<?xml version="1.0" encoding="ISO-8859-1"?>
<Root>
<Record>
<SSN>00000000</SSN>
<firstName>Firstname</firstName>
<middleNames/>
<lastName>Lastname</lastName>
<addrLine1>12345 Dummy Street</addrLine1>
<addrLine2/>
<addrLine3/>
<city>Gowen</city>
<region/>
<postalCode>49326</postalCode>
<countryCode/>
<homeTelephone>(000) 000-0000</homeTelephone>
<workTelephone/>
<faxNumber/>
<maritalStatus/>
<personChangeEffectiveDate/>
<gender/>
<dateOfBirth>1997-07-09 00:00:00</dateOfBirth>
<benefitElection>
<electedIndicator/>
<coverageCode/>
<organizationID/>
<policyNumber/>
</benefitElection>
</Record>
</Root>
