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Who's Covered

Contract number: C1234567
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

Jane Doe

Spouse

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