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6414 - Administrative Servies Only (ASO) for Medical and Pharmacy Benefits, 4.Drawings/ Plans (7)Gender F F M F F F F F F F M F M M F M M M M M M F M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M F F M M M M M M M M M F F M M M M M M F M M M F M M M M M M M M M M M M M M M M M M M M M M M M F M M F M M M M M M F M F M M M M M M F M M M M M M M F F F F F F M M F M M F M F M M M F M F F M F F F F F F F M F F M M F M M M M F M F M M M F F F F F F M M F F M F F M M M M M M M F M M M M M M F M M F M M F M F M M M M M M F M M F M M M M M F M M M M F M M M M M M M M M F M M M F M M F M M M F F F F M F F F M F M M M F F F M F M F M M M M M F F M M M M M M F M M F M M M M M F M M M M M M F M M M M M M F M M M M M F M M F F M M F M M M M F F F M F M M M M M M M F M M M M M F M M F M M M M M M M M M M M M M M M F M M F F M M M M F F F F F M M M M M M F F M M M M M M M M F F F M M F F M M M M F F F M M F M M M M M M F M M M M M F F F M M M M M M M M M M M 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F F F M M M M M F M F F F F M M F F M M M M M F M M M M *Spouse Only or Spouse + Child(ren) DOB 7/2/1966 5/18/1971 2/14/1972 7/29/1953 7/23/1966 11/9/1969 8/13/1953 7/9/1951 10/14/1950 5/18/1975 3/5/1971 11/1/1956 1/16/1969 1/8/1968 3/22/1972 2/11/1958 5/28/1966 5/14/1971 10/16/1968 5/6/1963 10/4/1964 7/22/1969 6/21/1966 8/27/1957 11/9/1970 11/7/1970 10/9/1975 9/20/1967 7/22/1971 1/4/1967 2/24/1965 7/21/1959 9/28/1973 7/6/1970 12/6/1968 7/4/1963 8/21/1961 8/29/1966 9/20/1971 11/18/1963 6/5/1969 6/16/1960 2/12/1971 7/25/1973 3/17/1969 11/16/1967 1/11/1970 4/13/1973 5/17/1975 11/7/1974 7/26/1965 4/21/1969 10/12/1965 12/20/1970 5/30/1953 5/10/1968 1/1/1956 5/29/1969 11/15/1971 8/12/1970 5/29/1966 9/21/1969 11/19/1974 9/19/1967 1/13/1970 8/2/1966 8/13/1967 7/2/1973 5/31/1952 11/5/1967 5/21/1970 8/30/1976 7/15/1972 9/15/1964 6/23/1976 11/23/1972 8/6/1954 6/9/1977 12/23/1962 1/19/1962 7/14/1958 2/15/1964 9/21/1970 2/23/1963 7/16/1976 7/7/1959 1/29/1974 8/24/1960 9/2/1962 1/4/1967 8/15/1973 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Plan Gold Plan Waived Silver Plan Silver Plan Silver Plan Waived Silver Plan Waived Silver Plan Silver Plan Waived Silver Plan Gold Plan Gold Plan Silver Plan Silver Plan Gold Plan Silver Plan Silver Plan Silver Plan Silver Plan Silver Plan Silver Plan Silver Plan Silver Plan Gold Plan Silver Plan Gold Plan Gold Plan Silver Plan Silver Plan Silver Plan Gold Plan Gold Plan Gold Plan Silver Plan Silver Plan Silver Plan Gold Plan Waived Gold Plan Silver Plan Gold Plan Gold Plan Gold Plan Silver Plan Gold Plan Silver Plan Silver Plan Silver Plan Silver Plan Silver Plan Silver Plan Silver Plan Gold Plan Gold Plan Silver Plan Silver Plan Silver Plan Gold Plan Gold Plan Silver Plan Gold Plan Waived Silver Plan Silver Plan Silver Plan Gold Plan Silver Plan Silver Plan Silver Plan Silver Plan Gold Plan Silver Plan Gold Plan Gold Plan Silver Plan Silver Plan Waived Silver Plan Silver Plan Silver Plan Silver Plan Gold Plan Silver Plan Silver Plan Gold Plan Gold Plan Gold Plan Silver Plan Silver 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