CALIFORNIA Active Member Plan Report HEALTH PLAN 01/01/96 Thru 02/01/20 Group,Group Name,EE SS #,,EE First Name,EE Last Name,Dep Type,Last Name,First Name,Date,Plan 01111 FIRST GROUP 08/01/96 RAF: 1.0 111-11-1111 DAVID BOYD 12/01/18 GEA 01654 SECOND GROUP 01/01/97 RAF: 1.0 111-11-1111 KIMBERLY PERTIERRA 12/01/18 GEA 01254 THIRD GROUP, INC. 06/01/97 RAF: 1.0 111-11-1111 DAVID HARO 12/01/18 GEB SP DEGRANDE BRITTNEY 12/01/18 CH HARO JULIAN 12/01/18 111-11-1111 DAVID MCCLINTOCK 12/01/18 GEB 111-11-1111 GEORGE TADROS 12/01/18 GEB 111-11-1111 JENNIFER HERNANDEZ 12/01/18 GEC 111-11-1111 JOHN AUSTIN 12/01/18 GEA 111-11-1111 KRISTEN BERTHIAUME 12/01/18 GEB 111-11-1111 LINH THAO HUYNH 12/01/18 GEB CH AGUILAR SAM 12/01/18 CH CLARK HANNAH 12/01/18 CH CLARK OLIVIA 12/01/18 111-11-1111 MAGDALENA PETERSON 12/01/18 GEB 111-11-1111 MATTHEW GOLDSTEIN 12/01/18 GEB 111-11-1111 NANCY KIM 12/01/18 GEC SP KIM DAE 12/01/18 111-11-1111 SCOTT DIEHL 12/01/18 SEA 111-11-1111 SHAINA ALLEN 12/01/18 GEB SP THOMPSON DESMOND 12/01/18 111-11-1111 YUET YONG 12/01/18 GEC 111-11-1111 MAUREEN SKLAR 01/01/19 SEC Grand Total EEs 276 Grand Total Dependents 115 Grand Total Members 391 Grand Total Carrier 1 Grand Total Groups 146