User:Japhet0907/sandbox

Personal Info Member Name: VICENTE C. BRIONES Policy - Member IDC65028 -160224350003 Card Number: 1168011042458888 Gender: Male Civil Status: Married Date of Birth: 10/27/1967 Account Name: CONCENTRIX Effectivity Date: 01/01/2017 Expiry Date: 12/31/2017 Plan Description: GLD 1 - VOLUNTARY DEPENDENTS OF ASSISTANT MANAGERS, SUPERVISORS & RANK & FILE PLAN III (1 YR TENURE) Benefit Limit: 150,000.00 Limit Type: MBL PhilHealth Status: Required to File Room and Board Accommodation: REGULAR PRIVATE Availment Type: ACU, MEDICINE, DENTAL, INPATIENT, LOD, OPTICAL, OUTPATIENT, DEATH Access to Hospitals: All affiliated hospitals Customer Information: Form Non-Compliant

Personal Info Member NameJAPHET C. BRIONES Policy - Member IDC65028-160224350000 Card Number1168011042318462 GenderMale Civil StatusSingle Date of Birth09/07/1989 Account NameCONCENTRIX Effectivity Date01/01/2017 Expiry Date12/31/2017 Plan DescriptionGLD 1 - ASSISTANT MANAGERS, SUPERVISORS & RANK & FILE PLAN III (12 MONTHS - OTHER ASO RIDERS APPROVED AMOUNT P10,000 SHARED PER FAMILY) Benefit Limit150,000.00 Limit TypeMBL PhilHealth StatusRequired to File Room and Board AccommodationREGULAR PRIVATE Availment TypeACU, MEDICINE, DENTAL, INPATIENT, LOD, OPTICAL, OUTPATIENT, DEATH Access to HospitalsAll affiliated hospitals Customer Information FormNon-Compliant

Personal Info Member NameROSALINDA C. BRIONES Policy - Member IDC65028 -160224350002 Card Number1168011042318470 GenderFemale Civil StatusSingle Date of Birth07/11/1956 Account NameCONCENTRIX Effectivity Date01/01/2017 Expiry Date12/31/2017 Plan DescriptionGLD 1 - COMPANY PAID DEPENDENTS OF ASSISTANT MANAGERS, SUPERVISORS & RANK & FILE PLAN III (2 YRS TENURE) Benefit Limit150,000.00 Limit TypeMBL PhilHealth StatusRequired to File Room and Board AccommodationREGULAR PRIVATE Availment TypeACU, MEDICINE, DENTAL, INPATIENT, LOD, OPTICAL, OUTPATIENT, DEATH Access to HospitalsAll affiliated hospitals Customer Information FormNon-Compliant

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