	33870	Waiving Coverage	Waiving Coverage	Retiree	2/16/53
Subscriber	Male	32811	Waiving Coverage	Waiving Coverage	Retiree	3/3/52
Subscriber	Female	32818	Waiving Coverage	Waiving Coverage	Retiree	2/14/63
Subscriber	Male	32805	Waiving Coverage	Waiving Coverage	Retiree	11/7/65
Subscriber	Male	32808	Waiving Coverage	Waiving Coverage	Retiree	6/4/52
Subscriber	Male	32792	Waiving Coverage	Waiving Coverage	Retiree	9/28/35
Subscriber	Male	327794610	Waiving Coverage	Waiving Coverage	Retiree	2/23/56
Subscriber	Female	46226	Waiving Coverage	Waiving Coverage	Retiree	7/9/63
Subscriber	Male	34769	Waiving Coverage	Waiving Coverage	Retiree	11/29/62
Subscriber	Male	32703	Waiving Coverage	Waiving Coverage	Retiree	2/12/51
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Retiree	8/8/43
Subscriber	Male	32807	Waiving Coverage	Waiving Coverage	Retiree	4/15/46
Subscriber	Female	32829	Waiving Coverage	Waiving Coverage	Retiree	10/13/40
Subscriber	Male	37764	Waiving Coverage	Waiving Coverage	Retiree	7/9/46
Subscriber	Male	32822	Waiving Coverage	Waiving Coverage	Retiree	10/9/38
Subscriber	Female	327927238	Waiving Coverage	Waiving Coverage	Retiree	9/11/47
Subscriber	Female	32832	Waiving Coverage	Waiving Coverage	Retiree	1/19/44
Subscriber	Female	32837	Waiving Coverage	Waiving Coverage	Retiree	4/5/53
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Retiree	8/21/43
Subscriber	Male	32712	Waiving Coverage	Waiving Coverage	Retiree	2/14/56
Subscriber	Male	32837	Waiving Coverage	Waiving Coverage	Retiree	7/7/35
Subscriber	Male	32801	Waiving Coverage	Waiving Coverage	Retiree	4/30/35
Subscriber	Female	32174	Waiving Coverage	Waiving Coverage	Retiree	1/16/60
Subscriber	Male	32822	Waiving Coverage	Waiving Coverage	Retiree	11/12/66
Subscriber	Male	32955	Waiving Coverage	Waiving Coverage	Retiree	5/16/53
Subscriber	Female	32837	Waiving Coverage	Waiving Coverage	Retiree	7/6/62
Subscriber	Male	48624	Waiving Coverage	Waiving Coverage	Retiree	9/11/63
Subscriber	Male	38425	Waiving Coverage	Waiving Coverage	Retiree	2/25/52
Subscriber	Female	92220	Waiving Coverage	Waiving Coverage	Retiree	11/1/51
Subscriber	Male	61761	Waiving Coverage	Waiving Coverage	Retiree	8/24/46
Subscriber	Male	34787	Waiving Coverage	Waiving Coverage	Retiree	9/16/59
Subscriber	Male	32817	Waiving Coverage	Waiving Coverage	Retiree	12/3/48
Subscriber	Male	327659270	Waiving Coverage	Waiving Coverage	Retiree	12/2/52
Subscriber	Female	37312	Waiving Coverage	Waiving Coverage	Retiree	6/28/47
Subscriber	Male	328172708	Waiving Coverage	Waiving Coverage	Retiree	3/6/40
Subscriber	Female	32824	Waiving Coverage	Waiving Coverage	Retiree	2/17/63
Subscriber	Male	32805	Waiving Coverage	Waiving Coverage	Retiree	7/7/66
Subscriber	Male	32812	Waiving Coverage	Waiving Coverage	Retiree	8/11/40
Subscriber	Female	88011	Waiving Coverage	Waiving Coverage	Retiree	4/17/47
Subscriber	Male	328115570	Waiving Coverage	Waiving Coverage	Retiree	10/13/60
Subscriber	Male	33880	Waiving Coverage	Waiving Coverage	Retiree	7/21/56
Subscriber	Male	32812	Waiving Coverage	Waiving Coverage	Retiree	11/24/58
Subscriber	Male	32822	Waiving Coverage	Waiving Coverage	Retiree	11/7/37
Subscriber	Male	32765	Waiving Coverage	Waiving Coverage	Retiree	3/11/52
Subscriber	Female	33855	Waiving Coverage	Waiving Coverage	Retiree	6/10/53
Subscriber	Female	32806	Waiving Coverage	Waiving Coverage	Retiree	12/6/57
Subscriber	Female	36277	Waiving Coverage	Waiving Coverage	Retiree	8/4/35
Subscriber	Male	76002	Waiving Coverage	Waiving Coverage	Retiree	11/17/49
Subscriber	Male	34772	Waiving Coverage	Waiving Coverage	Retiree	2/9/41
Subscriber	Male	34711	Waiving Coverage	Waiving Coverage	Retiree	7/22/58
Subscriber	Female	32835	Waiving Coverage	Waiving Coverage	Retiree	5/14/60
Subscriber	Male	32811	Waiving Coverage	Waiving Coverage	Retiree	3/9/68
Subscriber	Male	32805	Waiving Coverage	Waiving Coverage	Retiree	7/13/65
Subscriber	Female	32821	Waiving Coverage	Waiving Coverage	Retiree	7/4/43
Subscriber	Female	00959	Waiving Coverage	Waiving Coverage	Retiree	7/24/48
Subscriber	Male	34446	Waiving Coverage	Waiving Coverage	Retiree	2/10/60
Subscriber	Male	32839	Waiving Coverage	Waiving Coverage	Retiree	10/14/48
Subscriber	Female	32764	Waiving Coverage	Waiving Coverage	Retiree	5/26/58
Subscriber	Female	32789	Waiving Coverage	Waiving Coverage	Retiree	4/15/53
Subscriber	Female	32763	Waiving Coverage	Waiving Coverage	Retiree	8/31/40
Subscriber	Male	32617	Waiving Coverage	Waiving Coverage	Retiree	9/26/47
Subscriber	Female	32708	Waiving Coverage	Waiving Coverage	Retiree	5/16/52
Subscriber	Male	32812	Waiving Coverage	Waiving Coverage	Retiree	8/19/49
Subscriber	Female	34761	Waiving Coverage	Waiving Coverage	Retiree	11/11/47
Subscriber	Male	32835	Waiving Coverage	Waiving Coverage	Retiree	7/7/60
Subscriber	Male	32765	Waiving Coverage	Waiving Coverage	Retiree	4/5/57
Subscriber	Male	28906	Waiving Coverage	Waiving Coverage	Retiree	11/3/46
Subscriber	Male	32750	Waiving Coverage	Waiving Coverage	Retiree	3/15/45
Subscriber	Male	34715	Waiving Coverage	Waiving Coverage	Retiree	7/7/55
Subscriber	Female	32819	Waiving Coverage	Waiving Coverage	Retiree	3/6/51
Subscriber	Female	34746	Waiving Coverage	Waiving Coverage	Retiree	5/15/58
Subscriber	Male	32766	Waiving Coverage	Waiving Coverage	Retiree	4/15/63
Subscriber	Male	32792	Waiving Coverage	Waiving Coverage	Retiree	4/28/47
Subscriber	Male	33880	Waiving Coverage	Waiving Coverage	Retiree	8/11/51
Subscriber	Male	32828	Waiving Coverage	Waiving Coverage	Retiree	10/3/54
Subscriber	Female	328080000	Waiving Coverage	Waiving Coverage	Retiree	7/11/42
Subscriber	Female	32804	Waiving Coverage	Waiving Coverage	Retiree	12/22/70
Subscriber	Male	32246	Waiving Coverage	Waiving Coverage	Retiree	2/15/50
Subscriber	Female	32703	Waiving Coverage	Waiving Coverage	Retiree	12/13/55
Subscriber	Male	32809	Waiving Coverage	Waiving Coverage	Retiree	5/23/36
Subscriber	Female	30114	Waiving Coverage	Waiving Coverage	Retiree	7/21/55
Subscriber	Male	32808	Waiving Coverage	Waiving Coverage	Retiree	1/4/19
Subscriber	Male	32828	Waiving Coverage	Waiving Coverage	Retiree	10/5/47
Subscriber	Female	32805	Waiving Coverage	Waiving Coverage	Retiree	9/18/58
Subscriber	Female	32779	Waiving Coverage	Waiving Coverage	Retiree	7/13/52
Subscriber	Male	32926	Waiving Coverage	Waiving Coverage	Retiree	5/9/56
Subscriber	Female	32812	Waiving Coverage	Waiving Coverage	Retiree	10/10/34
Subscriber	Male	34491	Waiving Coverage	Waiving Coverage	Retiree	11/19/41
Subscriber	Male	32811	Waiving Coverage	Waiving Coverage	Retiree	8/30/61
Subscriber	Male	32806	Waiving Coverage	Waiving Coverage	Retiree	10/17/57
Subscriber	Male	32822	Waiving Coverage	Waiving Coverage	Retiree	2/28/41
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Retiree	4/8/58
Subscriber	Male	31312	Waiving Coverage	Waiving Coverage	Retiree	8/13/56
Subscriber	Male	32765	Waiving Coverage	Waiving Coverage	Retiree	5/30/36
Subscriber	Female	32907	Waiving Coverage	Waiving Coverage	Retiree	6/28/53
Subscriber	Female	32751	Waiving Coverage	Waiving Coverage	Retiree	12/28/60
Subscriber	Female	32825	Waiving Coverage	Waiving Coverage	Retiree	10/19/52
Subscriber	Female	34787	Waiving Coverage	Waiving Coverage	Retiree	3/9/60
Subscriber	Male	32812	Waiving Coverage	Waiving Coverage	Retiree	8/4/51
Subscriber	Male	32805	Waiving Coverage	Waiving Coverage	Retiree	9/23/29
Subscriber	Male	33409	Waiving Coverage	Waiving Coverage	Retiree	12/3/43
Subscriber	Male	32822	Waiving Coverage	Waiving Coverage	Retiree	3/10/56
Subscriber	Male	32757	Waiving Coverage	Waiving Coverage	Retiree	11/21/55
Subscriber	Male	32817	Waiving Coverage	Waiving Coverage	Retiree	7/1/38
Subscriber	Male	32707	Waiving Coverage	Waiving Coverage	Retiree	11/18/42
Subscriber	Female	32715	Waiving Coverage	Waiving Coverage	Retiree	12/6/51
Subscriber	Female	36854	Waiving Coverage	Waiving Coverage	Retiree	4/16/42
Subscriber	Male	328225584	Waiving Coverage	Waiving Coverage	Retiree	2/9/51
Subscriber	Female	57730	Waiving Coverage	Waiving Coverage	Retiree	8/28/53
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Retiree	6/24/41
Subscriber	Female	32810	Waiving Coverage	Waiving Coverage	Retiree	5/17/56
Subscriber	Female	32176	Waiving Coverage	Waiving Coverage	Retiree	8/20/46
Subscriber	Female	33543	Waiving Coverage	Waiving Coverage	Retiree	5/24/50
Subscriber	Female	32789	Waiving Coverage	Waiving Coverage	Retiree	10/26/49
Subscriber	Female	32703	Waiving Coverage	Waiving Coverage	Retiree	7/8/51
Subscriber	Male	32716	Waiving Coverage	Waiving Coverage	Retiree	10/19/51
Subscriber	Male	32803	Waiving Coverage	Waiving Coverage	Retiree	10/6/49
Subscriber	Male	34748	Waiving Coverage	Waiving Coverage	Retiree	9/29/58
Subscriber	Male	32808	Waiving Coverage	Waiving Coverage	Retiree	8/13/45
Subscriber	Male	33511	Waiving Coverage	Waiving Coverage	Retiree	5/16/39
Subscriber	Male	32837	Waiving Coverage	Waiving Coverage	Retiree	2/5/50
Subscriber	Male	32822	Waiving Coverage	Waiving Coverage	Retiree	12/23/43
Subscriber	Female	32826	Waiving Coverage	Waiving Coverage	Retiree	11/15/51
Subscriber	Male	32792	Waiving Coverage	Waiving Coverage	Retiree	3/13/48
Subscriber	Female	37075	Waiving Coverage	Waiving Coverage	Retiree	10/31/46
Subscriber	Male	32703	Waiving Coverage	Waiving Coverage	Retiree	1/9/50
Subscriber	Female	32835	Waiving Coverage	Waiving Coverage	Retiree	11/29/48
Subscriber	Female	32805	Waiving Coverage	Waiving Coverage	Retiree	2/14/55
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Retiree	4/4/46
Subscriber	Male	32828	Waiving Coverage	Waiving Coverage	Retiree	8/12/45
Subscriber	Male	32805	Waiving Coverage	Waiving Coverage	Retiree	9/9/51
Subscriber	Male	31204	Waiving Coverage	Waiving Coverage	Retiree	2/28/36
Subscriber	Male	32825	Waiving Coverage	Waiving Coverage	Retiree	7/10/41
Subscriber	Male	32810	Waiving Coverage	Waiving Coverage	Retiree	1/28/53
Subscriber	Male	32833	Waiving Coverage	Waiving Coverage	Retiree	9/5/50
Subscriber	Female	32789	Waiving Coverage	Waiving Coverage	Retiree	8/2/47
Subscriber	Male	32751	Waiving Coverage	Waiving Coverage	Retiree	3/25/57
Subscriber	Female	32822	Waiving Coverage	Waiving Coverage	Retiree	6/27/57
Subscriber	Female	32128	Waiving Coverage	Waiving Coverage	Retiree	12/11/61
Subscriber	Male	32805	Waiving Coverage	Waiving Coverage	Retiree	11/8/56
Subscriber	Female	32824	Waiving Coverage	Waiving Coverage	Retiree	10/8/41
Subscriber	Female	32714	Waiving Coverage	Waiving Coverage	Retiree	9/18/46
Subscriber	Female	32809	Waiving Coverage	Waiving Coverage	Retiree	11/13/66
Subscriber	Female	32802	Waiving Coverage	Waiving Coverage	Retiree	4/5/69
Subscriber	Male	32802	Waiving Coverage	Waiving Coverage	Retiree	4/19/66
Subscriber	Male	32822	Waiving Coverage	Waiving Coverage	Retiree	5/16/55
Subscriber	Male	32835	Waiving Coverage	Waiving Coverage	Retiree	3/20/45
Subscriber	Male	32765	Waiving Coverage	Waiving Coverage	Retiree	8/27/41
Subscriber	Female	32714	Waiving Coverage	Waiving Coverage	Retiree	4/19/54
Subscriber	Male	32822	Waiving Coverage	Waiving Coverage	Retiree	2/2/57
Subscriber	Male	32796	Waiving Coverage	Waiving Coverage	Retiree	6/17/62
Subscriber	Female	32807	Waiving Coverage	Waiving Coverage	Retiree	2/19/45
Subscriber	Female	32801	Waiving Coverage	Waiving Coverage	Retiree	9/9/31
Subscriber	Male	34787	Waiving Coverage	Waiving Coverage	Retiree	10/14/49
Subscriber	Male	32750	Waiving Coverage	Waiving Coverage	Retiree	11/4/59
Subscriber	Male	32784	Waiving Coverage	Waiving Coverage	Retiree	8/14/63
Subscriber	Male	32839	Waiving Coverage	Waiving Coverage	Retiree	7/12/49
Subscriber	Male	32792	Waiving Coverage	Waiving Coverage	Retiree	7/1/45
Subscriber	Male	34744	Waiving Coverage	Waiving Coverage	Retiree	2/21/59
Subscriber	Male	32818	Waiving Coverage	Waiving Coverage	Retiree	6/6/58
Subscriber	Female	32776	Waiving Coverage	Waiving Coverage	Retiree	9/3/53
Subscriber	Female	32707	Waiving Coverage	Waiving Coverage	Retiree	8/12/46
Subscriber	Male	32824	Waiving Coverage	Waiving Coverage	Retiree	10/28/39
Subscriber	Male	32808	Waiving Coverage	Waiving Coverage	Retiree	5/1/48
Subscriber	Male	32808	Waiving Coverage	Waiving Coverage	Retiree	5/1/48
Subscriber	Female	36619	Waiving Coverage	Waiving Coverage	Retiree	8/15/63
Subscriber	Female	34744	Waiving Coverage	Waiving Coverage	Retiree	8/10/54
Subscriber	Male	32712	Waiving Coverage	Waiving Coverage	Retiree	11/8/44
Subscriber	Female	32812	Waiving Coverage	Waiving Coverage	Retiree	6/20/53
Subscriber	Male	32765	Waiving Coverage	Waiving Coverage	Retiree	4/3/53
Subscriber	Male	32808	Waiving Coverage	Waiving Coverage	Retiree	11/14/54
Subscriber	Male	33579	Waiving Coverage	Waiving Coverage	Retiree	10/27/44
Subscriber	Male	34744	Waiving Coverage	Waiving Coverage	Retiree	1/20/51
Subscriber	Male	32827	Waiving Coverage	Waiving Coverage	Retiree	7/26/52
Subscriber	Male	32904	Waiving Coverage	Waiving Coverage	Retiree	3/22/38
Subscriber	Female	32713	Waiving Coverage	Waiving Coverage	Retiree	9/24/54
Subscriber	Male	51537	Waiving Coverage	Waiving Coverage	Retiree	9/19/51
Subscriber	Female	32839	Waiving Coverage	Waiving Coverage	Retiree	7/19/52
Subscriber	Female	34761	Waiving Coverage	Waiving Coverage	Retiree	10/23/68
Subscriber	Male	32803	Waiving Coverage	Waiving Coverage	Retiree	12/30/46
Subscriber	Male	32732	Waiving Coverage	Waiving Coverage	Retiree	7/17/56
Subscriber	Male	10025	Waiving Coverage	Waiving Coverage	Retiree	12/14/42
Subscriber	Male	32828	Waiving Coverage	Waiving Coverage	Retiree	6/13/44
Subscriber	Male	23324	Waiving Coverage	Waiving Coverage	Retiree	2/26/55
Subscriber	Male	32763	Waiving Coverage	Waiving Coverage	Retiree	10/11/64
Subscriber	Male	327926102	Waiving Coverage	Waiving Coverage	Retiree	4/15/39
Subscriber	Male	32707	Waiving Coverage	Waiving Coverage	Retiree	12/6/33
Subscriber	Male	32708	Waiving Coverage	Waiving Coverage	Retiree	4/15/55
Subscriber	Female	32703	Waiving Coverage	Waiving Coverage	Retiree	6/15/54
Subscriber	Male	36853	Waiving Coverage	Waiving Coverage	Retiree	9/20/45
Subscriber	Male	32765	Waiving Coverage	Waiving Coverage	Retiree	9/7/47
Subscriber	Male	32818	Waiving Coverage	Waiving Coverage	Retiree	8/19/63
Subscriber	Male	32771	Waiving Coverage	Waiving Coverage	Retiree	6/25/54
Subscriber	Male	32641	Waiving Coverage	Waiving Coverage	Retiree	10/5/59
Subscriber	Male	32764	Waiving Coverage	Waiving Coverage	Retiree	6/29/61
Subscriber	Female	32804	Waiving Coverage	Waiving Coverage	Retiree	8/23/58
Subscriber	Female	48813	Waiving Coverage	Waiving Coverage	Retiree	10/28/29
Subscriber	Male	32826	Waiving Coverage	Waiving Coverage	Retiree	2/5/52
Subscriber	Male	32808	Waiving Coverage	Waiving Coverage	Retiree	5/27/68
Subscriber	Female	34711	Waiving Coverage	Waiving Coverage	Retiree	8/27/57
Subscriber	Male	32808	Waiving Coverage	Waiving Coverage	Retiree	8/25/52
Subscriber	Male	32835	Waiving Coverage	Waiving Coverage	Retiree	12/27/44
Subscriber	Male	32827	Waiving Coverage	Waiving Coverage	Retiree	2/27/61
Subscriber	Male	34746	Waiving Coverage	Waiving Coverage	Retiree	12/17/56
Subscriber	Female	67052	Waiving Coverage	Waiving Coverage	Retiree	8/3/46
Subscriber	Female	32805	Waiving Coverage	Waiving Coverage	Retiree	1/27/54
Subscriber	Female	32159	Waiving Coverage	Waiving Coverage	Retiree	11/26/43
Subscriber	Male	33540	Waiving Coverage	Waiving Coverage	Retiree	10/7/30
Subscriber	Male	32822	Waiving Coverage	Waiving Coverage	Retiree	9/25/52
Subscriber	Female	32792	Waiving Coverage	Waiving Coverage	Retiree	5/26/52
Subscriber	Female	32707	Waiving Coverage	Waiving Coverage	Retiree	6/15/45
Subscriber	Male	32810	Waiving Coverage	Waiving Coverage	Retiree	1/14/48
Subscriber	Male	328678464	Waiving Coverage	Waiving Coverage	Retiree	3/17/50
Subscriber	Male	34746	Waiving Coverage	Waiving Coverage	Retiree	7/29/68
Subscriber	Male	34759	Waiving Coverage	Waiving Coverage	Retiree	11/16/52
Subscriber	Male	32836	Waiving Coverage	Waiving Coverage	Retiree	8/15/60
Subscriber	Male	32828	Waiving Coverage	Waiving Coverage	Retiree	2/28/44
Subscriber	Male	28603	Waiving Coverage	Waiving Coverage	Retiree	11/19/66
Subscriber	Female	32404	Waiving Coverage	Waiving Coverage	Retiree	12/14/40
Subscriber	Female	62611	Waiving Coverage	Waiving Coverage	Retiree	12/4/63
Subscriber	Female	32808	Waiving Coverage	Waiving Coverage	Retiree	5/26/38
Subscriber	Male	32818	Waiving Coverage	Waiving Coverage	Retiree	7/25/54
Subscriber	Female	34711	Waiving Coverage	Waiving Coverage	Retiree	3/6/67
Subscriber	Female	32855	Waiving Coverage	Waiving Coverage	Retiree	8/11/55
Subscriber	Male	32828	Waiving Coverage	Waiving Coverage	Retiree	8/25/59
Subscriber	Male	34761	Waiving Coverage	Waiving Coverage	Retiree	8/27/63
Subscriber	Male	32141	Waiving Coverage	Waiving Coverage	Retiree	8/13/46
Subscriber	Male	326067015	Waiving Coverage	Waiving Coverage	Retiree	7/26/50
Subscriber	Male	29150	Waiving Coverage	Waiving Coverage	Retiree	12/12/50
Subscriber	Male	76120	Waiving Coverage	Waiving Coverage	Retiree	11/19/41
Subscriber	Female	32764	Waiving Coverage	Waiving Coverage	Retiree	8/18/61
Subscriber	Male	32812	Waiving Coverage	Waiving Coverage	Retiree	11/26/44
Subscriber	Male	27377	Waiving Coverage	Waiving Coverage	Retiree	7/12/42
Subscriber	Male	32713	Waiving Coverage	Waiving Coverage	Retiree	7/17/37
Subscriber	Female	32714	Waiving Coverage	Waiving Coverage	Retiree	1/20/53
Subscriber	Male	34761	Waiving Coverage	Waiving Coverage	Retiree	11/6/52
Subscriber	Female	32827	Waiving Coverage	Waiving Coverage	Retiree	1/13/59
Subscriber	Male	32826	Waiving Coverage	Waiving Coverage	Retiree	10/1/53
Subscriber	Male	328250000	Waiving Coverage	Waiving Coverage	Retiree	3/24/47
Subscriber	Female	34761	Waiving Coverage	Waiving Coverage	Retiree	1/1/55
Subscriber	Male	328080000	Waiving Coverage	Waiving Coverage	Retiree	4/14/43
Subscriber	Female	337126163	Waiving Coverage	Waiving Coverage	Retiree	9/30/59
Subscriber	Male	34772	Waiving Coverage	Waiving Coverage	Retiree	4/29/46
Subscriber	Male	32732	Waiving Coverage	Waiving Coverage	Retiree	6/3/42
Subscriber	Male	34769	Waiving Coverage	Waiving Coverage	Retiree	5/12/58
Subscriber	Male	34428	Waiving Coverage	Waiving Coverage	Retiree	7/22/53
Subscriber	Male	32819	Waiving Coverage	Waiving Coverage	Retiree	10/22/63
Subscriber	Male	32159	Waiving Coverage	Waiving Coverage	Retiree	11/18/48
Subscriber	Female	32703	Waiving Coverage	Waiving Coverage	Retiree	7/14/52
Subscriber	Female	32784	Waiving Coverage	Waiving Coverage	Retiree	9/2/42
Subscriber	Male	32812	Waiving Coverage	Waiving Coverage	Retiree	7/20/46
Subscriber	Female	32817	Waiving Coverage	Waiving Coverage	Retiree	1/24/60
Subscriber	Male	321185518	Waiving Coverage	Waiving Coverage	Retiree	1/20/55
Subscriber	Male	34711	Waiving Coverage	Waiving Coverage	Retiree	5/16/59
Subscriber	Female	32801	Waiving Coverage	Waiving Coverage	Retiree	1/9/57
Subscriber	Male	34737	Waiving Coverage	Waiving Coverage	Retiree	3/2/53
Subscriber	Female	32832	Waiving Coverage	Waiving Coverage	Retiree	1/18/65
Subscriber	Male	32168	Waiving Coverage	Waiving Coverage	Retiree	7/12/82
Subscriber	Male	321271125	Waiving Coverage	Waiving Coverage	Retiree	8/21/64
Subscriber	Male	32828	Waiving Coverage	Waiving Coverage	Retiree	10/12/69
Subscriber	Male	80924	Waiving Coverage	Waiving Coverage	Retiree	7/28/80
Subscriber	Female	34652	Waiving Coverage	Waiving Coverage	Retiree	3/4/70
Subscriber	Male	34786	Waiving Coverage	Waiving Coverage	Retiree	6/10/76
Subscriber	Male	321626050	Waiving Coverage	Waiving Coverage	Retiree	3/16/50
Subscriber	Male	34748	Waiving Coverage	Waiving Coverage	Retiree	2/23/56
Subscriber	Male	32806	Waiving Coverage	Waiving Coverage	Retiree	10/1/52
Subscriber	Male	32803	Waiving Coverage	Waiving Coverage	Retiree	1/19/51
Subscriber	Female	32812	Waiving Coverage	Waiving Coverage	Retiree	8/19/82
Subscriber	Male	37321	Waiving Coverage	Waiving Coverage	Retiree	5/22/75
Subscriber	Male	32872	Waiving Coverage	Waiving Coverage	Retiree	8/2/69
Subscriber	Male	33476	Waiving Coverage	Waiving Coverage	Retiree	6/12/57
Subscriber	Male	32703	Waiving Coverage	Waiving Coverage	Retiree	4/4/54
Subscriber	Male	37888	Waiving Coverage	Waiving Coverage	Retiree	12/23/60
Subscriber	Male	30809	Waiving Coverage	Waiving Coverage	Retiree	7/28/60
Subscriber	Female	32724	Waiving Coverage	Waiving Coverage	Retiree	7/16/70
Subscriber	Female	32812	Waiving Coverage	Waiving Coverage	Retiree	8/7/63
Subscriber	Male	32720	Waiving Coverage	Waiving Coverage	Retiree	7/8/58
Subscriber	Female	34771	Waiving Coverage	Waiving Coverage	Retiree	5/24/43
Subscriber	Female	32750	Waiving Coverage	Waiving Coverage	Retiree	6/6/38
Subscriber	Male	33884	Waiving Coverage	Waiving Coverage	Retiree	9/27/60
Subscriber	Male	32792	Waiving Coverage	Waiving Coverage	Retiree	10/6/60
Subscriber	Female	34715	Waiving Coverage	Waiving Coverage	Retiree	12/13/49
Subscriber	Male	37138	Waiving Coverage	Waiving Coverage	Retiree	10/28/44
Subscriber	Male	32828	Waiving Coverage	Waiving Coverage	Retiree	3/14/72
Subscriber	Male	34787	Waiving Coverage	Waiving Coverage	Retiree	4/19/82
Subscriber	Male	32312	Waiving Coverage	Waiving Coverage	Retiree	11/4/57
Subscriber	Male	32817	Waiving Coverage	Waiving Coverage	Retiree	3/29/68
Subscriber	Female	85251	Waiving Coverage	Waiving Coverage	Retiree	3/4/70
Subscriber	Male	80513	Waiving Coverage	Waiving Coverage	Retiree	8/12/62
Subscriber	Male	32607	Waiving Coverage	Waiving Coverage	Retiree	10/2/44
Subscriber	Female	32086	Waiving Coverage	Waiving Coverage	Retiree	11/26/72
Subscriber	Male	30188	Waiving Coverage	Waiving Coverage	Retiree	6/3/59
Subscriber	Male	32779	Waiving Coverage	Waiving Coverage	Retiree	11/24/55
Subscriber	Female	29630	Waiving Coverage	Waiving Coverage	Retiree	9/16/71
Subscriber	Female	32750	Waiving Coverage	Waiving Coverage	Retiree	12/18/59
Subscriber	Male	33579	Waiving Coverage	Waiving Coverage	Retiree	2/9/64
Subscriber	Female	34711	Waiving Coverage	Waiving Coverage	Retiree	10/1/42
Subscriber	Male	32765	Waiving Coverage	Waiving Coverage	Retiree	5/2/77
Subscriber	Female	32765	Waiving Coverage	Waiving Coverage	Retiree	1/24/59
Subscriber	Female	38562	Waiving Coverage	Waiving Coverage	Retiree	8/28/73
Subscriber	Male	28173	Waiving Coverage	Waiving Coverage	Retiree	5/6/46
Subscriber	Female	32835	Waiving Coverage	Waiving Coverage	Retiree	11/23/52
Subscriber	Male	853511507	Waiving Coverage	Waiving Coverage	Retiree	11/20/45
Subscriber	Male	80132	Waiving Coverage	Waiving Coverage	Retiree	1/23/54
Subscriber	Male	32779	SUBSCRIBER/RECIPIENT AND FAMILY	E-EPO OPEN ACCESS (CHOICE PLAN)	Active	8/7/82
Spouse	Female	32779	SUBSCRIBER/RECIPIENT AND FAMILY	E-EPO OPEN ACCESS (CHOICE PLAN)	Active	5/30/82
Child	Female	32779	SUBSCRIBER/RECIPIENT AND FAMILY	E-EPO OPEN ACCESS (CHOICE PLAN)	Active	7/7/10

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

File details come from the government source that posted it. Updated Nov 4, 2025.