SSN
SSN Suffix
Relationship to Employee
Group Id
Group Name
Loc Id
Loc Name
Unit Id
Unit Name
Date Last Updated
Last Operator Update
Employee Last Name
Employee First Name
Employee Middle Initial
Employee Sex
Employee Date of Birth
Employee Home Address
Employee City
Employee State
Employee Zip
Employee Home Phone
Employee Work Phone
Employee Extension
MED Coverage_Start_Date*
MED Coverage_End_Date*
MED Plan_ID*
MED Plan_Name*
MED Plan_Type*
MED Option_ID*
MED Option_Name*
MED Coverage_Type*
MED Network_ID*
MED Network_Name*
MED Coverage_Start_Date****
MED Coverage_End_Date**
MED Plan_ID**
MED Plan_Name**
MED Plan_Type**
MED Option_ID**
MED Option_Name**
MED Coverage_Type**
MED Network_ID**
MED Network_Name**
DEN Coverage_Start_Date*
DEN Coverage_End_Date*
DEN Plan_ID*
DEN Plan_Name*
DEN Plan_Type*
DEN Option_ID*
DEN Option_Name*
DEN Coverage_Type*
DEN Network_ID*
DEN Network_Name*
DEN Coverage_Start_Date**
DEN Coverage_End_Date**
DEN Plan_ID**
DEN Plan_Name**
DEN Plan_Type**
DEN Option_ID**
DEN Option_Name**
DEN Coverage_Type**
DEN Network_ID**
DEN Network_Name**
Notes:
* Coverage Information about most recent coverage episode
** Coverage Information about previous recent coverage episode (if any)