HEAD|1234567890123456|Company ABC EEID|200000014|200000014|LUISITO||PELLERIN|M|06/13/1970 OFFR|200000014|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 02:40:58.007000 PM OFFR|200000014|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|200000014|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|200000014|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|200000014|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|200000014|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|200000014|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000014|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000014|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|200000014|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|200000014|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000014|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000014|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|200000014|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|200000014|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|200000014|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|200000014|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000014|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000014|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|200000014|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|200000014|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000014|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000014|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000014|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000014|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000014|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000014|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000014|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000014|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000014|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000014|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000014|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000014|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000014|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000014|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000014|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000014|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000014|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000014|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|200000014|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|200000014|Qualifying Event - Admin Change|01/01/2016|BSGPThree+OLD|BSG plan Three Plus|Employee|Employee|130.00|230.00|01/01/2016||BSG plan Three Plus|||08/08/2016 02:44:27.000000 PM|200000014| EEID|200000013|200000013|AMIHAN||CRUZ|M|11/20/1959 OFFR|200000013|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/22/2016 02:13:34.723000 PM OFFR|200000013|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|200000013|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|200000013|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|200000013|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|200000013|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|200000013|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000013|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000013|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|200000013|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|200000013|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000013|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000013|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|200000013|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|200000013|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|200000013|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|200000013|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000013|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000013|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|200000013|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|200000013|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000013|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000013|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000013|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000013|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000013|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000013|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000013|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000013|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000013|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000013|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000013|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000013|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000013|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000013|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000013|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000013|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000013|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000013|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|200000013|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|200000013|Qualifying Event - Admin Change|01/01/2016|BSGPThree+OLD|BSG plan Three Plus|Employee|Employee|130.00|230.00|01/01/2016||BSG plan Three Plus|||08/22/2016 02:14:01.000000 PM|200000013| EEID|200000010|200000010|SALVAIN||ALEXANDRE|M|06/18/1954 OFFR|200000010|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 02:21:44.330000 PM OFFR|200000010|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|200000010|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|200000010|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|200000010|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|200000010|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|200000010|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000010|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000010|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|200000010|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|200000010|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000010|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000010|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|200000010|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|200000010|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|200000010|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|200000010|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000010|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000010|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|200000010|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|200000010|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000010|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000010|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000010|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000010|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000010|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000010|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000010|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000010|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000010|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000010|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000010|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000010|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000010|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000010|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000010|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000010|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000010|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000010|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|200000010|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|200000010|Qualifying Event - Admin Change|01/01/2016|BSGPThree+OLD|BSG plan Three Plus|Employee|Employee|130.00|230.00|01/01/2016||BSG plan Three Plus|||08/08/2016 02:22:25.000000 PM|200000010| EEID|100000013|100000013|LAURA||TUNNERO|M|08/07/1979 OFFR|100000013|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 03:20:45.953000 PM OFFR|100000013|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|100000013|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|Y|Employee|Employee|140.00|1150.00|Y|Y|||Y|89.15|Y|N ELIG|100000013|Open Enrollment|BSGPlanOne_OLD|BSG plan one|Y|Employee|Employee|140.00|1150.00|Y|Y|||Y|89.15|Y|N ELIG|100000013|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + Family|Employee + Family|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|100000013|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + Family|Employee + Family|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|100000013|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + 1|Employee + 1|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|100000013|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + 1|Employee + 1|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|100000013|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + Spouse|Employee + Spouse|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|100000013|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + Spouse|Employee + Spouse|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|100000013|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + Child|Employee + Child|40.00|760.00|Y|Y|||Y|95.00|Y|N ELIG|100000013|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + Child|Employee + Child|40.00|760.00|Y|Y|||Y|95.00|Y|N ELIG|100000013|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000013|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000013|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000013|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000013|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000013|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000013|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000013|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000013|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000013|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000013|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000013|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000013|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000013|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000013|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000013|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000013|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|100000013|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|100000013|Qualifying Event - Admin Change|01/01/2016|BSGPlanOne_OLD|BSG plan one|Employee|Employee|140.00|1150.00|01/01/2016||BSG plan one|||08/05/2016 03:21:33.000000 PM|100000013| EEID|200000018|200000018|ALICE||SHIRLEY|M|10/04/1959 OFFR|200000018|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 03:18:08.563000 PM OFFR|200000018|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|200000018|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|200000018|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|200000018|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|200000018|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|200000018|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000018|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000018|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|200000018|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|200000018|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000018|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000018|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|200000018|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|200000018|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|200000018|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|200000018|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000018|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000018|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|200000018|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|200000018|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000018|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000018|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000018|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000018|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000018|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000018|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000018|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000018|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000018|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000018|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000018|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000018|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000018|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000018|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000018|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000018|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000018|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000018|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|200000018|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|200000018|Qualifying Event - Admin Change|01/01/2016|BSGPlanThre_OLD|BSG plan Three|Employee + Family|Employee + Family|135.00|240.00|01/01/2016||BSG plan Three|||08/08/2016 03:23:34.000000 PM|200000018| DEPI|200000018|200000032|200000032|MATTHEW||CATTAFI|Spouse|Y|01/01/1987|Female|01/01/2016||A|200000018| DEPI|200000018|200000038|200000038|NASIMA||Sarawar Mam|Natural child|N|02/02/2011|Male|01/01/2016||A|200000018| EEID|200000000|200000000|KERRI||AVILES|M|04/08/1986 OFFR|200000000|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 11:38:28.860000 AM OFFR|200000000|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|200000000|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|Y|Employee|Employee|140.00|1150.00|Y|Y|||Y|89.15|Y|N ELIG|200000000|Open Enrollment|BSGPlanOne_OLD|BSG plan one|Y|Employee|Employee|140.00|1150.00|Y|Y|||Y|89.15|Y|N ELIG|200000000|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + Family|Employee + Family|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|200000000|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + Family|Employee + Family|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|200000000|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + 1|Employee + 1|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|200000000|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + 1|Employee + 1|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|200000000|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + Spouse|Employee + Spouse|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|200000000|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + Spouse|Employee + Spouse|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|200000000|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + Child|Employee + Child|40.00|760.00|Y|Y|||Y|95.00|Y|N ELIG|200000000|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + Child|Employee + Child|40.00|760.00|Y|Y|||Y|95.00|Y|N ELIG|200000000|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000000|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000000|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000000|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000000|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000000|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000000|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000000|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000000|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000000|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000000|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000000|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000000|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000000|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000000|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000000|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000000|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|200000000|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|200000000|Qualifying Event - Admin Change|01/01/2016|BSGPlanOne_OLD|BSG plan one|Employee|Employee|140.00|1150.00|01/01/2016||BSG plan one|||08/05/2016 11:39:18.000000 AM|200000000| EEID|200000016|200000016|ZORIC||PROSKUROVSKY|M|07/04/1986 OFFR|200000016|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 02:55:48.383000 PM OFFR|200000016|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|200000016|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|200000016|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|200000016|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|200000016|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|200000016|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000016|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000016|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|200000016|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|200000016|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000016|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000016|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|200000016|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|200000016|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|200000016|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|200000016|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000016|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000016|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|200000016|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|200000016|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000016|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000016|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000016|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000016|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000016|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000016|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000016|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000016|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000016|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000016|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000016|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000016|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000016|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000016|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000016|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000016|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000016|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000016|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|200000016|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|200000016|Qualifying Event - Admin Change|01/01/2016|BSGPlanThre_OLD|BSG plan Three|Employee + Spouse|Employee + Spouse|122.00|248.00|01/01/2016||BSG plan Three|||08/08/2016 03:02:31.000000 PM|200000016| DEPI|200000016|200000030|200000030|SHEENLY||SINDICO|Spouse|Y|01/01/1987|Female|01/01/2016||A|200000016| EEID|200000009|200000009|JOSEPH||BILAND|M|11/12/1981 OFFR|200000009|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/09/2016 03:41:36.500000 PM OFFR|200000009|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/02/2016|01/02/2016|01/01/2016|12/31/2016|08/09/2016 03:57:46.173000 PM OFFR|200000009|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000009|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000009|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000009|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000009|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000009|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000009|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000009|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000009|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|200000009|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|200000009|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|200000009|Qualifying Event - Admin Change|01/01/2016|BSGPlanFive_OLD|BSG Plan Five|Employee|Employee|50.00|150.00|01/01/2016||BSG Plan Five|||08/09/2016 04:26:30.000000 PM|200000009| EEID|200000015|200000015|Gail||MIGALBIN|M|10/20/1984 OFFR|200000015|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 02:46:51.217000 PM OFFR|200000015|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|200000015|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|200000015|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|200000015|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|200000015|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|200000015|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000015|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000015|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|200000015|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|200000015|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000015|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000015|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|200000015|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|200000015|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|200000015|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|200000015|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000015|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000015|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|200000015|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|200000015|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000015|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000015|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000015|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000015|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000015|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000015|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000015|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000015|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000015|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000015|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000015|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000015|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000015|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000015|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000015|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000015|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000015|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000015|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|200000015|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|200000015|Qualifying Event - Admin Change|01/01/2016|BSGPThree+OLD|BSG plan Three Plus|Employee|Employee|130.00|230.00|01/01/2016||BSG plan Three Plus|||08/08/2016 02:53:00.000000 PM|200000015| EEID|200000024|200000024|BENITB||MORALEB|M|07/11/1957 OFFR|200000024|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 11:25:19.333000 AM OFFR|200000024|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|200000024|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|Y|Employee|Employee|140.00|1150.00|Y|Y|||Y|89.15|Y|N ELIG|200000024|Open Enrollment|BSGPlanOne_OLD|BSG plan one|Y|Employee|Employee|140.00|1150.00|Y|Y|||Y|89.15|Y|N ELIG|200000024|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + Family|Employee + Family|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|200000024|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + Family|Employee + Family|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|200000024|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + 1|Employee + 1|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|200000024|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + 1|Employee + 1|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|200000024|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + Spouse|Employee + Spouse|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|200000024|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + Spouse|Employee + Spouse|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|200000024|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + Child|Employee + Child|40.00|760.00|Y|Y|||Y|95.00|Y|N ELIG|200000024|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + Child|Employee + Child|40.00|760.00|Y|Y|||Y|95.00|Y|N ELIG|200000024|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000024|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000024|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000024|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000024|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000024|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000024|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000024|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000024|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000024|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000024|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000024|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000024|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000024|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000024|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000024|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000024|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|200000024|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|200000024|Qualifying Event - Admin Change|01/01/2016|BSGPlanOne_OLD|BSG plan one|Employee|Employee|140.00|1150.00|01/01/2016||BSG plan one|||08/08/2016 11:25:37.000000 AM|200000024| EEID|100000024|100000024|BARBARA||FORSTER|M|10/25/1951 OFFR|100000024|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/22/2016 05:40:34.843000 PM OFFR|100000024|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|100000024|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000024|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000024|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000024|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000024|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000024|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000024|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000024|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000024|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000024|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000024|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000024|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000024|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000024|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000024|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000024|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000024|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|100000024|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|100000024|Qualifying Event - Admin Change|01/01/2016|BSGPlanFour+OLD|BSG Plan Four|Employee|Employee|240.00|410.00|01/01/2016||BSG Plan Four|||08/22/2016 05:41:21.000000 PM|100000024| EEID|200000022|200000022|ROMANITA||DEBONO|M|10/17/1952 OFFR|200000022|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 03:56:19.363000 PM OFFR|200000022|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|200000022|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|200000022|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|200000022|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|200000022|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|200000022|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000022|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000022|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|200000022|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|200000022|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000022|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000022|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|200000022|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|200000022|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|200000022|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|200000022|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000022|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000022|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|200000022|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|200000022|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000022|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000022|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000022|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000022|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000022|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000022|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000022|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000022|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000022|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000022|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000022|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000022|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000022|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000022|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000022|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000022|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000022|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000022|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|200000022|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|200000022|Qualifying Event - Admin Change|01/01/2016|BSGPThree+OLD|BSG plan Three Plus|Employee + Child|Employee + Child|133.00|232.00|01/01/2016||BSG plan Three Plus|||08/08/2016 03:57:03.000000 PM|200000022| DEPI|200000022|200000040|200000040|KIRAT||WALIB|Natural child|N|02/02/2011|Male|01/01/2016||A|200000022| EEID|100000029|100000029|JEFFERY||MALARAN|M|10/18/1970 OFFR|100000029|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/09/2016 12:26:59.330000 PM OFFR|100000029|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|100000029|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|Y|Employee|Employee|120.00|220.00|Y|Y|N|Y|Y|64.71|Y|N ELIG|100000029|Open Enrollment|BSGPlanTwo_OLD|BSG plan Two|Y|Employee|Employee|120.00|220.00|Y|Y|N|Y|Y|64.71|Y|N ELIG|100000029|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|N|Employee + Family|Employee + Family|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|N ELIG|100000029|Open Enrollment|BSGPlanTwo_OLD|BSG plan Two|N|Employee + Family|Employee + Family|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|N ELIG|100000029|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|N|Employee + 1|Employee + 1|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|N ELIG|100000029|Open Enrollment|BSGPlanTwo_OLD|BSG plan Two|N|Employee + 1|Employee + 1|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|N ELIG|100000029|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|N|Employee + Spouse|Employee + Spouse|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|N ELIG|100000029|Open Enrollment|BSGPlanTwo_OLD|BSG plan Two|N|Employee + Spouse|Employee + Spouse|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|N ELIG|100000029|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000029|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000029|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000029|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000029|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000029|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000029|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000029|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000029|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000029|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000029|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000029|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000029|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000029|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000029|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000029|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000029|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|100000029|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|100000029|Qualifying Event - Admin Change|01/01/2016|BSGPlanTwo_OLD|BSG plan Two|Employee|Employee|120.00|220.00|01/01/2016||BSG plan Two|||08/09/2016 12:45:57.000000 PM|100000029| EEID|200000003|200000003|YANIRDA||MEJIA|M|02/17/1985 OFFR|200000003|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 12:31:40.007000 PM OFFR|200000003|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|200000003|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|200000003|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|200000003|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|200000003|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|200000003|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000003|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000003|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|200000003|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|200000003|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000003|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000003|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|200000003|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|200000003|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|200000003|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|200000003|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000003|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000003|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|200000003|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|200000003|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000003|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000003|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000003|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000003|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000003|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000003|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000003|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000003|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000003|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000003|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000003|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000003|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000003|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000003|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000003|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000003|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000003|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000003|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|200000003|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|200000003|Qualifying Event - Admin Change|01/01/2016|BSGPlanThre_OLD|BSG plan Three|Employee|Employee|130.00|230.00|01/01/2016||BSG plan Three|||08/08/2016 01:49:51.000000 PM|200000003| EEID|100000006|100000006|LISA||MORALES|M|12/10/1974 OFFR|100000006|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 02:28:28.267000 PM OFFR|100000006|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|100000006|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|Y|Employee|Employee|0.00|10.00|Y|Y|||Y|100.00|Y|N ELIG|100000006|Open Enrollment|BSGPlanOne_OLD|BSG plan one|Y|Employee|Employee|0.00|10.00|Y|Y|||Y|100.00|Y|N ELIG|100000006|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + Family|Employee + Family|0.00|10.00|Y|Y|||Y|100.00|Y|N ELIG|100000006|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + Family|Employee + Family|0.00|10.00|Y|Y|||Y|100.00|Y|N ELIG|100000006|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + 1|Employee + 1|0.00|10.00|Y|Y|||Y|100.00|Y|N ELIG|100000006|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + 1|Employee + 1|0.00|10.00|Y|Y|||Y|100.00|Y|N ELIG|100000006|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + Spouse|Employee + Spouse|0.00|10.00|Y|Y|||Y|100.00|Y|N ELIG|100000006|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + Spouse|Employee + Spouse|0.00|10.00|Y|Y|||Y|100.00|Y|N ELIG|100000006|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000006|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000006|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000006|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000006|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000006|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000006|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000006|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000006|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000006|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000006|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000006|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000006|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000006|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000006|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000006|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000006|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|100000006|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|100000006|Qualifying Event - Admin Change|01/01/2016|BSGPlanOne_OLD|BSG plan one|Employee|Employee|0.00|10.00|01/01/2016||BSG plan one|||08/05/2016 03:00:03.000000 PM|100000006| EEID|100000004|100000004|ANN-TERESA||CUSENZA|M|07/26/1954 OFFR|100000004|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 12:44:39.280000 PM OFFR|100000004|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|100000004|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|Y|Employee|Employee|140.00|1150.00|Y|Y|||Y|89.15|Y|N ELIG|100000004|Open Enrollment|BSGPlanOne_OLD|BSG plan one|Y|Employee|Employee|140.00|1150.00|Y|Y|||Y|89.15|Y|N ELIG|100000004|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + Family|Employee + Family|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|100000004|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + Family|Employee + Family|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|100000004|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + 1|Employee + 1|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|100000004|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + 1|Employee + 1|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|100000004|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + Spouse|Employee + Spouse|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|100000004|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + Spouse|Employee + Spouse|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|100000004|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + Child|Employee + Child|40.00|760.00|Y|Y|||Y|95.00|Y|N ELIG|100000004|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + Child|Employee + Child|40.00|760.00|Y|Y|||Y|95.00|Y|N ELIG|100000004|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000004|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000004|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000004|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000004|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000004|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000004|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000004|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000004|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000004|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000004|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000004|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000004|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000004|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000004|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000004|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000004|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|100000004|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|100000004|Qualifying Event - Admin Change|01/01/2016|OptOut_OLD|Opt Out|Employee|Employee|0.00|0.00|01/01/2016||Opt Out|||08/05/2016 12:45:11.000000 PM|100000004| EEID|100000005|100000005|DANIELLE||DEBONO|M|03/24/1988 OFFR|100000005|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 12:52:33.017000 PM OFFR|100000005|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|100000005|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|Y|Employee|Employee|120.00|220.00|Y|Y|N|Y|Y|64.71|Y|N ELIG|100000005|Open Enrollment|BSGPlanTwo_OLD|BSG plan Two|Y|Employee|Employee|120.00|220.00|Y|Y|N|Y|Y|64.71|Y|N ELIG|100000005|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|N|Employee + Family|Employee + Family|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|N ELIG|100000005|Open Enrollment|BSGPlanTwo_OLD|BSG plan Two|N|Employee + Family|Employee + Family|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|N ELIG|100000005|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|N|Employee + 1|Employee + 1|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|N ELIG|100000005|Open Enrollment|BSGPlanTwo_OLD|BSG plan Two|N|Employee + 1|Employee + 1|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|N ELIG|100000005|Qualifying Event - Admin Change|BSGPlanTwo_OLD|BSG plan Two|N|Employee + Spouse|Employee + Spouse|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|N ELIG|100000005|Open Enrollment|BSGPlanTwo_OLD|BSG plan Two|N|Employee + Spouse|Employee + Spouse|125.00|225.00|Y|Y|N|Y|Y|64.29|Y|N ELIG|100000005|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000005|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000005|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000005|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000005|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000005|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000005|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000005|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000005|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000005|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000005|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000005|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000005|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000005|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000005|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000005|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000005|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|100000005|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|100000005|Qualifying Event - Admin Change|01/01/2016|BSGPlanTwo_OLD|BSG plan Two|Employee + Spouse|Employee + Spouse|125.00|225.00|01/01/2016||BSG plan Two|||08/05/2016 02:06:58.000000 PM|100000005| DEPI|100000005|110000005|110000005|SP||Sp|Spouse|Y|01/01/1986|Female|01/01/2016||A|100000005| EEID|100000001|100000001|STEPHEN||SHIRLEY|M|02/27/1987 OFFR|100000001|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/05/2016 11:39:22.993000 AM OFFR|100000001|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|100000001|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|100000001|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|100000001|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|100000001|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|100000001|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|100000001|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|100000001|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|100000001|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|100000001|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|100000001|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|100000001|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|100000001|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|100000001|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|100000001|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|100000001|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|100000001|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|100000001|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|100000001|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|100000001|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|100000001|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|100000001|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000001|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000001|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000001|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000001|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000001|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000001|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000001|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000001|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000001|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000001|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000001|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000001|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000001|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000001|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000001|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000001|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|100000001|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|100000001|Qualifying Event - Admin Change|01/01/2016|BSGPlanThre_OLD|BSG plan Three|Employee + Family|Employee + Family|135.00|235.00|01/01/2016||BSG plan Three|||08/05/2016 11:54:00.000000 AM|100000001| DEPI|100000001|110000001|110000001|Sp||Sp|Spouse|Y|01/01/1985|Female|01/01/2016||A|100000001| DEPI|100000001|120000001|120000001|Ch||Ch|Natural child|N|01/01/2010|Male|01/01/2016||A|100000001| EEID|100000015|100000015|MARY||FOURTE|M|11/16/1975 OFFR|100000015|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/22/2016 04:58:59.093000 PM OFFR|100000015|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|100000015|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|Y|Employee|Employee|140.00|1150.00|Y|Y|||Y|89.15|Y|N ELIG|100000015|Open Enrollment|BSGPlanOne_OLD|BSG plan one|Y|Employee|Employee|140.00|1150.00|Y|Y|||Y|89.15|Y|N ELIG|100000015|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + Family|Employee + Family|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|100000015|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + Family|Employee + Family|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|100000015|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + 1|Employee + 1|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|100000015|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + 1|Employee + 1|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|100000015|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + Spouse|Employee + Spouse|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|100000015|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + Spouse|Employee + Spouse|142.50|1167.50|Y|Y|||Y|89.12|Y|N ELIG|100000015|Qualifying Event - Admin Change|BSGPlanOne_OLD|BSG plan one|N|Employee + Child|Employee + Child|40.00|760.00|Y|Y|||Y|95.00|Y|N ELIG|100000015|Open Enrollment|BSGPlanOne_OLD|BSG plan one|N|Employee + Child|Employee + Child|40.00|760.00|Y|Y|||Y|95.00|Y|N ELIG|100000015|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000015|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000015|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000015|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000015|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000015|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000015|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000015|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000015|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000015|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000015|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000015|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000015|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000015|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000015|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000015|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000015|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|100000015|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|100000015|Qualifying Event - Admin Change|01/01/2016|BSGPlanFour+OLD|BSG Plan Four|Employee|Employee|240.00|410.00|01/01/2016||BSG Plan Four|||08/22/2016 04:59:42.000000 PM|100000015| EEID|200000039|200000039|TOMEKA||SWOPE|M|07/11/1957 OFFR|200000039|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/08/2016 03:49:43.737000 PM OFFR|200000039|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/16/2016|01/16/2016|01/01/2016|12/31/2016|08/08/2016 03:51:19.700000 PM OFFR|200000039|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|200000039|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|Y|Employee|Employee|130.00|230.00|Y|Y|Y|Y|Y|63.89|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|200000039|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|Y|Y|64.00|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000039|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|200000039|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|Y|Y|67.03|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000039|Open Enrollment|BSGPlanThre_OLD|BSG plan Three|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|Y|Y|63.56|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|200000039|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|Y|Employee|Employee|130.00|230.00|Y|Y|Y|N|Y|63.89|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|200000039|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Family|Employee + Family|135.00|240.00|Y|Y|Y|N|Y|64.00|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000039|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + 1|Employee + 1|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|200000039|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Spouse|Employee + Spouse|122.00|248.00|Y|Y|Y|N|Y|67.03|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000039|Open Enrollment|BSGPThree+OLD|BSG plan Three Plus|N|Employee + Child|Employee + Child|133.00|232.00|Y|Y|Y|N|Y|63.56|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000039|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000039|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000039|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000039|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000039|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000039|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000039|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000039|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|200000039|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|200000039|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|200000039|Qualifying Event - Admin Change|01/01/2016|BSGPlanThre_OLD|BSG plan Three|Employee|Employee|0.00|0.00|01/16/2016||BSG plan Three|||08/08/2016 03:51:55.000000 PM|200000039| EEID|200000007|200000007|Anirudha|O|Dev|M|01/01/1985 OFFR|200000007|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/09/2016 03:08:04.160000 PM OFFR|200000007|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000007|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000007|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000007|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000007|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000007|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000007|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000007|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000007|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000007|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|200000007|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|200000007|Qualifying Event - Admin Change|01/01/2016|BSGPlanFive_OLD|BSG Plan Five|Employee + Child|Employee + Child|75.00|170.00|01/01/2016||BSG Plan Five|||08/09/2016 03:09:58.000000 PM|200000007| DEPI|200000007|200000048|200000048|Sam||Dev|Natural child|N|01/01/2012|Male|01/01/2016||A|200000007| EEID|100000200|100000200|AAA||AAA|M|01/01/1980 OFFR|100000200|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/17/2016 02:27:07.613000 PM OFFR|100000200|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000200|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000200|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000200|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000200|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000200|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000200|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000200|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000200|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000200|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|100000200|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|100000200|Qualifying Event - Admin Change|01/01/2016||BSG Continuous enrollment|Employee|Employee|40.00|60.00|01/01/2016||BSG Continuous enrollment|||08/17/2016 02:56:59.000000 PM|100000200| EEID|000000064|000000064|Sagar||Info|M|01/01/1980 OFFR|000000064|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/17/2016 02:48:10.420000 PM OFFR|000000064|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|000000064|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|000000064|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|000000064|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|000000064|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|000000064|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|000000064|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|000000064|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|000000064|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|000000064|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|000000064|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|000000064|Qualifying Event - Admin Change|BSGPlanOne_OLD| |Y|Employee|Employee|150.00|50.00|Y|Y|Y|Y|Y|25.00| | ELIG|000000064|Open Enrollment|BSGPlanOne_OLD| |Y|Employee|Employee|150.00|50.00|Y|Y|Y|Y|Y|25.00| | ELIG|000000064|Qualifying Event - Admin Change|BSGPlanOne_OLD| |N|Employee + Family|Employee + Family|100.00|100.00|Y|Y|Y|Y|Y|50.00| | ELIG|000000064|Open Enrollment|BSGPlanOne_OLD| |N|Employee + Family|Employee + Family|100.00|100.00|Y|Y|Y|Y|Y|50.00| | ELIG|000000064|Qualifying Event - Admin Change|BSGPlanOne_OLD| |N|Employee + 1|Employee + 1|100.00|100.00|Y|Y|Y|Y|Y|50.00| | ELIG|000000064|Open Enrollment|BSGPlanOne_OLD| |N|Employee + 1|Employee + 1|100.00|100.00|Y|Y|Y|Y|Y|50.00| | ELIG|000000064|Qualifying Event - Admin Change|BSGPlanOne_OLD| |N|Employee + Spouse|Employee + Spouse|100.00|100.00|Y|Y|Y|Y|Y|50.00| | ELIG|000000064|Open Enrollment|BSGPlanOne_OLD| |N|Employee + Spouse|Employee + Spouse|100.00|100.00|Y|Y|Y|Y|Y|50.00| | ELIG|000000064|Qualifying Event - Admin Change|BSGPlanOne_OLD| |N|Employee + Child|Employee + Child|100.00|100.00|Y|Y|Y|Y|Y|50.00| | ELIG|000000064|Open Enrollment|BSGPlanOne_OLD| |N|Employee + Child|Employee + Child|100.00|100.00|Y|Y|Y|Y|Y|50.00| | COVG|000000064|Qualifying Event - Admin Change|01/01/2016|BSGPlanOne_OLD|ACA 3769|Employee + Child|Employee + Child|100.00|100.00|01/01/2016||ACA 3769|||08/17/2016 02:49:27.000000 PM|000000064| DEPI|000000064|123565555|123565555|Test||Hspl|Natural child|N|01/01/2013|Male|01/01/2016||A|000000064| EEID|000000065|000000065|RBS||Scotland|M|01/01/1987 OFFR|000000065|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/17/2016 03:01:22.080000 PM OFFR|000000065|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|000000065|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|000000065|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|000000065|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|000000065|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|000000065|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|000000065|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|000000065|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|000000065|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|000000065|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|000000065|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|000000065|Qualifying Event - Admin Change|BSGPlanOne_OLD| |Y|Employee|Employee|150.00|50.00|Y|Y|Y|Y|Y|25.00| | ELIG|000000065|Open Enrollment|BSGPlanOne_OLD| |Y|Employee|Employee|150.00|50.00|Y|Y|Y|Y|Y|25.00| | ELIG|000000065|Qualifying Event - Admin Change|BSGPlanOne_OLD| |N|Employee + Family|Employee + Family|100.00|100.00|Y|Y|Y|Y|Y|50.00| | ELIG|000000065|Open Enrollment|BSGPlanOne_OLD| |N|Employee + Family|Employee + Family|100.00|100.00|Y|Y|Y|Y|Y|50.00| | ELIG|000000065|Qualifying Event - Admin Change|BSGPlanOne_OLD| |N|Employee + 1|Employee + 1|100.00|100.00|Y|Y|Y|Y|Y|50.00| | ELIG|000000065|Open Enrollment|BSGPlanOne_OLD| |N|Employee + 1|Employee + 1|100.00|100.00|Y|Y|Y|Y|Y|50.00| | ELIG|000000065|Qualifying Event - Admin Change|BSGPlanOne_OLD| |N|Employee + Spouse|Employee + Spouse|100.00|100.00|Y|Y|Y|Y|Y|50.00| | ELIG|000000065|Open Enrollment|BSGPlanOne_OLD| |N|Employee + Spouse|Employee + Spouse|100.00|100.00|Y|Y|Y|Y|Y|50.00| | ELIG|000000065|Qualifying Event - Admin Change|BSGPlanOne_OLD| |N|Employee + Child|Employee + Child|100.00|100.00|Y|Y|Y|Y|Y|50.00| | ELIG|000000065|Open Enrollment|BSGPlanOne_OLD| |N|Employee + Child|Employee + Child|100.00|100.00|Y|Y|Y|Y|Y|50.00| | COVG|000000065|Qualifying Event - Admin Change|01/01/2016|BSGPlanOne_OLD|ACA 3769|Employee + 1|Employee + 1|100.00|100.00|01/01/2016||ACA 3769|||08/17/2016 03:07:08.000000 PM|000000065| DEPI|000000065|||sadfsdf||sdfsdf|Natural child|N|01/01/2000|Male|01/01/2016||A|000000065| DEPI|000000065|||fghfgh||fghfgh|Step child|N|01/01/2000|Male|01/01/2016||A|000000065| DEPI|000000065|||asdasd||asd|Natural child|N|01/01/2000|Male|01/01/2016||A|000000065| DEPI|000000065|||dsafsdf||sdfsdf|Natural child|N|01/01/2001|Male|01/01/2016||A|000000065| DEPI|000000065|||vbnbvn||bnbvn|Natural child|N|01/01/2001|Male|01/01/2016||A|000000065| DEPI|000000065|||bvbvn||fghgn|Natural child|N|02/01/2000|Male|01/01/2016||A|000000065| DEPI|000000065|||rgf dfg||dfgdfg|Natural child|N|01/03/2000|Male|01/01/2016||A|000000065| DEPI|000000065|||dfgdfg||dfgdfg|Natural child|N|01/01/2013|Male|01/01/2016||A|000000065| DEPI|000000065|||Sadsad||asdsad|Natural child|N|01/01/2013|Male|01/01/2016||A|000000065| DEPI|000000065|||sasa||zxcxzczxc|Natural child|N|01/01/2013|Male|01/01/2016||A|000000065| DEPI|000000065|||xcxcv||xcvxcv|Natural child|N|01/01/2013|Female|01/01/2016||A|000000065| EEID|100000072|100000072|Jon||Doe|M|01/01/1985 OFFR|100000072|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/18/2016 05:26:36.807000 PM OFFR|100000072|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/15/2016|01/15/2016|01/01/2016|12/31/2016|08/18/2016 05:29:04.297000 PM OFFR|100000072|New Hire Enrollment|New Hire Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM OFFR|100000072|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000072|New Hire Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000072|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000072|New Hire Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000072|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000072|New Hire Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000072|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000072|New Hire Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000072|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000072|New Hire Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000072|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000072|New Hire Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000072|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000072|New Hire Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000072|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000072|New Hire Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000072|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|100000072|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|100000072|New Hire Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|100000072|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|100000072|Qualifying Event - Admin Change|01/01/2016|BSGPlanFour+OLD|BSG Plan Four|Employee + Spouse|Employee + Spouse|0.00|0.00|01/15/2016||BSG Plan Four|||08/18/2016 05:29:35.000000 PM|100000072| DEPI|100000072|||smith||Sp|Spouse|Y|08/01/1985|Female|01/15/2016||A|100000072| EEID|900000000|900000000|Mark||Warner|M|01/01/1980 OFFR|900000000|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/29/2016 04:46:15.187000 PM OFFR|900000000|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|900000000|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|900000000|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|900000000|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|900000000|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|900000000|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|900000000|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|900000000|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|900000000|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|900000000|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|900000000|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|900000000|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|900000000|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|900000000|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|900000000|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|900000000|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|900000000|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|900000000|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|900000000|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|900000000|Qualifying Event - Admin Change|| |Y|Employee|Employee|100.00|200.00|Y|Y|Y|Y|Y|66.67| | ELIG|900000000|Open Enrollment|| |Y|Employee|Employee|100.00|200.00|Y|Y|Y|Y|Y|66.67| | ELIG|900000000|Qualifying Event - Admin Change|| |N|Employee + Family|Employee + Family|200.00|300.00|Y|Y|Y|Y|Y|60.00| | ELIG|900000000|Open Enrollment|| |N|Employee + Family|Employee + Family|200.00|300.00|Y|Y|Y|Y|Y|60.00| | ELIG|900000000|Qualifying Event - Admin Change|| |N|Employee + Spouse|Employee + Spouse|150.00|250.00|Y|Y|Y|Y|Y|62.50| | ELIG|900000000|Open Enrollment|| |N|Employee + Spouse|Employee + Spouse|150.00|250.00|Y|Y|Y|Y|Y|62.50| | ELIG|900000000|Qualifying Event - Admin Change|| |N|Employee + Child|Employee + Child|125.00|225.00|Y|Y|Y|Y|Y|64.29| | ELIG|900000000|Open Enrollment|| |N|Employee + Child|Employee + Child|125.00|225.00|Y|Y|Y|Y|Y|64.29| | COVG|900000000|Qualifying Event - Admin Change|01/01/2016||Cigna PPO-Demo|Employee|Employee|100.00|200.00|01/01/2016||Cigna PPO-Demo|||08/31/2016 11:53:18.000000 AM|900000000| EEID|200000040|200000040|Anirudha||Joshi|M|01/01/1987 OFFR|200000040|Qualifying Event - Admin Event|Qualifying Event - Admin Event|01/01/2016|01/01/2016|01/01/2016|12/31/2016|08/31/2016 11:18:28.727000 AM OFFR|200000040|Open Enrollment|Open Enrollment|01/01/2016|01/01/2016|01/01/2016|12/31/2016|01/01/2016 12:00:00.000000 AM ELIG|200000040|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000040|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|Y|Employee|Employee|240.00|410.00|Y|Y|Y|Y|Y|63.08|Y|N ELIG|200000040|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000040|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Family|Employee + Family|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000040|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000040|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + 1|Employee + 1|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000040|Qualifying Event - Admin Change|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000040|Open Enrollment|BSGPlanFour+OLD|BSG Plan Four|N|Employee + Spouse|Employee + Spouse|250.00|420.00|Y|Y|Y|Y|Y|62.69|Y|N ELIG|200000040|Qualifying Event - Admin Change|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000040|Open Enrollment|BSGPlanFive_OLD| |Y|Employee|Employee|50.00|350.00|Y|Y|Y|Y|Y|87.50| | ELIG|200000040|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000040|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Family|Employee + Family|75.00|175.00|Y|Y|Y|Y|Y|70.00| | ELIG|200000040|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000040|Open Enrollment|BSGPlanFive_OLD| |N|Employee + 1|Employee + 1|65.00|160.00|Y|Y|Y|Y|Y|71.11| | ELIG|200000040|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000040|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Spouse|Employee + Spouse|60.00|175.00|Y|Y|Y|Y|Y|74.47| | ELIG|200000040|Qualifying Event - Admin Change|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | ELIG|200000040|Open Enrollment|BSGPlanFive_OLD| |N|Employee + Child|Employee + Child|70.00|180.00|Y|Y|Y|Y|Y|72.00| | COVG|200000040|Qualifying Event - Admin Change|01/01/2016|BSGPlanFive_OLD|BSG Plan Five|Employee|Employee|50.00|350.00|01/01/2016||BSG Plan Five|||08/31/2016 11:19:21.000000 AM|200000040| FOOT|27