pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	pbp_d_opt_cost_share_mand_yn	pbp_b17b_bendesc_yn	pbp_b17b_bendesc_ehc	pbp_b17b_bendesc_amo_cl	pbp_b17b_bendesc_lim_cl	pbp_b17b_bendesc_numv_cl	pbp_b17b_bendesc_per_cl	pbp_b17b_bendesc_per_cl_d	pbp_b17b_bendesc_amo_egs	pbp_b17b_bendesc_lim_egs	pbp_b17b_bendesc_numv_egs	pbp_b17b_bendesc_per_egs	pbp_b17b_bendesc_per_egs_d	pbp_b17b_bendesc_amo_egi	pbp_b17b_bendesc_lim_egl	pbp_b17b_bendesc_numv_egl	pbp_b17b_bendesc_per_egl	pbp_b17b_bendesc_per_egl_d	pbp_b17b_bendesc_amo_egf	pbp_b17b_bendesc_lim_egf	pbp_b17b_bendesc_numv_egf	pbp_b17b_bendesc_per_egf	pbp_b17b_bendesc_per_egf_d	pbp_b17b_bendesc_amo_upg	pbp_b17b_maxplan_yn	pbp_b17b_maxplan_in_oon	pbp_b17b_maxplan_type	pbp_b17b_comb_maxplan_yn	pbp_b17b_comb_maxplan_amt	pbp_b17b_comb_maxplan_per	pbp_b17b_comb_maxplan_per_d	pbp_b17b_indv_maxplan_bendesc	pbp_b17b_indv_maxplan_amt_cl	pbp_b17b_indv_maxplan_per_cl	pbp_b17b_indv_maxplan_per_cl_d	pbp_b17b_indv_maxplan_amt_egs	pbp_b17b_indv_maxplan_per_egs	pbp_b17b_ind_maxplan_per_egs_d	pbp_b17b_indv_maxplan_amt_egl	pbp_b17b_indv_maxplan_per_egl	pbp_b17b_ind_maxplan_per_egl_d	pbp_b17b_indv_maxplan_amt_egf	pbp_b17b_indv_maxplan_per_egf	pbp_b17b_ind_maxplan_per_egf_d	pbp_b17b_indv_maxplan_amt_upg	pbp_b17b_indv_maxplan_per_upg	pbp_b17b_ind_maxplan_per_upg_d	pbp_b17b_maxenr_yn	pbp_b17b_maxenr_type	pbp_b17b_maxenr_amt	pbp_b17b_maxenr_per	pbp_b17b_maxenr_per_d	pbp_b17b_coins_yn	pbp_b17b_coins_ehc	pbp_b17b_coins_pct_mc_min	pbp_b17b_coins_pct_mc_max	pbp_b17b_coins_pct_cl_min	pbp_b17b_coins_pct_cl_max	pbp_b17b_coins_pct_egs_min	pbp_b17b_coins_pct_egs_max	pbp_b17b_coins_pct_egl_min	pbp_b17b_coins_pct_egl_max	pbp_b17b_coins_pct_egf_min	pbp_b17b_coins_pct_egf_max	pbp_b17b_coins_pct_upg_min	pbp_b17b_coins_pct_upg_max	pbp_b17b_ded_yn	pbp_b17b_ded_amt	pbp_b17b_copay_yn	pbp_b17b_copay_ehc	pbp_b17b_copay_amt_mc_min	pbp_b17b_copay_amt_mc_max	pbp_b17b_copay_amt_cl_min	pbp_b17b_copay_amt_cl_max	pbp_b17b_copay_amt_egs_min	pbp_b17b_copay_amt_egs_max	pbp_b17b_copay_amt_egl_min	pbp_b17b_copay_amt_egl_max	pbp_b17b_copay_amt_egf_min	pbp_b17b_copay_amt_egf_max	pbp_b17b_copay_amt_upg_min	pbp_b17b_copay_amt_upg_max	pbp_b17b_auth_yn	pbp_b17b_refer_yn	pbp_d_opt_identifier
H0107	006	0	1	04	01	H0107_006_0	6		1	01011	3	1									3	2	1	3		3	2	1	3			1	2	2	1	150.00	3																							2														2		1	001011			0.00	0.00			0.00	0.00	0.00	0.00			2	2	001
H0524	003	0	1	01	01	H0524_003_0	14		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	008	0	1	01	01	H0524_008_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	013	0	1	01	01	H0524_013_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	015	0	1	01	01	H0524_015_0	13		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	031	0	1	01	01	H0524_031_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	032	0	1	01	01	H0524_032_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	033	0	1	01	01	H0524_033_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	034	0	1	01	01	H0524_034_0	10		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	035	0	1	01	01	H0524_035_0	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	036	0	1	01	01	H0524_036_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	037	0	1	01	01	H0524_037_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	038	0	1	01	01	H0524_038_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	039	0	1	01	01	H0524_039_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	040	0	1	01	01	H0524_040_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	041	0	1	01	01	H0524_041_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	042	0	1	01	01	H0524_042_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	043	0	1	01	01	H0524_043_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	046	0	1	01	01	H0524_046_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	051	0	1	01	01	H0524_051_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	054	0	1	01	01	H0524_054_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	059	0	1	01	01	H0524_059_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	060	0	1	01	01	H0524_060_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	061	0	1	01	01	H0524_061_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	062	0	1	01	01	H0524_062_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	063	0	1	01	01	H0524_063_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	064	0	1	01	01	H0524_064_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	065	0	1	01	01	H0524_065_0	11		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	078	0	1	01	01	H0524_078_0	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	081	0	1	01	01	H0524_081_0	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	082	0	1	01	01	H0524_082_0	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0524	083	0	1	01	01	H0524_083_0	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	2																							2														2		2														2	1	001
H0544	002	0	1	01	01	H0544_002_0	13	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	002	0	1	01	01	H0544_002_0	13	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	004	0	1	01	01	H0544_004_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	004	0	1	01	01	H0544_004_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	005	0	1	01	01	H0544_005_0	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	005	0	1	01	01	H0544_005_0	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	007	0	1	01	01	H0544_007_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	007	0	1	01	01	H0544_007_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	008	0	1	01	01	H0544_008_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	008	0	1	01	01	H0544_008_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	010	0	1	01	01	H0544_010_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	010	0	1	01	01	H0544_010_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	014	0	1	01	01	H0544_014_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	014	0	1	01	01	H0544_014_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	015	0	1	01	01	H0544_015_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	015	0	1	01	01	H0544_015_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	019	0	1	01	01	H0544_019_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	019	0	1	01	01	H0544_019_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	020	0	1	01	01	H0544_020_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	020	0	1	01	01	H0544_020_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	056	0	1	01	01	H0544_056_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	056	0	1	01	01	H0544_056_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	058	0	1	01	01	H0544_058_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	058	0	1	01	01	H0544_058_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	061	0	1	01	01	H0544_061_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	061	0	1	01	01	H0544_061_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	062	0	1	01	01	H0544_062_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	062	0	1	01	01	H0544_062_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	063	0	1	01	01	H0544_063_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	063	0	1	01	01	H0544_063_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	064	0	1	01	01	H0544_064_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	064	0	1	01	01	H0544_064_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	065	0	1	01	01	H0544_065_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	065	0	1	01	01	H0544_065_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	066	0	1	01	01	H0544_066_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	066	0	1	01	01	H0544_066_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	069	0	1	01	01	H0544_069_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	069	0	1	01	01	H0544_069_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	095	0	1	01	01	H0544_095_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	095	0	1	01	01	H0544_095_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	096	0	1	01	01	H0544_096_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	096	0	1	01	01	H0544_096_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	098	0	1	01	01	H0544_098_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	098	0	1	01	01	H0544_098_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	108	0	1	01	01	H0544_108_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	108	0	1	01	01	H0544_108_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0544	127	0	1	01	01	H0544_127_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H0544	127	0	1	01	01	H0544_127_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H0630	013	0	1	01	01	H0630_013_0	11	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		2														2	2	001
H0630	015	0	1	02	01	H0630_015_0	11	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		2														2	2	001
H0630	016	0	1	02	01	H0630_016_0	11	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		2														2	2	001
H0630	017	0	1	01	01	H0630_017_0	12	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		2														2	2	001
H0630	020	0	1	01	01	H0630_020_0	11	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		2														2	2	001
H0630	021	0	1	02	01	H0630_021_0	11	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		2														2	2	001
H0630	023	0	1	02	01	H0630_023_0	11	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		2														2	2	001
H0630	025	0	1	02	01	H0630_025_0	11	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		2														2	2	001
H0630	026	0	1	02	01	H0630_026_0	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		2														2	2	001
H1230	001	0	1	01	01	H1230_001_0	13		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	3																							2														2		2														2	2	001
H1230	003	0	1	01	01	H1230_003_0	13	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	3																							2														2		2														2	2	001
H1230	013	0	1	01	01	H1230_013_0	13	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	3																							2														2		2														2	2	001
H1230	014	0	1	01	01	H1230_014_0	13		1	01111	3	1				3	1				3	1				3	1					1		2	1	300.00	3																							2														2		2														2	2	001
H1350	026	0	1	01	01	H1350_026_0	4		1	11100	3	2	1	2		3	2	1	2												3	1		2	2				01100	100.00	2		50.00	2																2														2		1	001100			0.00	35.00	35.00	35.00							1	2	001
H1423	001	0	1	01	01	H1423_001_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H1423	001	0	1	01	01	H1423_001_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H1423	002	0	1	01	01	H1423_002_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H1423	002	0	1	01	01	H1423_002_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H1423	004	0	1	01	01	H1423_004_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H1423	004	0	1	01	01	H1423_004_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H1423	005	0	1	01	01	H1423_005_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H1423	005	0	1	01	01	H1423_005_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H1423	007	0	1	01	01	H1423_007_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H1423	007	0	1	01	01	H1423_007_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H1423	008	0	1	01	01	H1423_008_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H1423	008	0	1	01	01	H1423_008_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H1423	009	0	1	01	01	H1423_009_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H1423	009	0	1	01	01	H1423_009_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H1607	012	0	1	04	01	H1607_012_0	9	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H1607	012	0	1	04	01	H1607_012_0	9	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H1607	015	0	1	04	01	H1607_015_0	13	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H1607	015	0	1	04	01	H1607_015_0	13	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H1666	013	0	1	04	01	H1666_013_0	5		1	01011	3	1									3	2	1	3		3	2	1	3			1	2	2	1	150.00	3																							2														2		1	001011			0.00	0.00			0.00	0.00	0.00	0.00			2	2	001
H1666	018	0	1	04	01	H1666_018_0	5		1	01011	3	1									3	2	1	3		3	2	1	3			1	2	2	1	150.00	3																							2														2		1	001011			0.00	0.00			0.00	0.00	0.00	0.00			2	2	001
H1894	008	0	1	01	01	H1894_008_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H1894	008	0	1	01	01	H1894_008_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H2172	001	0	1	02	01	H2172_001_0	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	175.00	2																							2														2		2														1	1	001
H2172	002	0	1	02	01	H2172_002_0	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	175.00	2																							2														2		2														1	1	001
H2172	003	0	1	02	01	H2172_003_0	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	175.00	2																							2														2		2														1	1	001
H2172	004	0	1	02	01	H2172_004_0	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	175.00	2																							2														2		2														1	1	001
H2172	005	0	1	01	01	H2172_005_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	175.00	2																							2														2		2														1	1	001
H2172	006	0	1	01	01	H2172_006_0	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	175.00	2																							2														2		2														1	1	001
H2172	008	0	1	02	01	H2172_008_0	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	175.00	2																							2														2		2														1	1	001
H2172	009	0	1	02	01	H2172_009_0	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	175.00	2																							2														2		2														1	1	001
H2172	010	0	1	02	01	H2172_010_0	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	175.00	2																							2														2		2														1	1	001
H2172	011	0	1	01	01	H2172_011_0	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	175.00	2																							2														2		2														1	1	001
H2172	012	0	1	02	01	H2172_012_0	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	175.00	2																							2														2		2														1	1	001
H2172	013	0	1	02	01	H2172_013_0	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	175.00	2																							2														2		2														1	1	001
H2320	022	1	1	02	01	H2320_022_1	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		2														2	2	001
H2320	022	2	1	02	01	H2320_022_2	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		2														2	2	001
H2320	022	3	1	02	01	H2320_022_3	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		2														2	2	001
H2320	022	4	1	02	01	H2320_022_4	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		2														2	2	001
H2320	022	5	1	02	01	H2320_022_5	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		2														2	2	001
H2320	028	1	1	02	01	H2320_028_1	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		2														2	2	001
H2320	028	2	1	02	01	H2320_028_2	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		2														2	2	001
H2320	028	3	1	02	01	H2320_028_3	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		2														2	2	001
H2320	028	4	1	02	01	H2320_028_4	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		2														2	2	001
H2320	028	5	1	02	01	H2320_028_5	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		2														2	2	001
H2320	029	1	1	02	01	H2320_029_1	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		2														2	2	001
H2320	029	2	1	02	01	H2320_029_2	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		2														2	2	001
H2320	029	3	1	02	01	H2320_029_3	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		2														2	2	001
H2320	029	4	1	02	01	H2320_029_4	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		2														2	2	001
H2320	029	5	1	02	01	H2320_029_5	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		2														2	2	001
H2320	030	1	1	02	01	H2320_030_1	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		2														2	2	001
H2320	030	2	1	02	01	H2320_030_2	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		2														2	2	001
H2593	001	0	1	01	01	H2593_001_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H2593	001	0	1	01	01	H2593_001_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H2593	003	0	1	01	01	H2593_003_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H2593	003	0	1	01	01	H2593_003_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H2593	005	0	1	01	01	H2593_005_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H2593	005	0	1	01	01	H2593_005_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H2593	006	0	1	01	01	H2593_006_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H2593	006	0	1	01	01	H2593_006_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H2593	029	0	1	01	01	H2593_029_0	7		1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H2593	029	0	1	01	01	H2593_029_0	7		1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H2593	040	0	1	01	01	H2593_040_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H2593	040	0	1	01	01	H2593_040_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H2593	043	0	1	01	01	H2593_043_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H2593	043	0	1	01	01	H2593_043_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H2836	005	0	1	04	01	H2836_005_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H2836	005	0	1	04	01	H2836_005_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3342	023	1	1	04	01	H3342_023_1	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3342	023	1	1	04	01	H3342_023_1	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3342	023	2	1	04	01	H3342_023_2	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3342	023	2	1	04	01	H3342_023_2	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3447	001	0	1	01	01	H3447_001_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3447	001	0	1	01	01	H3447_001_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3447	003	0	1	01	01	H3447_003_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3447	003	0	1	01	01	H3447_003_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3447	004	0	1	01	01	H3447_004_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3447	004	0	1	01	01	H3447_004_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3447	005	0	1	01	01	H3447_005_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3447	005	0	1	01	01	H3447_005_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3447	010	0	1	01	01	H3447_010_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3447	010	0	1	01	01	H3447_010_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3447	013	0	1	01	01	H3447_013_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3447	013	0	1	01	01	H3447_013_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3447	024	0	1	01	01	H3447_024_0	11	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3447	024	0	1	01	01	H3447_024_0	11	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3447	025	0	1	01	01	H3447_025_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3447	025	0	1	01	01	H3447_025_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3447	033	0	1	01	01	H3447_033_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3447	033	0	1	01	01	H3447_033_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3447	037	0	1	01	01	H3447_037_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3447	037	0	1	01	01	H3447_037_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3447	038	1	1	01	01	H3447_038_1	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3447	038	1	1	01	01	H3447_038_1	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3447	038	2	1	01	01	H3447_038_2	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3447	038	2	1	01	01	H3447_038_2	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3447	039	0	1	01	01	H3447_039_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3447	039	0	1	01	01	H3447_039_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3447	042	1	1	01	01	H3447_042_1	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3447	042	1	1	01	01	H3447_042_1	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3447	042	2	1	01	01	H3447_042_2	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3447	042	2	1	01	01	H3447_042_2	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3447	042	3	1	01	01	H3447_042_3	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3447	042	3	1	01	01	H3447_042_3	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3447	042	4	1	01	01	H3447_042_4	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3447	042	4	1	01	01	H3447_042_4	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3447	043	0	1	01	01	H3447_043_0	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3447	043	0	1	01	01	H3447_043_0	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3536	002	0	1	01	01	H3536_002_0	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3536	002	0	1	01	01	H3536_002_0	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3655	034	0	1	01	01	H3655_034_0	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3655	034	0	1	01	01	H3655_034_0	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3655	041	0	1	01	01	H3655_041_0	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3655	041	0	1	01	01	H3655_041_0	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3655	042	0	1	01	01	H3655_042_0	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3655	042	0	1	01	01	H3655_042_0	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3655	045	1	1	01	01	H3655_045_1	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3655	045	1	1	01	01	H3655_045_1	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3655	045	2	1	01	01	H3655_045_2	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3655	045	2	1	01	01	H3655_045_2	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3655	045	3	1	01	01	H3655_045_3	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3655	045	3	1	01	01	H3655_045_3	9	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3655	045	4	1	01	01	H3655_045_4	14	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3655	045	4	1	01	01	H3655_045_4	14	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3655	047	0	1	01	01	H3655_047_0	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H3655	047	0	1	01	01	H3655_047_0	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H3924	059	21	1	04	01	H3924_059_21	5		1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H3924	059	22	1	04	01	H3924_059_22	5		1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H3924	065	0	1	04	01	H3924_065_0	5		1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4036	008	0	1	04	01	H4036_008_0	6		1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4036	008	0	1	04	01	H4036_008_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4036	017	0	1	04	01	H4036_017_0	10	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4036	017	0	1	04	01	H4036_017_0	10	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4036	020	0	1	04	01	H4036_020_0	7	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4036	020	0	1	04	01	H4036_020_0	7	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4036	022	0	1	04	01	H4036_022_0	9	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4036	022	0	1	04	01	H4036_022_0	9	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4036	024	0	1	04	01	H4036_024_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4036	024	0	1	04	01	H4036_024_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4036	025	0	1	04	01	H4036_025_0	9	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4036	025	0	1	04	01	H4036_025_0	9	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4036	026	0	1	04	01	H4036_026_0	10	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4036	026	0	1	04	01	H4036_026_0	10	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4036	028	0	1	04	01	H4036_028_0	8	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4036	028	0	1	04	01	H4036_028_0	8	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4036	029	0	1	04	01	H4036_029_0	8	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4036	029	0	1	04	01	H4036_029_0	8	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4036	030	0	1	04	01	H4036_030_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4036	030	0	1	04	01	H4036_030_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4036	031	0	1	04	01	H4036_031_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4036	031	0	1	04	01	H4036_031_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4036	033	0	1	04	01	H4036_033_0	6		1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4036	033	0	1	04	01	H4036_033_0	6		1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4036	034	0	1	04	01	H4036_034_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4036	034	0	1	04	01	H4036_034_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4036	035	0	1	04	01	H4036_035_0	7	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4036	035	0	1	04	01	H4036_035_0	7	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4036	036	0	1	04	01	H4036_036_0	7	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4036	036	0	1	04	01	H4036_036_0	7	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4161	002	0	1	01	01	H4161_002_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4161	002	0	1	01	01	H4161_002_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4161	004	0	1	01	01	H4161_004_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4161	004	0	1	01	01	H4161_004_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4161	005	0	1	01	01	H4161_005_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4161	005	0	1	01	01	H4161_005_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4161	006	0	1	01	01	H4161_006_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4161	006	0	1	01	01	H4161_006_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4161	007	0	1	01	01	H4161_007_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4161	007	0	1	01	01	H4161_007_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4161	009	0	1	01	01	H4161_009_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4161	009	0	1	01	01	H4161_009_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4161	010	0	1	01	01	H4161_010_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4161	010	0	1	01	01	H4161_010_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4161	011	0	1	01	01	H4161_011_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4161	011	0	1	01	01	H4161_011_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4161	012	0	1	01	01	H4161_012_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4161	012	0	1	01	01	H4161_012_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4161	013	0	1	01	01	H4161_013_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4161	013	0	1	01	01	H4161_013_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4346	001	0	1	01	01	H4346_001_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4346	001	0	1	01	01	H4346_001_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4346	005	0	1	01	01	H4346_005_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4346	005	0	1	01	01	H4346_005_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4346	006	0	1	01	01	H4346_006_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4346	006	0	1	01	01	H4346_006_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4346	009	0	1	01	01	H4346_009_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4346	009	0	1	01	01	H4346_009_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4346	010	0	1	01	01	H4346_010_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4346	010	0	1	01	01	H4346_010_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4346	012	0	1	01	01	H4346_012_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4346	012	0	1	01	01	H4346_012_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4346	017	0	1	01	01	H4346_017_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4346	017	0	1	01	01	H4346_017_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4346	019	0	1	01	01	H4346_019_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4346	019	0	1	01	01	H4346_019_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4346	029	0	1	01	01	H4346_029_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4346	029	0	1	01	01	H4346_029_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4497	001	1	1	04	01	H4497_001_1	12	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1	2	2	1	150.00	3																							2														2		2														2	2	001
H4497	001	2	1	04	01	H4497_001_2	12	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1	2	2	1	150.00	3																							2														2		2														2	2	001
H4497	001	3	1	04	01	H4497_001_3	15	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1	2	2	1	150.00	3																							2														2		2														2	2	001
H4497	002	1	1	04	01	H4497_002_1	12	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1	2	2	1	150.00	3																							2														2		2														2	2	001
H4497	002	2	1	04	01	H4497_002_2	12	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1	2	2	1	150.00	3																							2														2		2														2	2	001
H4497	002	3	1	04	01	H4497_002_3	12	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1	2	2	1	150.00	3																							2														2		2														2	2	001
H4497	005	3	1	04	01	H4497_005_3	12	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1	2	2	1	150.00	3																							2														2		2														2	2	001
H4497	005	4	1	04	01	H4497_005_4	12	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1	2	2	1	150.00	3																							2														2		2														2	2	001
H4801	013	0	1	04	01	H4801_013_0	6		1	01011	3	1									3	2	1	3		3	2	1	3			1	2	2	1	150.00	3																							2														2		1	001011			0.00	0.00			0.00	0.00	0.00	0.00			2	2	001
H4801	014	0	1	04	01	H4801_014_0	6		1	01011	3	1									3	2	1	3		3	2	1	3			1	2	2	1	150.00	3																							2														2		1	001011			0.00	0.00			0.00	0.00	0.00	0.00			2	2	001
H4875	016	1	1	04	01	H4875_016_1	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	016	2	1	04	01	H4875_016_2	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	016	3	1	04	01	H4875_016_3	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	016	4	1	04	01	H4875_016_4	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	016	5	1	04	01	H4875_016_5	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	017	1	1	04	01	H4875_017_1	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	017	2	1	04	01	H4875_017_2	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	017	3	1	04	01	H4875_017_3	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	017	4	1	04	01	H4875_017_4	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	017	5	1	04	01	H4875_017_5	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	018	1	1	04	01	H4875_018_1	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	018	2	1	04	01	H4875_018_2	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	018	3	1	04	01	H4875_018_3	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	018	4	1	04	01	H4875_018_4	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	018	5	1	04	01	H4875_018_5	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	020	1	1	04	01	H4875_020_1	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	020	2	1	04	01	H4875_020_2	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	020	3	1	04	01	H4875_020_3	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	021	1	1	04	01	H4875_021_1	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	021	2	1	04	01	H4875_021_2	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	022	1	1	04	01	H4875_022_1	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	022	2	1	04	01	H4875_022_2	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	022	5	1	04	01	H4875_022_5	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4875	023	0	1	04	01	H4875_023_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		2														2	2	001
H4909	014	0	1	04	01	H4909_014_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4909	014	0	1	04	01	H4909_014_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4909	015	0	1	04	01	H4909_015_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4909	015	0	1	04	01	H4909_015_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4909	016	0	1	04	01	H4909_016_0	7	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4909	016	0	1	04	01	H4909_016_0	7	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4909	020	0	1	04	01	H4909_020_0	5	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4909	020	0	1	04	01	H4909_020_0	5	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4909	021	0	1	04	01	H4909_021_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4909	021	0	1	04	01	H4909_021_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4909	023	0	1	04	01	H4909_023_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4909	023	0	1	04	01	H4909_023_0	6	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H4909	026	0	1	04	01	H4909_026_0	7		1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H4909	026	0	1	04	01	H4909_026_0	7	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H5422	011	0	1	01	01	H5422_011_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H5422	011	0	1	01	01	H5422_011_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H5422	014	0	1	01	01	H5422_014_0	5	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H5422	014	0	1	01	01	H5422_014_0	5	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H5422	015	0	1	01	01	H5422_015_0	5	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H5422	015	0	1	01	01	H5422_015_0	5	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H5828	008	0	1	01	01	H5828_008_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H5828	008	0	1	01	01	H5828_008_0	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H5828	012	1	1	02	01	H5828_012_1	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H5828	012	1	1	02	01	H5828_012_1	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H5828	012	2	1	02	01	H5828_012_2	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H5828	012	2	1	02	01	H5828_012_2	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H5828	012	3	1	02	01	H5828_012_3	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H5828	012	3	1	02	01	H5828_012_3	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H5854	009	0	1	01	01	H5854_009_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H5854	009	0	1	01	01	H5854_009_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H5854	010	0	1	01	01	H5854_010_0	5	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H5854	010	0	1	01	01	H5854_010_0	5	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H5854	011	0	1	01	01	H5854_011_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H5854	011	0	1	01	01	H5854_011_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H5883	001	1	1	02	01	H5883_001_1	3	2	1	01011	3	1									3	2	1	6	The maximum vision benefit is an allowance of $250 for INN and ONN. Frames or elective contact lenses have a 50% coinsurance. One pair of lenses for glasses is reimbursed with 50% coinsurance.	3	2	1	6	The maximum vision benefit is an allowance of $250 for INN and ONN. Frames or elective contact lenses have a 50% coinsurance. One pair of lenses for glasses is reimbursed with 50% coinsurance.		1		2	1	250.00	3																							2														2		2														2	2	001
H5883	001	2	1	02	01	H5883_001_2	3	2	1	01011	3	1									3	2	1	6	The maximum vision benefit is an allowance of $250 for INN and ONN. Frames or elective contact lenses have a 50% coinsurance. One pair of lenses for glasses is reimbursed with 50% coinsurance.	3	2	1	6	The maximum vision benefit is an allowance of $250 for INN and ONN. Frames or elective contact lenses have a 50% coinsurance. One pair of lenses for glasses is reimbursed with 50% coinsurance.		1		2	1	250.00	3																							2														2		2														2	2	001
H5883	001	3	1	02	01	H5883_001_3	3	2	1	01011	3	1									3	2	1	6	The maximum vision benefit is an allowance of $250 for INN and ONN. Frames or elective contact lenses have a 50% coinsurance. One pair of lenses for glasses is reimbursed with 50% coinsurance.	3	2	1	6	The maximum vision benefit is an allowance of $250 for INN and ONN. Frames or elective contact lenses have a 50% coinsurance. One pair of lenses for glasses is reimbursed with 50% coinsurance.		1		2	1	250.00	3																							2														2		2														2	2	001
H5883	001	4	1	02	01	H5883_001_4	3	2	1	01011	3	1									3	2	1	6	The maximum vision benefit is an allowance of $250 for INN and ONN. Frames or elective contact lenses have a 50% coinsurance. One pair of lenses for glasses is reimbursed with 50% coinsurance.	3	2	1	6	The maximum vision benefit is an allowance of $250 for INN and ONN. Frames or elective contact lenses have a 50% coinsurance. One pair of lenses for glasses is reimbursed with 50% coinsurance.		1		2	1	250.00	3																							2														2		2														2	2	001
H5883	001	5	1	02	01	H5883_001_5	3	2	1	01011	3	1									3	2	1	6	The maximum vision benefit is an allowance of $250 for INN and ONN. Frames or elective contact lenses have a 50% coinsurance. One pair of lenses for glasses is reimbursed with 50% coinsurance.	3	2	1	6	The maximum vision benefit is an allowance of $250 for INN and ONN. Frames or elective contact lenses have a 50% coinsurance. One pair of lenses for glasses is reimbursed with 50% coinsurance.		1		2	1	250.00	3																							2														2		2														2	2	001
H5883	002	1	1	02	01	H5883_002_1	5	2	1	01011	3	1									3	2	1	6	Standard lenses for glasses covered every calendar year.	3	2	1	3			1		2	1	250.00	3																							2														2		2														2	2	001
H5883	002	2	1	02	01	H5883_002_2	4	2	1	01011	3	1									3	2	1	6	Standard lenses for glasses covered every calendar year.	3	2	1	3			1		2	1	250.00	3																							2														2		2														2	2	001
H5883	002	3	1	02	01	H5883_002_3	4	2	1	01011	3	1									3	2	1	6	Standard lenses for glasses covered every calendar year.	3	2	1	3			1		2	1	250.00	3																							2														2		2														2	2	001
H5883	002	4	1	02	01	H5883_002_4	4	2	1	01011	3	1									3	2	1	6	Standard lenses for glasses covered every calendar year.	3	2	1	3			1		2	1	250.00	3																							2														2		2														2	2	001
H5883	002	7	1	02	01	H5883_002_7	4	2	1	01011	3	1									3	2	1	6	Standard lenses for glasses covered every calendar year.	3	2	1	3			1		2	1	250.00	3																							2														2		2														2	2	001
H5883	003	1	1	02	01	H5883_003_1	4	2	1	01011	3	1									3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.	3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.		1		2	1	250.00	3																							2														2		2														2	2	001
H5883	003	2	1	02	01	H5883_003_2	4	2	1	01011	3	1									3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.	3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.		1		2	1	250.00	3																							2														2		2														2	2	001
H5883	003	3	1	02	01	H5883_003_3	4	2	1	01011	3	1									3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.	3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.		1		2	1	250.00	3																							2														2		2														2	2	001
H5883	003	4	1	02	01	H5883_003_4	4	2	1	01011	3	1									3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.	3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.		1		2	1	250.00	3																							2														2		2														2	2	001
H5883	003	5	1	02	01	H5883_003_5	4	2	1	01011	3	1									3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.	3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.		1		2	1	250.00	3																							2														2		2														2	2	001
H5883	012	1	1	02	01	H5883_012_1	5	2	1	01011	3	1									3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.	3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.		1		2	1	250.00	3																							2														2		2														2	2	001
H5883	012	2	1	02	01	H5883_012_2	5	2	1	01011	3	1									3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.	3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.		1		2	1	250.00	3																							2														2		2														2	2	001
H5883	014	1	1	02	01	H5883_014_1	5	2	1	01011	3	1									3	2	1	6	Standard lenses for glasses covered every calendar year.	3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.		1		2	1	250.00	3																							2														2		2														2	2	001
H5883	014	2	1	02	01	H5883_014_2	5	2	1	01011	3	1									3	2	1	6	Standard lenses for glasses covered every calendar year.	3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.		1		2	1	250.00	3																							2														2		2														2	2	001
H5883	014	3	1	02	01	H5883_014_3	5	2	1	01011	3	1									3	2	1	6	Standard lenses for glasses covered every calendar year.	3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.		1		2	1	250.00	3																							2														2		2														2	2	001
H5883	014	4	1	02	01	H5883_014_4	5	2	1	01011	3	1									3	2	1	6	Standard lenses for glasses covered every calendar year.	3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.		1		2	1	250.00	3																							2														2		2														2	2	001
H5883	014	5	1	02	01	H5883_014_5	5	2	1	01011	3	1									3	2	1	6	Standard lenses for glasses covered every calendar year.	3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.		1		2	1	250.00	3																							2														2		2														2	2	001
H5883	015	0	1	01	01	H5883_015_0	6	2	1	01011	3	1									3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.	3	2	1	6	The optional eye wear benefit provides a $250 maximum every calendar year for frames or elective contacts.		1		2	1	250.00	3																							2														2		2														2	2	001
H6723	001	1	1	01	01	H6723_001_1	12	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	150.00	3																							2														2		2														2	2	001
H6723	001	2	1	01	01	H6723_001_2	12	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	150.00	3																							2														2		2														2	2	001
H6723	001	3	1	01	01	H6723_001_3	12	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	150.00	3																							2														2		2														2	2	001
H6723	002	1	1	01	01	H6723_002_1	12	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	150.00	3																							2														2		2														2	2	001
H6723	002	2	1	01	01	H6723_002_2	12	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	150.00	3																							2														2		2														2	2	001
H6723	002	3	1	01	01	H6723_002_3	12	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	150.00	3																							2														2		2														2	2	001
H6723	003	1	1	01	01	H6723_003_1	12	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	150.00	3																							2														2		2														2	2	001
H6723	003	2	1	01	01	H6723_003_2	12	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	150.00	3																							2														2		2														2	2	001
H6723	003	3	1	01	01	H6723_003_3	12	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	150.00	3																							2														2		2														2	2	001
H6723	005	1	1	01	01	H6723_005_1	10	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	150.00	3																							2														2		2														2	2	001
H6723	005	2	1	01	01	H6723_005_2	10	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	150.00	3																							2														2		2														2	2	001
H6723	006	6	1	01	01	H6723_006_6	12	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	150.00	3																							2														2		2														2	2	001
H6723	006	7	1	01	01	H6723_006_7	12	2	1	01100	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	3	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	150.00	3																							2														2		2														2	2	001
H7074	001	0	1	04	01	H7074_001_0	11	2	1	01111	3	1				3	1				3	1				3	1					1	1	2	1	350.00	4																							2														2		2														1	1	001
H7093	001	0	1	04	01	H7093_001_0	7	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H7093	001	0	1	04	01	H7093_001_0	7	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H7093	002	0	1	04	01	H7093_002_0	8	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H7093	002	0	1	04	01	H7093_002_0	8	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H8244	002	0	1	04	01	H8244_002_0	15	2	1	01111	3	2	1	4		3	2	1	4		3	2	1	4		3	2	1	4			1	2	2	1	500.00	4																							2														2		2														1	1	001
H8432	009	0	1	01	01	H8432_009_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H8432	009	0	1	01	01	H8432_009_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H8432	010	0	1	01	01	H8432_010_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H8432	010	0	1	01	01	H8432_010_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H8432	011	0	1	01	01	H8432_011_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H8432	011	0	1	01	01	H8432_011_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H8432	036	0	1	01	01	H8432_036_0	3	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H8432	036	0	1	01	01	H8432_036_0	3	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H8432	037	1	1	01	01	H8432_037_1	4	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H8432	037	1	1	01	01	H8432_037_1	4	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H8432	037	2	1	01	01	H8432_037_2	4	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H8432	037	2	1	01	01	H8432_037_2	4	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H8432	038	1	1	01	01	H8432_038_1	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H8432	038	1	1	01	01	H8432_038_1	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H8432	038	2	1	01	01	H8432_038_2	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H8432	038	2	1	01	01	H8432_038_2	8	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H8432	040	0	1	01	01	H8432_040_0	5	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H8432	040	0	1	01	01	H8432_040_0	5	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H8552	020	0	1	04	01	H8552_020_0	7		1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H8552	020	0	1	04	01	H8552_020_0	7		1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H8552	029	0	1	04	01	H8552_029_0	7	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H8552	029	0	1	04	01	H8552_029_0	7	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H8634	010	0	1	04	01	H8634_010_0	6		1	01011	3	1									3	2	1	3		3	2	1	3			1	2	2	1	150.00	3																							2														2		1	001011			0.00	0.00			0.00	0.00	0.00	0.00			2	2	001
H8634	014	0	1	04	01	H8634_014_0	7		1	01011	3	1									3	2	1	3		3	2	1	3			1	2	2	1	150.00	3																							2														2		1	001011			0.00	0.00			0.00	0.00	0.00	0.00			2	2	001
H8634	015	0	1	04	01	H8634_015_0	6		1	01011	3	1									3	2	1	3		3	2	1	3			1	2	2	1	150.00	3																							2														2		1	001011			0.00	0.00			0.00	0.00	0.00	0.00			2	2	001
H8634	017	0	1	04	01	H8634_017_0	7		1	01011	3	1									3	2	1	3		3	2	1	3			1	2	2	1	150.00	3																							2														2		1	001011			0.00	0.00			0.00	0.00	0.00	0.00			2	2	001
H8764	001	0	1	01	01	H8764_001_0	7		1	11111	3	2	1	3		3	2	1	3		3	2	1	3		3	2	1	3		3	1		2	2				01001	150.00	3								150.00	3										2														2		1	000100					25.00	25.00							2	2	001
H8764	002	0	1	02	01	H8764_002_0	7		1	11111	3	2	1	3		3	2	1	3		3	2	1	3		3	2	1	3		3	1		2	2				01001	150.00	3								150.00	3										2														2		1	000100					25.00	25.00							2	2	001
H8764	002	0	1	02	01	H8764_002_0	7		1	11111	3	2	1	3		3	2	1	3		3	2	1	3		3	2	1	3		3	1		2	2				01001	150.00	3								150.00	3										2														2		1	000100					25.00	25.00							2	2	002
H8764	003	0	1	01	01	H8764_003_0	7		1	11111	3	2	1	3		3	2	1	3		3	2	1	3		3	2	1	3		3	1		2	2				01001	150.00	3								150.00	3										2														2		1	000100					25.00	25.00							2	2	001
H8764	003	0	1	01	01	H8764_003_0	7		1	11111	3	2	1	3		3	2	1	3		3	2	1	3		3	2	1	3		3	1		2	2				01001	150.00	3								150.00	3										2														2		1	000100					25.00	25.00							2	2	002
H8764	004	0	1	01	01	H8764_004_0	7		1	11111	3	2	1	3		3	2	1	3		3	2	1	3		3	2	1	3		3	1		2	2				01001	150.00	3								150.00	3										2														2		1	000100					25.00	25.00							2	2	001
H8764	004	0	1	01	01	H8764_004_0	7		1	11111	3	2	1	3		3	2	1	3		3	2	1	3		3	2	1	3		3	1		2	2				01001	150.00	3								150.00	3										2														2		1	000100					25.00	25.00							1	2	002
H8849	001	0	1	01	01	H8849_001_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H8849	001	0	1	01	01	H8849_001_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H8849	003	0	1	01	01	H8849_003_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H8849	003	0	1	01	01	H8849_003_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H8849	005	0	1	01	01	H8849_005_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H8849	005	0	1	01	01	H8849_005_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H8849	006	0	1	01	01	H8849_006_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H8849	006	0	1	01	01	H8849_006_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H8849	009	0	1	01	01	H8849_009_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H8849	009	0	1	01	01	H8849_009_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H8849	013	0	1	01	01	H8849_013_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H8849	013	0	1	01	01	H8849_013_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H9003	001	0	1	02	01	H9003_001_0	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	175.00	2																							2														2		2														2	2	001
H9003	006	0	1	02	01	H9003_006_0	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	175.00	2																							2														2		2														2	2	001
H9003	008	0	1	02	01	H9003_008_0	11	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	175.00	2																							2														2		2														2	2	001
H9003	009	0	1	02	01	H9003_009_0	10	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	175.00	2																							2														2		2														2	2	001
H9219	001	0	1	04	01	H9219_001_0	9	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H9219	001	0	1	04	01	H9219_001_0	9	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H9219	002	0	1	04	01	H9219_002_0	8	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H9219	002	0	1	04	01	H9219_002_0	8	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H9525	004	0	1	01	01	H9525_004_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H9525	004	0	1	01	01	H9525_004_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H9525	006	0	1	01	01	H9525_006_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H9525	006	0	1	01	01	H9525_006_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H9525	011	0	1	01	01	H9525_011_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H9525	011	0	1	01	01	H9525_011_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H9525	013	1	1	01	01	H9525_013_1	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H9525	013	1	1	01	01	H9525_013_1	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H9525	013	2	1	01	01	H9525_013_2	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H9525	013	2	1	01	01	H9525_013_2	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H9525	013	3	1	01	01	H9525_013_3	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H9525	013	3	1	01	01	H9525_013_3	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H9525	013	4	1	01	01	H9525_013_4	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H9525	013	4	1	01	01	H9525_013_4	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H9525	015	0	1	01	01	H9525_015_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H9525	015	0	1	01	01	H9525_015_0	7	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H9525	017	0	1	01	01	H9525_017_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
H9525	017	0	1	01	01	H9525_017_0	6	2	1	01111	3	1				3	1				3	1				3	1					1		2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
H9572	001	1	1	04	01	H9572_001_1	5	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	001	2	1	04	01	H9572_001_2	5	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	001	3	1	04	01	H9572_001_3	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	001	4	1	04	01	H9572_001_4	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	001	6	1	04	01	H9572_001_6	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	002	1	1	04	01	H9572_002_1	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	002	2	1	04	01	H9572_002_2	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	002	3	1	04	01	H9572_002_3	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	002	4	1	04	01	H9572_002_4	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	002	6	1	04	01	H9572_002_6	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	003	1	1	04	01	H9572_003_1	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	003	2	1	04	01	H9572_003_2	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	003	3	1	04	01	H9572_003_3	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	003	4	1	04	01	H9572_003_4	5	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	003	6	1	04	01	H9572_003_6	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	004	1	1	04	01	H9572_004_1	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	004	2	1	04	01	H9572_004_2	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	004	3	1	04	01	H9572_004_3	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	004	4	1	04	01	H9572_004_4	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	004	6	1	04	01	H9572_004_6	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	006	1	1	04	01	H9572_006_1	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	006	2	1	04	01	H9572_006_2	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	006	3	1	04	01	H9572_006_3	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	006	4	1	04	01	H9572_006_4	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	006	6	1	04	01	H9572_006_6	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	007	1	1	04	01	H9572_007_1	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	007	2	1	04	01	H9572_007_2	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	007	3	1	04	01	H9572_007_3	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	007	4	1	04	01	H9572_007_4	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
H9572	007	6	1	04	01	H9572_007_6	4	2	1	01001	3	1														3	2	1	3			1	2	2	1	250.00	3																							2														2		2														2	2	001
R4487	001	0	1	31	11	R4487_001_0	12	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
R4487	001	0	1	31	11	R4487_001_0	12	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
R5941	013	0	1	31	11	R5941_013_0	7	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
R5941	013	0	1	31	11	R5941_013_0	7	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
R5941	014	0	1	31	11	R5941_014_0	8	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	150.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	002
R5941	014	0	1	31	11	R5941_014_0	8	2	1	01111	3	1				3	1				3	1				3	1					1	2	2	1	200.00	3																							2														2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2	003
