{

"resourceType": "Coverage",
"id": "9876B1",
"text": {
  "status": "generated",
  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the coverage</div>"
},
"identifier": [
  {
    "system": "http://benefitsinc.com/certificate",
    "value": "12345"
  }
],
"status": "active",
"type": {
  "coding": [
    {
      "system": "http://hl7.org/fhir/v3/ActCode",
      "code": "EHCPOL",
      "display": "extended healthcare"
    }
  ]
},
"policyHolder": {
  "reference": "http://benefitsinc.com/FHIR/Organization/CBI35"
},
"subscriber": {
  "reference": "Patient/4"
},
"beneficiary": {
  "reference": "Patient/4"
},
"relationship": {
  "coding": [
    {
      "code": "self"
    }
  ]
},
"period": {
  "start": "2011-05-23",
  "end": "2012-05-23"
},
"payor": [
  {
    "reference": "Organization/2"
  }
],
"grouping": {
  "group": "CBI35",
  "groupDisplay": "Corporate Baker's Inc. Local #35",
  "subGroup": "123",
  "subGroupDisplay": "Trainee Part-time Benefits",
  "plan": "B37FC",
  "planDisplay": "Full Coverage: Medical, Dental, Pharmacy, Vision, EHC",
  "subPlan": "P7",
  "subPlanDisplay": "Includes afterlife benefits",
  "class": "SILVER",
  "classDisplay": "Silver: Family Plan spouse only",
  "subClass": "Tier2",
  "subClassDisplay": "Low deductable, max $20 copay"
},
"dependent": "0",
"sequence": "9"

}