HEAD|76d6deb6-d3db-43f3-9846-f9de2e58dd5f|ACA Automation
EEID|200000008|200000008|IRIS||CARSON|M|07/24/1983
OFFR|200000008|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 02:12:17.1217 PM
ELIG|200000008|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|
ELIG|200000008|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|
ELIG|200000008|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000008|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|
ELIG|200000008|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000008|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|
ELIG|200000008|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|
ELIG|200000008|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000008|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|
ELIG|200000008|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000008|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000008|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000008|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000008|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000008|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000008|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000008|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000008|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000008|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000008|Qualifying Event - Admin Change|01/01/2016|BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + Child|0.00|0.00|01/01/2016|02/29/2016|||||||08/08/2016 12:00:00.00 AM
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|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 03:05:10.510 PM
ELIG|200000017|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|
ELIG|200000017|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|
ELIG|200000017|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000017|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|
ELIG|200000017|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000017|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|
ELIG|200000017|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|
ELIG|200000017|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000017|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|
ELIG|200000017|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000017|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000017|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000017|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000017|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000017|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000017|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000017|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000017|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000017|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000017|Qualifying Event - Admin Change|01/01/2016|BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|0.00|0.00|01/01/2016|02/29/2016|||||||08/08/2016 12:00:00.00 AM
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|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 02:40:58.4058 PM
ELIG|200000014|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|
ELIG|200000014|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|
ELIG|200000014|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000014|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|
ELIG|200000014|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000014|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|
ELIG|200000014|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|
ELIG|200000014|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000014|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|
ELIG|200000014|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000014|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000014|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000014|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000014|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000014|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000014|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000014|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000014|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000014|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000014|Qualifying Event - Admin Change|01/01/2016|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|0.00|0.00|01/01/2016||||||||08/08/2016 12:00:00.00 AM
EEID|200000013|200000013|AMIHAN||CRUZ|M|11/20/1959
OFFR|200000013|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 02:35:21.3521 PM
ELIG|200000013|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|
ELIG|200000013|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|
ELIG|200000013|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000013|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|
ELIG|200000013|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000013|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|
ELIG|200000013|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|
ELIG|200000013|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000013|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|
ELIG|200000013|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000013|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000013|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000013|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000013|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000013|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000013|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000013|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000013|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000013|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000013|Qualifying Event - Admin Change|01/01/2016|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|0.00|0.00|01/01/2016|03/31/2016|||||||08/08/2016 12:00:00.00 AM
EEID|200000010|200000010|SALVAIN||ALEXANDRE|M|06/18/1954
OFFR|200000010|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 02:21:44.2144 PM
ELIG|200000010|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|
ELIG|200000010|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|
ELIG|200000010|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000010|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|
ELIG|200000010|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000010|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|
ELIG|200000010|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|
ELIG|200000010|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000010|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|
ELIG|200000010|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000010|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000010|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000010|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000010|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000010|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000010|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000010|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000010|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000010|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000010|Qualifying Event - Admin Change|01/01/2016|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|130.00|230.00|01/01/2016||||||||08/08/2016 12:00:00.00 AM
EEID|100000013|100000013|LAURA||TUNNERO|M|08/07/1979
OFFR|100000013|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 03:20:45.2045 PM
ELIG|100000013|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|140.00|1150.00|Y|Y|N|N|Y|89.15|Y|
ELIG|100000013|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|100000013|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|100000013|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|100000013|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|Employee + Child|Employee + Child|Y|40.00|760.00|Y|Y|N|N|Y|95.00|Y|
ELIG|100000013|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000013|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000013|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000013|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000013|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|100000013|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000013|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000013|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000013|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000013|Qualifying Event - Admin Change|01/01/2016|BSGPlanOne_OLD|BSG plan one|EE|Employee|140.00|1150.00|01/01/2016||||||||08/05/2016 12:00:00.00 AM
EEID|200000018|200000018|ALICE||SHIRLEY|M|10/04/1959
OFFR|200000018|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 03:18:08.188 PM
ELIG|200000018|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|
ELIG|200000018|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|
ELIG|200000018|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000018|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|
ELIG|200000018|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000018|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|
ELIG|200000018|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|
ELIG|200000018|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000018|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|
ELIG|200000018|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000018|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000018|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000018|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000018|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000018|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000018|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000018|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000018|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000018|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000018|Qualifying Event - Admin Change|01/01/2016|BSGPlanThre_OLD|BSG plan Three|EE + F|Employee + Family|135.00|240.00|01/01/2016||||||||08/08/2016 12:00:00.00 AM
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|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 11:38:28.3828 AM
ELIG|200000000|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|140.00|1150.00|Y|Y|N|N|Y|89.15|Y|
ELIG|200000000|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000000|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000000|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000000|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|Employee + Child|Employee + Child|Y|40.00|760.00|Y|Y|N|N|Y|95.00|Y|
ELIG|200000000|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000000|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000000|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000000|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000000|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000000|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000000|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000000|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000000|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000000|Qualifying Event - Admin Change|01/01/2016|BSGPlanOne_OLD|BSG plan one|EE|Employee|140.00|1150.00|01/01/2016||||||||08/05/2016 12:00:00.00 AM
EEID|200000023|200000023|BENITA||MORALES|M|07/11/1957
OFFR|200000023|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 04:00:15.015 PM
ELIG|200000023|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|140.00|1150.00|Y|Y|N|N|Y|89.15|Y|
ELIG|200000023|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000023|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000023|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000023|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|Employee + Child|Employee + Child|Y|40.00|760.00|Y|Y|N|N|Y|95.00|Y|
ELIG|200000023|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000023|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000023|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000023|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000023|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000023|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000023|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000023|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000023|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000023|Qualifying Event - Admin Change|01/01/2016|BSGPlanOne_OLD|BSG plan one|EE|Employee|140.00|1150.00|01/01/2016||||||||08/08/2016 12:00:00.00 AM
EEID|200000016|200000016|ZORIC||PROSKUROVSKY|M|07/04/1986
OFFR|200000016|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 02:55:48.5548 PM
ELIG|200000016|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|
ELIG|200000016|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|
ELIG|200000016|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000016|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|
ELIG|200000016|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000016|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|
ELIG|200000016|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|
ELIG|200000016|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000016|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|
ELIG|200000016|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000016|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000016|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000016|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000016|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000016|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000016|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000016|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000016|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000016|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000016|Qualifying Event - Admin Change|01/01/2016|BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|122.00|248.00|01/01/2016||||||||08/08/2016 12:00:00.00 AM
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|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 10:44:06.446 AM
ELIG|200000001|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|140.00|1150.00|Y|Y|N|N|Y|89.15|Y|
ELIG|200000001|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000001|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000001|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000001|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|Employee + Child|Employee + Child|Y|40.00|760.00|Y|Y|N|N|Y|95.00|Y|
ELIG|200000001|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000001|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000001|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000001|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000001|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000001|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000001|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000001|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000001|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000001|Qualifying Event - Admin Change|01/01/2016|BSGPlanOne_OLD|BSG plan one|EE|Employee|0.00|0.00|01/01/2016|02/29/2016|||||||08/08/2016 12:00:00.00 AM
EEID|200000009|200000009|JOSEPH||BILAND|M|11/12/1981
OFFR|200000009|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/09/2016 03:41:36.4136 PM
OFFR|200000009|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/02/2016|01/02/2016|01/01/2016|12/31/2016|08/09/2016 03:57:46.5746 PM
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000009|Qualifying Event - Admin Change|01/01/2016|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|50.00|150.00|01/01/2016||||||||08/09/2016 12:00:00.00 AM
COVG|200000009|Qualifying Event - Admin Change|01/02/2016|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|50.00|150.00|01/01/2016||||||||08/09/2016 12:00:00.00 AM
EEID|200000015|200000015|Gail||MIGALBIN|M|10/20/1984
OFFR|200000015|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 02:46:51.4651 PM
ELIG|200000015|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|
ELIG|200000015|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|
ELIG|200000015|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000015|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|
ELIG|200000015|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000015|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|
ELIG|200000015|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|
ELIG|200000015|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000015|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|
ELIG|200000015|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000015|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000015|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000015|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000015|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000015|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000015|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000015|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000015|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000015|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000015|Qualifying Event - Admin Change|01/01/2016|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|0.00|0.00|01/01/2016||||||||08/08/2016 12:00:00.00 AM
EEID|200000024|200000024|BENITB||MORALEB|M|07/11/1957
OFFR|200000024|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 11:25:19.2519 AM
ELIG|200000024|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|140.00|1150.00|Y|Y|N|N|Y|89.15|Y|
ELIG|200000024|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000024|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000024|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000024|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|Employee + Child|Employee + Child|Y|40.00|760.00|Y|Y|N|N|Y|95.00|Y|
ELIG|200000024|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000024|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000024|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000024|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000024|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000024|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000024|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000024|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000024|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000024|Qualifying Event - Admin Change|01/01/2016|BSGPlanOne_OLD|BSG plan one|EE|Employee|140.00|1150.00|01/01/2016||||||||08/08/2016 12:00:00.00 AM
EEID|100000026|100000026|STEPHANIE||BIELSS|M|04/01/1992
OFFR|100000026|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/09/2016 05:51:03.513 PM
ELIG|100000026|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000026|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000026|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000026|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000026|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|100000026|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000026|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000026|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000026|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000026|Qualifying Event - Admin Change|01/01/2016|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|0.00|0.00|01/01/2016|03/02/2016|||||||08/09/2016 12:00:00.00 AM
EEID|100000027|100000027|STEVE||ZAEH|M|02/21/1953
OFFR|100000027|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/09/2016 03:42:59.4259 PM
ELIG|100000027|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000027|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000027|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000027|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000027|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|100000027|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000027|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000027|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000027|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000027|Qualifying Event - Admin Change|01/01/2016|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|0.00|0.00|01/01/2016|03/01/2016|||||||08/09/2016 12:00:00.00 AM
DEPI|100000027|110000026|110000026|Sp||Sp|Spouse|Y|01/01/1983|F|01/01/2016|03/01/2016|A|100000027
EEID|100000020|100000020|RAQUEL||GARNETT|M|12/01/1991
OFFR|100000020|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/09/2016 03:17:00.170 PM
ELIG|100000020|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|EE|Employee|Y|120.00|220.00|Y|Y|N|Y|Y|64.71|Y|
ELIG|100000020|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|EE+Family|Employee + Family|Y|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|
ELIG|100000020|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|EE + CH|Employee + 1|Y|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|
ELIG|100000020|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|EE + SP|Employee + Spouse|Y|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|
ELIG|100000020|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000020|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000020|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000020|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000020|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|100000020|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000020|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000020|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000020|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000020|Qualifying Event - Admin Change|01/01/2016|BSGPlanTwo_OLD|BSG plan Two|EE|Employee|0.00|0.00|01/01/2016|04/01/2016|||||||08/09/2016 12:00:00.00 AM
EEID|200000022|200000022|ROMANITA||DEBONO|M|10/17/1952
OFFR|200000022|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 03:56:19.5619 PM
ELIG|200000022|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|
ELIG|200000022|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|
ELIG|200000022|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000022|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|
ELIG|200000022|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000022|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|
ELIG|200000022|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|
ELIG|200000022|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000022|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|
ELIG|200000022|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000022|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000022|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000022|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000022|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000022|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000022|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000022|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000022|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000022|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000022|Qualifying Event - Admin Change|01/01/2016|BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + Child|133.00|232.00|01/01/2016||||||||08/08/2016 12:00:00.00 AM
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|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/09/2016 02:26:13.2613 PM
ELIG|100000028|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|140.00|1150.00|Y|Y|N|N|Y|89.15|Y|
ELIG|100000028|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|100000028|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|100000028|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|100000028|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|Employee + Child|Employee + Child|Y|40.00|760.00|Y|Y|N|N|Y|95.00|Y|
ELIG|100000028|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000028|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000028|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000028|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000028|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|100000028|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000028|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000028|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000028|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000028|Qualifying Event - Admin Change|01/01/2016|BSGPlanOne_OLD|BSG plan one|EE|Employee|0.00|0.00|01/01/2016|03/01/2016|||||||08/09/2016 12:00:00.00 AM
EEID|100000029|100000029|JEFFERY||MALARAN|M|10/18/1970
OFFR|100000029|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/09/2016 12:26:59.2659 PM
ELIG|100000029|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|EE|Employee|Y|120.00|220.00|Y|Y|N|Y|Y|64.71|Y|
ELIG|100000029|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|EE+Family|Employee + Family|Y|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|
ELIG|100000029|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|EE + CH|Employee + 1|Y|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|
ELIG|100000029|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|EE + SP|Employee + Spouse|Y|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|
ELIG|100000029|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000029|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000029|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000029|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000029|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|100000029|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000029|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000029|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000029|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000029|Qualifying Event - Admin Change|01/01/2016|BSGPlanTwo_OLD|BSG plan Two|EE|Employee|120.00|220.00|01/01/2016||||||||08/09/2016 12:00:00.00 AM
EEID|200000021|200000021|SARAH||CUSENZA|M|07/18/1975
OFFR|200000021|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 03:40:43.4043 PM
ELIG|200000021|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|140.00|1150.00|Y|Y|N|N|Y|89.15|Y|
ELIG|200000021|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000021|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000021|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000021|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|Employee + Child|Employee + Child|Y|40.00|760.00|Y|Y|N|N|Y|95.00|Y|
ELIG|200000021|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000021|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000021|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000021|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000021|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000021|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000021|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000021|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000021|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000021|Qualifying Event - Admin Change|01/01/2016|BSGPlanOne_OLD|BSG plan one|EE|Employee|0.00|0.00|01/01/2016|03/01/2016|||||||08/08/2016 12:00:00.00 AM
EEID|100000030|100000030|PAUL||TUNNERO|M|08/07/1979
OFFR|100000030|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 07:15:25.1525 PM
ELIG|100000030|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000030|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000030|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000030|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000030|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|100000030|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000030|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000030|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000030|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000030|Qualifying Event - Admin Change|01/01/2016|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|0.00|0.00|01/01/2016|04/01/2016|||||||08/08/2016 12:00:00.00 AM
EEID|200000003|200000003|YANIRDA||MEJIA|M|02/17/1985
OFFR|200000003|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 12:31:40.3140 PM
ELIG|200000003|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|
ELIG|200000003|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|
ELIG|200000003|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000003|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|
ELIG|200000003|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000003|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|
ELIG|200000003|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|
ELIG|200000003|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000003|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|
ELIG|200000003|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000003|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000003|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000003|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000003|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000003|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000003|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000003|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000003|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000003|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000003|Qualifying Event - Admin Change|01/01/2016|BSGPlanThre_OLD|BSG plan Three|EE|Employee|0.00|0.00|01/01/2016||||||||08/08/2016 12:00:00.00 AM
EEID|200000006|200000006|KEYSMA||COOPER|M|09/23/1978
OFFR|200000006|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/09/2016 02:44:39.4439 PM
ELIG|200000006|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|140.00|1150.00|Y|Y|N|N|Y|89.15|Y|
ELIG|200000006|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000006|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000006|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000006|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|Employee + Child|Employee + Child|Y|40.00|760.00|Y|Y|N|N|Y|95.00|Y|
ELIG|200000006|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000006|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000006|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000006|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000006|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000006|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000006|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000006|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000006|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000006|Qualifying Event - Admin Change|01/01/2016|BSGPlanOne_OLD|BSG plan one|EE|Employee|0.00|0.00|01/01/2016|03/31/2016|||||||08/09/2016 12:00:00.00 AM
EEID|200000004|200000004|BAMBI||ALANIS|M|05/09/1979
OFFR|200000004|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 01:54:13.5413 PM
ELIG|200000004|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|
ELIG|200000004|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|
ELIG|200000004|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000004|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|
ELIG|200000004|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000004|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|
ELIG|200000004|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|
ELIG|200000004|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000004|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|
ELIG|200000004|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000004|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000004|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000004|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000004|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000004|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000004|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000004|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000004|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000004|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000004|Qualifying Event - Admin Change|01/01/2016|BSGPlanThre_OLD|BSG plan Three|EE|Employee|0.00|0.00|01/01/2016|02/29/2016|||||||08/08/2016 12:00:00.00 AM
EEID|100000006|100000006|LISA||MORALES|M|12/10/1974
OFFR|100000006|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 02:28:28.2828 PM
ELIG|100000006|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|0.00|10.00|Y|Y|N|N|Y|100.00|Y|
ELIG|100000006|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|0.00|10.00|Y|Y|N|N|Y|100.00|Y|
ELIG|100000006|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|0.00|10.00|Y|Y|N|N|Y|100.00|Y|
ELIG|100000006|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|0.00|10.00|Y|Y|N|N|Y|100.00|Y|
ELIG|100000006|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000006|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000006|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000006|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000006|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|100000006|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000006|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000006|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000006|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000006|Qualifying Event - Admin Change|01/01/2016|BSGPlanOne_OLD|BSG plan one|EE|Employee|0.00|0.00|01/01/2016||||||||08/05/2016 12:00:00.00 AM
EEID|100000004|100000004|ANN-TERESA||CUSENZA|M|07/26/1954
OFFR|100000004|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 12:44:39.4439 PM
ELIG|100000004|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|140.00|1150.00|Y|Y|N|N|Y|89.15|Y|
ELIG|100000004|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|100000004|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|100000004|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|100000004|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|Employee + Child|Employee + Child|Y|40.00|760.00|Y|Y|N|N|Y|95.00|Y|
ELIG|100000004|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000004|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000004|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000004|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000004|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|100000004|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000004|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000004|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000004|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000004|Qualifying Event - Admin Change|01/01/2016|OptOut_OLD|Opt Out|EE|Employee|0.00|0.00|01/01/2016||||||||08/05/2016 12:00:00.00 AM
EEID|100000005|100000005|DANIELLE||DEBONO|M|03/24/1988
OFFR|100000005|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 12:52:33.5233 PM
ELIG|100000005|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|EE|Employee|Y|120.00|220.00|Y|Y|N|Y|Y|64.71|Y|
ELIG|100000005|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|EE+Family|Employee + Family|Y|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|
ELIG|100000005|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|EE + CH|Employee + 1|Y|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|
ELIG|100000005|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|EE + SP|Employee + Spouse|Y|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|
ELIG|100000005|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000005|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000005|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000005|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000005|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|100000005|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000005|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000005|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000005|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000005|Qualifying Event - Admin Change|01/01/2016|BSGPlanTwo_OLD|BSG plan Two|EE + SP|Employee + Spouse|125.00|225.00|01/01/2016||||||||08/05/2016 12:00:00.00 AM
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|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 12:01:43.143 PM
ELIG|100000002|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|
ELIG|100000002|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|
ELIG|100000002|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|100000002|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|
ELIG|100000002|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|100000002|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|
ELIG|100000002|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|
ELIG|100000002|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|100000002|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|
ELIG|100000002|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|100000002|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000002|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000002|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000002|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000002|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|100000002|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000002|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000002|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000002|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000002|Qualifying Event - Admin Change|01/01/2016|BSGPlanThre_OLD|BSG plan Three|EE + F|Employee + Family|0.00|0.00|01/01/2016|02/29/2016|||||||08/05/2016 12:00:00.00 AM
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|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 12:17:02.172 PM
ELIG|100000003|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|140.00|1150.00|Y|Y|N|N|Y|89.15|Y|
ELIG|100000003|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|100000003|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|100000003|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|100000003|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|Employee + Child|Employee + Child|Y|40.00|760.00|Y|Y|N|N|Y|95.00|Y|
ELIG|100000003|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000003|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000003|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000003|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000003|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|100000003|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000003|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000003|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000003|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000003|Qualifying Event - Admin Change|01/01/2016|BSGPlanOne_OLD|BSG plan one|EE|Employee|0.00|0.00|01/01/2016|03/31/2016|||||||08/05/2016 12:00:00.00 AM
EEID|100000001|100000001|STEPHEN||SHIRLEY|M|02/27/1987
OFFR|100000001|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 11:39:22.3922 AM
ELIG|100000001|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|
ELIG|100000001|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|
ELIG|100000001|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|100000001|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|
ELIG|100000001|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|100000001|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|
ELIG|100000001|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|
ELIG|100000001|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|100000001|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|
ELIG|100000001|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|100000001|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000001|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000001|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000001|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000001|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|100000001|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000001|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000001|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000001|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000001|Qualifying Event - Admin Change|01/01/2016|BSGPlanThre_OLD|BSG plan Three|EE + F|Employee + Family|135.00|235.00|01/01/2016||||||||08/05/2016 12:00:00.00 AM
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|200000034|200000034|BENITB||MORALEB|M|07/11/1957
OFFR|200000034|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 02:32:05.325 PM
ELIG|200000034|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Y|140.00|1150.00|Y|Y|N|N|Y|89.15|Y|
ELIG|200000034|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000034|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000034|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|Y|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|200000034|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|Employee + Child|Employee + Child|Y|40.00|760.00|Y|Y|N|N|Y|95.00|Y|
ELIG|200000034|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000034|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000034|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000034|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000034|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000034|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000034|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000034|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000034|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000034|Qualifying Event - Admin Change|01/01/2016|BSGPlanOne_OLD|BSG plan one|EE|Employee|140.00|1150.00|01/01/2016||||||||08/08/2016 12:00:00.00 AM
EEID|200000039|200000039|TOMEKA||SWOPE|M|07/11/1957
OFFR|200000039|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 03:49:43.4943 PM
OFFR|200000039|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/16/2016|01/16/2016|01/01/2016|12/31/2016|08/08/2016 03:51:19.5119 PM
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Y|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|Y|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE+Family|Employee + Family|Y|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + 1|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|EE + SP|Employee + Spouse|Y|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Employee + Child|Employee + Child|Y|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000039|Qualifying Event - Admin Change|01/01/2016|BSGPlanThre_OLD|BSG plan Three|EE|Employee|130.00|230.00|01/16/2016||||||||08/08/2016 12:00:00.00 AM
COVG|200000039|Qualifying Event - Admin Change|01/16/2016|BSGPlanThre_OLD|BSG plan Three|EE|Employee|130.00|230.00|01/16/2016||||||||08/08/2016 12:00:00.00 AM
EEID|200000007|200000007|Anirudha|O|Dev|M|01/01/1985
OFFR|200000007|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/09/2016 03:08:04.84 PM
ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000007|Qualifying Event - Admin Change|01/01/2016|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + Child|75.00|170.00|01/01/2016||||||||08/09/2016 12:00:00.00 AM
DEPI|200000007|200000048|200000048|Sam||Dev|Natural child|N|01/01/2012|M|01/01/2016||A|200000007
EEID|000000056|000000056|Alka||Chavan|F|01/01/1987
OFFR|000000056|Qualifying Event - Admin Change|Qualifying Event - Admin Change|06/01/2015|06/01/2015|01/01/2016|12/31/2016|08/17/2016 10:44:44.4444 AM
ELIG|000000056|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|000000056|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|000000056|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|000000056|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|000000056|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|000000056|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|000000056|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|000000056|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|000000056|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|000000056|Qualifying Event - Admin Change|06/01/2015|BSGPlanOne_OLD|ACA 3769 New|EE|Employee|0.00|0.00|06/01/2015||||||||08/17/2016 12:00:00.00 AM
EEID|000000057|000000057|Amar||Sathe|M|01/01/1987
OFFR|000000057|Qualifying Event - Admin Change|Qualifying Event - Admin Change|06/01/2015|06/01/2015|01/01/2016|12/31/2016|08/17/2016 11:07:17.717 AM
ELIG|000000057|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|000000057|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|000000057|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|000000057|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|000000057|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|000000057|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|000000057|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|000000057|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|000000057|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
ELIG|000000057|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE|Employee|Y|150.00|50.00|Y|Y|Y|Y|Y|25.00|Y|
ELIG|000000057|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE+Family|Employee + Family|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
ELIG|000000057|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE + CH|Employee + 1|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
ELIG|000000057|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE + SP|Employee + Spouse|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
ELIG|000000057|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|Employee + Child|Employee + Child|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
COVG|000000057|Qualifying Event - Admin Change|06/01/2015|BSGPlanOne_OLD|ACA 3769|EE|Employee|150.00|50.00|06/01/2015||||||||08/17/2016 12:00:00.00 AM
EEID|000000061|000000061|SS||SS|M|01/01/1980
OFFR|000000061|Qualifying Event - Admin Change|Qualifying Event - Admin Change|06/01/2015|06/01/2015|01/01/2016|12/31/2016|08/17/2016 01:59:01.591 PM
ELIG|000000061|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|000000061|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|000000061|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|000000061|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|000000061|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|000000061|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|000000061|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|000000061|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|000000061|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
ELIG|000000061|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE|Employee|Y|150.00|50.00|Y|Y|Y|Y|Y|25.00|Y|
ELIG|000000061|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE+Family|Employee + Family|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
ELIG|000000061|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE + CH|Employee + 1|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
ELIG|000000061|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE + SP|Employee + Spouse|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
ELIG|000000061|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|Employee + Child|Employee + Child|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
COVG|000000061|Qualifying Event - Admin Change|06/01/2015|BSGPlanOne_OLD|ACA 3769|EE + CH|Employee + Child|100.00|100.00|06/01/2015||||||||08/17/2016 12:00:00.00 AM
DEPI|000000061|||sas||asas|Natural child|N|01/01/2013|M|06/01/2015||A|000000061
EEID|000000062|000000062|SS||SS|M|01/01/1985
OFFR|000000062|Qualifying Event - Admin Change|Qualifying Event - Admin Change|06/01/2015|06/01/2015|01/01/2016|12/31/2016|08/17/2016 02:09:32.932 PM
ELIG|000000062|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|000000062|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|000000062|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|000000062|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|000000062|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|000000062|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|000000062|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|000000062|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|000000062|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
ELIG|000000062|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE|Employee|Y|150.00|50.00|Y|Y|Y|Y|Y|25.00|Y|
ELIG|000000062|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE+Family|Employee + Family|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
ELIG|000000062|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE + CH|Employee + 1|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
ELIG|000000062|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE + SP|Employee + Spouse|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
ELIG|000000062|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|Employee + Child|Employee + Child|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
COVG|000000062|Qualifying Event - Admin Change|06/01/2015|BSGPlanOne_OLD|ACA 3769|EE + CH|Employee + Child|100.00|100.00|06/01/2015||||||||08/17/2016 12:00:00.00 AM
DEPI|000000062|000000063|000000063|Chiol||sasdfsdf|Natural child|N|01/01/2013|M|06/01/2015||A|000000062
EEID|100000200|100000200|AAA||AAA|M|01/01/1980
OFFR|100000200|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/17/2016 02:27:07.277 PM
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000200|Qualifying Event - Admin Change|01/01/2016||BSG Continuous enrollment|EE|Employee|0.00|0.00|01/01/2016||||||||08/17/2016 12:00:00.00 AM
EEID|000000064|000000064|Sagar||Info|M|01/01/1980
OFFR|000000064|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/17/2016 02:48:10.4810 PM
ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
ELIG|000000064|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE|Employee|Y|150.00|50.00|Y|Y|Y|Y|Y|25.00|Y|
ELIG|000000064|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE+Family|Employee + Family|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
ELIG|000000064|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE + CH|Employee + 1|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
ELIG|000000064|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE + SP|Employee + Spouse|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
ELIG|000000064|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|Employee + Child|Employee + Child|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
COVG|000000064|Qualifying Event - Admin Change|01/01/2016|BSGPlanOne_OLD|ACA 3769|EE + CH|Employee + Child|100.00|100.00|01/01/2016||||||||08/17/2016 12:00:00.00 AM
DEPI|000000064|123565555|123565555|Test||Hspl|Natural child|N|01/01/2013|M|01/01/2016||A|000000064
EEID|000000065|000000065|RBS||Scotland|M|01/01/1987
OFFR|000000065|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/17/2016 03:01:22.122 PM
ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
ELIG|000000065|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE|Employee|Y|150.00|50.00|Y|Y|Y|Y|Y|25.00|Y|
ELIG|000000065|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE+Family|Employee + Family|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
ELIG|000000065|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE + CH|Employee + 1|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
ELIG|000000065|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|EE + SP|Employee + Spouse|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
ELIG|000000065|Qualifying Event - Admin Change|BSGPlanOne_OLD|Waive Ameritas Dental Plan|Employee + Child|Employee + Child|Y|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
COVG|000000065|Qualifying Event - Admin Change|01/01/2016|BSGPlanOne_OLD|ACA 3769|EE + 1|Employee + 1|100.00|100.00|01/01/2016||||||||08/17/2016 12:00:00.00 AM
DEPI|000000065|||sadfsdf||sdfsdf|Natural child|N|01/01/2000|M|01/01/2016||A|000000065
DEPI|000000065|||fghfgh||fghfgh|Step child|N|01/01/2000|M|01/01/2016||A|000000065
DEPI|000000065|||asdasd||asd|Natural child|N|01/01/2000|M|01/01/2016||A|000000065
DEPI|000000065|||dsafsdf||sdfsdf|Natural child|N|01/01/2001|M|01/01/2016||A|000000065
DEPI|000000065|||vbnbvn||bnbvn|Natural child|N|01/01/2001|M|01/01/2016||A|000000065
DEPI|000000065|||bvbvn||fghgn|Natural child|N|02/01/2000|M|01/01/2016||A|000000065
DEPI|000000065|||rgf dfg||dfgdfg|Natural child|N|01/03/2000|M|01/01/2016||A|000000065
DEPI|000000065|||dfgdfg||dfgdfg|Natural child|N|01/01/2013|M|01/01/2016||A|000000065
DEPI|000000065|||Sadsad||asdsad|Natural child|N|01/01/2013|M|01/01/2016||A|000000065
DEPI|000000065|||sasa||zxcxzczxc|Natural child|N|01/01/2013|M|01/01/2016||A|000000065
DEPI|000000065|||xcxcv||xcvxcv|Natural child|N|01/01/2013|F|01/01/2016||A|000000065
EEID|100000071|100000071|Jon||Doe|F|01/01/1984
OFFR|100000071|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/18/2016 04:23:17.2317 PM
ELIG|100000071|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000071|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000071|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000071|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000071|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|100000071|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000071|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000071|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000071|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000071|Qualifying Event - Admin Change|01/01/2016|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|0.00|0.00|01/01/2016|08/16/2016|||||||08/18/2016 12:00:00.00 AM
EEID|100000072|100000072|Jon||Doe|M|01/01/1985
OFFR|100000072|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/18/2016 05:26:36.2636 PM
OFFR|100000072|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/15/2016|01/15/2016|01/01/2016|12/31/2016|08/18/2016 05:29:04.294 PM
OFFR|100000072|New Hire Enrollment|New Hire Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.00 AM
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000072|New Hire Enrollment|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000072|New Hire Enrollment|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000072|New Hire Enrollment|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000072|New Hire Enrollment|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|100000072|New Hire Enrollment|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000072|New Hire Enrollment|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000072|New Hire Enrollment|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000072|New Hire Enrollment|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
ELIG|100000072|New Hire Enrollment|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000072|Qualifying Event - Admin Change|01/01/2016|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|250.00|420.00|01/15/2016||||||||08/18/2016 12:00:00.00 AM
COVG|100000072|Qualifying Event - Admin Change|01/15/2016|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|250.00|420.00|01/15/2016||||||||08/18/2016 12:00:00.00 AM
COVG|100000072|New Hire Enrollment|01/01/2016|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|250.00|420.00|01/15/2016||||||||08/18/2016 12:00:00.00 AM
DEPI|100000072|||smith||Sp|Spouse|Y|08/01/1985|F|01/15/2016||A|100000072
EEID|100000074|100000074|Jon||Doe|F|01/01/1980
OFFR|100000074|Qualifying Event - Admin Change|Qualifying Event - Admin Change|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/18/2016 07:28:55.2855 PM
ELIG|100000074|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000074|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000074|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000074|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000074|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Y|50.00|150.00|Y|Y|Y|Y|Y|75.00|Y|
ELIG|100000074|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000074|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000074|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000074|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|Y|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000074|Qualifying Event - Admin Change|01/01/2016|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|0.00|0.00|01/01/2016|04/14/2016|||||||08/18/2016 12:00:00.00 AM
FOOT|44