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Who's Covered

Health Plan ID: K123456789101
Group Name: ABCBS Group
Group Number: 12345678

John Doe

Policyholder

  • Member ID: A0011223344-55
  • Date of birth: 01/01/2019
  • Coverage start date: 05/01/2019

John Doe

Policyholder

  • Member ID: A0011223344-55
  • Date of birth: 01/01/2019
  • Coverage start date: 05/01/2019
  • Coverage end date: 12/01/2019