ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
Effective DateEmp Number InsuranceCoverage Level
2
1/21/20219139MPHO6
3
2/3/20217162MPLO9
4
2/5/20216989DPLO5
5
2/17/20217619DPHO9
6
2/23/20215979MPHO8
7
2/25/20219098MPLO6
8
3/9/20217070DPLO2
9
3/10/20215809DPHO9
10
3/29/20218268MPLO0
11
3/31/20213591DPLO5
12
5/5/20215471DPHO1
13
5/7/20217419MPHO8
14
5/28/20214105MPLO3
15
7/6/2021186DPLO2
16
7/9/20213065DPHO5
17
7/14/20215888MPHO5
18
7/29/20214302MPLO4
19
8/6/20215598DPLO1
20
8/17/20214130DPHO9
21
8/30/20213410MPHO0
22
9/14/20214889MPLO3
23
10/6/2021612DPLO7
24
11/2/20214589DPHO1
25
11/19/20218402MPHO3
26
12/31/20218725DPLO5
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100