HEAD|76d6deb6-d3db-43f3-9846-f9de2e58dd5f|ACA Automation
EEID|200000017|200000017|ADRIANA||NAVARRETE|M|19761223
OFFR|200000017|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/25/2016 02:01:54.154 AM
ELIG|200000017|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|200000017|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000017|Qualifying Event - Admin Change|20160101|BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|0.00|0.00|20160101||||||||08/25/2016 02:18:00.180 AM
200000017|200000017|200000031|200000031|Spouse|CARLA|CALERO|19870101|Female|BSG plan Three|20160101|||BSG plan Three
EEID|200000013|200000013|AMIHAN||CRUZ|M|19591120
OFFR|200000013|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/22/2016 02:13:34.1334 PM
ELIG|200000013|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|200000013|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000013|Qualifying Event - Admin Change|20160101|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|130.00|230.00|20160101||||||||08/22/2016 02:14:01.141 PM
EEID|200000010|200000010|SALVAIN||ALEXANDRE|M|19540618
OFFR|200000010|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/08/2016 02:21:44.2144 PM
ELIG|200000010|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|200000010|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000010|Qualifying Event - Admin Change|20160101|BSGPThree+OLD|BSG plan Three Plus|EE|Employee|130.00|230.00|20160101||||||||08/08/2016 02:22:25.2225 PM
EEID|100000013|100000013|LAURA||TUNNERO|M|19790807
OFFR|100000013|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/05/2016 03:20:45.2045 PM
ELIG|100000013|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|100000013|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000013|Qualifying Event - Admin Change|20160101|BSGPlanOne_OLD|BSG plan one|EE|Employee|140.00|1150.00|20160101||||||||08/05/2016 03:21:33.2133 PM
EEID|200000018|200000018|ALICE||SHIRLEY|M|19591004
OFFR|200000018|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/08/2016 03:18:08.188 PM
ELIG|200000018|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|200000018|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000018|Qualifying Event - Admin Change|20160101|BSGPlanThre_OLD|BSG plan Three|EE + F|Employee + Family|135.00|240.00|20160101||||||||08/08/2016 03:23:34.2334 PM
200000018|200000018|200000038|200000038|Natural child|NASIMA|SARWAR|20110202|Male|BSG plan Three|20160101|||BSG plan Three
200000018|200000018|200000032|200000032|Spouse|MATTHEW|CATTAFI|19870101|Female|BSG plan Three|20160101|||BSG plan Three
EEID|200000000|200000000|KERRI||AVILES|M|19860408
OFFR|200000000|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/05/2016 11:38:28.3828 AM
ELIG|200000000|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|200000000|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000000|Qualifying Event - Admin Change|20160101|BSGPlanOne_OLD|BSG plan one|EE|Employee|140.00|1150.00|20160101||||||||08/05/2016 11:39:18.3918 AM
EEID|200000023|200000023|BENITA||MORALES|M|19570711
OFFR|200000023|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/08/2016 04:00:15.015 PM
ELIG|200000023|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|200000023|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000023|Qualifying Event - Admin Change|20160101|BSGPlanOne_OLD|BSG plan one|EE|Employee|140.00|1150.00|20160101||||||||08/08/2016 04:06:34.634 PM
EEID|200000016|200000016|ZORIC||PROSKUROVSKY|M|19860704
OFFR|200000016|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/08/2016 02:55:48.5548 PM
ELIG|200000016|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|200000016|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000016|Qualifying Event - Admin Change|20160101|BSGPlanThre_OLD|BSG plan Three|EE + SP|Employee + Spouse|122.00|248.00|20160101||||||||08/08/2016 03:02:31.231 PM
200000016|200000016|200000030|200000030|Spouse|SHEENLY|SINDICO|19870101|Female|BSG plan Three|20160101|||BSG plan Three
EEID|200000009|200000009|JOSEPH||BILAND|M|19811112
OFFR|200000009|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/09/2016 03:41:36.4136 PM
OFFR|200000009|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160102|20160102|20160101|20161231|08/09/2016 03:57:46.5746 PM
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Yes|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|Yes|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|No|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|No|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|No|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|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|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000009|Qualifying Event - Admin Change|20160101|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|50.00|150.00|20160101||||||||08/09/2016 04:26:30.2630 PM
COVG|200000009|Qualifying Event - Admin Change|20160102|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|50.00|150.00|20160101||||||||08/09/2016 04:26:30.2630 PM
EEID|200000024|200000024|BENITB||MORALEB|M|19570711
OFFR|200000024|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/08/2016 11:25:19.2519 AM
ELIG|200000024|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|200000024|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000024|Qualifying Event - Admin Change|20160101|BSGPlanOne_OLD|BSG plan one|EE|Employee|140.00|1150.00|20160101||||||||08/08/2016 11:25:37.2537 AM
EEID|100000026|100000026|STEPHANIE||BIELSS|M|19920401
OFFR|100000026|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/09/2016 05:51:03.513 PM
ELIG|100000026|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|100000026|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000026|Qualifying Event - Admin Change|20160101|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|0.00|0.00|20160101|20160302|||||||08/09/2016 05:52:40.5240 PM
EEID|100000024|100000024|BARBARA||FORSTER|M|19511025
OFFR|100000024|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/22/2016 05:40:34.4034 PM
ELIG|100000024|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Yes|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000024|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|No|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000024|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|No|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000024|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|No|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000024|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|100000024|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000024|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|No|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000024|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|No|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000024|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000024|Qualifying Event - Admin Change|20160101|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|240.00|410.00|20160101||||||||08/22/2016 05:41:21.4121 PM
EEID|100000020|100000020|RAQUEL||GARNETT|M|19911201
OFFR|100000020|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/09/2016 03:17:00.170 PM
ELIG|100000020|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|EE|Employee|Yes|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|100000020|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000020|Qualifying Event - Admin Change|20160101|BSGPlanTwo_OLD|BSG plan Two|EE|Employee|0.00|0.00|20160101|20160401|||||||08/09/2016 03:19:57.1957 PM
EEID|100000021|100000021|CAROL||ZIESING|M|19400415
OFFR|100000021|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/22/2016 05:23:03.233 PM
ELIG|100000021|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|EE|Employee|Yes|120.00|220.00|Y|Y|N|Y|Y|64.71|Y|
ELIG|100000021|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|EE+Family|Employee + Family|No|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|
ELIG|100000021|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|EE + CH|Employee + 1|No|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|
ELIG|100000021|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|EE + SP|Employee + Spouse|No|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|
ELIG|100000021|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Yes|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000021|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|No|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000021|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|No|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000021|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|No|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000021|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|100000021|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000021|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|No|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000021|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|No|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000021|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000021|Qualifying Event - Admin Change|20160101|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|0.00|0.00|20160101|20160630|||||||08/22/2016 05:25:30.2530 PM
EEID|200000022|200000022|ROMANITA||DEBONO|M|19521017
OFFR|200000022|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/08/2016 03:56:19.5619 PM
ELIG|200000022|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|200000022|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000022|Qualifying Event - Admin Change|20160101|BSGPThree+OLD|BSG plan Three Plus|EE + CH|Employee + Child|133.00|232.00|20160101||||||||08/08/2016 03:57:03.573 PM
200000022|200000022|200000040|200000040|Natural child|KIRAT|WALIAAA|20110202|Male|BSG plan Three Plus|20160101|||BSG plan Three Plus
EEID|100000029|100000029|JEFFERY||MALARAN|M|19701018
OFFR|100000029|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/09/2016 12:26:59.2659 PM
ELIG|100000029|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|EE|Employee|Yes|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|100000029|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000029|Qualifying Event - Admin Change|20160101|BSGPlanTwo_OLD|BSG plan Two|EE|Employee|120.00|220.00|20160101||||||||08/09/2016 12:45:57.4557 PM
EEID|200000006|200000006|KEYSMA||COOPER|M|19780923
OFFR|200000006|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/09/2016 02:44:39.4439 PM
ELIG|200000006|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|200000006|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000006|Qualifying Event - Admin Change|20160101|BSGPlanOne_OLD|BSG plan one|EE|Employee|0.00|0.00|20160101|20160331|||||||08/09/2016 02:47:04.474 PM
EEID|100000006|100000006|LISA||MORALES|M|19741210
OFFR|100000006|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/05/2016 02:28:28.2828 PM
ELIG|100000006|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Yes|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|100000006|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000006|Qualifying Event - Admin Change|20160101|BSGPlanOne_OLD|BSG plan one|EE|Employee|0.00|0.00|20160101||||||||08/05/2016 03:00:03.03 PM
EEID|100000004|100000004|ANN-TERESA||CUSENZA|M|19540726
OFFR|100000004|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/05/2016 12:44:39.4439 PM
ELIG|100000004|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|100000004|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000004|Qualifying Event - Admin Change|20160101|OptOut_OLD|Opt Out|EE|Employee|0.00|0.00|20160101||||||||08/05/2016 12:45:11.4511 PM
EEID|100000005|100000005|DANIELLE||DEBONO|M|19880324
OFFR|100000005|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/05/2016 12:52:33.5233 PM
ELIG|100000005|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|EE|Employee|Yes|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|100000005|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000005|Qualifying Event - Admin Change|20160101|BSGPlanTwo_OLD|BSG plan Two|EE + SP|Employee + Spouse|125.00|225.00|20160101||||||||08/05/2016 02:06:58.658 PM
100000005|100000005|110000005|110000005|Spouse|SP|Sp|19860101|Female|BSG plan Two|20160101|||BSG plan Two
EEID|100000003|100000003|ROSALIND||APOSTOL|M|19600810
OFFR|100000003|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/05/2016 12:17:02.172 PM
ELIG|100000003|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|100000003|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000003|Qualifying Event - Admin Change|20160101|BSGPlanOne_OLD|BSG plan one|EE|Employee|0.00|0.00|20160101|20160331|||||||08/05/2016 12:26:18.2618 PM
EEID|100000001|100000001|STEPHEN||SHIRLEY|M|19870227
OFFR|100000001|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/05/2016 11:39:22.3922 AM
ELIG|100000001|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|100000001|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000001|Qualifying Event - Admin Change|20160101|BSGPlanThre_OLD|BSG plan Three|EE + F|Employee + Family|135.00|235.00|20160101||||||||08/05/2016 11:54:00.540 AM
100000001|100000001|120000001|120000001|Natural child|Ch|Ch|20100101|Male|BSG plan Three|20160101|||BSG plan Three
100000001|100000001|110000001|110000001|Spouse|Sp|Sp|19850101|Female|BSG plan Three|20160101|||BSG plan Three
EEID|100000015|100000015|MARY||FOURTE|M|19751116
OFFR|100000015|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/22/2016 04:58:59.5859 PM
ELIG|100000015|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Yes|140.00|1150.00|Y|Y|N|N|Y|89.15|Y|
ELIG|100000015|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE+Family|Employee + Family|No|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|100000015|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + CH|Employee + 1|No|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|100000015|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE + SP|Employee + Spouse|No|142.50|1167.50|Y|Y|N|N|Y|89.12|Y|
ELIG|100000015|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|Employee + Child|Employee + Child|No|40.00|760.00|Y|Y|N|N|Y|95.00|Y|
ELIG|100000015|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Yes|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000015|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|No|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000015|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|No|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000015|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|No|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000015|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|100000015|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000015|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|No|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000015|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|No|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000015|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000015|Qualifying Event - Admin Change|20160101|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|240.00|410.00|20160101||||||||08/22/2016 04:59:42.5942 PM
EEID|200000034|200000034|BENITB||MORALEB|M|19570711
OFFR|200000034|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/08/2016 02:32:05.325 PM
ELIG|200000034|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|EE|Employee|Yes|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|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|200000034|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000034|Qualifying Event - Admin Change|20160101|BSGPlanOne_OLD|BSG plan one|EE|Employee|140.00|1150.00|20160101||||||||08/08/2016 02:32:27.3227 PM
EEID|200000039|200000039|TOMEKA||SWOPE|M|19570711
OFFR|200000039|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/08/2016 03:49:43.4943 PM
OFFR|200000039|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160116|20160116|20160101|20161231|08/08/2016 03:51:19.5119 PM
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|EE|Employee|Yes|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|Yes|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|No|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|No|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|No|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|No|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|No|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|No|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|No|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|No|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|Yes|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|Yes|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|No|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|No|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|No|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|No|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|No|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|No|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|No|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|No|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|Yes|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|Yes|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|No|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|No|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|No|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|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|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000039|Qualifying Event - Admin Change|20160101|BSGPlanThre_OLD|BSG plan Three|EE|Employee|130.00|230.00|20160116||||||||08/08/2016 03:51:55.5155 PM
COVG|200000039|Qualifying Event - Admin Change|20160116|BSGPlanThre_OLD|BSG plan Three|EE|Employee|130.00|230.00|20160116||||||||08/08/2016 03:51:55.5155 PM
EEID|200000007|200000007|Anirudha|O|Dev|M|19850101
OFFR|200000007|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/09/2016 03:08:04.84 PM
ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|200000007|Qualifying Event - Admin Change|20160101|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + Child|75.00|170.00|20160101||||||||08/09/2016 03:09:58.958 PM
200000007|200000007|200000048|200000048|Natural child|Sam|Dev|20120101|Male|BSG Plan Five|20160101|||BSG Plan Five
EEID|000000056|000000056|Alka||Chavan|F|19870101
OFFR|000000056|||||||
ELIG|000000056||||||NULL|||N|N|N|N|N||Y|
COVG|000000056|||BSGPlanOne_OLD|ACA 3769 New|EE|Employee|0.00|0.00|20150601||||||||08/17/2016 10:44:44.4444 AM
EEID|000000057|000000057|Amar||Sathe|M|19870101
OFFR|000000057|||||||
ELIG|000000057||||||NULL|||N|N|N|N|N||Y|
COVG|000000057|||BSGPlanOne_OLD|ACA 3769|EE|Employee|150.00|50.00|20150601||||||||08/17/2016 11:07:17.717 AM
EEID|000000061|000000061|SS||SS|M|19800101
OFFR|000000061|||||||
ELIG|000000061||||||NULL|||N|N|N|N|N||Y|
COVG|000000061|||BSGPlanOne_OLD|ACA 3769|EE + CH|Employee + Child|100.00|100.00|20150601||||||||08/17/2016 01:59:01.591 PM
000000061|000000061|||Natural child|sas|asas|20130101|Male|ACA 3769|20150601|||ACA 3769
EEID|000000062|000000062|SS||SS|M|19850101
OFFR|000000062|||||||
ELIG|000000062||||||NULL|||N|N|N|N|N||Y|
COVG|000000062|||BSGPlanOne_OLD|ACA 3769|EE + CH|Employee + Child|100.00|100.00|20150601||||||||08/17/2016 02:09:32.932 PM
000000062|000000062|000000063|000000063|Natural child|Chiol|sasdfsdf|20130101|Male|ACA 3769|20150601|||ACA 3769
EEID|100000200|100000200|AAA||AAA|M|19800101
OFFR|100000200|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/17/2016 02:27:07.277 PM
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000200|Qualifying Event - Admin Change|20160101||BSG Continuous enrollment|EE|Employee|0.00|0.00|20160101||||||||08/17/2016 02:56:59.5659 PM
EEID|000000064|000000064|Sagar||Info|M|19800101
OFFR|000000064|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/17/2016 02:48:10.4810 PM
ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|No|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
COVG|000000064|Qualifying Event - Admin Change|20160101|BSGPlanOne_OLD|ACA 3769|EE + CH|Employee + Child|100.00|100.00|20160101||||||||08/17/2016 02:49:27.4927 PM
000000064|000000064|123565555|123565555|Natural child|Test|Hspl|20130101|Male|ACA 3769|20160101|||ACA 3769
EEID|000000065|000000065|RBS||Scotland|M|19870101
OFFR|000000065|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/17/2016 03:01:22.122 PM
ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|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|Yes|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|No|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|No|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|No|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|No|100.00|100.00|Y|Y|Y|Y|Y|50.00|Y|
COVG|000000065|Qualifying Event - Admin Change|20160101|BSGPlanOne_OLD|ACA 3769|EE + 1|Employee + 1|100.00|100.00|20160101||||||||08/17/2016 03:07:08.78 PM
000000065|000000065|||Natural child|sadfsdf|sdfsdf|20000101|Male|ACA 3769|20160101|||ACA 3769
000000065|000000065|||Step child|fghfgh|fghfgh|20000101|Male|ACA 3769|20160101|||ACA 3769
000000065|000000065|||Natural child|asdasd|asd|20000101|Male|ACA 3769|20160101|||ACA 3769
000000065|000000065|||Natural child|dsafsdf|sdfsdf|20010101|Male|ACA 3769|20160101|||ACA 3769
000000065|000000065|||Natural child|vbnbvn|bnbvn|20010101|Male|ACA 3769|20160101|||ACA 3769
000000065|000000065|||Natural child|bvbvn|fghgn|20000201|Male|ACA 3769|20160101|||ACA 3769
000000065|000000065|||Natural child|rgf dfg|dfgdfg|20000103|Male|ACA 3769|20160101|||ACA 3769
000000065|000000065|||Natural child|dfgdfg|dfgdfg|20130101|Male|ACA 3769|20160101|||ACA 3769
000000065|000000065|||Natural child|Sadsad|asdsad|20130101|Male|ACA 3769|20160101|||ACA 3769
000000065|000000065|||Natural child|sasa|zxcxzczxc|20130101|Male|ACA 3769|20160101|||ACA 3769
000000065|000000065|||Natural child|xcxcv|xcvxcv|20130101|Female|ACA 3769|20160101|||ACA 3769
EEID|100000071|100000071|Jon||Doe|F|19840101
OFFR|100000071|||||||
ELIG|100000071||||||NULL|||N|N|N|N|N||Y|
COVG|100000071|||BSGPlanFour+OLD|BSG Plan Four|EE|Employee|0.00|0.00|20160101|20160816|||||||08/18/2016 04:23:17.2317 PM
EEID|100000072|100000072|Jon||Doe|M|19850101
OFFR|100000072|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/18/2016 05:26:36.2636 PM
OFFR|100000072|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160115|20160115|20160101|20161231|08/18/2016 05:29:04.294 PM
OFFR|100000072|New Hire Enrollment|New Hire Enrollment|20160101|20160101|20160101|20161231|01/01/2016 12:00:00.00 AM
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Yes|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|Yes|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000072|New Hire Enrollment|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Yes|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|No|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|No|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|No|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|No|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|No|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|No|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|100000072|New Hire Enrollment|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|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|No|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|No|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|No|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|No|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|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000072|Qualifying Event - Admin Change|20160101|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|250.00|420.00|20160115||||||||08/18/2016 05:29:35.2935 PM
COVG|100000072|Qualifying Event - Admin Change|20160115|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|250.00|420.00|20160115||||||||08/18/2016 05:29:35.2935 PM
COVG|100000072|New Hire Enrollment|20160101|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|250.00|420.00|20160115||||||||08/18/2016 05:29:35.2935 PM
100000072|100000072|||Spouse|smith|Sp|19850801|Female|BSG Plan Four|20160115|||BSG Plan Four
EEID|100000074|100000074|Jon||Doe|F|19800101
OFFR|100000074|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/18/2016 07:28:55.2855 PM
ELIG|100000074|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Yes|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|No|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|No|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|No|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|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|100000074|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|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|No|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|No|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|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000074|Qualifying Event - Admin Change|20160101|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|0.00|0.00|20160101|20160414|||||||08/18/2016 07:30:10.3010 PM
EEID|100000079|100000079|Jon||Doe|F|19850101
OFFR|100000079|Qualifying Event - Admin Change|Qualifying Event - Admin Change|20160101|20160101|20160101|20161231|08/19/2016 05:31:53.3153 PM
OFFR|100000079|New Hire Enrollment|New Hire Enrollment|20160101|20160101|20160101|20161231|01/01/2016 12:00:00.00 AM
ELIG|100000079|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Yes|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000079|New Hire Enrollment|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Yes|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|
ELIG|100000079|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|No|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000079|New Hire Enrollment|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|No|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000079|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|No|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000079|New Hire Enrollment|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|No|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000079|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|No|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000079|New Hire Enrollment|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|No|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|
ELIG|100000079|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|100000079|New Hire Enrollment|BSGPlanFive_OLD|BSG Plan Five|EE|Employee|Yes|50.00|350.00|Y|Y|Y|Y|Y|87.50|Y|
ELIG|100000079|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000079|New Hire Enrollment|BSGPlanFive_OLD|BSG Plan Five|EE+Family|Employee + Family|No|75.00|175.00|Y|Y|Y|Y|Y|70.00|Y|
ELIG|100000079|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|No|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000079|New Hire Enrollment|BSGPlanFive_OLD|BSG Plan Five|EE + CH|Employee + 1|No|65.00|160.00|Y|Y|Y|Y|Y|71.11|Y|
ELIG|100000079|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|No|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000079|New Hire Enrollment|BSGPlanFive_OLD|BSG Plan Five|EE + SP|Employee + Spouse|No|60.00|175.00|Y|Y|Y|Y|Y|74.47|Y|
ELIG|100000079|Qualifying Event - Admin Change|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
ELIG|100000079|New Hire Enrollment|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|No|70.00|180.00|Y|Y|Y|Y|Y|72.00|Y|
COVG|100000079|Qualifying Event - Admin Change|20160101|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|0.00|0.00|20160101|20160414|||||||08/19/2016 05:34:16.3416 PM
COVG|100000079|New Hire Enrollment|20160101|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|0.00|0.00|20160101|20160414|||||||08/19/2016 05:34:16.3416 PM
FOOT|37