Jan

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 02:27:07.613000 PM
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|YES|YES|Yes|50|BSG Plan Four|BSG Plan Four
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|YES|YES|Yes|50|BSG Plan Four|BSG Plan Four
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|YES|YES|Yes|50|BSG Plan Four|BSG Plan Four
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|YES|YES|Yes|50|BSG Plan Four|BSG Plan Four
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD|1. Ameritas Dental Low|EE|Employee|Y|50.00|350.00|Y|Y|YES|YES|Yes|1. Ameritas Dental Low|1. Ameritas Dental Low|1. Ameritas Dental Low
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD|1. Ameritas Dental Low|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|YES|YES|Yes|1. Ameritas Dental Low|1. Ameritas Dental Low|1. Ameritas Dental Low
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD|1. Ameritas Dental Low|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|YES|YES|Yes|1. Ameritas Dental Low|1. Ameritas Dental Low|1. Ameritas Dental Low
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD|1. Ameritas Dental Low|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|YES|YES|Yes|1. Ameritas Dental Low|1. Ameritas Dental Low|1. Ameritas Dental Low
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD|1. Ameritas Dental Low|Employee + Spouse|Employee + Child|Y|70.00|180.00|Y|Y|YES|YES|Yes|1. Ameritas Dental Low|1. Ameritas Dental Low|1. Ameritas Dental Low
COVG|100000200|Qualifying Event - Admin Change|01/01/2016||BSG Continuous enrollment|Employee|Employee|40.00|60.00|01/01/2016||||||||08/17/2016 02:56:59.000000 PM|100000200

Apr

EEID|100000200|100000200|AAA||AAA|M|01/01/1980
OFFR|100000200|Qualifying Event - Other chnages|Qualifying Event - Other chnages|04/01/2016|04/01/2016|01/01/2016|12/31/2016|08/17/2016 03:33:05.623000 PM
ELIG|100000200|Qualifying Event - Other chnages|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|YES|YES|Yes|50|BSG Plan Four|BSG Plan Four
ELIG|100000200|Qualifying Event - Other chnages|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|YES|YES|Yes|50|BSG Plan Four|BSG Plan Four
ELIG|100000200|Qualifying Event - Other chnages|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|YES|YES|Yes|50|BSG Plan Four|BSG Plan Four
ELIG|100000200|Qualifying Event - Other chnages|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|YES|YES|Yes|50|BSG Plan Four|BSG Plan Four
ELIG|100000200|Qualifying Event - Other chnages|BSGPlanFive_OLD|1. Ameritas Dental Low|EE|Employee|Y|50.00|350.00|Y|Y|YES|YES|Yes|1. Ameritas Dental Low|1. Ameritas Dental Low|1. Ameritas Dental Low
ELIG|100000200|Qualifying Event - Other chnages|BSGPlanFive_OLD|1. Ameritas Dental Low|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|YES|YES|Yes|1. Ameritas Dental Low|1. Ameritas Dental Low|1. Ameritas Dental Low
ELIG|100000200|Qualifying Event - Other chnages|BSGPlanFive_OLD|1. Ameritas Dental Low|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|YES|YES|Yes|1. Ameritas Dental Low|1. Ameritas Dental Low|1. Ameritas Dental Low
ELIG|100000200|Qualifying Event - Other chnages|BSGPlanFive_OLD|1. Ameritas Dental Low|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|YES|YES|Yes|1. Ameritas Dental Low|1. Ameritas Dental Low|1. Ameritas Dental Low
ELIG|100000200|Qualifying Event - Other chnages|BSGPlanFive_OLD|1. Ameritas Dental Low|Employee + Spouse|Employee + Child|Y|70.00|180.00|Y|Y|YES|YES|Yes|1. Ameritas Dental Low|1. Ameritas Dental Low|1. Ameritas Dental Low
COVG|100000200|Qualifying Event - Other chnages|04/01/2016||BSG Continuous enrollment|Employee|Employee|30.00|70.00|01/01/2016||||||||08/17/2016 02:56:59.000000 PM|100000200

Jul

EEID|100000200|100000200|AAA||AAA|M|01/01/1980
OFFR|100000200|Qualifying Event - Admin Change|Qualifying Event - Admin Change|07/01/2016|07/01/2016|01/01/2016|12/31/2016|08/17/2016 03:33:34.887000 PM
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE|Employee|Y|240.00|410.00|Y|Y|YES|YES|Yes|50|BSG Plan Four|BSG Plan Four
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE+Family|Employee + Family|Y|250.00|420.00|Y|Y|YES|YES|Yes|50|BSG Plan Four|BSG Plan Four
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + CH|Employee + 1|Y|250.00|420.00|Y|Y|YES|YES|Yes|50|BSG Plan Four|BSG Plan Four
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|EE + SP|Employee + Spouse|Y|250.00|420.00|Y|Y|YES|YES|Yes|50|BSG Plan Four|BSG Plan Four
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD|1. Ameritas Dental Low|EE|Employee|Y|50.00|350.00|Y|Y|YES|YES|Yes|1. Ameritas Dental Low|1. Ameritas Dental Low|1. Ameritas Dental Low
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD|1. Ameritas Dental Low|EE+Family|Employee + Family|Y|75.00|175.00|Y|Y|YES|YES|Yes|1. Ameritas Dental Low|1. Ameritas Dental Low|1. Ameritas Dental Low
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD|1. Ameritas Dental Low|EE + CH|Employee + 1|Y|65.00|160.00|Y|Y|YES|YES|Yes|1. Ameritas Dental Low|1. Ameritas Dental Low|1. Ameritas Dental Low
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD|1. Ameritas Dental Low|EE + SP|Employee + Spouse|Y|60.00|175.00|Y|Y|YES|YES|Yes|1. Ameritas Dental Low|1. Ameritas Dental Low|1. Ameritas Dental Low
ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD|1. Ameritas Dental Low|Employee + Spouse|Employee + Child|Y|70.00|180.00|Y|Y|YES|YES|Yes|1. Ameritas Dental Low|1. Ameritas Dental Low|1. Ameritas Dental Low
COVG|100000200|Qualifying Event - Admin Change|07/01/2016||BSG Continuous enrollment|Employee|Employee|20.00|80.00|01/01/2016||||||||08/17/2016 02:56:59.000000 PM|100000200