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<td><span style="font-size: 14px"><b>Member Coverage Info</b></span><br></td>
<td align="right"><i class="fas fa-ellipsis-h" id="demo2LeftBtn" style="cursor: pointer; color: #337ab7"></i></td>
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<td style="color: #000" valign="top"><label style="font-weight:normal;color: #595959; padding-right:5px">Member ID:</label>532523450-00</td>
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<td style="color: #000" valign="top"><label style="font-weight:normal;color: #595959; padding-right:5px">Group:</label>Rider - Rider Group
<a href="#group_info" data-toggle="popover" data-trigger="focus" data-placement="bottom" data-popover-content="#group" data-original-title="" title=""><i class="fa fa-info-circle" title="Click to see more info" style="font-size: 16px;"></i></a>
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<td colspan="4" valign="top" style="color: #000" align="center"><strong>Group Information</strong>
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<td valign="top" style="color: #808080"><b><font size="2"> <span style="font-weight: 400">Group ID</span></font></b></td>
<td valign="top"> </td>
<td valign="top"><b><font size="2"> <span style="font-weight: 400">G1234</span></font></b></td>
<td valign="top"><b><font size="2"> <span style="font-weight: 400">Rider Group</span></font></b></td>
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<td valign="top" style="color: #808080"><b><font size="2"> <span style="font-weight: 400">Parent Group ID</span></font></b></td>
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<td valign="top"><b><font size="2"> <span style="font-weight: 400">P1234</span></font></b></td>
<td valign="top"><b><font size="2"> <span style="font-weight: 400">Rider Parent Group</span></font></b></td>
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<td valign="top" style="color: #808080"><b><font size="2"> <span style="font-weight: 400"> Client</span></font></b></td>
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<td valign="top"><b><font size="2"> <span style="font-weight: 400">EI</span></font></b></td>
<td valign="top"><b><font size="2"> <span style="font-weight: 400">Erisco Supplied Client</span></font></b></td>
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<td valign="top" style="color: #808080"><b><font size="2"> <span style="font-weight: 400">Status</span></font></b></td>
<td valign="top"> </td>
<td valign="top"><b><font size="2"> <span style="font-weight: 400">Active</span></font></b></td>
<td valign="top"><b><font size="2"> <span style="font-weight: 400"></span></font></b></td>
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<td valign="top" style="color: #808080"><b><font size="2"> <span style="font-weight: 400">Effective Date</span></font></b></td>
<td valign="top"> </td>
<td valign="top"><b><font size="2"> <span style="font-weight: 400">01/01/1990</span></font></b></td>
<td valign="top"><b><font size="2"><span style="font-weight: 400"></span></font></b></td>
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<td valign="top" style="color: #808080"><b><font size="2"> <span style="font-weight: 400">Effective Pend until Paid</span></font></b></td>
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<td valign="top"><b><font size="2"> <span style="font-weight: 400">Yes</span></font></b></td>
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<td valign="top" style="color: #808080"><b><font size="2"> <span style="font-weight: 400">Memo</span></font></b></td>
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<td valign="top"><b><font size="2"> <span style="font-weight: 400">Review claims for this group</span></font></b></td>
<td valign="top"><b><font size="2"><span style="font-weight: 400"></span></font></b></td>
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<td style="color: #000" valign="top"><label style="font-weight:normal;color: #595959; padding-right:5px">Subgroup:</label>Rider S1 - Rider Subgroup
<a href="#subgroup_info" data-toggle="popover" data-trigger="focus" data-placement="bottom" data-popover-content="#subgroup" data-original-title="" title=""><i class="fa fa-info-circle" title="Click to see more info" style="font-size: 16px;"></i></a>
<div id="subgroup" class="hidden">
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<td colspan="4" valign="top" style="color: #000" align="center"><strong>Subgroup Information</strong>
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<td valign="top" style="color: #808080"><b><font size="2"> <span style="font-weight: 400">Subgroup ID</span></font></b></td>
<td valign="top"> </td>
<td valign="top"><b><font size="2"> <span style="font-weight: 400">S1234</span></font></b></td>
<td valign="top"><b><font size="2"> <span style="font-weight: 400">Rider SubGroup</span></font></b></td>
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<td valign="top" style="color: #808080"><b><font size="2"> <span style="font-weight: 400">Status</span></font></b></td>
<td valign="top"> </td>
<td valign="top"><b><font size="2"> <span style="font-weight: 400">Active</span></font></b></td>
<td valign="top"><b><font size="2"><span style="font-weight: 400" <="" span=""></span></font></b></td>
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<td valign="top" style="color: #808080"><b><font size="2"> <span style="font-weight: 400"> Effective Date</span></font></b></td>
<td valign="top"> </td>
<td valign="top"><b><font size="2"> <span style="font-weight: 400">01/01/1990</span></font></b></td>
<td valign="top"><b><font size="2"> <span style="font-weight: 400">Yes</span></font></b></td>
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<td valign="top" style="color: #808080"><b><font size="2"> <span style="font-weight: 400">Memo</span></font></b></td>
<td valign="top"> </td>
<td valign="top"><b><font size="2"> <span style="font-weight: 400">Review claims for this subgroup</span></font></b></td>
<td valign="top"><b><font size="2"> <span style="font-weight: 400"></span></font></b></td>
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<td style="color: #000" valign="top"><label style="font-weight:normal;color: #595959; padding-right:5px">Orig Effective Date:</label>01/01/1998</td>
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<td style="color: #000" valign="top"><label style="font-weight:normal;color: #595959; padding-right:5px">Class:</label>AC - Active Class</td>
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<td style="color: #000" valign="top"><label style="font-weight:normal;color: #595959; padding-right:5px">Relationship:</label>Subscriber</td>
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<td colspan="2" valign="top" style="color: #595959"><hr style="height: 1px;"></td>
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<td style="color: #000; font-weight: 500" valign="top">Eligible Plans</td>
<td style="padding-left: 20px" valign="top"> </td>
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<td style="color: #000" valign="top"><label style="font-weight:normal;color: #595959; padding-right:5px">Medical:</label><a href="#">HMOPLAN - HMO plan for active emp</a> (Billing Eligible Only)</td>
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<td style="color: #000" valign="top"><label style="font-weight:normal;color: #595959; padding-right:5px">Dental:</label><a href="#">PLAN - plan for active emp</a></td>
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