HEAD|76d6deb6-d3db-43f3-9846-f9de2e58dd5f|ACA Automation EEID|200000008|200000008|IRIS||CARSON|M|07/24/1983 OFFR|200000008| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 ELIG|200000008| |BSGPThree+OLD|BSG plan Three|EE|Employee|Y|0.00|230.00|Y|Y|YES|YES|Yes|70| | ELIG|200000008| |BSGPThree+OLD|BSG plan Three|EE+Family|Employee + Family|Y|0.00|240.00|Y|Y|YES|YES|Yes|70| | ELIG|200000008| |BSGPThree+OLD|BSG plan Three|EE + CH|Employee + 1|Y|0.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000008| |BSGPThree+OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|0.00|248.00|Y|Y|YES|YES|Yes|70| | ELIG|200000008| |BSGPThree+OLD|BSG plan Three|Employee + Spouse| |Y|0.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000008| |BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|0.00|230.00|Y|Y|YES|YES|Yes|80| | ELIG|200000008| |BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|0.00|240.00|Y|Y|YES|YES|Yes|80| | ELIG|200000008| |BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|0.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000008| |BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|0.00|248.00|Y|Y|YES|YES|Yes|80| | ELIG|200000008| |BSGPThree+OLD|BSG plan Three Plus|Employee + Spouse| |Y|0.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000008| |BSGPThree+OLD|BSG Plan Four|EE|Employee|Y|0.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|200000008| |BSGPThree+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000008| |BSGPThree+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000008| |BSGPThree+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|200000008| |01/01/2016||BSG plan Three Plus|8|8|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|02/29/2016|200000008 COVG|200000008| |01/01/2016||BSG plan Three Plus|8|8|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|02/29/2016|200000008 COVG|200000008| |01/01/2016||BSG plan Three Plus|8|8|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|02/29/2016|200000008 COVG|200000008| |01/01/2016||BSG plan Three Plus|8|8|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|02/29/2016|200000008 COVG|200000008| |01/01/2016||BSG plan Three Plus|8|8|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|02/29/2016|200000008 COVG|200000008| |01/01/2016||BSG plan Three Plus|8|8|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|02/29/2016|200000008 COVG|200000008| |01/01/2016||BSG plan Three Plus|8|8|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|02/29/2016|200000008 COVG|200000008| |01/01/2016||BSG plan Three Plus|8|8|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|02/29/2016|200000008 COVG|200000008| |01/01/2016||BSG plan Three Plus|8|8|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|02/29/2016|200000008 COVG|200000008| |01/01/2016||BSG plan Three Plus|8|8|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|02/29/2016|200000008 COVG|200000008| |01/01/2016||BSG plan Three Plus|8|8|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|02/29/2016|200000008 COVG|200000008| |01/01/2016||BSG plan Three Plus|8|8|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|02/29/2016|200000008 COVG|200000008| |01/01/2016||BSG plan Three Plus|8|8|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|02/29/2016|200000008 COVG|200000008| |01/01/2016||BSG plan Three Plus|8|8|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|02/29/2016|200000008 DEPI|200000008|200000027|200000027|SARAH||SHERIDAN|Natural child|N|01/01/2011|M|01/01/2016|02/29/2016|A|200000008 EEID|200000017|200000017|ADRIANA||NAVARRETE|M|12/23/1976 OFFR|200000017| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 ELIG|200000017| |BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|0.00|230.00|Y|Y|YES|YES|Yes|70| | ELIG|200000017| |BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|0.00|240.00|Y|Y|YES|YES|Yes|70| | ELIG|200000017| |BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|0.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000017| |BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|0.00|248.00|Y|Y|YES|YES|Yes|70| | ELIG|200000017| |BSGPlanThre_OLD|BSG plan Three|Employee + Spouse| |Y|0.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000017| |BSGPlanThre_OLD|BSG plan Three Plus|EE|Employee|Y|0.00|230.00|Y|Y|YES|YES|Yes|80| | ELIG|200000017| |BSGPlanThre_OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|0.00|240.00|Y|Y|YES|YES|Yes|80| | ELIG|200000017| |BSGPlanThre_OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|0.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000017| |BSGPlanThre_OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|0.00|248.00|Y|Y|YES|YES|Yes|80| | ELIG|200000017| |BSGPlanThre_OLD|BSG plan Three Plus|Employee + Spouse| |Y|0.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000017| |BSGPlanThre_OLD|BSG Plan Four|EE|Employee|Y|0.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|200000017| |BSGPlanThre_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000017| |BSGPlanThre_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000017| |BSGPlanThre_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|200000017| |01/01/2016||BSG plan Three|6|6|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000017 COVG|200000017| |01/01/2016||BSG plan Three|6|6|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000017 COVG|200000017| |01/01/2016||BSG plan Three|6|6|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000017 COVG|200000017| |01/01/2016||BSG plan Three|6|6|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000017 COVG|200000017| |01/01/2016||BSG plan Three|6|6|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000017 COVG|200000017| |01/01/2016||BSG plan Three|6|6|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000017 COVG|200000017| |01/01/2016||BSG plan Three|6|6|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000017 COVG|200000017| |01/01/2016||BSG plan Three|6|6|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000017 COVG|200000017| |01/01/2016||BSG plan Three|6|6|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000017 COVG|200000017| |01/01/2016||BSG plan Three|6|6|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000017 COVG|200000017| |01/01/2016||BSG plan Three|6|6|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000017 COVG|200000017| |01/01/2016||BSG plan Three|6|6|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000017 COVG|200000017| |01/01/2016||BSG plan Three|6|6|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000017 COVG|200000017| |01/01/2016||BSG plan Three|6|6|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000017 DEPI|200000017|200000031|200000031|CARLA||CALERO|Spouse|Y|01/01/1987|F|01/01/2016|02/29/2016|A|200000017 EEID|200000014|200000014|LUISITO||PELLERIN|M|06/13/1970 OFFR|200000014| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 ELIG|200000014| |BSGPThree+OLD|BSG plan Three|EE|Employee|Y|0.00|230.00|Y|Y|YES|YES|Yes|70| | ELIG|200000014| |BSGPThree+OLD|BSG plan Three|EE+Family|Employee + Family|Y|0.00|240.00|Y|Y|YES|YES|Yes|70| | ELIG|200000014| |BSGPThree+OLD|BSG plan Three|EE + CH|Employee + 1|Y|0.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000014| |BSGPThree+OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|0.00|248.00|Y|Y|YES|YES|Yes|70| | ELIG|200000014| |BSGPThree+OLD|BSG plan Three|Employee + Spouse| |Y|0.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000014| |BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|0.00|230.00|Y|Y|YES|YES|Yes|80| | ELIG|200000014| |BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|0.00|240.00|Y|Y|YES|YES|Yes|80| | ELIG|200000014| |BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|0.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000014| |BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|0.00|248.00|Y|Y|YES|YES|Yes|80| | ELIG|200000014| |BSGPThree+OLD|BSG plan Three Plus|Employee + Spouse| |Y|0.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000014| |BSGPThree+OLD|BSG Plan Four|EE|Employee|Y|0.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|200000014| |BSGPThree+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000014| |BSGPThree+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000014| |BSGPThree+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|200000014| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000014 COVG|200000014| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000014 COVG|200000014| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000014 COVG|200000014| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000014 COVG|200000014| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000014 COVG|200000014| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000014 COVG|200000014| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000014 COVG|200000014| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000014 COVG|200000014| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000014 COVG|200000014| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000014 COVG|200000014| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000014 COVG|200000014| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000014 COVG|200000014| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000014 COVG|200000014| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000014 EEID|200000013|200000013|AMIHAN||CRUZ|M|11/20/1959 OFFR|200000013| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 ELIG|200000013| |BSGPThree+OLD|BSG plan Three|EE|Employee|Y|0.00|230.00|Y|Y|YES|YES|Yes|70| | ELIG|200000013| |BSGPThree+OLD|BSG plan Three|EE+Family|Employee + Family|Y|0.00|240.00|Y|Y|YES|YES|Yes|70| | ELIG|200000013| |BSGPThree+OLD|BSG plan Three|EE + CH|Employee + 1|Y|0.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000013| |BSGPThree+OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|0.00|248.00|Y|Y|YES|YES|Yes|70| | ELIG|200000013| |BSGPThree+OLD|BSG plan Three|Employee + Spouse| |Y|0.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000013| |BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|0.00|230.00|Y|Y|YES|YES|Yes|80| | ELIG|200000013| |BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|0.00|240.00|Y|Y|YES|YES|Yes|80| | ELIG|200000013| |BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|0.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000013| |BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|0.00|248.00|Y|Y|YES|YES|Yes|80| | ELIG|200000013| |BSGPThree+OLD|BSG plan Three Plus|Employee + Spouse| |Y|0.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000013| |BSGPThree+OLD|BSG Plan Four|EE|Employee|Y|0.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|200000013| |BSGPThree+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000013| |BSGPThree+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000013| |BSGPThree+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|200000013| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|03/31/2016|200000013 COVG|200000013| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|03/31/2016|200000013 COVG|200000013| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|03/31/2016|200000013 COVG|200000013| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|03/31/2016|200000013 COVG|200000013| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|03/31/2016|200000013 COVG|200000013| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|03/31/2016|200000013 COVG|200000013| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|03/31/2016|200000013 COVG|200000013| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|03/31/2016|200000013 COVG|200000013| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|03/31/2016|200000013 COVG|200000013| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|03/31/2016|200000013 COVG|200000013| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|03/31/2016|200000013 COVG|200000013| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|03/31/2016|200000013 COVG|200000013| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|03/31/2016|200000013 COVG|200000013| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|03/31/2016|200000013 EEID|200000010|200000010|SALVAIN||ALEXANDRE|M|06/18/1954 OFFR|200000010| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 ELIG|200000010| |BSGPThree+OLD|BSG plan Three|EE|Employee|Y|130.00|230.00|Y|Y|YES|YES|Yes|70| | ELIG|200000010| |BSGPThree+OLD|BSG plan Three|EE+Family|Employee + Family|Y|130.00|240.00|Y|Y|YES|YES|Yes|70| | ELIG|200000010| |BSGPThree+OLD|BSG plan Three|EE + CH|Employee + 1|Y|130.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000010| |BSGPThree+OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|130.00|248.00|Y|Y|YES|YES|Yes|70| | ELIG|200000010| |BSGPThree+OLD|BSG plan Three|Employee + Spouse| |Y|130.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000010| |BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|130.00|230.00|Y|Y|YES|YES|Yes|80| | ELIG|200000010| |BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|130.00|240.00|Y|Y|YES|YES|Yes|80| | ELIG|200000010| |BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|130.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000010| |BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|130.00|248.00|Y|Y|YES|YES|Yes|80| | ELIG|200000010| |BSGPThree+OLD|BSG plan Three Plus|Employee + Spouse| |Y|130.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000010| |BSGPThree+OLD|BSG Plan Four|EE|Employee|Y|130.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|200000010| |BSGPThree+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|130.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000010| |BSGPThree+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|130.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000010| |BSGPThree+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|130.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|200000010| |01/01/2016||BSG plan Three Plus|1|1|130.00|230.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000010 COVG|200000010| |01/01/2016||BSG plan Three Plus|1|1|130.00|230.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000010 COVG|200000010| |01/01/2016||BSG plan Three Plus|1|1|130.00|230.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000010 COVG|200000010| |01/01/2016||BSG plan Three Plus|1|1|130.00|230.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000010 COVG|200000010| |01/01/2016||BSG plan Three Plus|1|1|130.00|230.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000010 COVG|200000010| |01/01/2016||BSG plan Three Plus|1|1|130.00|230.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000010 COVG|200000010| |01/01/2016||BSG plan Three Plus|1|1|130.00|230.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000010 COVG|200000010| |01/01/2016||BSG plan Three Plus|1|1|130.00|230.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000010 COVG|200000010| |01/01/2016||BSG plan Three Plus|1|1|130.00|230.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000010 COVG|200000010| |01/01/2016||BSG plan Three Plus|1|1|130.00|230.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000010 COVG|200000010| |01/01/2016||BSG plan Three Plus|1|1|130.00|230.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000010 COVG|200000010| |01/01/2016||BSG plan Three Plus|1|1|130.00|230.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000010 COVG|200000010| |01/01/2016||BSG plan Three Plus|1|1|130.00|230.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000010 COVG|200000010| |01/01/2016||BSG plan Three Plus|1|1|130.00|230.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000010 EEID|100000013|100000013|LAURA||TUNNERO|M|08/07/1979 OFFR|100000013| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 ELIG|100000013| |BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|140.00|395.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000013| |BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|140.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000013| |BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|140.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000013| |BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|140.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000013| |BSGPlanOne_OLD|BSG plan one|Employee + Spouse| |Y|140.00|95.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000013| |BSGPlanOne_OLD|BSG Plan Four|EE|Employee|Y|140.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|100000013| |BSGPlanOne_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|140.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000013| |BSGPlanOne_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|140.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000013| |BSGPlanOne_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|140.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|100000013| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|100000013 COVG|100000013| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|100000013 COVG|100000013| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|100000013 COVG|100000013| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|100000013 COVG|100000013| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|100000013 COVG|100000013| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|100000013 COVG|100000013| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|100000013 COVG|100000013| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|100000013 COVG|100000013| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|100000013 EEID|200000018|200000018|ALICE||SHIRLEY|M|10/04/1959 OFFR|200000018| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 ELIG|200000018| |BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|135.00|230.00|Y|Y|YES|YES|Yes|70| | ELIG|200000018| |BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|YES|YES|Yes|70| | ELIG|200000018| |BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|135.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000018| |BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|135.00|248.00|Y|Y|YES|YES|Yes|70| | ELIG|200000018| |BSGPlanThre_OLD|BSG plan Three|Employee + Spouse| |Y|135.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000018| |BSGPlanThre_OLD|BSG plan Three Plus|EE|Employee|Y|135.00|230.00|Y|Y|YES|YES|Yes|80| | ELIG|200000018| |BSGPlanThre_OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|YES|YES|Yes|80| | ELIG|200000018| |BSGPlanThre_OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|135.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000018| |BSGPlanThre_OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|135.00|248.00|Y|Y|YES|YES|Yes|80| | ELIG|200000018| |BSGPlanThre_OLD|BSG plan Three Plus|Employee + Spouse| |Y|135.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000018| |BSGPlanThre_OLD|BSG Plan Four|EE|Employee|Y|135.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|200000018| |BSGPlanThre_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|135.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000018| |BSGPlanThre_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|135.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000018| |BSGPlanThre_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|135.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|200000018| |01/01/2016||BSG plan Three|3|3|135.00|240.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000018 COVG|200000018| |01/01/2016||BSG plan Three|3|3|135.00|240.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000018 COVG|200000018| |01/01/2016||BSG plan Three|3|3|135.00|240.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000018 COVG|200000018| |01/01/2016||BSG plan Three|3|3|135.00|240.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000018 COVG|200000018| |01/01/2016||BSG plan Three|3|3|135.00|240.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000018 COVG|200000018| |01/01/2016||BSG plan Three|3|3|135.00|240.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000018 COVG|200000018| |01/01/2016||BSG plan Three|3|3|135.00|240.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000018 COVG|200000018| |01/01/2016||BSG plan Three|3|3|135.00|240.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000018 COVG|200000018| |01/01/2016||BSG plan Three|3|3|135.00|240.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000018 COVG|200000018| |01/01/2016||BSG plan Three|3|3|135.00|240.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000018 COVG|200000018| |01/01/2016||BSG plan Three|3|3|135.00|240.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000018 COVG|200000018| |01/01/2016||BSG plan Three|3|3|135.00|240.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000018 COVG|200000018| |01/01/2016||BSG plan Three|3|3|135.00|240.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000018 COVG|200000018| |01/01/2016||BSG plan Three|3|3|135.00|240.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000018 DEPI|200000018|200000032|200000032|MATTHEW||CATTAFI|Spouse|Y|01/01/1987|F|01/01/2016||A|200000018 DEPI|200000018|200000038|200000038|NASIMA||SARWAR|Natural child|N|02/02/2011|M|01/01/2016||A|200000018 EEID|200000000|200000000|KERRI||AVILES|M|04/08/1986 OFFR|200000000| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 ELIG|200000000| |BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|140.00|395.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000000| |BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|140.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000000| |BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|140.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000000| |BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|140.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000000| |BSGPlanOne_OLD|BSG plan one|Employee + Spouse| |Y|140.00|95.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000000| |BSGPlanOne_OLD|BSG Plan Four|EE|Employee|Y|140.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|200000000| |BSGPlanOne_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|140.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000000| |BSGPlanOne_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|140.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000000| |BSGPlanOne_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|140.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|200000000| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|200000000 COVG|200000000| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|200000000 COVG|200000000| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|200000000 COVG|200000000| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|200000000 COVG|200000000| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|200000000 COVG|200000000| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|200000000 COVG|200000000| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|200000000 COVG|200000000| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|200000000 COVG|200000000| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|200000000 EEID|200000023|200000023|BENITA||MORALES|M|07/11/1957 OFFR|200000023| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 ELIG|200000023| |BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|140.00|395.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000023| |BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|140.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000023| |BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|140.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000023| |BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|140.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000023| |BSGPlanOne_OLD|BSG plan one|Employee + Spouse| |Y|140.00|95.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000023| |BSGPlanOne_OLD|BSG Plan Four|EE|Employee|Y|140.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|200000023| |BSGPlanOne_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|140.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000023| |BSGPlanOne_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|140.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000023| |BSGPlanOne_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|140.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|200000023| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|200000023 COVG|200000023| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|200000023 COVG|200000023| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|200000023 COVG|200000023| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|200000023 COVG|200000023| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|200000023 COVG|200000023| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|200000023 COVG|200000023| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|200000023 COVG|200000023| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|200000023 COVG|200000023| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|200000023 EEID|200000016|200000016|ZORIC||PROSKUROVSKY|M|07/04/1986 OFFR|200000016| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 ELIG|200000016| |BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|122.00|230.00|Y|Y|YES|YES|Yes|70| | ELIG|200000016| |BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|122.00|240.00|Y|Y|YES|YES|Yes|70| | ELIG|200000016| |BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|122.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000016| |BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|YES|YES|Yes|70| | ELIG|200000016| |BSGPlanThre_OLD|BSG plan Three|Employee + Spouse| |Y|122.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000016| |BSGPlanThre_OLD|BSG plan Three Plus|EE|Employee|Y|122.00|230.00|Y|Y|YES|YES|Yes|80| | ELIG|200000016| |BSGPlanThre_OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|122.00|240.00|Y|Y|YES|YES|Yes|80| | ELIG|200000016| |BSGPlanThre_OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|122.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000016| |BSGPlanThre_OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|YES|YES|Yes|80| | ELIG|200000016| |BSGPlanThre_OLD|BSG plan Three Plus|Employee + Spouse| |Y|122.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000016| |BSGPlanThre_OLD|BSG Plan Four|EE|Employee|Y|122.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|200000016| |BSGPlanThre_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|122.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000016| |BSGPlanThre_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|122.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000016| |BSGPlanThre_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|122.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|200000016| |01/01/2016||BSG plan Three|6|6|122.00|248.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000016 COVG|200000016| |01/01/2016||BSG plan Three|6|6|122.00|248.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000016 COVG|200000016| |01/01/2016||BSG plan Three|6|6|122.00|248.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000016 COVG|200000016| |01/01/2016||BSG plan Three|6|6|122.00|248.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000016 COVG|200000016| |01/01/2016||BSG plan Three|6|6|122.00|248.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000016 COVG|200000016| |01/01/2016||BSG plan Three|6|6|122.00|248.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000016 COVG|200000016| |01/01/2016||BSG plan Three|6|6|122.00|248.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000016 COVG|200000016| |01/01/2016||BSG plan Three|6|6|122.00|248.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000016 COVG|200000016| |01/01/2016||BSG plan Three|6|6|122.00|248.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000016 COVG|200000016| |01/01/2016||BSG plan Three|6|6|122.00|248.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000016 COVG|200000016| |01/01/2016||BSG plan Three|6|6|122.00|248.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000016 COVG|200000016| |01/01/2016||BSG plan Three|6|6|122.00|248.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000016 COVG|200000016| |01/01/2016||BSG plan Three|6|6|122.00|248.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000016 COVG|200000016| |01/01/2016||BSG plan Three|6|6|122.00|248.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000016 DEPI|200000016|200000030|200000030|SHEENLY||SINDICO|Spouse|Y|01/01/1987|F|01/01/2016||A|200000016 EEID|200000001|200000001|DANISSE||SALOMON|M|05/14/1963 OFFR|200000001| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 ELIG|200000001| |BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|0.00|395.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000001| |BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|0.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000001| |BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|0.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000001| |BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|0.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000001| |BSGPlanOne_OLD|BSG plan one|Employee + Spouse| |Y|0.00|95.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000001| |BSGPlanOne_OLD|BSG Plan Four|EE|Employee|Y|0.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|200000001| |BSGPlanOne_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000001| |BSGPlanOne_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000001| |BSGPlanOne_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|200000001| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|02/29/2016|200000001 COVG|200000001| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|02/29/2016|200000001 COVG|200000001| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|02/29/2016|200000001 COVG|200000001| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|02/29/2016|200000001 COVG|200000001| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|02/29/2016|200000001 COVG|200000001| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|02/29/2016|200000001 COVG|200000001| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|02/29/2016|200000001 COVG|200000001| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|02/29/2016|200000001 COVG|200000001| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|02/29/2016|200000001 EEID|200000015|200000015|Gail||MIGALBIN|M|10/20/1984 OFFR|200000015| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 ELIG|200000015| |BSGPThree+OLD|BSG plan Three|EE|Employee|Y|0.00|230.00|Y|Y|YES|YES|Yes|70| | ELIG|200000015| |BSGPThree+OLD|BSG plan Three|EE+Family|Employee + Family|Y|0.00|240.00|Y|Y|YES|YES|Yes|70| | ELIG|200000015| |BSGPThree+OLD|BSG plan Three|EE + CH|Employee + 1|Y|0.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000015| |BSGPThree+OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|0.00|248.00|Y|Y|YES|YES|Yes|70| | ELIG|200000015| |BSGPThree+OLD|BSG plan Three|Employee + Spouse| |Y|0.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000015| |BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|0.00|230.00|Y|Y|YES|YES|Yes|80| | ELIG|200000015| |BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|0.00|240.00|Y|Y|YES|YES|Yes|80| | ELIG|200000015| |BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|0.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000015| |BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|0.00|248.00|Y|Y|YES|YES|Yes|80| | ELIG|200000015| |BSGPThree+OLD|BSG plan Three Plus|Employee + Spouse| |Y|0.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000015| |BSGPThree+OLD|BSG Plan Four|EE|Employee|Y|0.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|200000015| |BSGPThree+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000015| |BSGPThree+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000015| |BSGPThree+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|200000015| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000015 COVG|200000015| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000015 COVG|200000015| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000015 COVG|200000015| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000015 COVG|200000015| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000015 COVG|200000015| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000015 COVG|200000015| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000015 COVG|200000015| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000015 COVG|200000015| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000015 COVG|200000015| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000015 COVG|200000015| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000015 COVG|200000015| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000015 COVG|200000015| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000015 COVG|200000015| |01/01/2016||BSG plan Three Plus|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000015 EEID|200000024|200000024|BENITB||MORALEB|M|07/11/1957 OFFR|200000024| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 ELIG|200000024| |BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|140.00|395.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000024| |BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|140.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000024| |BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|140.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000024| |BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|140.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000024| |BSGPlanOne_OLD|BSG plan one|Employee + Spouse| |Y|140.00|95.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000024| |BSGPlanOne_OLD|BSG Plan Four|EE|Employee|Y|140.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|200000024| |BSGPlanOne_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|140.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000024| |BSGPlanOne_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|140.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000024| |BSGPlanOne_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|140.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|200000024| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|200000024 COVG|200000024| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|200000024 COVG|200000024| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|200000024 COVG|200000024| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|200000024 COVG|200000024| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|200000024 COVG|200000024| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|200000024 COVG|200000024| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|200000024 COVG|200000024| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|200000024 COVG|200000024| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|200000024 EEID|100000027|100000027|STEVE||ZAEH|M|02/21/1953 OFFR|100000027| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/09/2016 ELIG|100000027| |BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|250.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|100000027| |BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000027| |BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000027| |BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|100000027| |01/01/2016||BSG Plan Four|6|6|250.00|420.00|01/01/2016||Yes|Yes|Yes|BSG Plan Four|BSGPlanFour+OLD|BSGPlanFour+OLD|01/01/2016|100000027 COVG|100000027| |01/01/2016||BSG Plan Four|6|6|250.00|420.00|01/01/2016||Yes|Yes|Yes|BSG Plan Four|BSGPlanFour+OLD|BSGPlanFour+OLD|01/01/2016|100000027 COVG|100000027| |01/01/2016||BSG Plan Four|6|6|250.00|420.00|01/01/2016||Yes|Yes|Yes|BSG Plan Four|BSGPlanFour+OLD|BSGPlanFour+OLD|01/01/2016|100000027 COVG|100000027| |01/01/2016||BSG Plan Four|6|6|250.00|420.00|01/01/2016||Yes|Yes|Yes|BSG Plan Four|BSGPlanFour+OLD|BSGPlanFour+OLD|01/01/2016|100000027 DEPI|100000027|110000026|110000026|Sp||Sp|Spouse|Y|01/01/1983|F|01/01/2016||A|100000027 EEID|200000022|200000022|ROMANITA||DEBONO|M|10/17/1952 OFFR|200000022| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 ELIG|200000022| |BSGPThree+OLD|BSG plan Three|EE|Employee|Y|133.00|230.00|Y|Y|YES|YES|Yes|70| | ELIG|200000022| |BSGPThree+OLD|BSG plan Three|EE+Family|Employee + Family|Y|133.00|240.00|Y|Y|YES|YES|Yes|70| | ELIG|200000022| |BSGPThree+OLD|BSG plan Three|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000022| |BSGPThree+OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|133.00|248.00|Y|Y|YES|YES|Yes|70| | ELIG|200000022| |BSGPThree+OLD|BSG plan Three|Employee + Spouse| |Y|133.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000022| |BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|133.00|230.00|Y|Y|YES|YES|Yes|80| | ELIG|200000022| |BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|133.00|240.00|Y|Y|YES|YES|Yes|80| | ELIG|200000022| |BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000022| |BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|133.00|248.00|Y|Y|YES|YES|Yes|80| | ELIG|200000022| |BSGPThree+OLD|BSG plan Three Plus|Employee + Spouse| |Y|133.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000022| |BSGPThree+OLD|BSG Plan Four|EE|Employee|Y|133.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|200000022| |BSGPThree+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|133.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000022| |BSGPThree+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|133.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000022| |BSGPThree+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|133.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|200000022| |01/01/2016||BSG plan Three Plus|8|8|133.00|232.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000022 COVG|200000022| |01/01/2016||BSG plan Three Plus|8|8|133.00|232.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000022 COVG|200000022| |01/01/2016||BSG plan Three Plus|8|8|133.00|232.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000022 COVG|200000022| |01/01/2016||BSG plan Three Plus|8|8|133.00|232.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000022 COVG|200000022| |01/01/2016||BSG plan Three Plus|8|8|133.00|232.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000022 COVG|200000022| |01/01/2016||BSG plan Three Plus|8|8|133.00|232.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000022 COVG|200000022| |01/01/2016||BSG plan Three Plus|8|8|133.00|232.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000022 COVG|200000022| |01/01/2016||BSG plan Three Plus|8|8|133.00|232.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000022 COVG|200000022| |01/01/2016||BSG plan Three Plus|8|8|133.00|232.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000022 COVG|200000022| |01/01/2016||BSG plan Three Plus|8|8|133.00|232.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000022 COVG|200000022| |01/01/2016||BSG plan Three Plus|8|8|133.00|232.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000022 COVG|200000022| |01/01/2016||BSG plan Three Plus|8|8|133.00|232.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000022 COVG|200000022| |01/01/2016||BSG plan Three Plus|8|8|133.00|232.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000022 COVG|200000022| |01/01/2016||BSG plan Three Plus|8|8|133.00|232.00|01/01/2016||Yes|Yes|Yes|BSG plan Three Plus|BSGPThree+OLD|BSGPThree+OLD|01/01/2016|200000022 DEPI|200000022|200000040|200000040|KIRAT||WALIA|Natural child|N|02/02/2011|M|01/01/2016||A|200000022 EEID|100000028|100000028|GARY||RICE|M|05/01/1955 OFFR|100000028| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/09/2016 ELIG|100000028| |BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|0.00|395.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000028| |BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|0.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000028| |BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|0.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000028| |BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|0.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000028| |BSGPlanOne_OLD|BSG plan one|Employee + Spouse| |Y|0.00|95.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000028| |BSGPlanOne_OLD|BSG Plan Four|EE|Employee|Y|0.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|100000028| |BSGPlanOne_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000028| |BSGPlanOne_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000028| |BSGPlanOne_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|100000028| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|03/01/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|03/01/2016|100000028 COVG|100000028| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|03/01/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|03/01/2016|100000028 COVG|100000028| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|03/01/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|03/01/2016|100000028 COVG|100000028| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|03/01/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|03/01/2016|100000028 COVG|100000028| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|03/01/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|03/01/2016|100000028 COVG|100000028| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|03/01/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|03/01/2016|100000028 COVG|100000028| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|03/01/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|03/01/2016|100000028 COVG|100000028| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|03/01/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|03/01/2016|100000028 COVG|100000028| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|03/01/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|03/01/2016|100000028 EEID|100000029|100000029|JEFFERY||MALARAN|M|10/18/1970 OFFR|100000029| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/09/2016 ELIG|100000029| |BSGPlanTwo_OLD|BSG plan Two|EE|Employee|Y|120.00|220.00|Y|Y|YES|YES|Yes|75| | ELIG|100000029| |BSGPlanTwo_OLD|BSG plan Two|EE+Family|Employee + Family|Y|120.00|225.00|Y|Y|YES|YES|Yes|75| | ELIG|100000029| |BSGPlanTwo_OLD|BSG plan Two|EE + CH|Employee + 1|Y|120.00|225.00|Y|Y|YES|YES|Yes|75| | ELIG|100000029| |BSGPlanTwo_OLD|BSG plan Two|EE + SP|Employee + Spouse|Y|120.00|225.00|Y|Y|YES|YES|Yes|75| | ELIG|100000029| |BSGPlanTwo_OLD|BSG Plan Four|EE|Employee|Y|120.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|100000029| |BSGPlanTwo_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|120.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000029| |BSGPlanTwo_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|120.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000029| |BSGPlanTwo_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|120.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|100000029| |01/01/2016||BSG plan Two|1|1|120.00|220.00|01/01/2016||Yes|Yes|Yes|BSG plan Two|BSGPlanTwo_OLD|BSGPlanTwo_OLD|01/01/2016|100000029 COVG|100000029| |01/01/2016||BSG plan Two|1|1|120.00|220.00|01/01/2016||Yes|Yes|Yes|BSG plan Two|BSGPlanTwo_OLD|BSGPlanTwo_OLD|01/01/2016|100000029 COVG|100000029| |01/01/2016||BSG plan Two|1|1|120.00|220.00|01/01/2016||Yes|Yes|Yes|BSG plan Two|BSGPlanTwo_OLD|BSGPlanTwo_OLD|01/01/2016|100000029 COVG|100000029| |01/01/2016||BSG plan Two|1|1|120.00|220.00|01/01/2016||Yes|Yes|Yes|BSG plan Two|BSGPlanTwo_OLD|BSGPlanTwo_OLD|01/01/2016|100000029 COVG|100000029| |01/01/2016||BSG plan Two|1|1|120.00|220.00|01/01/2016||Yes|Yes|Yes|BSG plan Two|BSGPlanTwo_OLD|BSGPlanTwo_OLD|01/01/2016|100000029 COVG|100000029| |01/01/2016||BSG plan Two|1|1|120.00|220.00|01/01/2016||Yes|Yes|Yes|BSG plan Two|BSGPlanTwo_OLD|BSGPlanTwo_OLD|01/01/2016|100000029 COVG|100000029| |01/01/2016||BSG plan Two|1|1|120.00|220.00|01/01/2016||Yes|Yes|Yes|BSG plan Two|BSGPlanTwo_OLD|BSGPlanTwo_OLD|01/01/2016|100000029 COVG|100000029| |01/01/2016||BSG plan Two|1|1|120.00|220.00|01/01/2016||Yes|Yes|Yes|BSG plan Two|BSGPlanTwo_OLD|BSGPlanTwo_OLD|01/01/2016|100000029 EEID|200000003|200000003|YANIRDA||MEJIA|M|02/17/1985 OFFR|200000003| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 ELIG|200000003| |BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|0.00|230.00|Y|Y|YES|YES|Yes|70| | ELIG|200000003| |BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|0.00|240.00|Y|Y|YES|YES|Yes|70| | ELIG|200000003| |BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|0.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000003| |BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|0.00|248.00|Y|Y|YES|YES|Yes|70| | ELIG|200000003| |BSGPlanThre_OLD|BSG plan Three|Employee + Spouse| |Y|0.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000003| |BSGPlanThre_OLD|BSG plan Three Plus|EE|Employee|Y|0.00|230.00|Y|Y|YES|YES|Yes|80| | ELIG|200000003| |BSGPlanThre_OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|0.00|240.00|Y|Y|YES|YES|Yes|80| | ELIG|200000003| |BSGPlanThre_OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|0.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000003| |BSGPlanThre_OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|0.00|248.00|Y|Y|YES|YES|Yes|80| | ELIG|200000003| |BSGPlanThre_OLD|BSG plan Three Plus|Employee + Spouse| |Y|0.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000003| |BSGPlanThre_OLD|BSG Plan Four|EE|Employee|Y|0.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|200000003| |BSGPlanThre_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000003| |BSGPlanThre_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000003| |BSGPlanThre_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|200000003| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000003 COVG|200000003| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000003 COVG|200000003| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000003 COVG|200000003| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000003 COVG|200000003| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000003 COVG|200000003| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000003 COVG|200000003| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000003 COVG|200000003| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000003 COVG|200000003| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000003 COVG|200000003| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000003 COVG|200000003| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000003 COVG|200000003| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000003 COVG|200000003| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000003 COVG|200000003| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|200000003 EEID|200000004|200000004|BAMBI||ALANIS|M|05/09/1979 OFFR|200000004| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 ELIG|200000004| |BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|0.00|230.00|Y|Y|YES|YES|Yes|70| | ELIG|200000004| |BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|0.00|240.00|Y|Y|YES|YES|Yes|70| | ELIG|200000004| |BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|0.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000004| |BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|0.00|248.00|Y|Y|YES|YES|Yes|70| | ELIG|200000004| |BSGPlanThre_OLD|BSG plan Three|Employee + Spouse| |Y|0.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000004| |BSGPlanThre_OLD|BSG plan Three Plus|EE|Employee|Y|0.00|230.00|Y|Y|YES|YES|Yes|80| | ELIG|200000004| |BSGPlanThre_OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|0.00|240.00|Y|Y|YES|YES|Yes|80| | ELIG|200000004| |BSGPlanThre_OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|0.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000004| |BSGPlanThre_OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|0.00|248.00|Y|Y|YES|YES|Yes|80| | ELIG|200000004| |BSGPlanThre_OLD|BSG plan Three Plus|Employee + Spouse| |Y|0.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000004| |BSGPlanThre_OLD|BSG Plan Four|EE|Employee|Y|0.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|200000004| |BSGPlanThre_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000004| |BSGPlanThre_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000004| |BSGPlanThre_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|200000004| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000004 COVG|200000004| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000004 COVG|200000004| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000004 COVG|200000004| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000004 COVG|200000004| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000004 COVG|200000004| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000004 COVG|200000004| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000004 COVG|200000004| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000004 COVG|200000004| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000004 COVG|200000004| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000004 COVG|200000004| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000004 COVG|200000004| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000004 COVG|200000004| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000004 COVG|200000004| |01/01/2016||BSG plan Three|1|1|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|200000004 EEID|100000006|100000006|LISA||MORALES|M|12/10/1974 OFFR|100000006| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 ELIG|100000006| |BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|0.00|10.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000006| |BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|0.00|10.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000006| |BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|0.00|10.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000006| |BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|0.00|10.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000006| |BSGPlanOne_OLD|BSG Plan Four|EE|Employee|Y|0.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|100000006| |BSGPlanOne_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000006| |BSGPlanOne_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000006| |BSGPlanOne_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|100000006| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|100000006 COVG|100000006| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|100000006 COVG|100000006| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|100000006 COVG|100000006| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|100000006 COVG|100000006| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|100000006 COVG|100000006| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|100000006 COVG|100000006| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|100000006 COVG|100000006| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|01/01/2016|100000006 EEID|100000004|100000004|ANN-TERESA||CUSENZA|M|07/26/1954 OFFR|100000004| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 ELIG|100000004| |OptOut_OLD|BSG plan one|EE|Employee|Y|0.00|395.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000004| |OptOut_OLD|BSG plan one|EE+Family|Employee + Family|Y|0.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000004| |OptOut_OLD|BSG plan one|EE + CH|Employee + 1|Y|0.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000004| |OptOut_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|0.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000004| |OptOut_OLD|BSG plan one|Employee + Spouse| |Y|0.00|95.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000004| |OptOut_OLD|BSG Plan Four|EE|Employee|Y|0.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|100000004| |OptOut_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000004| |OptOut_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000004| |OptOut_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|100000004| |01/01/2016||Opt Out|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|Opt Out|OptOut_OLD|OptOut_OLD|01/01/2016|100000004 COVG|100000004| |01/01/2016||Opt Out|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|Opt Out|OptOut_OLD|OptOut_OLD|01/01/2016|100000004 COVG|100000004| |01/01/2016||Opt Out|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|Opt Out|OptOut_OLD|OptOut_OLD|01/01/2016|100000004 COVG|100000004| |01/01/2016||Opt Out|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|Opt Out|OptOut_OLD|OptOut_OLD|01/01/2016|100000004 COVG|100000004| |01/01/2016||Opt Out|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|Opt Out|OptOut_OLD|OptOut_OLD|01/01/2016|100000004 COVG|100000004| |01/01/2016||Opt Out|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|Opt Out|OptOut_OLD|OptOut_OLD|01/01/2016|100000004 COVG|100000004| |01/01/2016||Opt Out|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|Opt Out|OptOut_OLD|OptOut_OLD|01/01/2016|100000004 COVG|100000004| |01/01/2016||Opt Out|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|Opt Out|OptOut_OLD|OptOut_OLD|01/01/2016|100000004 COVG|100000004| |01/01/2016||Opt Out|1|1|0.00|0.00|01/01/2016||Yes|Yes|Yes|Opt Out|OptOut_OLD|OptOut_OLD|01/01/2016|100000004 EEID|100000005|100000005|DANIELLE||DEBONO|M|03/24/1988 OFFR|100000005| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 ELIG|100000005| |BSGPlanTwo_OLD|BSG plan Two|EE|Employee|Y|125.00|220.00|Y|Y|YES|YES|Yes|75| | ELIG|100000005| |BSGPlanTwo_OLD|BSG plan Two|EE+Family|Employee + Family|Y|125.00|225.00|Y|Y|YES|YES|Yes|75| | ELIG|100000005| |BSGPlanTwo_OLD|BSG plan Two|EE + CH|Employee + 1|Y|125.00|225.00|Y|Y|YES|YES|Yes|75| | ELIG|100000005| |BSGPlanTwo_OLD|BSG plan Two|EE + SP|Employee + Spouse|Y|125.00|225.00|Y|Y|YES|YES|Yes|75| | ELIG|100000005| |BSGPlanTwo_OLD|BSG Plan Four|EE|Employee|Y|125.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|100000005| |BSGPlanTwo_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|125.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000005| |BSGPlanTwo_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|125.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000005| |BSGPlanTwo_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|125.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|100000005| |01/01/2016||BSG plan Two|6|6|125.00|225.00|01/01/2016||Yes|Yes|Yes|BSG plan Two|BSGPlanTwo_OLD|BSGPlanTwo_OLD|01/01/2016|100000005 COVG|100000005| |01/01/2016||BSG plan Two|6|6|125.00|225.00|01/01/2016||Yes|Yes|Yes|BSG plan Two|BSGPlanTwo_OLD|BSGPlanTwo_OLD|01/01/2016|100000005 COVG|100000005| |01/01/2016||BSG plan Two|6|6|125.00|225.00|01/01/2016||Yes|Yes|Yes|BSG plan Two|BSGPlanTwo_OLD|BSGPlanTwo_OLD|01/01/2016|100000005 COVG|100000005| |01/01/2016||BSG plan Two|6|6|125.00|225.00|01/01/2016||Yes|Yes|Yes|BSG plan Two|BSGPlanTwo_OLD|BSGPlanTwo_OLD|01/01/2016|100000005 COVG|100000005| |01/01/2016||BSG plan Two|6|6|125.00|225.00|01/01/2016||Yes|Yes|Yes|BSG plan Two|BSGPlanTwo_OLD|BSGPlanTwo_OLD|01/01/2016|100000005 COVG|100000005| |01/01/2016||BSG plan Two|6|6|125.00|225.00|01/01/2016||Yes|Yes|Yes|BSG plan Two|BSGPlanTwo_OLD|BSGPlanTwo_OLD|01/01/2016|100000005 COVG|100000005| |01/01/2016||BSG plan Two|6|6|125.00|225.00|01/01/2016||Yes|Yes|Yes|BSG plan Two|BSGPlanTwo_OLD|BSGPlanTwo_OLD|01/01/2016|100000005 COVG|100000005| |01/01/2016||BSG plan Two|6|6|125.00|225.00|01/01/2016||Yes|Yes|Yes|BSG plan Two|BSGPlanTwo_OLD|BSGPlanTwo_OLD|01/01/2016|100000005 DEPI|100000005|110000005|110000005|SP||Sp|Spouse|Y|01/01/1986|F|01/01/2016||A|100000005 EEID|100000002|100000002|GINA||HUNTER|M|12/13/1968 OFFR|100000002| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 ELIG|100000002| |BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|0.00|230.00|Y|Y|YES|YES|Yes|70| | ELIG|100000002| |BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|0.00|240.00|Y|Y|YES|YES|Yes|70| | ELIG|100000002| |BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|0.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|100000002| |BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|0.00|248.00|Y|Y|YES|YES|Yes|70| | ELIG|100000002| |BSGPlanThre_OLD|BSG plan Three|Employee + Spouse| |Y|0.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|100000002| |BSGPlanThre_OLD|BSG plan Three Plus|EE|Employee|Y|0.00|230.00|Y|Y|YES|YES|Yes|80| | ELIG|100000002| |BSGPlanThre_OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|0.00|240.00|Y|Y|YES|YES|Yes|80| | ELIG|100000002| |BSGPlanThre_OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|0.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|100000002| |BSGPlanThre_OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|0.00|248.00|Y|Y|YES|YES|Yes|80| | ELIG|100000002| |BSGPlanThre_OLD|BSG plan Three Plus|Employee + Spouse| |Y|0.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|100000002| |BSGPlanThre_OLD|BSG Plan Four|EE|Employee|Y|0.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|100000002| |BSGPlanThre_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000002| |BSGPlanThre_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000002| |BSGPlanThre_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|100000002| |01/01/2016||BSG plan Three|3|3|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|100000002 COVG|100000002| |01/01/2016||BSG plan Three|3|3|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|100000002 COVG|100000002| |01/01/2016||BSG plan Three|3|3|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|100000002 COVG|100000002| |01/01/2016||BSG plan Three|3|3|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|100000002 COVG|100000002| |01/01/2016||BSG plan Three|3|3|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|100000002 COVG|100000002| |01/01/2016||BSG plan Three|3|3|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|100000002 COVG|100000002| |01/01/2016||BSG plan Three|3|3|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|100000002 COVG|100000002| |01/01/2016||BSG plan Three|3|3|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|100000002 COVG|100000002| |01/01/2016||BSG plan Three|3|3|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|100000002 COVG|100000002| |01/01/2016||BSG plan Three|3|3|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|100000002 COVG|100000002| |01/01/2016||BSG plan Three|3|3|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|100000002 COVG|100000002| |01/01/2016||BSG plan Three|3|3|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|100000002 COVG|100000002| |01/01/2016||BSG plan Three|3|3|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|100000002 COVG|100000002| |01/01/2016||BSG plan Three|3|3|0.00|0.00|01/01/2016|02/29/2016|Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|02/29/2016|100000002 DEPI|100000002|110000002|110000002|Sp||Sp|Spouse|Y|01/01/1987|F|01/01/2016|02/29/2016|A|100000002 DEPI|100000002|120000002|120000002|Ch||Ch|Natural child|N|01/01/2010|M|01/01/2016|02/29/2016|A|100000002 EEID|100000003|100000003|ROSALIND||APOSTOL|M|08/10/1960 OFFR|100000003| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 ELIG|100000003| |BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|0.00|395.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000003| |BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|0.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000003| |BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|0.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000003| |BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|0.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000003| |BSGPlanOne_OLD|BSG plan one|Employee + Spouse| |Y|0.00|95.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000003| |BSGPlanOne_OLD|BSG Plan Four|EE|Employee|Y|0.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|100000003| |BSGPlanOne_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000003| |BSGPlanOne_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000003| |BSGPlanOne_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|0.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|100000003| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|03/31/2016|100000003 COVG|100000003| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|03/31/2016|100000003 COVG|100000003| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|03/31/2016|100000003 COVG|100000003| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|03/31/2016|100000003 COVG|100000003| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|03/31/2016|100000003 COVG|100000003| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|03/31/2016|100000003 COVG|100000003| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|03/31/2016|100000003 COVG|100000003| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|03/31/2016|100000003 COVG|100000003| |01/01/2016||BSG plan one|1|1|0.00|0.00|01/01/2016|03/31/2016|Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|03/31/2016|100000003 EEID|100000001|100000001|STEPHEN||SHIRLEY|M|02/27/1987 OFFR|100000001| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 ELIG|100000001| |BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|135.00|230.00|Y|Y|YES|YES|Yes|70| | ELIG|100000001| |BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|YES|YES|Yes|70| | ELIG|100000001| |BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|135.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|100000001| |BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|135.00|248.00|Y|Y|YES|YES|Yes|70| | ELIG|100000001| |BSGPlanThre_OLD|BSG plan Three|Employee + Spouse| |Y|135.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|100000001| |BSGPlanThre_OLD|BSG plan Three Plus|EE|Employee|Y|135.00|230.00|Y|Y|YES|YES|Yes|80| | ELIG|100000001| |BSGPlanThre_OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|YES|YES|Yes|80| | ELIG|100000001| |BSGPlanThre_OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|135.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|100000001| |BSGPlanThre_OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|135.00|248.00|Y|Y|YES|YES|Yes|80| | ELIG|100000001| |BSGPlanThre_OLD|BSG plan Three Plus|Employee + Spouse| |Y|135.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|100000001| |BSGPlanThre_OLD|BSG Plan Four|EE|Employee|Y|135.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|100000001| |BSGPlanThre_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|135.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000001| |BSGPlanThre_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|135.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000001| |BSGPlanThre_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|135.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|100000001| |01/01/2016||BSG plan Three|3|3|135.00|235.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|100000001 COVG|100000001| |01/01/2016||BSG plan Three|3|3|135.00|235.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|100000001 COVG|100000001| |01/01/2016||BSG plan Three|3|3|135.00|235.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|100000001 COVG|100000001| |01/01/2016||BSG plan Three|3|3|135.00|235.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|100000001 COVG|100000001| |01/01/2016||BSG plan Three|3|3|135.00|235.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|100000001 COVG|100000001| |01/01/2016||BSG plan Three|3|3|135.00|235.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|100000001 COVG|100000001| |01/01/2016||BSG plan Three|3|3|135.00|235.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|100000001 COVG|100000001| |01/01/2016||BSG plan Three|3|3|135.00|235.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|100000001 COVG|100000001| |01/01/2016||BSG plan Three|3|3|135.00|235.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|100000001 COVG|100000001| |01/01/2016||BSG plan Three|3|3|135.00|235.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|100000001 COVG|100000001| |01/01/2016||BSG plan Three|3|3|135.00|235.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|100000001 COVG|100000001| |01/01/2016||BSG plan Three|3|3|135.00|235.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|100000001 COVG|100000001| |01/01/2016||BSG plan Three|3|3|135.00|235.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|100000001 COVG|100000001| |01/01/2016||BSG plan Three|3|3|135.00|235.00|01/01/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/01/2016|100000001 DEPI|100000001|110000001|110000001|Sp||Sp|Spouse|Y|01/01/1985|F|01/01/2016||A|100000001 DEPI|100000001|120000001|120000001|Ch||Ch|Natural child|N|01/01/2010|M|01/01/2016||A|100000001 EEID|100000014|100000014|MELINA||PINEDA|M|10/31/1985 OFFR|100000014| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/09/2016 ELIG|100000014| |BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|140.00|395.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000014| |BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|140.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000014| |BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|140.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000014| |BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|140.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000014| |BSGPlanOne_OLD|BSG plan one|Employee + Spouse| |Y|140.00|95.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|100000014| |BSGPlanOne_OLD|BSG Plan Four|EE|Employee|Y|140.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|100000014| |BSGPlanOne_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|140.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000014| |BSGPlanOne_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|140.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|100000014| |BSGPlanOne_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|140.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|100000014| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|100000014 COVG|100000014| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|100000014 COVG|100000014| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|100000014 COVG|100000014| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|100000014 COVG|100000014| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|100000014 COVG|100000014| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|100000014 COVG|100000014| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|100000014 COVG|100000014| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|100000014 COVG|100000014| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|100000014 EEID|200000034|200000034|BENITB||MORALEB|M|07/11/1957 OFFR|200000034| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 ELIG|200000034| |BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|140.00|395.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000034| |BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|140.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000034| |BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|140.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000034| |BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|140.00|403.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000034| |BSGPlanOne_OLD|BSG plan one|Employee + Spouse| |Y|140.00|95.00|Y|Y|YES|YES|Yes|60|2015 PPO Buy-Up Plan|2015 PPO Buy-Up Plan ELIG|200000034| |BSGPlanOne_OLD|BSG Plan Four|EE|Employee|Y|140.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|200000034| |BSGPlanOne_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|140.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000034| |BSGPlanOne_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|140.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000034| |BSGPlanOne_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|140.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|200000034| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|200000034 COVG|200000034| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|200000034 COVG|200000034| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|200000034 COVG|200000034| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|200000034 COVG|200000034| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|200000034 COVG|200000034| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|200000034 COVG|200000034| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|200000034 COVG|200000034| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|200000034 COVG|200000034| |01/01/2016||BSG plan one|1|1|140.00|1150.00|01/01/2016||Yes|Yes|Yes|BSG plan one|BSGPlanOne_OLD|BSGPlanOne_OLD|11/16/2016|200000034 EEID|200000039|200000039|TOMEKA||SWOPE|M|07/11/1957 OFFR|200000039| | |01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 OFFR|200000039| | |01/16/2016|01/16/2016|01/01/2016|12/31/2016|08/08/2016 ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|130.00|230.00|Y|Y|YES|YES|Yes|70| | ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|130.00|230.00|Y|Y|YES|YES|Yes|70| | ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|130.00|240.00|Y|Y|YES|YES|Yes|70| | ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|130.00|240.00|Y|Y|YES|YES|Yes|70| | ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|130.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|130.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|130.00|248.00|Y|Y|YES|YES|Yes|70| | ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|130.00|248.00|Y|Y|YES|YES|Yes|70| | ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three|Employee + Spouse| |Y|130.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three|Employee + Spouse| |Y|130.00|232.00|Y|Y|YES|YES|Yes|70| | ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three Plus|EE|Employee|Y|130.00|230.00|Y|Y|YES|YES|Yes|80| | ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three Plus|EE|Employee|Y|130.00|230.00|Y|Y|YES|YES|Yes|80| | ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|130.00|240.00|Y|Y|YES|YES|Yes|80| | ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|130.00|240.00|Y|Y|YES|YES|Yes|80| | ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|130.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|130.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|130.00|248.00|Y|Y|YES|YES|Yes|80| | ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|130.00|248.00|Y|Y|YES|YES|Yes|80| | ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three Plus|Employee + Spouse| |Y|130.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000039| |BSGPlanThre_OLD|BSG plan Three Plus|Employee + Spouse| |Y|130.00|232.00|Y|Y|YES|YES|Yes|80| | ELIG|200000039| |BSGPlanThre_OLD|BSG Plan Four|EE|Employee|Y|130.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|200000039| |BSGPlanThre_OLD|BSG Plan Four|EE|Employee|Y|130.00|410.00|Y|Y|YES|YES|Yes|50| | ELIG|200000039| |BSGPlanThre_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|130.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000039| |BSGPlanThre_OLD|BSG Plan Four|EE+Family|Employee + Family|Y|130.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000039| |BSGPlanThre_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|130.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000039| |BSGPlanThre_OLD|BSG Plan Four|EE + CH|Employee + 1|Y|130.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000039| |BSGPlanThre_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|130.00|420.00|Y|Y|YES|YES|Yes|50| | ELIG|200000039| |BSGPlanThre_OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|130.00|420.00|Y|Y|YES|YES|Yes|50| | COVG|200000039| |01/01/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/16/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/01/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/16/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/01/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/16/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/01/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/16/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/01/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/16/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/01/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/16/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/01/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/16/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/01/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/16/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/01/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/16/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/01/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/16/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/01/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/16/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/01/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/16/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/01/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/16/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/01/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 COVG|200000039| |01/16/2016||BSG plan Three|1|1|130.00|230.00|01/16/2016||Yes|Yes|Yes|BSG plan Three|BSGPlanThre_OLD|BSGPlanThre_OLD|01/16/2016|200000039 FOOT|28