pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	pbp_d_opt_identifier	pbp_d_opt_description	pbp_d_amt_opt_premium	pbp_d_opt_maxplan_ben_cov_yn	pbp_d_opt_maxplan_ben_cov_amt	pbp_d_opt_maxplan_per	pbp_d_opt_deduct_yn	pbp_d_opt_deduct_amt	pbp_d_opt_secb_cats	pbp_d_opt_other_benefits
H0028	001	0	1	01	01	H0028_001_0	3	001	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H0028	002	0	1	01	01	H0028_002_0	3	001	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H0028	003	0	1	01	01	H0028_003_0	3	001	MyOption Dental - High PPO	18.50	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H0028	003	0	1	01	01	H0028_003_0	3	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H0028	004	0	1	01	01	H0028_004_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H0108	004	0	1	01	01	H0108_004_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H0108	004	0	1	01	01	H0108_004_0	3	002	MyOption Enhanced Dental HMO	30.90	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H0108	022	0	1	01	01	H0108_022_0	3	001	MyOption Enhanced Dental HMO	30.90	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H0108	024	0	1	01	01	H0108_024_0	3	001	MyOption Enhanced Dental HMO	30.90	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H0108	026	0	1	01	01	H0108_026_0	3	001	MyOption Enhanced Dental HMO	30.90	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H0108	028	0	1	01	01	H0108_028_0	3	001	MyOption Enhanced Dental HMO	30.90	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H0108	037	0	1	01	01	H0108_037_0	3	001	MyOption Enhanced Dental HMO	30.90	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H0108	039	0	1	01	01	H0108_039_0	3	001	MyOption Dental - High PPO	28.60	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H0108	041	0	1	01	01	H0108_041_0	4	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H0108	041	0	1	01	01	H0108_041_0	4	002	MyOption Enhanced Dental HMO	30.90	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H0108	045	0	1	01	01	H0108_045_0	3	001	MyOption Dental - High PPO	28.60	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H0108	055	0	1	01	01	H0108_055_0	3	001	MyOption Enhanced Dental HMO	30.90	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H0108	057	0	1	01	01	H0108_057_0	3	001	MyOption Enhanced Dental HMO	30.90	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H0108	059	0	1	01	01	H0108_059_0	3	001	MyOption Enhanced Dental HMO	30.90	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H0150	024	1	1	01	01	H0150_024_1	4	001	Enhanced Dental - Comprehensive	14.10	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H0150	024	2	1	01	01	H0150_024_2	4	001	Enhanced Dental - Comprehensive	14.10	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H0151	001	0	1	01	01	H0151_001_0	2	001	Fitness Rider	15.00	2			2		000000000000000000000000000000000000000000100000000000	
H0303	013	0	1	01	01	H0303_013_0	3	001	Dental Platinum Rider	34.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0303	015	0	1	01	01	H0303_015_0	4	002	Fitness Rider	19.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H0303	015	0	1	01	01	H0303_015_0	4	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0316	002	0	1	02	01	H0316_002_0	5	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0318	007	0	1	01	01	H0318_007_0	7	002	Advantage Dental Plus Hearing Aids	18.70	2			2		000000000000000000000000000000000000000000000011000100	000000000000000000000000000000000000000000000000000000
H0318	007	0	1	01	01	H0318_007_0	7	001	Advantage Dental	15.70	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0351	030	0	1	01	01	H0351_030_0	3	002	Optional Supplemental Benefits - Gold Package # 2	25.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011110000
H0351	030	0	1	01	01	H0351_030_0	3	001	Optional Supplemental Benefits - Gold Package # 1	49.00	2			2		000000000000010000000000000000000100000000000011110000	000000000000000000000000000000000000000000000000000000
H0351	035	0	1	01	01	H0351_035_0	4	001	Optional Supplemental Benefits - Gold Package # 1	49.00	2			2		000000000000010000000000000000000100000000000011110000	000000000000000000000000000000000000000000000000000000
H0351	035	0	1	01	01	H0351_035_0	4	002	Optional Supplemental Benefits - Gold Package # 2	25.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011110000
H0351	038	0	1	01	01	H0351_038_0	4	002	Optional Supplemental Benefits - Gold Package # 2	25.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011110000
H0351	038	0	1	01	01	H0351_038_0	4	001	Optional Supplemental Benefits - Gold Package # 1	49.00	2			2		000000000000010000000000000000000100000000000011110000	000000000000000000000000000000000000000000000000000000
H0351	040	0	1	01	01	H0351_040_0	3	001	Optional Supplemental Benefits - Gold Package # 1	49.00	2			2		000000000000010000000000000000000100000000000011110000	000000000000000000000000000000000000000000000000000000
H0351	040	0	1	01	01	H0351_040_0	3	002	Optional Supplemental Benefits - Gold Package # 2	25.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011110000
H0351	041	0	1	01	01	H0351_041_0	3	001	Optional Supplemental Benefits - Gold Package # 1	49.00	2			2		000000000000010000000000000000000100000000000011110000	000000000000000000000000000000000000000000000000000000
H0351	041	0	1	01	01	H0351_041_0	3	002	Optional Supplemental Benefits - Gold Package # 2	25.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011110000
H0351	042	0	1	01	01	H0351_042_0	4	001	Optional Supplemental Benefits - Gold Package # 1	49.00	2			2		000000000000010000000000000000000100000000000011110000	000000000000000000000000000000000000000000000000000000
H0351	042	0	1	01	01	H0351_042_0	4	002	Optional Supplemental Benefits - Gold Package # 2	25.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011110000
H0351	043	1	1	01	01	H0351_043_1	4	002	Optional Supplemental Benefits - Gold Package # 2	25.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011110000
H0351	043	1	1	01	01	H0351_043_1	4	001	Optional Supplemental Benefits - Gold Package # 1	49.00	2			2		000000000000010000000000000000000100000000000011110000	000000000000000000000000000000000000000000000000000000
H0351	043	3	1	01	01	H0351_043_3	4	002	Optional Supplemental Benefits - Gold Package # 2	25.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011110000
H0351	043	3	1	01	01	H0351_043_3	4	001	Optional Supplemental Benefits - Gold Package # 1	49.00	2			2		000000000000010000000000000000000100000000000011110000	000000000000000000000000000000000000000000000000000000
H0354	001	0	1	01	01	H0354_001_0	3	001	Cigna Dental Care Plan	20.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0354	021	0	1	01	01	H0354_021_0	4	001	Cigna Dental Care Plan	20.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0354	023	0	1	01	01	H0354_023_0	4	001	Cigna Dental Care Plan	20.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0439	001	0	1	01	01	H0439_001_0	4	001	Enhanced Dental - Comprehensive	17.70	1	1500.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H0504	015	0	1	01	01	H0504_015_0	6	001	Dental	12.20	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0504	017	0	1	01	01	H0504_017_0	5	001	Dental	12.20	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0504	021	0	1	01	01	H0504_021_0	7	001	Dental	12.20	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0504	026	0	1	01	01	H0504_026_0	5	001	Dental	12.20	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0504	027	0	1	01	01	H0504_027_0	5	001	Dental	12.20	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0504	028	0	1	01	01	H0504_028_0	5	001	Dental	12.20	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0504	029	0	1	01	01	H0504_029_0	5	001	Dental	12.20	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0504	030	0	1	01	01	H0504_030_0	6	001	Dental	12.20	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0504	031	0	1	01	01	H0504_031_0	5	001	Dental	12.20	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0504	032	0	1	01	01	H0504_032_0	5	001	Dental	12.20	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0523	002	0	1	01	01	H0523_002_0	5	001	Advantage Dental	12.70	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0523	002	0	1	01	01	H0523_002_0	5	002	Advantage Dental Plus Eyewear and Hearing Aids	22.70	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H0523	022	0	1	01	01	H0523_022_0	5	001	Advantage Dental	12.70	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0523	022	0	1	01	01	H0523_022_0	5	002	Advantage Dental Plus Hearing Aids	15.70	2			2		000000000000000000000000000000000000000000000011000100	000000000000000000000000000000000000000000000000000000
H0523	031	0	1	01	01	H0523_031_0	5	001	Advantage Dental	12.70	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0523	031	0	1	01	01	H0523_031_0	5	002	Advantage Dental Plus Hearing Aids	15.70	2			2		000000000000000000000000000000000000000000000011000100	000000000000000000000000000000000000000000000000000000
H0523	052	0	1	01	01	H0523_052_0	5	001	Advantage Dental	11.50	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0523	052	0	1	01	01	H0523_052_0	5	002	Advantage Dental Plus Eye Wear and Hearing Aids	21.50	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H0523	060	0	1	01	01	H0523_060_0	4	001	Advantage Dental	12.70	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0523	061	0	1	01	01	H0523_061_0	3	001	Advantage Dental	12.70	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0523	061	0	1	01	01	H0523_061_0	3	002	Advantage Dental Plus Hearing Aids	15.70	2			2		000000000000000000000000000000000000000000000011000100	000000000000000000000000000000000000000000000000000000
H0523	063	0	1	01	01	H0523_063_0	4	001	Advantage Dental	12.70	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0524	002	0	2	01	01	H0524_002_0	9	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	003	0	1	01	01	H0524_003_0	8	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	008	0	1	01	01	H0524_008_0	8	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	010	0	2	01	01	H0524_010_0	9	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	013	0	1	01	01	H0524_013_0	11	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	015	0	1	01	01	H0524_015_0	9	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	031	0	1	01	01	H0524_031_0	9	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	032	0	1	01	01	H0524_032_0	8	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	033	0	1	01	01	H0524_033_0	8	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	034	0	1	01	01	H0524_034_0	8	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	035	0	1	01	01	H0524_035_0	8	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	036	0	1	01	01	H0524_036_0	8	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	037	0	1	01	01	H0524_037_0	9	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	038	0	1	01	01	H0524_038_0	8	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	039	0	1	01	01	H0524_039_0	8	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	040	0	1	01	01	H0524_040_0	8	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	041	0	1	01	01	H0524_041_0	8	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	042	0	1	01	01	H0524_042_0	8	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	043	0	1	01	01	H0524_043_0	8	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	046	0	1	01	01	H0524_046_0	8	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0524	051	0	1	01	01	H0524_051_0	11	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000100011000100	000000000000000000000000000000000000000000000000010000
H0543	001	0	1	01	01	H0543_001_0	2	001	High Option Dental Rider	17.00	2			2			000000000000000000000000000000000000000000000011000000
H0543	001	0	1	01	01	H0543_001_0	2	002	Optional Dental Rider	4.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0543	004	0	1	01	01	H0543_004_0	2	001	High Option Dental Rider	17.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0543	004	0	1	01	01	H0543_004_0	2	002	Optional Dental Rider	4.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0543	007	0	1	01	01	H0543_007_0	2	001	High Option Dental Rider	17.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0543	007	0	1	01	01	H0543_007_0	2	002	Optional Dental Rider	4.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0543	013	0	1	01	01	H0543_013_0	2	001	High Option Dental Rider	11.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0543	013	0	1	01	01	H0543_013_0	2	002	Fitness Rider	15.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H0543	022	0	1	01	01	H0543_022_0	2	001	High Option Dental Rider	17.00	2			2			000000000000000000000000000000000000000000000011000000
H0543	022	0	1	01	01	H0543_022_0	2	002	Optional Dental Rider	4.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0543	029	0	1	01	01	H0543_029_0	2	001	High Option Dental Rider	17.00	2			2			000000000000000000000000000000000000000000000011000000
H0543	029	0	1	01	01	H0543_029_0	2	002	Optional Dental Rider	4.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0543	036	0	1	01	01	H0543_036_0	3	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0543	060	0	1	01	01	H0543_060_0	2	001	High Option Dental Rider	11.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0543	060	0	1	01	01	H0543_060_0	2	002	Fitness Rider	15.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H0543	070	0	1	01	01	H0543_070_0	2	001	High Option Dental Rider	17.00	2			2			000000000000000000000000000000000000000000000011000000
H0543	070	0	1	01	01	H0543_070_0	2	002	Optional Dental Rider	4.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0543	089	0	1	01	01	H0543_089_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0543	138	0	1	01	01	H0543_138_0	2	001	High Option Dental Rider	17.00	2			2			000000000000000000000000000000000000000000000011000000
H0543	138	0	1	01	01	H0543_138_0	2	002	Optional Dental Rider	4.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0543	140	0	1	01	01	H0543_140_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0543	140	0	1	01	01	H0543_140_0	2	002	Fitness Rider	19.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H0543	144	0	1	01	01	H0543_144_0	2	001	High Option Dental Rider	17.00	2			2			000000000000000000000000000000000000000000000011000000
H0543	144	0	1	01	01	H0543_144_0	2	002	Optional Dental Rider	4.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0543	145	0	1	01	01	H0543_145_0	2	001	High Option Dental Rider	17.00	2			2			000000000000000000000000000000000000000000000011000000
H0543	145	0	1	01	01	H0543_145_0	2	002	Optional Dental Rider	4.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0543	146	0	1	01	01	H0543_146_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0543	151	0	1	01	01	H0543_151_0	2	001	High Option Dental Rider	17.00	2			2			000000000000000000000000000000000000000000000011000000
H0543	151	0	1	01	01	H0543_151_0	2	002	Optional Dental Rider	4.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0543	152	0	1	01	01	H0543_152_0	2	001	High Option Dental Rider	17.00	2			2			000000000000000000000000000000000000000000000011000000
H0543	152	0	1	01	01	H0543_152_0	2	002	Optional Dental Rider	4.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0543	152	0	1	01	01	H0543_152_0	2	003	Fitness Rider	15.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H0544	002	0	1	01	01	H0544_002_0	11	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0544	004	0	1	01	01	H0544_004_0	9	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0544	005	0	1	01	01	H0544_005_0	9	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0544	007	0	1	01	01	H0544_007_0	12	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0544	008	0	1	01	01	H0544_008_0	12	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0544	010	0	1	01	01	H0544_010_0	13	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0544	012	0	1	01	01	H0544_012_0	12	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0544	013	0	1	01	01	H0544_013_0	13	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0544	014	0	1	01	01	H0544_014_0	9	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0544	015	0	1	01	01	H0544_015_0	7	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0544	019	0	1	01	01	H0544_019_0	8	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0544	020	0	1	01	01	H0544_020_0	7	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0544	021	0	1	01	01	H0544_021_0	10	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0544	024	0	1	01	01	H0544_024_0	8	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0544	025	0	1	01	01	H0544_025_0	8	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0544	027	0	1	01	01	H0544_027_0	8	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0544	031	0	1	01	01	H0544_031_0	8	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0544	032	0	1	01	01	H0544_032_0	9	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0544	036	0	1	01	01	H0544_036_0	9	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0544	037	0	1	01	01	H0544_037_0	9	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0544	038	0	1	01	01	H0544_038_0	9	001	Optional Dental	9.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0545	001	0	1	01	01	H0545_001_0	7	001	Enhanced Dental	11.50	1	2000.00	3	2			000000000000000000000000000000000000000000000011000000
H0545	013	0	1	01	01	H0545_013_0	7	001	Enhanced Dental	11.50	1	2000.00	3	2			000000000000000000000000000000000000000000000011000000
H0562	009	0	1	01	01	H0562_009_0	3	001	DPPO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	25.00	2			2		000000000000010000000000000000000100000000100011010000	000000000000000000000000000000000000000000000000000000
H0562	012	0	1	01	01	H0562_012_0	3	001	HMO Buy-Up 7: Eyewear+Chiro/Acupuncture	8.00	2			2		000000000000010000000000000000000100000000000000010000	000000000000000000000000000000000000000000000000000000
H0562	039	0	1	01	01	H0562_039_0	3	001	DPPO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	25.00	2			2		000000000000010000000000000000000100000000100011010000	000000000000000000000000000000000000000000000000000000
H0562	040	0	1	01	01	H0562_040_0	3	001	DHMO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	20.00	2			2		000000000000010000000000000000000100000000100011010000	000000000000000000000000000000000000000000000000000000
H0562	040	0	1	01	01	H0562_040_0	3	002	DPPO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	30.00	2			2		000000000000010000000000000000000100000000100000010000	000000000000000000000000000000000000000000000011000000
H0562	045	0	1	01	01	H0562_045_0	2	001	DHMO+Eyewear+Chiro/Acupucture+Health Club/Fitness	20.00	2			2		000000000000010000000000000000000100000000100011010000	000000000000000000000000000000000000000000000000000000
H0562	045	0	1	01	01	H0562_045_0	2	002	DPPO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	30.00	2			2		000000000000010000000000000000000100000000100000010000	000000000000000000000000000000000000000000000011000000
H0562	068	0	1	01	01	H0562_068_0	3	001	DHMO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	20.00	2			2		000000000000010000000000000000000100000000100011010000	000000000000000000000000000000000000000000000000000000
H0562	068	0	1	01	01	H0562_068_0	3	002	DPPO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	30.00	2			2		000000000000010000000000000000000100000000100000010000	000000000000000000000000000000000000000000000011000000
H0562	079	0	1	01	01	H0562_079_0	3	001	DHMO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	20.00	2			2		000000000000010000000000000000000100000000100011010000	000000000000000000000000000000000000000000000000000000
H0562	079	0	1	01	01	H0562_079_0	3	002	DPPO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	30.00	2			2		000000000000010000000000000000000100000000100000010000	000000000000000000000000000000000000000000000011000000
H0562	084	0	1	01	01	H0562_084_0	3	001	DHMO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	20.00	2			2		000000000000010000000000000000000100000000100011010000	000000000000000000000000000000000000000000000000000000
H0562	084	0	1	01	01	H0562_084_0	3	002	DPPO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	30.00	2			2		000000000000010000000000000000000100000000100000010000	000000000000000000000000000000000000000000000011000000
H0562	089	0	1	01	01	H0562_089_0	3	001	DHMO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	20.00	2			2		000000000000010000000000000000000100000000100011010000	000000000000000000000000000000000000000000000000000000
H0562	089	0	1	01	01	H0562_089_0	3	002	DPPO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	30.00	2			2		000000000000010000000000000000000100000000100000010000	000000000000000000000000000000000000000000000011000000
H0562	090	0	1	01	01	H0562_090_0	3	001	DHMO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	20.00	2			2		000000000000010000000000000000000100000000100011010000	000000000000000000000000000000000000000000000000000000
H0562	090	0	1	01	01	H0562_090_0	3	002	DPPO+Eyewear+Chiro/Acupunture+Health Club/Fitness	30.00	2			2		000000000000010000000000000000000100000000100000010000	000000000000000000000000000000000000000000000011000000
H0562	093	0	1	01	01	H0562_093_0	3	001	DHMO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	20.00	2			2		000000000000010000000000000000000100000000100011010000	000000000000000000000000000000000000000000000000000000
H0562	093	0	1	01	01	H0562_093_0	3	002	DPPO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	30.00	2			2		000000000000010000000000000000000100000000100000010000	000000000000000000000000000000000000000000000011000000
H0562	095	0	1	01	01	H0562_095_0	3	001	DPPO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	25.00	2			2		000000000000010000000000000000000100000000100011010000	000000000000000000000000000000000000000000000000000000
H0562	096	0	1	01	01	H0562_096_0	3	001	DPPO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	25.00	2			2		000000000000010000000000000000000100000000100011010000	000000000000000000000000000000000000000000000000000000
H0562	097	0	1	01	01	H0562_097_0	2	001	DHMO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	20.00	2			2		000000000000010000000000000000000100000000100011010000	000000000000000000000000000000000000000000000000000000
H0562	097	0	1	01	01	H0562_097_0	2	002	DPP+Eyewear+Chiro/Acupuncture+Health Club/Fitness	30.00	2			2		000000000000010000000000000000000100000000100000010000	000000000000000000000000000000000000000000000011000000
H0562	100	1	1	01	01	H0562_100_1	3	001	DHMO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	20.00	2			2		000000000000010000000000000000000100000000100011010000	000000000000000000000000000000000000000000000000000000
H0562	100	1	1	01	01	H0562_100_1	3	002	DPPO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	30.00	2			2		000000000000010000000000000000000100000000100000010000	000000000000000000000000000000000000000000000011000000
H0562	100	2	1	01	01	H0562_100_2	3	001	DHMO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	20.00	2			2		000000000000010000000000000000000100000000100011010000	000000000000000000000000000000000000000000000000000000
H0562	100	2	1	01	01	H0562_100_2	3	002	DPPO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	30.00	2			2		000000000000010000000000000000000100000000100000010000	000000000000000000000000000000000000000000000011000000
H0562	102	0	1	01	01	H0562_102_0	3	001	DHMO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	20.00	2			2		000000000000010000000000000000000100000000100011010000	000000000000000000000000000000000000000000000000000000
H0562	102	0	1	01	01	H0562_102_0	3	002	DPPO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	30.00	2			2		000000000000010000000000000000000100000000100000010000	000000000000000000000000000000000000000000000011000000
H0562	103	0	1	01	01	H0562_103_0	3	001	DHMO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	20.00	2			2		000000000000010000000000000000000100000000100011010000	000000000000000000000000000000000000000000000000000000
H0562	103	0	1	01	01	H0562_103_0	3	002	DPPO+Eyewear+Chiro/Acupuncture+Health Club/Fitness	30.00	2			2		000000000000010000000000000000000100000000100000010000	000000000000000000000000000000000000000000000011000000
H0564	060	0	1	01	01	H0564_060_0	12	001	Preventive Dental Package	11.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H0564	060	0	1	01	01	H0564_060_0	12	002	Dental and Vision Package	29.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H0564	060	0	1	01	01	H0564_060_0	12	003	Enhanced Dental and Vision Package	38.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H0564	061	0	1	01	01	H0564_061_0	13	001	Preventive Dental Package	11.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H0564	061	0	1	01	01	H0564_061_0	13	002	Dental and Vision Package	29.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H0564	061	0	1	01	01	H0564_061_0	13	003	Enhanced Dental and Vision Package	38.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H0564	062	0	1	01	01	H0564_062_0	14	001	Preventive Dental Package	11.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H0564	062	0	1	01	01	H0564_062_0	14	002	Dental and Vision Package	29.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H0564	062	0	1	01	01	H0564_062_0	14	003	Enhanced Dental and Vision Package	38.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H0564	063	0	1	01	01	H0564_063_0	12	001	Preventive Dental Package	11.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H0564	063	0	1	01	01	H0564_063_0	12	002	Dental and Vision Package	29.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H0564	063	0	1	01	01	H0564_063_0	12	003	Enhanced Dental and Vision Package	38.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H0564	067	1	1	01	01	H0564_067_1	13	001	Preventive Dental Package	11.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H0564	067	1	1	01	01	H0564_067_1	13	003	Enhanced Dental and Vision Package	38.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H0564	067	1	1	01	01	H0564_067_1	13	002	Dental and Vision Package	29.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H0564	067	2	1	01	01	H0564_067_2	14	002	Dental and Vision Package	29.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H0564	067	2	1	01	01	H0564_067_2	14	001	Preventive Dental Package	11.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H0564	067	2	1	01	01	H0564_067_2	14	003	Enhanced Dental and Vision Package	38.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H0564	068	0	1	01	01	H0564_068_0	16	002	Dental and Vision Package	29.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H0564	068	0	1	01	01	H0564_068_0	16	001	Preventive Dental Package	11.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H0564	068	0	1	01	01	H0564_068_0	16	003	Enhanced Dental and Vision Package	38.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H0564	069	0	1	01	01	H0564_069_0	14	001	Preventive Dental Package	11.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H0564	069	0	1	01	01	H0564_069_0	14	002	Dental and Vision Package	29.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H0564	069	0	1	01	01	H0564_069_0	14	003	Enhanced Dental and Vision Package	38.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H0564	070	0	1	01	01	H0564_070_0	13	002	Dental and Vision Package	29.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H0564	070	0	1	01	01	H0564_070_0	13	001	Preventive Dental Package	11.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H0564	070	0	1	01	01	H0564_070_0	13	003	Enhanced Dental and Vision Package	38.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H0571	001	0	1	01	01	H0571_001_0	5	001	Dental Plan	16.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H0602	001	0	1	18	06	H0602_001_0	5	002	Vision Services	12.00	1	130.00	3	2		000000000000000000000000000000000000000000000000010000	000000000000000000000000000000000000000000000000000000
H0602	001	0	1	18	06	H0602_001_0	5	001	Dental Services	18.00	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H0602	003	0	1	18	06	H0602_003_0	5	001	Dental Services	18.00	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H0602	003	0	1	18	06	H0602_003_0	5	002	Vision Services	12.00	1	130.00	3	2		000000000000000000000000000000000000000000000000010000	000000000000000000000000000000000000000000000000000000
H0602	007	0	1	18	06	H0602_007_0	5	001	Dental Services	18.00	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H0602	007	0	1	18	06	H0602_007_0	5	002	Vision Services	12.00	1	130.00	3	2		000000000000000000000000000000000000000000000000010000	000000000000000000000000000000000000000000000000000000
H0602	009	0	1	18	06	H0602_009_0	5	002	Vision Services	12.00	1	130.00	3	2		000000000000000000000000000000000000000000000000010000	000000000000000000000000000000000000000000000000000000
H0602	009	0	1	18	06	H0602_009_0	5	001	Dental Services	18.00	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H0602	017	0	1	18	06	H0602_017_0	6	001	Dental Services	18.00	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H0602	017	0	1	18	06	H0602_017_0	6	002	Vision Services	12.00	1	130.00	3	2		000000000000000000000000000000000000000000000000010000	000000000000000000000000000000000000000000000000000000
H0602	019	0	1	18	06	H0602_019_0	4	002	Vision Services	12.00	1	130.00	3	2		000000000000000000000000000000000000000000000000010000	000000000000000000000000000000000000000000000000000000
H0602	019	0	1	18	06	H0602_019_0	4	001	Dental Services	18.00	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H0602	020	0	1	18	06	H0602_020_0	6	001	Dental Services	18.00	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H0602	020	0	1	18	06	H0602_020_0	6	002	Vision Services	12.00	1	130.00	3	2		000000000000000000000000000000000000000000000000010000	000000000000000000000000000000000000000000000000000000
H0602	022	0	1	18	06	H0602_022_0	4	001	Dental Services	18.00	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H0602	022	0	1	18	06	H0602_022_0	4	002	Vision Services	12.00	1	130.00	3	2		000000000000000000000000000000000000000000000000010000	000000000000000000000000000000000000000000000000000000
H0602	027	0	1	18	06	H0602_027_0	5	001	Dental Services	18.00	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H0602	027	0	1	18	06	H0602_027_0	5	002	Vision Services	12.00	1	130.00	3	2		000000000000000000000000000000000000000000000000010000	000000000000000000000000000000000000000000000000000000
H0602	039	0	1	18	06	H0602_039_0	6	002	Vision Services	12.00	1	130.00	3	2		000000000000000000000000000000000000000000000000010000	000000000000000000000000000000000000000000000000000000
H0602	039	0	1	18	06	H0602_039_0	6	001	Dental Services	18.00	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H0602	042	0	1	18	06	H0602_042_0	5	001	Dental Services	18.00	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H0602	042	0	1	18	06	H0602_042_0	5	002	Vision Services	12.00	1	130.00	3	2		000000000000000000000000000000000000000000000000010000	000000000000000000000000000000000000000000000000000000
H0602	043	0	1	18	06	H0602_043_0	6	001	Dental Services	18.00	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H0602	043	0	1	18	06	H0602_043_0	6	002	Vision Services	12.00	1	130.00	3	2		000000000000000000000000000000000000000000000000010000	000000000000000000000000000000000000000000000000000000
H0609	002	0	1	01	01	H0609_002_0	4	001	Dental 260 Rider	14.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0609	007	0	1	01	01	H0609_007_0	4	001	Dental 260 Rider	14.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0609	012	0	1	01	01	H0609_012_0	4	001	Dental 260 Rider	14.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0609	015	0	1	01	01	H0609_015_0	2	001	Dental 260 Rider	14.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0609	018	0	1	01	01	H0609_018_0	2	001	Dental 260 Rider	14.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0609	020	0	1	01	01	H0609_020_0	4	001	Dental 260 Rider	14.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0630	013	0	1	01	01	H0630_013_0	8	001	Advantage Plus - Option 1	35.00	2			2		000000000000000000000000000000000000000000000011010100	
H0630	013	0	1	01	01	H0630_013_0	8	002	Advantage Plus - Option 2	20.00	2			2		000000000000010000000000000010000100000000000000000100	000000000000000000000000000000000000000000000000000000
H0630	015	0	1	01	01	H0630_015_0	11	002	Advantage Plus - Option 2	20.00	2			2		000000000000010000000000000010000100000000000000000100	000000000000000000000000000000000000000000000000000000
H0630	015	0	1	01	01	H0630_015_0	11	001	Advantage Plus - Option 1	35.00	2			2		000000000000000000000000000000000000000000000001000100	000000000000000000000000000000000000000000000010010000
H0630	016	0	1	01	01	H0630_016_0	8	001	Advantage Plus - Option 1	35.00	2			2		000000000000000000000000000000000000000000000001000100	000000000000000000000000000000000000000000000010010000
H0630	016	0	1	01	01	H0630_016_0	8	002	Advantage Plus - Option 2	20.00	2			2		000000000000010000000000000000000100000000000000000100	000000000000000000000000000010000000000000000000000000
H0630	017	0	1	01	01	H0630_017_0	8	001	Advantage Plus - Option 1	35.00	2			2		000000000000000000000000000000000000000000000011010100	
H0630	017	0	1	01	01	H0630_017_0	8	002	Advantage Plus - Option 2	20.00	2			2		000000000000010000000000000010000100000000000000000100	000000000000000000000000000000000000000000000000000000
H0630	018	0	1	01	01	H0630_018_0	8	002	Advantage Plus - Option 2	20.00	2			2		000000000000010000000000000000000100000000000000000100	000000000000000000000000000010000000000000000000000000
H0630	018	0	1	01	01	H0630_018_0	8	001	Advantage Plus - Option 1	35.00	2			2		000000000000000000000000000000000000000000000001000100	000000000000000000000000000000000000000000000010010000
H0630	020	0	1	01	01	H0630_020_0	8	002	Advantage Plus - Option 2	20.00	2			2		000000000000010000000000000010000100000000000000000100	000000000000000000000000000000000000000000000000000000
H0630	020	0	1	01	01	H0630_020_0	8	001	Advantage Plus - Option 1	35.00	2			2		000000000000000000000000000000000000000000000011010100	
H0630	021	0	1	01	01	H0630_021_0	8	001	Advantage Plus - Option 1	35.00	2			2		000000000000000000000000000000000000000000000001000100	000000000000000000000000000000000000000000000010010000
H0630	021	0	1	01	01	H0630_021_0	8	002	Advantage Plus - Option 2	20.00	2			2		000000000000010000000000000010000100000000000000000100	
H0755	030	0	1	01	01	H0755_030_0	2	001	Dental Platinum Rider	34.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0755	030	0	1	01	01	H0755_030_0	2	002	Fitness Rider	15.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H0755	031	0	1	01	01	H0755_031_0	2	001	Dental Platinum Rider	34.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0755	032	0	1	01	01	H0755_032_0	1	001	Dental Platinum Rider	34.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0755	033	0	1	01	01	H0755_033_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H0901	004	0	1	01	01	H0901_004_0	6	002	Advantage Dental Plus Eyewear and Hearing Aids	26.30	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H0901	004	0	1	01	01	H0901_004_0	6	001	Advantage Dental	16.30	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H1035	002	0	1	02	01	H1035_002_0	12	001	Optional Point of Service Benefit	60.00	2			2		000000000000000000000000000000000000000000000000000001	000000000000000000000000000000000000000000000000000000
H1035	007	0	1	02	01	H1035_007_0	5	001	Optional Point of Service Benefit	60.00	2			2		000000000000000000000000000000000000000000000000000001	000000000000000000000000000000000000000000000000000000
H1035	011	0	1	02	01	H1035_011_0	10	001	Optional Point of Service Benefit	60.00	2			2		000000000000000000000000000000000000000000000000000001	000000000000000000000000000000000000000000000000000000
H1036	137	0	1	01	01	H1036_137_0	3	001	MyOption Dental - High PPO	15.70	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H1036	151	0	1	01	01	H1036_151_0	3	001	MyOption Enhanced Dental HMO	21.70	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H1036	153	0	1	01	01	H1036_153_0	3	001	MyOption Dental - High PPO	24.10	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H1036	219	0	1	01	01	H1036_219_0	3	001	MyOption Dental - High PPO	24.10	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H1036	223	0	1	01	01	H1036_223_0	3	001	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H1036	235	0	1	01	01	H1036_235_0	6	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H1109	005	0	1	01	01	H1109_005_0	5	001	Advantage Dental	13.10	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H1109	005	0	1	01	01	H1109_005_0	5	002	Advantage Dental Plus Hearing Aids	16.10	2			2		000000000000000000000000000000000000000000000011000100	000000000000000000000000000000000000000000000000000000
H1170	002	0	1	01	01	H1170_002_0	7	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H1170	009	0	1	01	01	H1170_009_0	6	001	Advantage Plus	20.00	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H1181	001	0	1	07	02	H1181_001_0	5	001	Wellness Benefit	6.20	1	123.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000100000000000
H1230	001	0	1	01	01	H1230_001_0	6	001	Advantage Plus	22.00	2			2		000000000000000000000000000000000000000000000010010100	000000000000000000000000000000000000000000000000000000
H1230	003	0	1	01	01	H1230_003_0	5	001	Advantage Plus	22.00	2			2		000000000000000000000000000000000000000000000010010100	000000000000000000000000000000000000000000000000000000
H1230	005	0	1	01	01	H1230_005_0	5	001	Advantage Plus	22.00	2			2		000000000000000000000000000000000000000000000010010100	000000000000000000000000000000000000000000000000000000
H1230	006	0	1	01	01	H1230_006_0	5	001	Advantage Plus	22.00	2			2		000000000000000000000000000000000000000000000010010100	000000000000000000000000000000000000000000000000000000
H1286	002	0	1	01	01	H1286_002_0	4	001	Fitness Rider	15.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H1302	001	0	1	04	01	H1302_001_0	6	001	Healthy Smiles Plus Dental	29.50	1	1000.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H1302	004	0	1	04	01	H1302_004_0	3	001	Healthy Smiles Plus Dental	29.50	1	1000.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H1302	006	0	1	04	01	H1302_006_0	6	001	Healthy Smiles Plus Dental	29.50	1	1000.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H1304	001	0	1	04	01	H1304_001_0	8	001	Restorative and Other Dental Services	27.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H1304	002	0	1	04	01	H1304_002_0	9	001	Restorative and Other Dental Services	27.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H1304	004	0	1	04	01	H1304_004_0	9	001	Restorative and Other Dental Services	27.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H1304	008	0	1	04	01	H1304_008_0	8	001	Restorative and Other Dental Services	27.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H1304	009	0	1	04	01	H1304_009_0	9	001	Restorative and Other Dental Services	27.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H1304	010	0	1	04	01	H1304_010_0	9	001	Restorative and Other Dental Services	27.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H1350	001	0	1	02	01	H1350_001_0	5	001	Healthy Smiles Plus	29.50	1	1000.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H1350	006	0	1	01	01	H1350_006_0	4	001	Healthy Smiles Plus Dental	29.50	1	1000.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H1350	010	0	1	01	01	H1350_010_0	4	001	Healthy Smiles Plus Dental	29.50	1	1000.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H1350	012	0	1	01	01	H1350_012_0	4	001	Healthy Smiles Plus Dental	29.50	1	1000.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H1406	013	0	1	01	01	H1406_013_0	4	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H1406	022	0	1	01	01	H1406_022_0	4	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H1406	026	0	1	01	01	H1406_026_0	4	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H1406	026	0	1	01	01	H1406_026_0	4	002	MyOption Enhanced Dental HMO	24.50	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H1406	028	0	1	01	01	H1406_028_0	4	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H1406	030	0	1	01	01	H1406_030_0	5	001	MyOption Plus	20.90	2			1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000110000
H1406	030	0	1	01	01	H1406_030_0	5	002	MyOption Platinum Dental	31.20	1	2000.00	3	2			000000000000000000000000000000000000000000000011000000
H1415	021	0	1	02	01	H1415_021_0	5	001	Enhanced Vision and Enhanced Dental	24.40	2			2		000000000000000000000000000000000000000000000011110000	000000000000000000000000000000000000000000000000000000
H1418	002	0	1	04	01	H1418_002_0	4	001	MyOption Enhanced Dental PPO	20.80	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H1418	007	0	1	04	01	H1418_007_0	4	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H1418	007	0	1	04	01	H1418_007_0	4	002	MyOption Enhanced Dental PPO	20.80	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H1418	008	0	1	04	01	H1418_008_0	3	001	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H1419	001	0	1	01	01	H1419_001_0	5	001	Advantage Dental	21.30	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H1419	001	0	1	01	01	H1419_001_0	5	002	Advantage Dental Plus Eyewear and Hearing Aids	31.30	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H1468	007	0	1	01	01	H1468_007_0	4	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H1468	007	0	1	01	01	H1468_007_0	4	002	MyOption Enhanced Dental HMO	24.50	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H1509	001	0	1	04	01	H1509_001_0	2	001	Dental Platinum Rider	34.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H1509	009	0	1	04	01	H1509_009_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H1509	009	0	1	04	01	H1509_009_0	2	002	Fitness Rider	15.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H1509	010	0	1	04	01	H1509_010_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H1509	011	0	1	04	01	H1509_011_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H1510	004	0	1	04	01	H1510_004_0	3	001	MyOption Enhanced Dental PPO	23.40	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H1510	005	0	1	04	01	H1510_005_0	3	001	MyOption Enhanced Dental PPO	21.80	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H1510	008	0	1	04	01	H1510_008_0	3	001	MyOption Enhanced Dental PPO	21.80	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H1517	006	1	1	04	01	H1517_006_1	15	001	Preventive Dental Package	15.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H1517	006	1	1	04	01	H1517_006_1	15	002	Dental and Vision Package	26.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H1517	006	1	1	04	01	H1517_006_1	15	003	Enhanced Dental and Vision Package	40.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H1517	006	2	1	04	01	H1517_006_2	15	001	Preventive Dental Package	15.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H1517	006	2	1	04	01	H1517_006_2	15	002	Dental and Vision Package	26.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H1517	006	2	1	04	01	H1517_006_2	15	003	Enhanced Dental and Vision Package	40.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H1517	006	4	1	04	01	H1517_006_4	15	001	Preventive Dental Package	15.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H1517	006	4	1	04	01	H1517_006_4	15	002	Dental and Vision Package	26.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H1517	006	4	1	04	01	H1517_006_4	15	003	Enhanced Dental and Vision Package	40.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H1595	003	0	1	04	01	H1595_003_0	6	001	Dental	29.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H1595	004	0	1	04	01	H1595_004_0	6	001	Dental	29.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H1607	012	0	1	04	01	H1607_012_0	15	001	Preventive Dental Package	17.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H1607	012	0	1	04	01	H1607_012_0	15	002	Dental and Vision Package	26.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H1607	012	0	1	04	01	H1607_012_0	15	003	Enhanced Dental and Vision Package	38.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H1651	008	0	1	18	06	H1651_008_0	6	001	Out of Network Benefit	20.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000100000000000000000
H1651	009	0	1	18	06	H1651_009_0	4	001	Out of Network Benefit	20.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000100000000000000000
H1659	001	0	1	04	01	H1659_001_0	8	001	Dental High Option	24.40	1	1000.00	3	1	75.00		000000000000000000000000000000000000000000000011000000
H1659	001	0	1	04	01	H1659_001_0	8	002	Dental Low Option	14.40	1	750.00	3	1	75.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H1659	002	0	1	04	01	H1659_002_0	8	002	Dental Low Option	14.40	1	750.00	3	1	75.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H1659	002	0	1	04	01	H1659_002_0	8	001	Dental High Option	24.40	1	1000.00	3	1	75.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H1659	003	0	1	04	01	H1659_003_0	8	001	Dental High Option	24.40	1	1000.00	3	1	75.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H1659	003	0	1	04	01	H1659_003_0	8	002	Dental Low Option	14.40	1	750.00	3	1	75.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H1716	001	0	1	04	01	H1716_001_0	3	001	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H1716	020	0	1	04	01	H1716_020_0	3	004	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H1716	020	0	1	04	01	H1716_020_0	3	003	MyOption Plus	20.50	2			1	50.00		000000000000000000000000000000000000000000000011110000
H1716	020	0	1	04	01	H1716_020_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H1716	020	0	1	04	01	H1716_020_0	3	001	MyOption Dental - High PPO	17.30	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H1846	001	0	1	04	01	H1846_001_0	8	001	Dental	23.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H1846	003	0	1	04	01	H1846_003_0	9	001	Dental	23.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H1849	018	0	1	01	01	H1849_018_0	14	003	Enhanced Dental and Vision Package	36.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H1849	018	0	1	01	01	H1849_018_0	14	001	Preventive Dental Package	13.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H1849	018	0	1	01	01	H1849_018_0	14	002	Dental and Vision Package	22.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H1951	001	0	1	01	01	H1951_001_0	4	001	MyOption Enhanced Dental HMO	22.80	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H1951	013	0	1	01	01	H1951_013_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H1951	013	0	1	01	01	H1951_013_0	3	002	MyOption Enhanced Dental HMO	22.80	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H1951	030	0	1	01	01	H1951_030_0	2	001	MyOption Enhanced Dental HMO	22.80	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H1994	001	0	1	02	01	H1994_001_0	9	001	SelectHealth Dental Comprehensive Benefit	35.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H1994	001	0	1	02	01	H1994_001_0	9	002	SelectHealth Dental Comprehensive Plus Eyewear	40.00	1	1200.00	3	2		000000000000000000000000000000000000000000000011010000	000000000000000000000000000000000000000000000000000000
H1994	002	0	1	02	01	H1994_002_0	8	002	SelectHealth Dental Comprehensive Plus Eyewear	40.00	1	1200.00	3	2		000000000000000000000000000000000000000000000011010000	000000000000000000000000000000000000000000000000000000
H1994	002	0	1	02	01	H1994_002_0	8	001	SelectHealth Dental Comprehensive Benefit	35.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H1994	005	0	1	02	01	H1994_005_0	8	001	SelectHealth Dental Comprehensive Benefit	35.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H1994	005	0	1	02	01	H1994_005_0	8	002	SelectHealth Dental Comprehensive Plus Eyewear	40.00	1	1200.00	3	2		000000000000000000000000000000000000000000000011010000	000000000000000000000000000000000000000000000000000000
H2001	001	0	1	04	01	H2001_001_0	4	001	Fitness Rider	19.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H2012	002	0	1	01	01	H2012_002_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H2012	002	0	1	01	01	H2012_002_0	3	002	MyOption Enhanced Dental HMO	20.30	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H2012	003	0	1	01	01	H2012_003_0	3	001	MyOption Dental - High PPO	16.40	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2012	006	0	1	01	01	H2012_006_0	4	001	MyOption Dental - High PPO	22.10	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2012	013	0	1	01	01	H2012_013_0	3	001	MyOption Dental - High PPO	21.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2012	015	0	1	01	01	H2012_015_0	3	001	MyOption Dental - High PPO	21.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2012	016	0	1	01	01	H2012_016_0	4	001	MyOption Dental - High PPO	21.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2012	021	0	1	01	01	H2012_021_0	4	001	MyOption Dental - High PPO	18.00	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2012	021	0	1	01	01	H2012_021_0	4	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H2012	022	0	1	01	01	H2012_022_0	3	002	MyOption Plus	26.60	2			1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000110000
H2012	022	0	1	01	01	H2012_022_0	3	003	MyOption Platinum Dental	37.00	1	2000.00	3	2			000000000000000000000000000000000000000000000011000000
H2012	022	0	1	01	01	H2012_022_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H2012	030	0	1	02	01	H2012_030_0	5	002	MyOption Plus	26.60	2			1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000110000
H2012	030	0	1	02	01	H2012_030_0	5	003	MyOption Platinum Dental	37.00	1	2000.00	3	2			000000000000000000000000000000000000000000000011000000
H2012	030	0	1	02	01	H2012_030_0	5	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H2012	031	0	1	01	01	H2012_031_0	3	001	MyOption Dental - High PPO	30.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2012	033	0	1	01	01	H2012_033_0	4	001	MyOption Dental - High PPO	30.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2012	033	0	1	01	01	H2012_033_0	4	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H2012	033	0	1	01	01	H2012_033_0	4	003	MyOption Plus	24.20	2			1	50.00		000000000000000000000000000000000000000000000011110000
H2012	035	0	1	01	01	H2012_035_0	3	001	MyOption Dental - High PPO	30.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2012	037	0	1	01	01	H2012_037_0	3	001	MyOption Dental - High PPO	30.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2012	039	0	1	01	01	H2012_039_0	3	001	MyOption Dental - High PPO	30.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2012	080	0	1	01	01	H2012_080_0	3	001	MyOption Dental - High PPO	12.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2012	082	0	1	01	01	H2012_082_0	3	001	MyOption Dental - High PPO	12.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2012	082	0	1	01	01	H2012_082_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H2012	082	0	1	01	01	H2012_082_0	3	003	MyOption Plus	20.40	2			1	50.00		000000000000000000000000000000000000000000000011110000
H2012	087	0	1	01	01	H2012_087_0	3	001	MyOption Dental - High PPO	21.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2012	087	0	1	01	01	H2012_087_0	3	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H2012	090	0	1	01	01	H2012_090_0	3	003	MyOption Plus	24.20	2			1	50.00		000000000000000000000000000000000000000000000011110000
H2012	090	0	1	01	01	H2012_090_0	3	001	MyOption Dental - High PPO	30.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2012	090	0	1	01	01	H2012_090_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H2012	096	0	1	01	01	H2012_096_0	4	001	MyOption Platinum Dental	25.80	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H2012	097	0	1	01	01	H2012_097_0	3	001	MyOption Dental - High PPO	16.40	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2012	099	1	1	01	01	H2012_099_1	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H2012	099	1	1	01	01	H2012_099_1	3	001	MyOption Dental - High PPO	12.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2012	099	1	1	01	01	H2012_099_1	3	003	MyOption Plus	20.40	2			1	50.00		000000000000000000000000000000000000000000000011110000
H2012	099	2	1	01	01	H2012_099_2	3	001	MyOption Dental - High PPO	12.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2012	099	2	1	01	01	H2012_099_2	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H2012	099	2	1	01	01	H2012_099_2	3	003	MyOption Plus	20.40	2			1	50.00		000000000000000000000000000000000000000000000011110000
H2012	100	4	1	01	01	H2012_100_4	9	001	MyOption Enhanced Dental HMO	23.00	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H2012	100	5	1	01	01	H2012_100_5	6	001	MyOption Enhanced Dental HMO	23.00	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H2108	022	0	1	01	01	H2108_022_0	6	001	Enhanced Dental - Preventive Plus	12.90	2			2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H2108	028	0	1	01	01	H2108_028_0	5	001	Enhanced Dental - Preventive Plus	12.90	2			2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H2108	029	0	1	01	01	H2108_029_0	5	001	Enhanced Dental - Preventive Plus	12.90	2			2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H2108	030	0	1	01	01	H2108_030_0	5	001	Enhanced Dental - Preventive Plus	12.90	2			2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H2108	032	0	1	01	01	H2108_032_0	5	001	Enhanced Dental - Preventive and Preventive Plus	19.90	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H2112	001	0	1	01	01	H2112_001_0	4	001	Advantage Dental	14.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H2112	001	0	1	01	01	H2112_001_0	4	002	Advantage Dental Plus Eyewear and Hearing Aids	24.00	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H2112	007	0	1	01	01	H2112_007_0	7	001	Advantage Dental	14.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H2112	007	0	1	01	01	H2112_007_0	7	002	Advantage Dental Plus Eyewear and Hearing Aids	24.00	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H2171	001	0	1	01	01	H2171_001_0	7	001	Dental Rider	20.00	2			2		000000000000000000000000000000000000000000000011000000	
H2171	001	0	1	01	01	H2171_001_0	7	002	Combination Rider (Dental, Hearing, and Vision)	35.00	2			2		000000000000000000000000000000000000000000000011001100	000000000000000000000000000000000000000000000000110000
H2174	004	0	1	01	01	H2174_004_0	5	001	Preventive Dental	13.00	1	1000.00	3	2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H2174	009	0	1	01	01	H2174_009_0	6	001	Vision and Preventive Dental	21.90	1	1250.00	6	2		000000000000000000000000000000000000000000000010010000	000000000000000000000000000000000000000000000000000000
H2312	004	0	1	01	01	H2312_004_0	12	001	Delta Dental Option 1	23.40	1	800.00	3	2			000000000000000000000000000000000000000000000011000000
H2312	004	0	1	01	01	H2312_004_0	12	002	Delta Dental Option 2	44.90	1	1500.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H2312	006	0	1	01	01	H2312_006_0	10	001	Delta Dental Option 1	23.40	1	800.00	3	2			000000000000000000000000000000000000000000000011000000
H2312	006	0	1	01	01	H2312_006_0	10	002	Delta Dental Option 2	44.90	1	1500.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H2312	007	0	1	02	01	H2312_007_0	10	001	Delta Dental Option 1	23.40	1	800.00	3	2			000000000000000000000000000000000000000000000011000000
H2312	007	0	1	02	01	H2312_007_0	10	002	Delta Dental Option 2	44.90	1	1500.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H2312	010	0	1	02	01	H2312_010_0	11	001	Delta Dental Option 1	23.40	1	800.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H2312	010	0	1	02	01	H2312_010_0	11	002	Delta Dental Option 2	44.90	1	1500.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H2312	012	0	1	02	01	H2312_012_0	10	001	Delta Dental Option 1	23.40	1	800.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H2312	012	0	1	02	01	H2312_012_0	10	002	Delta Dental Option 2	44.90	1	1500.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H2320	007	0	1	02	01	H2320_007_0	7	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H2320	008	0	1	02	01	H2320_008_0	5	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H2320	011	0	1	02	01	H2320_011_0	7	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H2320	012	0	1	02	01	H2320_012_0	7	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H2320	013	0	1	02	01	H2320_013_0	5	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H2320	015	0	1	02	01	H2320_015_0	6	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H2320	016	0	1	02	01	H2320_016_0	6	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H2320	018	0	1	02	01	H2320_018_0	6	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H2320	019	0	1	02	01	H2320_019_0	5	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H2320	021	0	1	02	01	H2320_021_0	6	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H2322	004	0	1	04	01	H2322_004_0	9	001	Delta Dental Option 1	23.40	1	800.00	3	2			000000000000000000000000000000000000000000000011000000
H2322	004	0	1	04	01	H2322_004_0	9	002	Delta Dental Option 2	44.90	1	1500.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H2322	008	0	1	04	01	H2322_008_0	9	001	Delta Dental Option 1	23.40	1	800.00	3	2			000000000000000000000000000000000000000000000011000000
H2322	008	0	1	04	01	H2322_008_0	9	002	Delta Dental Option 2	44.90	1	1500.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H2354	001	0	1	01	01	H2354_001_0	6	001	Dental	29.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H2354	015	0	1	01	01	H2354_015_0	7	001	Dental	29.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H2450	001	0	1	18	06	H2450_001_0	4	001	Medica SeniorDental	60.80	1	1000.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H2450	002	0	1	18	06	H2450_002_0	4	002	Wisconsin Rider	39.00	1	30000.00	3	2		000000000000000000000000000000000000000000000000000000	000100000001000000000000000000001000000000000000000000
H2450	002	0	1	18	06	H2450_002_0	4	001	Medica SeniorDental	60.80	1	1000.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H2450	016	0	1	18	06	H2450_016_0	4	001	Medica SeniorDental	60.80	1	1000.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H2450	017	0	1	18	06	H2450_017_0	4	001	Medica SeniorDental	60.80	1	1000.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H2450	017	0	1	18	06	H2450_017_0	4	002	Wisconsin Rider	39.00	1	30000.00	3	2		000000000000000000000000000000000000000000000000000000	000100000001000000000000000000001000000000000000000000
H2450	022	0	1	18	06	H2450_022_0	4	001	Medica SeniorDental	60.80	1	1000.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H2450	023	0	1	18	06	H2450_023_0	4	001	Medica SeniorDental	60.80	1	1000.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H2459	002	0	1	02	01	H2459_002_0	7	001	Comprehensive Dental	19.00	1	1000.00	3	1	25.00	000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H2462	007	0	1	18	06	H2462_007_0	4	001	Freedom Comprehensive Dental Benefit	39.90	1	1100.00	3	1	50.00	000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000010000000
H2462	008	0	1	18	06	H2462_008_0	8	001	Freedom Comprehensive Dental Benefit	39.90	1	1100.00	3	1	50.00	000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000010000000
H2462	010	0	1	18	06	H2462_010_0	3	001	Freedom Comprehensive Dental Benefit	39.90	1	1100.00	3	1	50.00	000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000010000000
H2462	011	0	1	18	06	H2462_011_0	5	001	Freedom Comprehensive Dental Benefit	39.90	1	1100.00	3	1	50.00	000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000010000000
H2462	012	0	1	18	06	H2462_012_0	5	001	Freedom Comprehensive Dental Benefit	39.90	1	1100.00	3	1	50.00	000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000010000000
H2462	018	0	1	18	06	H2462_018_0	3	001	Freedom Comprehensive Dental Benefit	39.90	1	1100.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H2462	019	0	1	18	06	H2462_019_0	5	001	Freedom Comprehensive Dental Benefit	39.90	1	1100.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H2486	003	0	1	01	01	H2486_003_0	3	001	MyOption Platinum Dental	30.50	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H2649	020	0	1	01	01	H2649_020_0	3	001	MyOption Dental - High PPO	17.30	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2649	020	0	1	01	01	H2649_020_0	3	003	MyOption Plus	20.50	2			1	50.00		000000000000000000000000000000000000000000000011110000
H2649	020	0	1	01	01	H2649_020_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H2649	024	0	1	01	01	H2649_024_0	5	001	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H2649	030	0	1	02	01	H2649_030_0	5	001	MyOption Dental - High PPO	25.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2649	031	0	1	01	01	H2649_031_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H2649	031	0	1	01	01	H2649_031_0	3	002	MyOption Enhanced Dental HMO	23.50	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H2649	032	0	1	01	01	H2649_032_0	4	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H2649	032	0	1	01	01	H2649_032_0	4	002	MyOption Enhanced Dental HMO	23.50	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H2649	033	0	1	01	01	H2649_033_0	3	002	MyOption Enhanced Dental HMO	23.50	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H2649	033	0	1	01	01	H2649_033_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H2649	034	0	1	01	01	H2649_034_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H2649	034	0	1	01	01	H2649_034_0	3	002	MyOption Enhanced Dental HMO	23.50	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H2649	035	0	1	01	01	H2649_035_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H2649	036	0	1	01	01	H2649_036_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H2649	036	0	1	01	01	H2649_036_0	3	002	MyOption Enhanced Dental HMO	23.50	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H2649	039	0	1	01	01	H2649_039_0	3	002	MyOption Enhanced Dental HMO	23.50	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H2649	039	0	1	01	01	H2649_039_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H2649	040	0	1	01	01	H2649_040_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H2649	040	0	1	01	01	H2649_040_0	3	001	MyOption Dental - High PPO	25.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2649	041	0	1	01	01	H2649_041_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H2649	043	0	1	01	01	H2649_043_0	3	001	MyOption Dental - High PPO	22.00	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2649	043	0	1	01	01	H2649_043_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H2649	043	0	1	01	01	H2649_043_0	3	003	MyOption Plus	23.60	2			1	50.00		000000000000000000000000000000000000000000000011110000
H2654	013	0	1	01	01	H2654_013_0	2	001	Dental Platinum Rider	34.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H2672	001	0	1	01	01	H2672_001_0	5	002	Coventry Medicare Advantage HMO Dental/Vision Plan	29.00	1	1250.00	3	1	50.00	000000000000000000000000000000000000000000000011010000	000000000000000000000000000000000000000000000000000000
H2672	001	0	1	01	01	H2672_001_0	5	001	Coventry Medicare Advantage HMO Dental Plan	14.00	1	1000.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H2672	008	0	1	01	01	H2672_008_0	4	002	Coventry Medicare Advantage HMO Dental/Vision Plan	29.00	1	1250.00	3	1	50.00	000000000000000000000000000000000000000000000011010000	000000000000000000000000000000000000000000000000000000
H2672	008	0	1	01	01	H2672_008_0	4	001	Coventry Medicare Advantage HMO Dental Plan	14.00	1	1000.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H2672	012	0	1	01	01	H2672_012_0	4	001	Coventry Medicare Advantage HMO Dental Plan	14.00	1	1000.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H2676	001	0	1	04	01	H2676_001_0	5	001	Enhanced Dental - Preventive and Comprehensive	37.60	2			2		000000000000000000000000000000000000000000000011000000	
H2810	001	0	1	04	01	H2810_001_0	6	001	Dental PPO	51.00	1	1500.00	3	1	100.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H2836	004	0	1	04	01	H2836_004_0	14	002	Dental and Vision Package	31.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H2836	004	0	1	04	01	H2836_004_0	14	003	Enhanced Dental and Vision Package	40.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H2836	004	0	1	04	01	H2836_004_0	14	001	Preventive Dental Package	19.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H2944	004	0	1	09	04	H2944_004_0	4	001	MyOption Dental - High PPO	18.00	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2944	004	0	1	09	04	H2944_004_0	4	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H2944	013	0	1	09	04	H2944_013_0	3	001	MyOption Dental - High PPO	23.40	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2944	013	0	1	09	04	H2944_013_0	3	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H2944	013	0	1	09	04	H2944_013_0	3	003	MyOption Plus	20.80	2			1	50.00		000000000000000000000000000000000000000000000011110000
H2944	013	0	1	09	04	H2944_013_0	3	004	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H2944	041	0	1	09	04	H2944_041_0	4	001	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H2944	041	0	1	09	04	H2944_041_0	4	002	MyOption Plus	20.90	2			1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000110000
H2944	052	0	1	09	04	H2944_052_0	3	001	MyOption Dental - High PPO	23.10	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2944	052	0	1	09	04	H2944_052_0	3	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H2944	078	0	1	09	04	H2944_078_0	3	001	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H2944	078	0	1	09	04	H2944_078_0	3	002	MyOption Plus	21.20	2			1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000110000
H2944	078	0	1	09	04	H2944_078_0	3	003	MyOption Platinum Dental	30.50	1	2000.00	3	2			000000000000000000000000000000000000000000000011000000
H2944	085	0	1	09	04	H2944_085_0	3	001	MyOption Dental - High PPO	18.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2944	085	0	1	09	04	H2944_085_0	3	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H2944	085	0	1	09	04	H2944_085_0	3	003	MyOption Plus	20.30	2			1	50.00		000000000000000000000000000000000000000000000011110000
H2944	114	0	1	09	04	H2944_114_0	6	001	MyOption Dental - High PPO	19.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2944	114	0	1	09	04	H2944_114_0	6	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H2944	114	0	1	09	04	H2944_114_0	6	003	MyOption Plus	21.90	2			1	50.00		000000000000000000000000000000000000000000000011110000
H2944	124	0	1	09	04	H2944_124_0	3	001	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H2944	124	0	1	09	04	H2944_124_0	3	002	MyOption Platinum Dental	29.40	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H2944	127	0	1	09	04	H2944_127_0	5	001	MyOption Platinum Dental	31.70	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H2944	133	0	1	09	04	H2944_133_0	4	001	MyOption Dental - High PPO	15.70	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2944	133	0	1	09	04	H2944_133_0	4	003	MyOption Plus	22.30	2			1	50.00		000000000000000000000000000000000000000000000011110000
H2944	133	0	1	09	04	H2944_133_0	4	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H2944	197	0	1	09	04	H2944_197_0	2	001	MyOption Dental - High PPO	23.40	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H2944	197	0	1	09	04	H2944_197_0	2	003	MyOption Plus	20.80	2			1	50.00		000000000000000000000000000000000000000000000011110000
H2944	197	0	1	09	04	H2944_197_0	2	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H2944	197	0	1	09	04	H2944_197_0	2	004	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H3113	008	0	1	01	01	H3113_008_0	3	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H3152	022	0	1	01	01	H3152_022_0	5	001	Advantage Dental	13.70	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3152	045	0	1	01	01	H3152_045_0	3	001	Advantage Dental	15.40	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3152	045	0	1	01	01	H3152_045_0	3	002	Advantage Dental Plus Eyewear and Hearing Aids	25.40	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H3152	046	0	1	01	01	H3152_046_0	5	001	Advantage Dental	15.40	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3152	046	0	1	01	01	H3152_046_0	5	002	Advantage Dental Plus Hearing Aids	18.40	2			2		000000000000000000000000000000000000000000000011000100	000000000000000000000000000000000000000000000000000000
H3152	080	0	1	01	01	H3152_080_0	5	001	Advantage Dental	15.40	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3152	080	0	1	01	01	H3152_080_0	5	002	Advantage Dental Plus Eyewear and Hearing Aids	25.40	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H3312	002	0	1	01	01	H3312_002_0	5	001	Advantage Dental	17.20	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3312	002	0	1	01	01	H3312_002_0	5	002	Advantage Dental Plus Hearing Aids	20.20	2			2		000000000000000000000000000000000000000000000011000100	000000000000000000000000000000000000000000000000000000
H3312	018	0	1	01	01	H3312_018_0	5	001	Advantage Dental	17.20	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3312	018	0	1	01	01	H3312_018_0	5	002	Advantage Dental Plus Eyewear and Hearing Aids	27.20	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H3312	060	0	1	01	01	H3312_060_0	5	001	Advantage Dental	17.20	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3312	060	0	1	01	01	H3312_060_0	5	002	Advantage Dental Plus Eyewear and Hearing Aids	27.20	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H3312	061	0	1	01	01	H3312_061_0	5	001	Advantage Dental	17.20	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3342	019	0	1	04	01	H3342_019_0	12	001	Preventive Dental Package	15.00	2			2			000000000000000000000000000000000000000000000010000000
H3342	019	0	1	04	01	H3342_019_0	12	003	Enhanced Dental and Vision Package	38.00	2			2			000000000000000000000000000000000000000000000011010000
H3342	019	0	1	04	01	H3342_019_0	12	002	Dental and Vision Package	28.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H3384	013	0	1	01	01	H3384_013_0	7	001	Optional Supplemental Dental	19.00	1	500.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3384	019	0	1	01	01	H3384_019_0	7	001	Optional Supplemental Dental	17.00	1	500.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3384	022	0	1	01	01	H3384_022_0	7	001	Optional Supplemental Dental	17.00	1	500.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3384	057	0	1	02	01	H3384_057_0	7	001	Optional Supplemental Dental	17.00	1	500.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3384	058	0	1	01	01	H3384_058_0	8	001	Optional Supplemental Dental	17.00	1	500.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3384	059	0	1	02	01	H3384_059_0	7	001	Optional Supplemental Dental	19.00	1	500.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3456	001	0	1	01	01	H3456_001_0	2	001	Dental Platinum Rider	34.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H3456	020	0	1	01	01	H3456_020_0	1	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H3456	023	0	1	01	01	H3456_023_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H3456	026	0	1	01	01	H3456_026_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H3528	001	0	1	01	01	H3528_001_0	6	001	Dental	34.00	1	1000.00	3	1	100.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3528	002	0	1	01	01	H3528_002_0	6	001	Dental	34.00	1	1000.00	3	1	100.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3528	003	0	1	01	01	H3528_003_0	3	001	Dental	34.00	1	1000.00	3	1	100.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3528	006	0	1	02	01	H3528_006_0	6	001	Dental	34.00	1	1000.00	3	1	100.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3528	008	0	1	02	01	H3528_008_0	8	001	Dental	34.00	1	1000.00	3	1	100.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3533	001	0	1	01	01	H3533_001_0	3	001	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H3533	013	0	1	01	01	H3533_013_0	3	001	MyOption Dental - High PPO	28.90	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H3536	002	0	1	01	01	H3536_002_0	13	001	Preventive Dental Package	13.00	2			2			000000000000000000000000000000000000000000000010000000
H3536	002	0	1	01	01	H3536_002_0	13	002	Dental and Vision Package	26.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H3536	002	0	1	01	01	H3536_002_0	13	003	Enhanced Dental and Vision Package	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H3623	001	0	1	01	01	H3623_001_0	5	001	Advantage Dental	19.10	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3623	001	0	1	01	01	H3623_001_0	5	002	Advantage Dental Plus Eye Wear and Hearing Aids	29.10	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H3623	004	0	1	01	01	H3623_004_0	5	001	Advantage Dental	19.10	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3623	004	0	1	01	01	H3623_004_0	5	002	Advantage Dental Plus Eye Wear and Hearing Aids	29.10	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H3623	018	0	1	01	01	H3623_018_0	4	001	Advantage Dental	19.10	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3623	018	0	1	01	01	H3623_018_0	4	002	Advantage Dental Plus Eye Wear and Hearing Aids	29.10	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H3623	020	0	1	01	01	H3623_020_0	3	001	Advantage Dental	19.10	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3623	020	0	1	01	01	H3623_020_0	3	002	Advantage Dental Plus Eye Wear and Hearing Aids	29.10	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H3653	004	0	1	01	01	H3653_004_0	9	001	SUPPLEMENTAL DENTAL BENEFIT	15.50	1	500.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3653	015	0	1	01	01	H3653_015_0	8	001	SUPPLEMENTAL DENTAL BENEFIT	15.50	1	500.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3653	018	0	1	01	01	H3653_018_0	6	001	SUPPLEMENTAL DENTAL BENEFIT	15.50	1	500.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3655	032	0	1	01	01	H3655_032_0	10	001	Preventive Dental Package	12.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H3655	032	0	1	01	01	H3655_032_0	10	002	Dental and Vision Package	24.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H3655	032	0	1	01	01	H3655_032_0	10	003	Enhanced Dental and Vision Package	32.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H3659	003	0	1	01	01	H3659_003_0	2	001	Dental Platinum Rider	34.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H3660	028	0	1	02	01	H3660_028_0	14	001	Optional Supplemental Dental	25.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3660	029	0	1	02	01	H3660_029_0	15	001	Optional Supplemental Dental	25.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3660	044	0	1	01	01	H3660_044_0	15	001	Optional Supplemental Dental	25.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3660	047	0	1	01	01	H3660_047_0	13	001	Optional Supplemental Dental	25.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3660	048	0	1	02	01	H3660_048_0	13	001	Optional Supplemental Dental	25.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3660	049	0	1	01	01	H3660_049_0	13	001	Optional Supplemental Dental	25.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3660	050	0	1	01	01	H3660_050_0	8	001	Optional Supplemental Dental	25.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3668	005	0	1	01	01	H3668_005_0	5	001	Dental	23.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3668	011	0	1	01	01	H3668_011_0	4	001	Dental	23.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3668	013	0	1	01	01	H3668_013_0	4	001	Dental	23.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3668	014	0	1	01	01	H3668_014_0	4	001	Dental	23.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3668	015	0	1	01	01	H3668_015_0	4	001	Dental	23.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3668	016	0	1	01	01	H3668_016_0	4	001	Dental	23.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3668	017	0	1	01	01	H3668_017_0	4	001	Dental	23.00	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3749	001	0	1	01	01	H3749_001_0	2	001	Dental Platinum Rider	34.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H3749	018	0	1	01	01	H3749_018_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H3805	001	0	1	01	01	H3805_001_0	4	001	Dental Platinum Rider	34.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H3805	001	0	1	01	01	H3805_001_0	4	002	Fitness Rider	15.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H3805	007	0	1	01	01	H3805_007_0	4	001	Dental Platinum Rider	34.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H3805	007	0	1	01	01	H3805_007_0	4	002	Fitness Rider	15.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H3805	012	0	1	01	01	H3805_012_0	4	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H3805	012	0	1	01	01	H3805_012_0	4	002	Fitness Rider	15.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H3805	013	0	1	01	01	H3805_013_0	4	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H3805	013	0	1	01	01	H3805_013_0	4	002	Fitness Rider	15.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H3812	001	0	1	04	01	H3812_001_0	4	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H3812	001	0	1	04	01	H3812_001_0	4	002	Fitness Rider	15.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H3813	001	0	1	04	01	H3813_001_0	5	001	Moda Health Extra Care $10.00	10.00	1	500.00	3	2		000000000000000000000000000000000100000000000000000000	000000000000010000000000000000000000000000000000011100
H3813	004	0	1	04	01	H3813_004_0	7	001	Moda Health Extra Care $10.00	10.00	1	500.00	3	2		000000000000000000000000000000000100000000000000000000	000000000000010000000000000000000000000000000000011100
H3813	005	0	1	04	01	H3813_005_0	7	001	Moda Health Extra Care $10.00	10.00	1	500.00	3	2		000000000000000000000000000000000100000000000000000000	000000000000010000000000000000000000000000000000011100
H3813	006	0	1	04	01	H3813_006_0	8	001	Moda Health Extra Care $10.00	10.00	1	500.00	3	2		000000000000000000000000000000000100000000000000000000	000000000000010000000000000000000000000000000000111100
H3817	007	1	1	04	01	H3817_007_1	8	001	Restorative and Other Dental Services	28.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H3817	007	2	1	04	01	H3817_007_2	8	001	Restorative and Other Dental Services	28.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H3817	007	3	1	04	01	H3817_007_3	8	001	Restorative and Other Dental Services	28.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H3817	008	1	1	04	01	H3817_008_1	9	001	Restorative and Other Dental Services	28.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H3817	008	2	1	04	01	H3817_008_2	9	001	Restorative and Other Dental Services	28.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H3817	008	3	1	04	01	H3817_008_3	9	001	Restorative and Other Dental Services	28.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H3817	009	1	1	04	01	H3817_009_1	9	001	Restorative and Other Dental Services	28.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H3817	009	2	1	04	01	H3817_009_2	9	001	Restorative and Other Dental Services	28.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H3817	009	3	1	04	01	H3817_009_3	9	001	Restorative and Other Dental Services	28.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H3822	001	0	1	01	01	H3822_001_0	13	001	Optional Package	46.30	1	2150.00	6	2		000000000000000000000000000000000000000000000011111100	000000000000000000000000000000000000000000000000000000
H3822	002	0	1	01	01	H3822_002_0	16	001	Optional Supplemental	36.20	1	2150.00	6	2		000000000000000000000000000000000000000000000011111100	000000000000000000000000000000000000000000000000000000
H3822	007	0	1	02	01	H3822_007_0	10	001	Optional Supplemental	46.30	1	2150.00	6	2		000000000000000000000000000000000000000000000011111100	000000000000000000000000000000000000000000000000000000
H3864	002	0	1	01	01	H3864_002_0	8	001	Preventive Dental	28.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H3864	006	0	1	01	01	H3864_006_0	7	001	Preventive Dental	28.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H3864	014	0	1	01	01	H3864_014_0	7	001	Preventive Dental	28.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H3864	015	0	1	01	01	H3864_015_0	7	001	Preventive Dental	28.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H3864	016	0	1	01	01	H3864_016_0	7	001	Preventive Dental	25.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H3864	019	0	1	01	01	H3864_019_0	9	001	Preventive Dental	28.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H3864	020	0	1	01	01	H3864_020_0	7	001	Preventive Dental	25.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H3864	021	0	1	01	01	H3864_021_0	7	001	Preventive Dental	25.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H3864	022	0	1	01	01	H3864_022_0	6	001	Preventive Dental	28.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H3864	023	0	1	01	01	H3864_023_0	8	001	Preventive Dental	25.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H3864	024	0	1	02	01	H3864_024_0	10	001	Preventive Dental	25.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H3864	025	0	1	02	01	H3864_025_0	7	001	Preventive Dental	28.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H3887	003	0	1	02	01	H3887_003_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H3887	003	0	1	02	01	H3887_003_0	2	002	Fitness Rider	15.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H3924	054	0	1	04	01	H3924_054_0	6	001	Geisinger Gold Health+	36.60	2			2		000000000000000000000000000000000000000000100010111100	
H3924	059	3	1	04	01	H3924_059_3	5	001	Geisinger Gold Health+	36.60	2			2		000000000000000000000000000000000000000000100010111100	000000000000000000000000000000000000000000000000000000
H3924	059	4	1	04	01	H3924_059_4	5	001	Geisinger Gold Health+	36.60	2			2		000000000000000000000000000000000000000000100010111100	000000000000000000000000000000000000000000000000000000
H3924	060	3	1	04	01	H3924_060_3	6	001	Geisinger Gold Health+	36.60	2			2		000000000000000000000000000000000000000000100010111100	000000000000000000000000000000000000000000000000000000
H3924	060	4	1	04	01	H3924_060_4	6	001	Geisinger Gold Health+	36.60	2			2		000000000000000000000000000000000000000000100010111100	000000000000000000000000000000000000000000000000000000
H3924	061	1	1	04	01	H3924_061_1	5	001	Geisinger Gold Health+	36.60	2			2		000000000000000000000000000000000000000000100010111100	000000000000000000000000000000000000000000000000000000
H3924	061	2	1	04	01	H3924_061_2	5	001	Geisinger Gold Health+	36.60	2			2		000000000000000000000000000000000000000000100010111100	000000000000000000000000000000000000000000000000000000
H3924	061	5	1	04	01	H3924_061_5	5	001	Geisinger Gold Health+	36.60	2			2		000000000000000000000000000000000000000000100010111100	000000000000000000000000000000000000000000000000000000
H3931	004	0	1	01	01	H3931_004_0	5	001	Advantage Dental	13.80	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3931	054	0	1	01	01	H3931_054_0	3	001	Advantage Dental	13.70	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3931	055	0	1	01	01	H3931_055_0	3	001	Advantage Dental	13.80	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3931	058	0	1	01	01	H3931_058_0	4	001	Advantage Dental	13.80	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3931	064	0	1	01	01	H3931_064_0	4	001	Advantage Dental	13.80	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3931	064	0	1	01	01	H3931_064_0	4	002	Advantage Dental Plus Eye Wear and Hearing Aids	23.80	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H3931	065	0	1	01	01	H3931_065_0	4	001	Advantage Dental	13.80	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3931	065	0	1	01	01	H3931_065_0	4	002	Advantage Dental Plus Eye Wear and Hearing Aids	23.80	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H3931	083	0	1	01	01	H3931_083_0	3	001	Advantage Dental	13.80	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3931	083	0	1	01	01	H3931_083_0	3	002	Advantage Dental Plus Eye Wear and Hearing Aids	23.80	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H3931	084	0	1	01	01	H3931_084_0	3	001	Advantage Dental	13.80	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3945	003	0	1	02	01	H3945_003_0	6	001	Enhanced Vision and Enhanced Dental	24.40	2			2		000000000000000000000000000000000000000000000011110000	000000000000000000000000000000000000000000000000000000
H3949	013	0	1	01	01	H3949_013_0	5	001	Enhanced Dental - Comprehensive	11.40	2			2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H3949	024	0	1	01	01	H3949_024_0	5	001	Enhanced Dental - Comprehensive	11.40	2			2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H3949	026	0	1	01	01	H3949_026_0	3	001	Enhanced Dental - Preventive and Comprehensive	14.10	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3949	027	0	1	02	01	H3949_027_0	5	001	Enhanced Dental - Comprehensive	11.40	2			2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H3949	028	0	1	01	01	H3949_028_0	5	001	Enhanced Dental - Preventive and Comprehensive	14.10	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H3949	029	1	1	01	01	H3949_029_1	5	001	Enhanced Dental - Comprehensive	11.40	2			2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H3949	029	2	1	01	01	H3949_029_2	6	001	Enhanced Dental - Comprehensive	11.40	2			2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H3952	048	0	1	01	01	H3952_048_0	1	001	Choice Program	7.00	2			2		000000000000000000000000000000000000000000000010111100	000000000000000000000000000000000000000000000000000000
H3952	049	0	1	01	01	H3952_049_0	6	001	Choice Program	7.00	2			2		000000000000000000000000000000000000000000000010111100	000000000000000000000000000000000000000000000000000000
H3952	050	0	1	01	01	H3952_050_0	1	001	Choice Program	7.00	2			2		000000000000000000000000000000000000000000000010111100	000000000000000000000000000000000000000000000000000000
H3952	051	0	1	01	01	H3952_051_0	4	001	Choice Program	7.00	2			2		000000000000000000000000000000000000000000000010111100	000000000000000000000000000000000000000000000000000000
H3952	052	0	1	01	01	H3952_052_0	4	001	Choice Program	7.00	2			2		000000000000000000000000000000000000000000000010111100	000000000000000000000000000000000000000000000000000000
H3954	158	1	1	01	01	H3954_158_1	6	001	Geisinger Gold Health+	36.60	2			2		000000000000000000000000000000000000000000100010111100	000000000000000000000000000000000000000000000000000000
H3954	158	2	1	01	01	H3954_158_2	5	001	Geisinger Gold Health+	36.60	2			2		000000000000000000000000000000000000000000100010111100	000000000000000000000000000000000000000000000000000000
H3954	158	3	1	01	01	H3954_158_3	5	001	Geisinger Gold Health+	36.60	2			2		000000000000000000000000000000000000000000100010111100	000000000000000000000000000000000000000000000000000000
H3954	158	4	1	01	01	H3954_158_4	5	001	Geisinger Gold Health+	36.60	2			2		000000000000000000000000000000000000000000100010111100	000000000000000000000000000000000000000000000000000000
H3954	158	5	1	01	01	H3954_158_5	6	001	Geisinger Gold Health+	36.60	2			2		000000000000000000000000000000000000000000100010111100	000000000000000000000000000000000000000000000000000000
H4036	008	0	1	04	01	H4036_008_0	12	001	Preventive Dental Package	18.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H4036	008	0	1	04	01	H4036_008_0	12	002	Dental and Vision Package	28.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H4036	008	0	1	04	01	H4036_008_0	12	003	Enhanced Dental and Vision Package	38.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H4036	009	0	1	04	01	H4036_009_0	12	001	Preventive Dental Package	18.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H4036	009	0	1	04	01	H4036_009_0	12	002	Dental and Vision Package	28.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H4036	009	0	1	04	01	H4036_009_0	12	003	Enhanced Dental and Vision Package	38.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H4102	001	0	1	01	01	H4102_001_0	2	001	Dental Platinum Rider	34.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4102	025	0	1	01	01	H4102_025_0	1	001	Dental Platinum Rider	34.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4102	032	0	1	01	01	H4102_032_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4141	001	0	1	01	01	H4141_001_0	6	001	MyOption Enhanced Dental HMO	23.10	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H4141	008	0	1	01	01	H4141_008_0	5	001	MyOption Dental - High PPO	19.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H4141	010	0	1	01	01	H4141_010_0	8	001	MyOption Enhanced Dental HMO	23.10	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H4152	004	0	1	01	01	H4152_004_0	9	001	Dental Rider	38.90	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	
H4152	005	0	1	01	01	H4152_005_0	11	001	Dental Rider	38.90	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H4152	007	0	1	02	01	H4152_007_0	11	001	Dental Rider	38.90	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H4152	013	0	1	01	01	H4152_013_0	10	001	Dental Rider	38.90	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H4152	016	0	1	02	01	H4152_016_0	10	001	Dental Rider	38.90	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H4152	017	0	1	01	01	H4152_017_0	9	001	Dental Rider	38.90	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H4152	018	0	1	02	01	H4152_018_0	10	001	Dental Rider	38.90	1	1000.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H4407	002	0	1	01	01	H4407_002_0	4	001	Enhanced Dental - Comprehensive	14.10	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H4456	010	0	1	01	01	H4456_010_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4456	010	0	1	01	01	H4456_010_0	2	002	Fitness Rider	15.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H4456	013	0	1	01	01	H4456_013_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4456	025	0	1	01	01	H4456_025_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4456	025	0	1	01	01	H4456_025_0	2	002	Fitness Rider	19.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H4461	022	0	1	01	01	H4461_022_0	5	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H4461	030	1	1	01	01	H4461_030_1	3	001	MyOption Dental - High PPO	12.40	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H4461	030	1	1	01	01	H4461_030_1	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H4461	030	1	1	01	01	H4461_030_1	3	003	MyOption Plus	20.40	2			1	50.00		000000000000000000000000000000000000000000000011110000
H4461	030	2	1	01	01	H4461_030_2	3	001	MyOption Dental - High PPO	12.40	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H4461	030	2	1	01	01	H4461_030_2	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H4461	030	2	1	01	01	H4461_030_2	3	003	MyOption Plus	20.40	2			1	50.00		000000000000000000000000000000000000000000000011110000
H4461	030	3	1	01	01	H4461_030_3	3	001	MyOption Dental - High PPO	12.40	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H4461	030	3	1	01	01	H4461_030_3	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H4461	030	3	1	01	01	H4461_030_3	3	003	MyOption Plus	20.40	2			1	50.00		000000000000000000000000000000000000000000000011110000
H4461	031	1	1	01	01	H4461_031_1	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H4461	031	1	1	01	01	H4461_031_1	3	002	MyOption Enhanced Dental HMO	21.90	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H4461	031	2	1	01	01	H4461_031_2	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H4461	031	2	1	01	01	H4461_031_2	3	002	MyOption Enhanced Dental HMO	21.90	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H4461	031	3	1	01	01	H4461_031_3	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H4461	031	3	1	01	01	H4461_031_3	3	002	MyOption Enhanced Dental HMO	21.90	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H4510	012	0	1	01	01	H4510_012_0	4	001	MyOption Dental - High PPO	21.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H4510	015	0	1	01	01	H4510_015_0	3	001	MyOption Dental - High PPO	21.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H4510	018	0	1	01	01	H4510_018_0	3	001	MyOption Dental - High PPO	21.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H4510	022	0	1	01	01	H4510_022_0	3	001	MyOption Dental - High PPO	21.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H4510	027	0	1	01	01	H4510_027_0	3	002	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H4510	027	0	1	01	01	H4510_027_0	3	001	MyOption Dental - High PPO	21.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H4510	028	0	1	01	01	H4510_028_0	3	001	MyOption Dental - High PPO	21.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H4510	032	0	1	01	01	H4510_032_0	3	001	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H4522	001	0	1	04	01	H4522_001_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4523	001	0	1	01	01	H4523_001_0	5	001	Advantage Dental	12.40	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H4523	001	0	1	01	01	H4523_001_0	5	002	Advantage Dental Plus Eyewear and Hearing Aids	22.40	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H4523	015	0	1	01	01	H4523_015_0	5	001	Advantage Dental	13.70	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H4523	015	0	1	01	01	H4523_015_0	5	002	Advantage Dental Plus Eyewear and Hearing Aids	23.70	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H4523	019	0	1	01	01	H4523_019_0	4	001	Advantage Dental	13.20	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H4523	019	0	1	01	01	H4523_019_0	4	002	Advantage Dental Plus Eyewear and Hearing Aids	23.20	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H4523	020	0	1	01	01	H4523_020_0	6	001	Advantage Dental	12.40	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H4523	020	0	1	01	01	H4523_020_0	6	002	Advantage Dental Plus Eyewear and Hearing Aids	22.40	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H4523	021	0	1	01	01	H4523_021_0	5	001	Advantage Dental	13.20	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H4523	021	0	1	01	01	H4523_021_0	5	002	Advantage Dental Plus Eyewear and Hearing Aids	23.20	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H4564	001	0	1	18	06	H4564_001_0	2	001	Dental Services	12.00	1	1000.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4564	002	0	1	18	06	H4564_002_0	2	001	Dental Services	12.00	1	1000.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4564	003	0	1	18	06	H4564_003_0	2	001	Dental Services	12.00	1	1000.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4564	004	0	1	18	06	H4564_004_0	2	001	Dental Services	12.00	1	1000.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4564	005	0	1	18	06	H4564_005_0	2	001	Dental Services	12.00	1	1000.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4564	006	0	1	18	06	H4564_006_0	3	001	Dental Services	12.00	1	1000.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4564	010	0	1	18	06	H4564_010_0	2	001	Dental Services	12.00	1	1000.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4564	011	0	1	18	06	H4564_011_0	2	001	Dental Services	12.00	1	1000.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4564	012	0	1	18	06	H4564_012_0	3	001	Dental Services	12.00	1	1000.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4564	013	0	1	18	06	H4564_013_0	2	001	Dental Services	12.00	1	1000.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4564	014	0	1	18	06	H4564_014_0	2	001	Dental Services	12.00	1	1000.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4564	015	0	1	18	06	H4564_015_0	3	001	Dental Services	12.00	1	1000.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4564	016	0	1	18	06	H4564_016_0	2	001	Dental Services	12.00	1	1000.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4564	017	0	1	18	06	H4564_017_0	2	001	Dental Services	12.00	1	1000.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4564	018	0	1	18	06	H4564_018_0	2	001	Dental Services	12.00	1	1000.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4564	019	0	1	18	06	H4564_019_0	2	001	Dental Services	12.00	1	1000.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4590	012	0	1	01	01	H4590_012_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4590	027	0	1	01	01	H4590_027_0	1	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H4605	001	0	1	04	01	H4605_001_0	8	001	Restorative and Other Dental Services	23.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H4605	002	0	1	04	01	H4605_002_0	9	001	Restorative and Other Dental Services	23.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H4605	004	0	1	04	01	H4605_004_0	9	001	Restorative and Other Dental Services	23.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H4754	004	0	1	04	01	H4754_004_0	7	001	Preventive Dental	28.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H4754	006	0	1	04	01	H4754_006_0	8	001	Preventive Dental	25.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H4754	007	0	1	04	01	H4754_007_0	7	001	Preventive Dental	28.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H4754	008	0	1	04	01	H4754_008_0	8	001	Preventive Dental	28.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H4754	009	0	1	04	01	H4754_009_0	7	001	Preventive Dental	25.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H4754	010	0	1	04	01	H4754_010_0	8	001	Preventive Dental	25.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H4754	011	0	1	04	01	H4754_011_0	7	001	Preventive Dental	25.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H4754	012	0	1	04	01	H4754_012_0	8	001	Preventive Dental	25.00	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H4875	016	1	1	04	01	H4875_016_1	7	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H4875	016	2	1	04	01	H4875_016_2	5	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H4875	016	3	1	04	01	H4875_016_3	5	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H4875	016	4	1	04	01	H4875_016_4	5	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H4875	016	5	1	04	01	H4875_016_5	5	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H4875	017	1	1	04	01	H4875_017_1	7	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H4875	017	2	1	04	01	H4875_017_2	5	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H4875	017	3	1	04	01	H4875_017_3	5	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H4875	017	4	1	04	01	H4875_017_4	5	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H4875	017	5	1	04	01	H4875_017_5	5	001	Comprehensive Dental	17.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H4909	014	0	1	04	01	H4909_014_0	14	001	Preventive Dental Package	17.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H4909	014	0	1	04	01	H4909_014_0	14	002	Dental and Vision Package	27.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H4909	014	0	1	04	01	H4909_014_0	14	003	Enhanced Dental and Vision Package	40.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H5005	011	0	1	01	01	H5005_011_0	4	001	Fitness Rider	15.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H5005	019	0	1	01	01	H5005_019_0	4	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5005	019	0	1	01	01	H5005_019_0	4	002	Fitness Rider	19.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H5009	001	0	1	04	01	H5009_001_0	8	001	Restorative and Other Dental Services	28.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H5009	002	0	1	04	01	H5009_002_0	9	001	Restorative and Other Dental Services	28.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H5010	001	0	1	04	01	H5010_001_0	8	001	Restorative and Other Dental Services	26.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H5010	002	0	1	04	01	H5010_002_0	9	001	Restorative and Other Dental Services	26.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H5010	004	0	1	04	01	H5010_004_0	9	001	Restorative and Other Dental Services	26.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H5050	001	0	1	01	01	H5050_001_0	3	001	Dental HMO	51.00	1	1500.00	3	1	100.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5050	004	0	1	01	01	H5050_004_0	5	001	Dental HMO	51.00	1	1500.00	3	1	100.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5050	009	0	1	01	01	H5050_009_0	4	001	Dental HMO	51.00	1	1500.00	3	1	100.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5050	013	0	1	01	01	H5050_013_0	4	001	Dental HMO	51.00	1	1500.00	3	1	100.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5050	017	0	1	01	01	H5050_017_0	5	001	Dental HMO	51.00	1	1500.00	3	1	100.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5050	018	0	1	01	01	H5050_018_0	4	001	Dental HMO	51.00	1	1500.00	3	1	100.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5050	019	0	1	01	01	H5050_019_0	5	001	Dental HMO	51.00	1	1500.00	3	1	100.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5216	001	0	1	04	01	H5216_001_0	3	002	MyOption Enhanced Dental PPO	28.80	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H5216	001	0	1	04	01	H5216_001_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H5216	003	0	1	04	01	H5216_003_0	3	002	MyOption Enhanced Dental PPO	28.80	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H5216	003	0	1	04	01	H5216_003_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H5216	006	0	1	04	01	H5216_006_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H5216	009	0	1	04	01	H5216_009_0	3	002	MyOption Enhanced Dental PPO	25.50	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H5216	009	0	1	04	01	H5216_009_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H5216	010	0	1	04	01	H5216_010_0	3	001	MyOption Enhanced Dental PPO	25.50	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H5253	004	0	1	01	01	H5253_004_0	3	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5253	021	0	1	01	01	H5253_021_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5256	004	0	1	18	06	H5256_004_0	4	001	Out of Network Benefit	20.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000100000000000000000
H5410	018	0	1	02	01	H5410_018_0	4	001	Enhanced Dental - Comprehensive	14.10	2			2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H5414	019	0	1	01	01	H5414_019_0	7	001	Advantage Dental	10.30	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5414	019	0	1	01	01	H5414_019_0	7	002	Advantage Dental Plus Eyewear and Hearing Aids	20.30	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H5414	023	0	1	01	01	H5414_023_0	4	001	Advantage Dental	9.90	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5414	024	0	1	01	01	H5414_024_0	5	001	Advantage Dental	9.90	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5422	008	0	1	01	01	H5422_008_0	12	003	Enhanced Dental and Vision Package	35.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H5422	008	0	1	01	01	H5422_008_0	12	002	Dental and Vision Package	24.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H5422	008	0	1	01	01	H5422_008_0	12	001	Preventive Dental Package	11.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H5424	001	0	1	04	01	H5424_001_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5424	003	0	1	04	01	H5424_003_0	1	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	001	0	1	01	01	H5425_001_0	8	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	001	0	1	01	01	H5425_001_0	8	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	004	0	1	01	01	H5425_004_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	004	0	1	01	01	H5425_004_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	005	0	1	01	01	H5425_005_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	005	0	1	01	01	H5425_005_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	006	0	1	01	01	H5425_006_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	006	0	1	01	01	H5425_006_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	007	0	1	01	01	H5425_007_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	007	0	1	01	01	H5425_007_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	008	0	1	01	01	H5425_008_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	008	0	1	01	01	H5425_008_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	009	0	1	01	01	H5425_009_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	009	0	1	01	01	H5425_009_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	019	0	1	01	01	H5425_019_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	019	0	1	01	01	H5425_019_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	020	0	1	01	01	H5425_020_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	020	0	1	01	01	H5425_020_0	7	003	Vision Plan	5.00	1	200.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000000010000
H5425	020	0	1	01	01	H5425_020_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	028	0	1	01	01	H5425_028_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	028	0	1	01	01	H5425_028_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	033	0	1	01	01	H5425_033_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	033	0	1	01	01	H5425_033_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	034	0	1	01	01	H5425_034_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	034	0	1	01	01	H5425_034_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	046	0	1	01	01	H5425_046_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	046	0	1	01	01	H5425_046_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	047	0	1	01	01	H5425_047_0	8	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	047	0	1	01	01	H5425_047_0	8	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	048	0	1	01	01	H5425_048_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	048	0	1	01	01	H5425_048_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	050	0	1	01	01	H5425_050_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	050	0	1	01	01	H5425_050_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	051	0	1	01	01	H5425_051_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	051	0	1	01	01	H5425_051_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	051	0	1	01	01	H5425_051_0	7	003	Vision Plan	5.00	1	200.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000000010000
H5425	052	0	1	01	01	H5425_052_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	052	0	1	01	01	H5425_052_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	053	0	1	01	01	H5425_053_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	053	0	1	01	01	H5425_053_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	054	0	1	01	01	H5425_054_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	054	0	1	01	01	H5425_054_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	055	0	1	01	01	H5425_055_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	055	0	1	01	01	H5425_055_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	056	0	1	01	01	H5425_056_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	056	0	1	01	01	H5425_056_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	059	0	1	01	01	H5425_059_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	059	0	1	01	01	H5425_059_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	060	0	1	01	01	H5425_060_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5425	060	0	1	01	01	H5425_060_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H5439	001	0	1	04	01	H5439_001_0	2	001	PPO Buy-Up 4:DPPO+Eyewear+Chiropractic/Acupuncture	27.00	2			2		000000000000010000000000000000000100000000000011010000	000000000000000000000000000000000000000000000000000000
H5439	005	0	1	04	01	H5439_005_0	2	001	PPO Buy-Up 4:DPPO+Eyewear+Chiropractic/Acupuncture	27.00	2			2		000000000000010000000000000000000100000000000011010000	000000000000000000000000000000000000000000000000000000
H5439	007	0	1	04	01	H5439_007_0	2	001	PPO Buy-Up 4:DPPO+Eyewear+Chiropractic/Acupuncture	27.00	2			2		000000000000010000000000000000000100000000000011010000	000000000000000000000000000000000000000000000000000000
H5509	001	0	1	04	01	H5509_001_0	7	001	Coventry Medicare Advantage PPO Dental Plan	14.00	1	1000.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5509	001	0	1	04	01	H5509_001_0	7	002	Coventry Medicare Advantage PPO Dental/Vision Plan	29.00	1	1250.00	3	1	50.00	000000000000000000000000000000000000000000000011010000	000000000000000000000000000000000000000000000000000000
H5509	003	0	1	04	01	H5509_003_0	4	001	Coventry Medicare Advantage PPO Dental Plan	14.00	1	1000.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5509	003	0	1	04	01	H5509_003_0	4	002	Coventry Medicare Advantage PPO Dental/Vision Plan	29.00	1	1250.00	3	1	50.00	000000000000000000000000000000000000000000000011010000	000000000000000000000000000000000000000000000000000000
H5516	001	0	1	04	01	H5516_001_0	2	001	Fitness Rider	19.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
H5520	001	0	1	04	01	H5520_001_0	1	001	Preventive Dental Plus	31.00	1	1250.00	3	1	35.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5520	002	0	1	04	01	H5520_002_0	2	001	Preventive Dental Plus	31.00	1	1250.00	3	1	35.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5520	003	0	1	04	01	H5520_003_0	1	001	Preventive Dental Plus	31.00	1	1250.00	3	1	35.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5520	004	0	1	04	01	H5520_004_0	2	001	Preventive Dental Plus	31.00	1	1250.00	3	1	35.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5520	012	1	1	04	01	H5520_012_1	2	001	Preventive Dental Plus	31.00	1	1250.00	3	1	35.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5520	012	1	1	04	01	H5520_012_1	2	002	Routine Vision	6.00	1	250.00	2	2		000000000000000000000000000000000000000000000000110000	000000000000000000000000000000000000000000000000000000
H5520	012	2	1	04	01	H5520_012_2	2	001	Preventive Dental Plus	31.00	1	1250.00	3	1	35.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5520	012	2	1	04	01	H5520_012_2	2	002	Routine Vision	6.00	1	250.00	2	2		000000000000000000000000000000000000000000000000110000	000000000000000000000000000000000000000000000000000000
H5520	012	3	1	04	01	H5520_012_3	2	001	Preventive Dental Plus	31.00	1	1250.00	3	1	35.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5520	012	3	1	04	01	H5520_012_3	2	002	Routine Vision	6.00	1	250.00	2	2		000000000000000000000000000000000000000000000000110000	000000000000000000000000000000000000000000000000000000
H5520	014	0	1	04	01	H5520_014_0	2	001	Preventive Dental Plus	31.00	1	1250.00	3	1	35.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5520	014	0	1	04	01	H5520_014_0	2	002	Routine Vision	6.00	1	250.00	2	2		000000000000000000000000000000000000000000000000110000	000000000000000000000000000000000000000000000000000000
H5520	015	1	1	04	01	H5520_015_1	2	001	Preventive Dental Plus	31.00	1	1250.00	3	1	35.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5520	015	2	1	04	01	H5520_015_2	2	001	Preventive Dental Plus	31.00	1	1250.00	3	1	35.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5525	004	0	1	04	01	H5525_004_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H5525	004	0	1	04	01	H5525_004_0	3	002	MyOption Enhanced Dental PPO	20.80	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H5525	006	0	1	04	01	H5525_006_0	3	001	MyOption Enhanced Dental PPO	22.20	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H5525	008	0	1	04	01	H5525_008_0	3	001	MyOption Platinum Dental	29.40	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H5525	009	0	1	04	01	H5525_009_0	3	001	MyOption Platinum Dental	29.40	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H5525	020	0	1	04	01	H5525_020_0	3	001	MyOption Dental - High PPO	16.40	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H5525	020	0	1	04	01	H5525_020_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H5525	020	0	1	04	01	H5525_020_0	3	003	MyOption Plus	19.20	2			1	50.00		000000000000000000000000000000000000000000000011110000
H5525	021	0	1	04	01	H5525_021_0	5	001	MyOption Platinum Dental	31.70	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H5525	022	0	1	04	01	H5525_022_0	5	001	MyOption Platinum Dental	31.70	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H5525	023	0	1	04	01	H5525_023_0	5	001	MyOption Enhanced Dental PPO	22.10	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H5525	024	0	1	04	01	H5525_024_0	4	001	MyOption Platinum Dental	29.60	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H5525	025	0	1	04	01	H5525_025_0	4	001	MyOption Platinum Dental	25.80	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H5525	026	0	1	04	01	H5525_026_0	4	001	MyOption Dental - High PPO	15.70	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H5525	027	0	1	04	01	H5525_027_0	3	001	MyOption Dental - High PPO	23.10	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H5525	027	0	1	04	01	H5525_027_0	3	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H5526	004	0	1	04	01	H5526_004_0	6	001	Optional Supplemental Dental	17.00	1	500.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5526	014	0	1	04	01	H5526_014_0	6	001	Optional Supplemental Dental	19.00	1	500.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5526	016	0	1	04	01	H5526_016_0	7	001	Optional Supplemental Dental	17.00	1	500.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5526	017	0	1	04	01	H5526_017_0	8	001	Optional Supplemental Dental	19.00	1	500.00	3	2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5530	006	1	1	04	01	H5530_006_1	14	001	Preventive Dental Package	14.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H5530	006	1	1	04	01	H5530_006_1	14	003	Enhanced Dental and Vision Package	39.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H5530	006	1	1	04	01	H5530_006_1	14	002	Dental and Vision Package	24.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H5530	006	2	1	04	01	H5530_006_2	14	002	Dental and Vision Package	24.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H5530	006	2	1	04	01	H5530_006_2	14	001	Preventive Dental Package	14.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H5530	006	2	1	04	01	H5530_006_2	14	003	Enhanced Dental and Vision Package	39.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H5619	007	0	1	01	01	H5619_007_0	3	002	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H5619	007	0	1	01	01	H5619_007_0	3	001	MyOption Dental - High PPO	24.50	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H5793	001	0	1	01	01	H5793_001_0	4	001	Advantage Dental	18.90	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5793	001	0	1	01	01	H5793_001_0	4	002	Advantage Dental Plus Hearing Aids	21.90	2			2		000000000000000000000000000000000000000000000011000100	000000000000000000000000000000000000000000000000000000
H5793	010	0	1	01	01	H5793_010_0	4	001	Advantage Dental	18.90	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5813	003	0	1	01	01	H5813_003_0	4	001	Advantage Dental	32.60	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5813	006	0	1	01	01	H5813_006_0	4	001	Advantage Dental	32.60	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H5854	007	0	1	01	01	H5854_007_0	13	001	Preventive Dental Package	13.00	2			2			000000000000000000000000000000000000000000000010000000
H5854	007	0	1	01	01	H5854_007_0	13	002	Dental and Vision Package	28.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H5854	007	0	1	01	01	H5854_007_0	13	003	Enhanced Dental and Vision Package	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H5854	009	0	1	01	01	H5854_009_0	13	001	Preventive Dental Package	13.00	2			2			000000000000000000000000000000000000000000000010000000
H5854	009	0	1	01	01	H5854_009_0	13	002	Dental and Vision Package	28.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H5854	009	0	1	01	01	H5854_009_0	13	003	Enhanced Dental and Vision Package	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H5883	001	1	1	02	01	H5883_001_1	11	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	001	2	1	02	01	H5883_001_2	10	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	001	3	1	02	01	H5883_001_3	10	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	001	4	1	02	01	H5883_001_4	10	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	001	5	1	02	01	H5883_001_5	10	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	002	1	1	02	01	H5883_002_1	12	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	002	2	1	02	01	H5883_002_2	11	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	002	3	1	02	01	H5883_002_3	11	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	002	4	1	02	01	H5883_002_4	12	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	002	7	1	02	01	H5883_002_7	12	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	003	1	1	02	01	H5883_003_1	12	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	003	2	1	02	01	H5883_003_2	11	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	003	3	1	02	01	H5883_003_3	11	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	003	4	1	02	01	H5883_003_4	12	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	003	5	1	02	01	H5883_003_5	12	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	004	1	1	02	01	H5883_004_1	11	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	004	2	1	02	01	H5883_004_2	10	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	004	3	1	02	01	H5883_004_3	10	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	004	4	1	02	01	H5883_004_4	11	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	004	5	1	02	01	H5883_004_5	11	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	006	0	1	01	01	H5883_006_0	12	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5883	007	0	1	01	01	H5883_007_0	12	001	Supplemental Dental, Vision and Hearing	19.90	1	1700.00	6	2		000000000000000000000000000000000000000000000001011100	000000000000000000000000000000000000000000000000000000
H5970	001	0	1	04	01	H5970_001_0	3	001	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H5970	008	0	1	04	01	H5970_008_0	3	001	MyOption Plus	25.00	2			1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000110000
H5970	010	0	1	04	01	H5970_010_0	3	001	MyOption Plus	25.00	2			1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000110000
H6328	001	0	1	04	01	H6328_001_0	10	001	Dental Rider	20.00	2			2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000010000000
H6328	001	0	1	04	01	H6328_001_0	10	002	Combination Rider (Dental, Hearing, and Vision)	35.00	2			2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000010110100
H6328	002	0	1	04	01	H6328_002_0	9	001	Dental Rider	20.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H6328	002	0	1	04	01	H6328_002_0	9	002	Combination Rider (Dental, Hearing, and Vision)	35.00	2			2		000000000000000000000000000000000000000000000011001100	000000000000000000000000000000000000000000000000110000
H6328	003	0	1	04	01	H6328_003_0	9	001	Dental Rider	20.00	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H6328	003	0	1	04	01	H6328_003_0	9	002	Combination Rider (Dental, Hearing, and Vision)	35.00	2			2		000000000000000000000000000000000000000000000011111100	000000000000000000000000000000000000000000000000000000
H6328	005	0	1	04	01	H6328_005_0	7	001	Dental Rider	20.00	2			2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000010000000
H6328	005	0	1	04	01	H6328_005_0	7	002	Combination Rider (Dental, Hearing, and Vision)	35.00	2			2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000010110100
H6360	001	0	1	18	06	H6360_001_0	6	001	Advantage Plus	23.00	2			2		000000000000000000000000000000000000000000000011011100	000000000000000000000000000000000000000000000000000000
H6360	002	0	1	18	06	H6360_002_0	5	001	Advantage Plus	23.00	2			2		000000000000000000000000000000000000000000000011011100	000000000000000000000000000000000000000000000000000000
H6360	004	0	1	18	06	H6360_004_0	3	001	Advantage Plus	23.00	2			2		000000000000000000000000000000000000000000000011011100	000000000000000000000000000000000000000000000000000000
H6360	006	0	1	18	06	H6360_006_0	5	001	Advantage Plus	23.00	2			2		000000000000000000000000000000000000000000000011011100	000000000000000000000000000000000000000000000000000000
H6360	007	0	1	18	06	H6360_007_0	2	001	Advantage Plus	23.00	2			2		000000000000000000000000000000000000000000000011011100	000000000000000000000000000000000000000000000000000000
H6360	008	0	1	18	06	H6360_008_0	2	001	Advantage Plus	23.00	2			2		000000000000000000000000000000000000000000000011011100	000000000000000000000000000000000000000000000000000000
H6360	009	0	2	18	06	H6360_009_0	4	001	Advantage Plus	23.00	2			2		000000000000000000000000000000000000000000000011011100	000000000000000000000000000000000000000000000000000000
H6360	010	0	1	18	06	H6360_010_0	5	001	Advantage Plus	23.00	2			2		000000000000000000000000000000000000000000000011011100	000000000000000000000000000000000000000000000000000000
H6360	011	0	1	18	06	H6360_011_0	2	001	Advantage Plus	23.00	2			2		000000000000000000000000000000000000000000000011011100	000000000000000000000000000000000000000000000000000000
H6609	001	0	1	04	01	H6609_001_0	4	001	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H6609	003	0	1	04	01	H6609_003_0	3	001	MyOption Dental - High PPO	18.00	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	003	0	1	04	01	H6609_003_0	3	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H6609	004	0	1	04	01	H6609_004_0	2	001	MyOption Dental - High PPO	18.60	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	004	0	1	04	01	H6609_004_0	2	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H6609	005	0	1	04	01	H6609_005_0	5	001	MyOption Dental - High PPO	27.60	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	005	0	1	04	01	H6609_005_0	5	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H6609	006	0	1	04	01	H6609_006_0	2	001	MyOption Dental - High PPO	27.60	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	006	0	1	04	01	H6609_006_0	2	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	009	0	1	04	01	H6609_009_0	3	001	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H6609	009	0	1	04	01	H6609_009_0	3	002	MyOption Plus	26.60	2			1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000110000
H6609	009	0	1	04	01	H6609_009_0	3	003	MyOption Platinum Dental	37.00	1	2000.00	3	2			000000000000000000000000000000000000000000000011000000
H6609	012	0	1	04	01	H6609_012_0	2	001	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H6609	012	0	1	04	01	H6609_012_0	2	003	MyOption Platinum Dental	44.20	1	2000.00	3	2			000000000000000000000000000000000000000000000011000000
H6609	012	0	1	04	01	H6609_012_0	2	002	MyOption Plus	24.20	2			1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000110000
H6609	013	0	1	04	01	H6609_013_0	3	001	MyOption Dental - High PPO	30.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	013	0	1	04	01	H6609_013_0	3	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H6609	013	0	1	04	01	H6609_013_0	3	003	MyOption Plus	24.20	2			1	50.00		000000000000000000000000000000000000000000000011110000
H6609	017	0	1	04	01	H6609_017_0	3	001	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H6609	019	0	1	04	01	H6609_019_0	3	001	MyOption Dental - High PPO	18.60	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	019	0	1	04	01	H6609_019_0	3	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H6609	029	0	1	04	01	H6609_029_0	3	001	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H6609	073	0	1	04	01	H6609_073_0	3	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H6609	073	0	1	04	01	H6609_073_0	3	001	MyOption Dental - High PPO	30.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	073	0	1	04	01	H6609_073_0	3	003	MyOption Plus	26.60	2			1	50.00		000000000000000000000000000000000000000000000011110000
H6609	074	0	1	04	01	H6609_074_0	3	001	MyOption Dental - High PPO	27.60	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	074	0	1	04	01	H6609_074_0	3	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H6609	075	0	1	04	01	H6609_075_0	3	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H6609	075	0	1	04	01	H6609_075_0	3	001	MyOption Dental - High PPO	23.10	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	078	0	1	04	01	H6609_078_0	3	001	MyOption Enhanced Dental PPO	23.40	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H6609	082	0	1	04	01	H6609_082_0	3	001	MyOption Enhanced Dental PPO	20.90	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H6609	083	0	1	04	01	H6609_083_0	3	001	MyOption Enhanced Dental PPO	20.90	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H6609	084	0	1	04	01	H6609_084_0	3	001	MyOption Platinum Dental	29.40	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H6609	085	0	1	04	01	H6609_085_0	4	001	MyOption Enhanced Dental PPO	22.20	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H6609	086	0	1	04	01	H6609_086_0	3	001	MyOption Enhanced Dental PPO	22.10	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H6609	088	0	1	04	01	H6609_088_0	3	001	MyOption Dental - High PPO	18.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	088	0	1	04	01	H6609_088_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	088	0	1	04	01	H6609_088_0	3	003	MyOption Plus	20.40	2			1	50.00		000000000000000000000000000000000000000000000011110000
H6609	089	0	1	04	01	H6609_089_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	089	0	1	04	01	H6609_089_0	3	001	MyOption Dental - High PPO	12.40	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	089	0	1	04	01	H6609_089_0	3	003	MyOption Plus	20.40	2			1	50.00		000000000000000000000000000000000000000000000011110000
H6609	090	0	1	04	01	H6609_090_0	3	001	MyOption Dental - High PPO	19.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	090	0	1	04	01	H6609_090_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	090	0	1	04	01	H6609_090_0	3	003	MyOption Plus	21.90	2			1	50.00		000000000000000000000000000000000000000000000011110000
H6609	091	0	1	04	01	H6609_091_0	3	001	MyOption Dental - High PPO	12.40	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	091	0	1	04	01	H6609_091_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	091	0	1	04	01	H6609_091_0	3	003	MyOption Plus	20.40	2			1	50.00		000000000000000000000000000000000000000000000011110000
H6609	092	0	1	04	01	H6609_092_0	3	001	MyOption Dental - High PPO	21.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	095	0	1	04	01	H6609_095_0	4	001	MyOption Enhanced Dental PPO	25.10	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H6609	096	0	1	04	01	H6609_096_0	5	001	MyOption Enhanced Dental PPO	25.10	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H6609	097	0	1	04	01	H6609_097_0	3	001	MyOption Dental - High PPO	16.40	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	097	0	1	04	01	H6609_097_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	097	0	1	04	01	H6609_097_0	3	003	MyOption Plus	19.20	2			1	50.00		000000000000000000000000000000000000000000000011110000
H6609	098	0	1	04	01	H6609_098_0	3	001	MyOption Enhanced Dental PPO	25.10	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H6609	099	0	1	04	01	H6609_099_0	3	003	MyOption Plus	19.20	2			1	50.00		000000000000000000000000000000000000000000000011110000
H6609	099	0	1	04	01	H6609_099_0	3	001	MyOption Dental - High PPO	16.40	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	099	0	1	04	01	H6609_099_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	100	0	1	04	01	H6609_100_0	3	001	MyOption Enhanced Dental PPO	25.10	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H6609	101	0	1	04	01	H6609_101_0	3	001	MyOption Enhanced Dental PPO	25.10	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H6609	103	0	1	04	01	H6609_103_0	3	001	MyOption Platinum Dental	37.70	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H6609	104	0	1	04	01	H6609_104_0	3	001	MyOption Dental - High PPO	18.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	104	0	1	04	01	H6609_104_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	104	0	1	04	01	H6609_104_0	3	003	MyOption Plus	19.60	2			1	50.00		000000000000000000000000000000000000000000000011110000
H6609	107	0	1	04	01	H6609_107_0	3	001	MyOption Dental - High PPO	18.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	107	0	1	04	01	H6609_107_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	107	0	1	04	01	H6609_107_0	3	003	MyOption Plus	20.30	2			1	50.00		000000000000000000000000000000000000000000000011110000
H6609	108	0	1	04	01	H6609_108_0	3	001	MyOption Dental - High PPO	21.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	108	0	1	04	01	H6609_108_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	108	0	1	04	01	H6609_108_0	3	003	MyOption Plus	18.30	2			1	50.00		000000000000000000000000000000000000000000000011110000
H6609	109	0	1	04	01	H6609_109_0	3	001	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H6609	111	0	1	04	01	H6609_111_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	112	0	1	04	01	H6609_112_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	112	0	1	04	01	H6609_112_0	3	002	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H6609	114	0	1	04	01	H6609_114_0	3	001	MyOption Dental - High PPO	20.60	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	115	0	1	04	01	H6609_115_0	4	001	MyOption Dental - High PPO	20.60	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	115	0	1	04	01	H6609_115_0	4	002	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H6609	117	0	1	04	01	H6609_117_0	3	001	MyOption Enhanced Dental PPO	25.10	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H6609	118	0	1	04	01	H6609_118_0	3	001	MyOption Dental - High PPO	16.40	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	118	0	1	04	01	H6609_118_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	118	0	1	04	01	H6609_118_0	3	003	MyOption Plus	19.20	2			1	50.00		000000000000000000000000000000000000000000000011110000
H6609	119	0	1	04	01	H6609_119_0	3	001	MyOption Dental - High PPO	16.40	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	119	0	1	04	01	H6609_119_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	119	0	1	04	01	H6609_119_0	3	003	MyOption Plus	19.20	2			1	50.00		000000000000000000000000000000000000000000000011110000
H6609	120	0	1	04	01	H6609_120_0	6	001	MyOption Platinum Dental	29.60	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H6609	121	0	1	04	01	H6609_121_0	3	001	MyOption Dental - High PPO	23.40	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	121	0	1	04	01	H6609_121_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	121	0	1	04	01	H6609_121_0	3	003	MyOption Plus	20.80	2			1	50.00		000000000000000000000000000000000000000000000011110000
H6609	122	0	1	04	01	H6609_122_0	4	001	MyOption Dental - High PPO	19.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	123	0	1	04	01	H6609_123_0	3	001	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H6609	125	0	1	04	01	H6609_125_0	6	001	MyOption Dental - High PPO	15.70	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	126	0	1	04	01	H6609_126_0	3	001	MyOption Dental - High PPO	23.40	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	126	0	1	04	01	H6609_126_0	3	004	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H6609	126	0	1	04	01	H6609_126_0	3	003	MyOption Plus	20.80	2			1	50.00		000000000000000000000000000000000000000000000011110000
H6609	126	0	1	04	01	H6609_126_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	127	0	1	04	01	H6609_127_0	4	001	MyOption Platinum Dental	25.80	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H6609	128	0	1	04	01	H6609_128_0	4	001	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H6609	128	0	1	04	01	H6609_128_0	4	002	MyOption Plus	22.20	2			1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000110000
H6609	128	0	1	04	01	H6609_128_0	4	003	MyOption Platinum Dental	30.50	1	2000.00	3	2			000000000000000000000000000000000000000000000011000000
H6609	129	0	1	04	01	H6609_129_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	130	0	1	04	01	H6609_130_0	3	001	MyOption Dental - High PPO	21.70	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	130	0	1	04	01	H6609_130_0	3	003	MyOption Plus	27.30	2			1	50.00		000000000000000000000000000000000000000000000011110000
H6609	130	0	1	04	01	H6609_130_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	131	0	1	04	01	H6609_131_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	131	0	1	04	01	H6609_131_0	3	001	MyOption Dental - High PPO	21.70	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	131	0	1	04	01	H6609_131_0	3	003	MyOption Plus	27.30	2			1	50.00		000000000000000000000000000000000000000000000011110000
H6609	132	0	1	04	01	H6609_132_0	3	001	MyOption Dental - High PPO	21.70	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	132	0	1	04	01	H6609_132_0	3	003	MyOption Plus	27.30	2			1	50.00		000000000000000000000000000000000000000000000011110000
H6609	132	0	1	04	01	H6609_132_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	133	0	1	04	01	H6609_133_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	133	0	1	04	01	H6609_133_0	3	002	MyOption Enhanced Dental PPO	22.80	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H6609	134	0	1	04	01	H6609_134_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	134	0	1	04	01	H6609_134_0	3	002	MyOption Enhanced Dental PPO	22.80	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H6609	135	0	1	04	01	H6609_135_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	135	0	1	04	01	H6609_135_0	3	002	MyOption Enhanced Dental PPO	22.80	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H6609	136	0	1	04	01	H6609_136_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	136	0	1	04	01	H6609_136_0	3	002	MyOption Enhanced Dental PPO	22.80	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H6609	137	0	1	04	01	H6609_137_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	137	0	1	04	01	H6609_137_0	3	002	MyOption Enhanced Dental PPO	33.30	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H6609	138	0	1	04	01	H6609_138_0	3	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H6609	138	0	1	04	01	H6609_138_0	3	001	MyOption Dental - High PPO	18.50	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	139	0	1	04	01	H6609_139_0	2	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6609	139	0	1	04	01	H6609_139_0	2	001	MyOption Dental - High PPO	18.50	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	140	0	1	04	01	H6609_140_0	4	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H6609	140	0	1	04	01	H6609_140_0	4	001	MyOption Dental - High PPO	18.50	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6609	140	0	1	04	01	H6609_140_0	4	003	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H6622	001	0	1	01	01	H6622_001_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H6622	002	0	1	01	01	H6622_002_0	3	001	MyOption Enhanced Dental HMO	29.30	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H6622	003	0	1	01	01	H6622_003_0	3	001	MyOption Dental - High PPO	24.00	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6622	007	0	1	01	01	H6622_007_0	3	001	MyOption Dental - High PPO	23.10	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H6786	002	0	1	04	01	H6786_002_0	15	001	Preventive Dental Package	19.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H6786	002	0	1	04	01	H6786_002_0	15	003	Enhanced Dental and Vision Package	40.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H6786	002	0	1	04	01	H6786_002_0	15	002	Dental and Vision Package	32.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H6815	001	0	1	01	01	H6815_001_0	3	001	Preventive Dental Plus	31.00	1	1250.00	3	1	35.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H6815	002	0	1	01	01	H6815_002_0	3	001	Preventive Dental Plus	31.00	1	1250.00	3	1	35.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H6923	005	0	1	01	01	H6923_005_0	8	001	Advantage Dental	12.40	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H6923	005	0	1	01	01	H6923_005_0	8	002	Advantage Dental Plus Eye Wear and Hearing Aids	22.40	2			2		000000000000000000000000000000000000000000000011010100	000000000000000000000000000000000000000000000000000000
H6951	001	0	1	04	01	H6951_001_0	4	001	Vision and Preventive Dental	21.90	1	1250.00	6	2		000000000000000000000000000000000000000000000010010000	000000000000000000000000000000000000000000000000000000
H6951	002	0	1	04	01	H6951_002_0	6	001	Vision and Preventive Dental	21.90	1	1250.00	6	2		000000000000000000000000000000000000000000000010010000	000000000000000000000000000000000000000000000000000000
H6951	003	0	1	04	01	H6951_003_0	6	001	Vision and Preventive Dental	21.90	1	1250.00	6	2		000000000000000000000000000000000000000000000010010000	000000000000000000000000000000000000000000000000000000
H7020	001	0	1	01	01	H7020_001_0	4	001	Enhanced Dental - Preventive	6.60	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H7020	001	0	1	01	01	H7020_001_0	4	002	Enhanced Dental - Preventive and Comprehensive	25.90	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H7728	002	0	1	04	01	H7728_002_0	15	001	Preventive Dental Package	19.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H7728	002	0	1	04	01	H7728_002_0	15	002	Dental and Vision Package	28.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H7728	002	0	1	04	01	H7728_002_0	15	003	Enhanced Dental and Vision Package	40.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H7908	001	0	1	01	01	H7908_001_0	6	001	Advantage Dental	21.60	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H7908	001	0	1	01	01	H7908_001_0	6	002	Advantage Dental Plus Hearing Aids	24.60	2			2		000000000000000000000000000000000000000000000011000100	000000000000000000000000000000000000000000000000000000
H8145	003	0	1	09	04	H8145_003_0	4	001	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H8145	003	0	1	09	04	H8145_003_0	4	002	MyOption Platinum Dental	30.50	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H8145	004	0	1	09	04	H8145_004_0	3	001	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H8145	004	0	1	09	04	H8145_004_0	3	002	MyOption Platinum Dental	30.50	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H8145	005	0	1	09	04	H8145_005_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H8145	005	0	1	09	04	H8145_005_0	3	002	MyOption Enhanced Dental PPO	25.50	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H8145	006	0	1	09	04	H8145_006_0	3	001	MyOption Enhanced Dental PPO	28.80	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H8145	008	0	1	09	04	H8145_008_0	3	001	MyOption Dental - High PPO	20.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H8145	008	0	1	09	04	H8145_008_0	3	002	MyOption Plus	20.90	2			1	50.00		000000000000000000000000000000000000000000000011110000
H8145	011	0	1	09	04	H8145_011_0	3	001	MyOption Plus	21.60	2			1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000110000
H8145	011	0	1	09	04	H8145_011_0	3	002	MyOption Platinum Dental	29.40	1	2000.00	3	2			000000000000000000000000000000000000000000000011000000
H8145	012	0	1	09	04	H8145_012_0	3	001	MyOption Plus	21.60	2			1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000110000
H8145	012	0	1	09	04	H8145_012_0	3	002	MyOption Platinum Dental	29.40	1	2000.00	3	2			000000000000000000000000000000000000000000000011000000
H8145	020	0	1	09	04	H8145_020_0	3	001	MyOption Platinum Dental	31.70	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H8145	021	0	1	09	04	H8145_021_0	4	001	MyOption Enhanced Dental PPO	23.40	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H8145	032	0	1	09	04	H8145_032_0	3	001	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H8145	032	0	1	09	04	H8145_032_0	3	002	MyOption Enhanced Dental PPO	20.90	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H8145	042	0	1	09	04	H8145_042_0	2	001	MyOption Plus	21.20	2			1	50.00	000000000000000000000000000000000000000000000011110000	
H8145	042	0	1	09	04	H8145_042_0	2	002	MyOption Platinum Dental	30.50	1	2000.00	3	2			000000000000000000000000000000000000000000000011000000
H8145	050	0	1	09	04	H8145_050_0	2	001	MyOption Platinum Dental	29.50	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H8145	051	0	1	09	04	H8145_051_0	3	001	MyOption Platinum Dental	29.50	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H8145	052	0	1	09	04	H8145_052_0	3	001	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H8145	052	0	1	09	04	H8145_052_0	3	002	MyOption Platinum Dental	30.10	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H8145	053	0	1	09	04	H8145_053_0	3	001	MyOption Plus	21.10	2			1	50.00	000000000000000000000000000000000000000000000011110000	
H8145	053	0	1	09	04	H8145_053_0	3	002	MyOption Platinum Dental	30.10	1	2000.00	3	2			000000000000000000000000000000000000000000000011000000
H8145	055	0	1	09	04	H8145_055_0	2	002	MyOption Platinum Dental	30.10	1	2000.00	3	2			000000000000000000000000000000000000000000000011000000
H8145	055	0	1	09	04	H8145_055_0	2	001	MyOption Plus	21.10	2			1	50.00	000000000000000000000000000000000000000000000011110000	
H8145	063	0	1	09	04	H8145_063_0	5	001	MyOption Dental - High PPO	15.70	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H8145	063	0	1	09	04	H8145_063_0	5	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H8145	069	0	1	09	04	H8145_069_0	5	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H8145	069	0	1	09	04	H8145_069_0	5	002	MyOption Platinum Dental	29.60	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
H8145	075	0	1	09	04	H8145_075_0	5	001	MyOption Dental - High PPO	16.40	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H8145	075	0	1	09	04	H8145_075_0	5	003	MyOption Plus	19.20	2			1	50.00		000000000000000000000000000000000000000000000011110000
H8145	075	0	1	09	04	H8145_075_0	5	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H8145	078	0	1	09	04	H8145_078_0	3	001	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H8145	084	0	1	09	04	H8145_084_0	3	001	MyOption Dental - High PPO	21.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H8145	084	0	1	09	04	H8145_084_0	3	002	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H8145	089	0	1	09	04	H8145_089_0	3	001	MyOption Dental - High PPO	27.60	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H8145	089	0	1	09	04	H8145_089_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H8145	089	0	1	09	04	H8145_089_0	3	003	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H8145	091	0	1	09	04	H8145_091_0	5	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H8145	091	0	1	09	04	H8145_091_0	5	001	MyOption Dental - High PPO	21.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H8145	091	0	1	09	04	H8145_091_0	5	003	MyOption Plus	21.20	2			1	50.00		000000000000000000000000000000000000000000000011110000
H8145	093	0	1	09	04	H8145_093_0	3	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H8145	093	0	1	09	04	H8145_093_0	3	001	MyOption Dental - High PPO	24.10	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H8145	093	0	1	09	04	H8145_093_0	3	003	MyOption Plus	24.30	2			1	50.00		000000000000000000000000000000000000000000000011110000
H8145	097	0	1	09	04	H8145_097_0	5	001	MyOption Dental - High PPO	30.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H8145	097	0	1	09	04	H8145_097_0	5	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H8145	097	0	1	09	04	H8145_097_0	5	003	MyOption Plus	24.20	2			1	50.00		000000000000000000000000000000000000000000000011110000
H8145	103	0	1	09	04	H8145_103_0	3	001	MyOption Dental - High PPO	25.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H8145	103	0	1	09	04	H8145_103_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H8145	104	0	1	09	04	H8145_104_0	3	001	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H8145	104	0	1	09	04	H8145_104_0	3	004	MyOption Platinum Dental	37.00	1	2000.00	3	2			000000000000000000000000000000000000000000000011000000
H8145	104	0	1	09	04	H8145_104_0	3	003	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H8145	104	0	1	09	04	H8145_104_0	3	002	MyOption Plus	26.60	2			1	50.00	000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000110000
H8145	108	0	1	09	04	H8145_108_0	2	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H8145	108	0	1	09	04	H8145_108_0	2	001	MyOption Dental - High PPO	21.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H8145	108	0	1	09	04	H8145_108_0	2	003	MyOption Plus	21.20	2			1	50.00		000000000000000000000000000000000000000000000011110000
H8145	120	0	1	09	04	H8145_120_0	2	001	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H8145	121	0	1	09	04	H8145_121_0	2	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H8145	121	0	1	09	04	H8145_121_0	2	002	MyOption Enhanced Dental PPO	25.50	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
H8145	122	0	1	09	04	H8145_122_0	3	001	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H8145	123	0	1	09	04	H8145_123_0	3	001	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H8145	125	0	1	09	04	H8145_125_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H8145	125	0	1	09	04	H8145_125_0	3	001	MyOption Dental - High PPO	17.30	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H8145	125	0	1	09	04	H8145_125_0	3	003	MyOption Plus	20.50	2			1	50.00		000000000000000000000000000000000000000000000011110000
H8145	126	0	1	09	04	H8145_126_0	2	002	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H8145	126	0	1	09	04	H8145_126_0	2	001	MyOption Dental - High PPO	21.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H8145	127	0	1	09	04	H8145_127_0	3	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H8145	127	0	1	09	04	H8145_127_0	3	001	MyOption Dental - High PPO	18.50	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H8145	127	0	1	09	04	H8145_127_0	3	003	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H8145	154	0	1	09	04	H8145_154_0	3	001	MyOption Dental - High PPO	24.10	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H8145	154	0	1	09	04	H8145_154_0	3	002	MyOption Plus	24.30	2			1	50.00		000000000000000000000000000000000000000000000011110000
H8145	155	0	1	09	04	H8145_155_0	3	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
H8145	155	0	1	09	04	H8145_155_0	3	001	MyOption Dental - High PPO	18.50	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
H8145	155	0	1	09	04	H8145_155_0	3	003	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
H8237	001	0	1	01	01	H8237_001_0	5	001	Dental Services	17.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H8432	003	0	1	01	01	H8432_003_0	12	001	Preventive Dental Package	13.00	2			2			000000000000000000000000000000000000000000000010000000
H8432	003	0	1	01	01	H8432_003_0	12	002	Dental and Vision Package	26.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H8432	003	0	1	01	01	H8432_003_0	12	003	Enhanced Dental and Vision Package	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H8468	001	0	1	07	02	H8468_001_0	2	001	Geisinger Gold Health+	36.60	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000100010111100
H8506	001	0	1	01	01	H8506_001_0	6	001	Moda Health Extra Care $10.00	10.00	1	500.00	3	2		000000000000000000000000000000000100000000000000000000	000000000000010000000000000000000000000000000000111100
H8552	020	0	1	04	01	H8552_020_0	15	001	Preventive Dental Package	18.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H8552	020	0	1	04	01	H8552_020_0	15	002	Dental and Vision Package	32.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H8552	020	0	1	04	01	H8552_020_0	15	003	Enhanced Dental and Vision Package	40.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H8552	021	0	1	04	01	H8552_021_0	14	001	Preventive Dental Package	18.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H8552	021	0	1	04	01	H8552_021_0	14	002	Dental and Vision Package	32.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H8552	021	0	1	04	01	H8552_021_0	14	003	Enhanced Dental and Vision Package	40.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H8552	022	0	1	04	01	H8552_022_0	15	001	Preventive Dental Package	18.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H8552	022	0	1	04	01	H8552_022_0	15	003	Enhanced Dental and Vision Package	40.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H8552	022	0	1	04	01	H8552_022_0	15	002	Dental and Vision Package	32.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H8552	024	0	1	04	01	H8552_024_0	16	001	Preventive Dental Package	18.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H8552	024	0	1	04	01	H8552_024_0	16	002	Dental and Vision Package	32.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H8552	024	0	1	04	01	H8552_024_0	16	003	Enhanced Dental and Vision Package	40.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H8552	027	0	1	04	01	H8552_027_0	15	002	Dental and Vision Package	32.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H8552	027	0	1	04	01	H8552_027_0	15	001	Preventive Dental Package	18.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H8552	027	0	1	04	01	H8552_027_0	15	003	Enhanced Dental and Vision Package	40.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H8764	001	0	1	01	01	H8764_001_0	6	001	Optional Supplemental Dental Benefit	23.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H8764	002	0	1	02	01	H8764_002_0	6	001	Optional Supplemental Dental Benefit	23.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H8764	003	0	1	01	01	H8764_003_0	6	001	Optional Supplemental Dental Benefit	29.00	1	1000.00	3	2		000000000000000000000000000000000000000000000001000000	000000000000000000000000000000000000000000000000000000
H8908	001	0	1	01	01	H8908_001_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
H9003	001	0	1	01	01	H9003_001_0	9	001	Advantage Plus	41.00	1	1250.00	3	1	35.00	000000000000000000000000000000000000000000000010010100	000000000000000000000000000000000000000000000001000000
H9003	006	0	1	01	01	H9003_006_0	9	001	Advantage Plus	41.00	1	1250.00	3	1	35.00	000000000000000000000000000000000000000000000010010100	000000000000000000000000000000000000000000000001000000
H9047	001	0	1	01	01	H9047_001_0	10	003	Providence Dental Basic	37.50	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H9047	001	0	1	01	01	H9047_001_0	10	002	Providence Dental Enhanced	48.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H9047	013	0	2	01	01	H9047_013_0	11	003	Providence Dental Basic	37.50	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H9047	013	0	2	01	01	H9047_013_0	11	002	Providence Dental Enhanced	48.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H9047	024	0	1	02	01	H9047_024_0	13	002	Providence Dental Enhanced	48.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H9047	024	0	1	02	01	H9047_024_0	13	003	Providence Dental Basic	37.50	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H9047	033	0	1	01	01	H9047_033_0	8	002	Providence Dental Enhanced	48.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H9047	033	0	1	01	01	H9047_033_0	8	003	Providence Dental Basic	37.50	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H9047	035	0	1	02	01	H9047_035_0	10	003	Providence Dental Basic	37.50	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H9047	035	0	1	02	01	H9047_035_0	10	002	Providence Dental Enhanced	48.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H9047	037	0	1	02	01	H9047_037_0	9	003	Vision Supplemental	8.50	1	150.00	3	2		000000000000000000000000000000000000000000000000010000	000000000000000000000000000000000000000000000000000000
H9047	037	0	1	02	01	H9047_037_0	9	002	Providence Dental Enhanced	48.20	1	1500.00	3	1	50.00		000000000000000000000000000000000000000000000011000000
H9047	037	0	1	02	01	H9047_037_0	9	004	Providence Dental Basic	37.50	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H9047	038	0	1	02	01	H9047_038_0	9	003	Providence Dental Basic	37.50	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H9047	038	0	1	02	01	H9047_038_0	9	002	Providence Dental Enhanced	48.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H9047	039	0	1	02	01	H9047_039_0	10	002	Providence Dental Enhanced	48.20	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H9047	039	0	1	02	01	H9047_039_0	10	003	Providence Dental Basic	37.50	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H9104	006	0	1	01	01	H9104_006_0	7	001	Basic Dental	8.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H9104	006	0	1	01	01	H9104_006_0	7	002	Enhanced Dental	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H9385	002	0	1	01	01	H9385_002_0	9	001	Basic Dental	9.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H9385	002	0	1	01	01	H9385_002_0	9	002	Enhanced Dental	13.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
H9385	002	0	1	01	01	H9385_002_0	9	003	Vision Plan	5.00	1	200.00	3	2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000000010000
H9525	004	0	1	01	01	H9525_004_0	11	003	Enhanced Dental and Vision Package	35.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H9525	004	0	1	01	01	H9525_004_0	11	002	Dental and Vision Package	26.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H9525	004	0	1	01	01	H9525_004_0	11	001	Preventive Dental Package	12.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H9525	005	0	1	01	01	H9525_005_0	11	001	Preventive Dental Package	12.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H9525	005	0	1	01	01	H9525_005_0	11	002	Dental and Vision Package	26.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H9525	005	0	1	01	01	H9525_005_0	11	003	Enhanced Dental and Vision Package	35.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H9725	001	0	1	01	01	H9725_001_0	4	001	Enhanced Dental - Preventive	5.80	2			2		000000000000000000000000000000000000000000000010000000	000000000000000000000000000000000000000000000000000000
H9725	001	0	1	01	01	H9725_001_0	4	002	Enhanced Dental - Preventive and Comprehensive	22.80	2			2		000000000000000000000000000000000000000000000011000000	000000000000000000000000000000000000000000000000000000
H9886	004	0	1	01	01	H9886_004_0	15	001	Preventive Dental Package	13.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H9886	004	0	1	01	01	H9886_004_0	15	002	Dental and Vision Package	23.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H9886	004	0	1	01	01	H9886_004_0	15	003	Enhanced Dental and Vision Package	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H9947	005	1	1	04	01	H9947_005_1	13	003	Enhanced Dental and Vision Package	38.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H9947	005	1	1	04	01	H9947_005_1	13	002	Dental and Vision Package	26.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H9947	005	1	1	04	01	H9947_005_1	13	001	Preventive Dental Package	15.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H9947	005	2	1	04	01	H9947_005_2	13	001	Preventive Dental Package	15.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H9947	005	2	1	04	01	H9947_005_2	13	002	Dental and Vision Package	26.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H9947	005	2	1	04	01	H9947_005_2	13	003	Enhanced Dental and Vision Package	38.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H9954	002	0	1	01	01	H9954_002_0	14	001	Preventive Dental Package	12.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H9954	002	0	1	01	01	H9954_002_0	14	002	Dental and Vision Package	24.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H9954	002	0	1	01	01	H9954_002_0	14	003	Enhanced Dental and Vision Package	36.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H9954	005	0	1	01	01	H9954_005_0	15	001	Preventive Dental Package	12.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
H9954	005	0	1	01	01	H9954_005_0	15	002	Dental and Vision Package	24.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
H9954	005	0	1	01	01	H9954_005_0	15	003	Enhanced Dental and Vision Package	36.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
R5342	001	0	1	31	11	R5342_001_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
R5342	001	0	1	31	11	R5342_001_0	2	002	Fitness Rider	15.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
R5342	002	0	1	31	11	R5342_002_0	2	001	Dental Platinum Rider	37.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011000000
R5826	001	0	1	31	11	R5826_001_0	3	001	MyOption Dental - High PPO	16.40	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
R5826	006	0	1	31	11	R5826_006_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
R5826	007	0	1	31	11	R5826_007_0	4	001	MyOption Enhanced Dental PPO	20.90	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
R5826	008	0	1	31	11	R5826_008_0	3	001	MyOption Platinum Dental	31.70	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
R5826	009	0	1	31	11	R5826_009_0	6	001	MyOption Dental - High PPO	24.00	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
R5826	009	0	1	31	11	R5826_009_0	6	002	MyOption Vision	15.30	2			2		000000000000000000000000000000000000000000000000110000	
R5826	009	0	1	31	11	R5826_009_0	6	003	MyOption Plus	23.10	2			1	50.00		000000000000000000000000000000000000000000000011110000
R5826	010	0	1	31	11	R5826_010_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
R5826	012	0	1	31	11	R5826_012_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
R5826	012	0	1	31	11	R5826_012_0	3	002	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
R5826	013	0	1	31	11	R5826_013_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
R5826	014	0	1	31	11	R5826_014_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
R5826	014	0	1	31	11	R5826_014_0	3	002	MyOption Enhanced Dental PPO	22.80	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
R5826	023	0	1	31	11	R5826_023_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
R5826	026	0	1	31	11	R5826_026_0	3	001	MyOption Dental - High PPO	21.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
R5826	026	0	1	31	11	R5826_026_0	3	002	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
R5826	053	0	1	31	11	R5826_053_0	3	001	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
R5826	062	0	1	31	11	R5826_062_0	4	001	MyOption Enhanced Dental PPO	22.20	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
R5826	063	0	1	31	11	R5826_063_0	5	001	MyOption Enhanced Dental PPO	25.10	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
R5826	066	0	1	31	11	R5826_066_0	4	001	MyOption Enhanced Dental PPO	23.40	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
R5826	069	0	1	31	11	R5826_069_0	3	001	MyOption Enhanced Dental PPO	23.40	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
R5826	070	0	1	31	11	R5826_070_0	3	001	MyOption Dental - High PPO	25.80	1	1500.00	3	1	50.00	000000000000000000000000000000000000000000000011000000	
R5826	070	0	1	31	11	R5826_070_0	3	002	MyOption Vision	15.30	2			2			000000000000000000000000000000000000000000000000110000
R5826	077	0	1	31	11	R5826_077_0	4	001	MyOption Platinum Dental	29.60	1	2000.00	3	2		000000000000000000000000000000000000000000000011000000	
R5826	079	0	1	31	11	R5826_079_0	5	001	MyOption Enhanced Dental PPO	25.10	1	1500.00	3	2			000000000000000000000000000000000000000000000011000000
R5826	091	0	1	31	11	R5826_091_0	3	001	MyOption Fitness	13.00	2			2		000000000000000000000000000000000000000000100000000000	
R5941	014	0	1	31	11	R5941_014_0	12	001	Preventive Dental Package	16.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
R5941	014	0	1	31	11	R5941_014_0	12	002	Dental and Vision Package	26.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
R5941	014	0	1	31	11	R5941_014_0	12	003	Enhanced Dental and Vision Package	35.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
R5941	015	0	1	31	11	R5941_015_0	12	001	Preventive Dental Package	17.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000010000000
R5941	015	0	1	31	11	R5941_015_0	12	002	Dental and Vision Package	26.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
R5941	015	0	1	31	11	R5941_015_0	12	003	Enhanced Dental and Vision Package	38.00	2			2		000000000000000000000000000000000000000000000000000000	000000000000000000000000000000000000000000000011010000
R7444	001	0	1	31	11	R7444_001_0	2	001	Fitness Rider	19.00	2			2		000000000000000000000000000000000000000000100000000000	000000000000000000000000000000000000000000000000000000
