{{ fm.relationshipToConsumer }}: {{ fm.patient }}
\nPrimary: {{ fm.mainConsumer }}
\nIndividual Cost: {{ fm.individualCost |currency }}
\nProvider Selection: {{ fm.planEffectiveDate | shortDate }}
\nDiscountId: {{ fm.discountSettingsId }}
\n\n {{ f }}
\n
Notes: {{ fm.notes }}
\n