| First Name | Last Name | Birth Date | Employee Status | Coverage Type | Action |
|---|---|---|---|---|---|
| Chris | Johnson | 02/08/1980 | Active |
|
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| Family Members: 1 Child | |||||
| Ed | Langley | 12/24/1977 | Active |
|
|
| Family Members:None | |||||
| Sandra | Smith | 06/15/1984 | Active |
|
|
| Family Members: None | |||||
| Patty | Rodgers | 03/01/1975 | Active |
|
|
| Family Members: 1 Child | |||||
| Steve | Smith | 02/27/1980 | Active |
|
|
| Family Members: 1 Child | |||||
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