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Microsoft® Word for Microsoft 365
Theresa Bell
Microsoft® Word for Microsoft 3652022-03-29T16:45:37-04:002022-03-29T16:45:37-04:00
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<<
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<<
/K 3
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>>
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546 0 obj
<<
/ActualText (Are there any plan changes? )
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<<
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<<
/K 5
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>>
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<<
/ActualText (No. This plan is identical to your previous Humana plan prior to moving to Cigna.)
/K [ 6 ]
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<<
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<<
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553 0 obj
<<
/K 7
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>>
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554 0 obj
<<
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>>
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555 0 obj
<<
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>>
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<<
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<<
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>>
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<<
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>>
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559 0 obj
<<
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/K [ 9 ]
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>>
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560 0 obj
<<
/K 10
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>>
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561 0 obj
<<
/ActualText (Do I need to do anything to enroll?)
/K [ 11 ]
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562 0 obj
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>>
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563 0 obj
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>>
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564 0 obj
<<
/K 12
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>>
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565 0 obj
<<
/ActualText (No. All Medicare eligible retirees and/or Medicare )
/K [ 13 ]
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>>
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/ActualText (eligible dependents will automatically be enrolled into this )
/K [ 14 ]
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>>
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567 0 obj
<<
/K 15
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>>
endobj
568 0 obj
<<
/ActualText (plan.)
/K [ 16 ]
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>>
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569 0 obj
<<
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/K [ ]
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>>
endobj
570 0 obj
<<
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>>
endobj
571 0 obj
<<
/K 17
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>>
endobj
572 0 obj
<<
/ActualText ( )
/K [ ]
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>>
endobj
573 0 obj
<<
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>>
endobj
574 0 obj
<<
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>>
endobj
575 0 obj
<<
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>>
endobj
576 0 obj
<<
/K 18
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>>
endobj
577 0 obj
<<
/ActualText (3.)
/K [ 19 ]
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>>
endobj
578 0 obj
<<
/K 20
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>>
endobj
579 0 obj
<<
/ActualText (Can I stay on the current plan?)
/K [ 21 ]
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>>
endobj
580 0 obj
<<
/ActualText ( )
/K [ ]
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>>
endobj
581 0 obj
<<
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>>
endobj
582 0 obj
<<
/K 22
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>>
endobj
583 0 obj
<<
/ActualText (No. All Medicare eligible retirees and/ or Medicare eligible dependents must change over to this plan. Your )
/K [ 23 ]
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>>
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584 0 obj
<<
/K 24
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>>
endobj
585 0 obj
<<
/ActualText (current plan will no longer be available, eff. M)
/K [ 25 ]
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>>
endobj
586 0 obj
<<
/ActualText (ay 1, 2022.)
/K [ 26 ]
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>>
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587 0 obj
<<
/ActualText ( )
/K [ ]
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>>
endobj
588 0 obj
<<
/K [ 589 0 R 590 0 R ]
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>>
endobj
589 0 obj
<<
/K 27
/P 588 0 R
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>>
endobj
590 0 obj
<<
/ActualText ( )
/K [ ]
/P 588 0 R
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>>
endobj
591 0 obj
<<
/K 28
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>>
endobj
593 0 obj
<<
/A 1407 0 R
/K [ 594 0 R ]
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>>
endobj
594 0 obj
<<
/K [ 595 0 R ]
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>>
endobj
595 0 obj
<<
/K [ 591 0 R 596 0 R 597 0 R 598 0 R 599 0 R ]
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>>
endobj
596 0 obj
<<
/ActualText (4.)
/K [ 29 ]
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>>
endobj
597 0 obj
<<
/K 30
/P 595 0 R
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>>
endobj
598 0 obj
<<
/ActualText (Can I leave the plan and come back? )
/K [ 31 ]
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>>
endobj
599 0 obj
<<
/ActualText ( )
/K [ ]
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>>
endobj
600 0 obj
<<
/K [ 601 0 R 602 0 R 603 0 R ]
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>>
endobj
601 0 obj
<<
/K 32
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>>
endobj
602 0 obj
<<
/ActualText (No. You cannot leave the plan and come back at a later time. )
/K [ 33 ]
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>>
endobj
603 0 obj
<<
/ActualText ( )
/K [ ]
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>>
endobj
604 0 obj
<<
/K [ 605 0 R 606 0 R ]
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>>
endobj
605 0 obj
<<
/K 34
/P 604 0 R
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>>
endobj
606 0 obj
<<
/ActualText ( )
/K [ ]
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>>
endobj
607 0 obj
<<
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/K [ 608 0 R ]
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>>
endobj
608 0 obj
<<
/K [ 609 0 R ]
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>>
endobj
609 0 obj
<<
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>>
endobj
610 0 obj
<<
/K 0
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>>
endobj
611 0 obj
<<
/ActualText (5.)
/K [ 1 ]
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>>
endobj
612 0 obj
<<
/K 2
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>>
endobj
613 0 obj
<<
/ActualText (When will I receive my ID card/ Welcome Kit?)
/K [ 3 ]
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>>
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614 0 obj
<<
/ActualText ( )
/K [ ]
/P 609 0 R
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/Type /StructElem
>>
endobj
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<<
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/K 60
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<<
/K 62
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/ActualText (Please call dedicated Labor First Retiree Advocacy Team at)
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<<
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/K [ ]
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<<
/ActualText (816)
/K [ 64 ]
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<<
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<<
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/K [ ]
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<<
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<<
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<<
/ActualText (-)
/K [ 76 ]
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<<
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<<
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<<
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<<
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<<
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<<
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<<
/K 81
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<<
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/K [ 82 ]
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<<
/K 83
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/ActualText (Is there a Part A and/or Part B Deductible?)
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<<
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<<
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<<
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/K [ ]
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/ActualText (No. There is no deductible on this plan.)
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747 0 obj
<<
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748 0 obj
<<
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>>
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749 0 obj
<<
/K 87
/P 748 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
750 0 obj
<<
/ActualText ( )
/K [ ]
/P 748 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
751 0 obj
<<
/A 1413 0 R
/K [ 752 0 R ]
/P 10 0 R
/Pg 88 0 R
/S /L
/Type /StructElem
>>
endobj
752 0 obj
<<
/K [ 753 0 R ]
/P 751 0 R
/Pg 88 0 R
/S /LI
/Type /StructElem
>>
endobj
753 0 obj
<<
/K [ 754 0 R 755 0 R 756 0 R 757 0 R 758 0 R 759 0 R 760 0 R ]
/P 752 0 R
/Pg 88 0 R
/S /LBody
/Type /StructElem
>>
endobj
754 0 obj
<<
/K 88
/P 753 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
755 0 obj
<<
/ActualText (10.)
/K [ 89 ]
/P 753 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
756 0 obj
<<
/K 90
/P 753 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
757 0 obj
<<
/ActualText (Is there Co)
/K [ 91 ]
/P 753 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
758 0 obj
<<
/ActualText (-)
/K [ 92 ]
/P 753 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
759 0 obj
<<
/ActualText (insurance or Copays?)
/K [ 93 ]
/P 753 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
760 0 obj
<<
/ActualText ( )
/K [ ]
/P 753 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
761 0 obj
<<
/K [ 762 0 R 763 0 R 764 0 R 765 0 R 766 0 R 767 0 R 768 0 R 769 0 R
770 0 R 771 0 R 772 0 R ]
/P 10 0 R
/Pg 88 0 R
/S /P
/Type /StructElem
>>
endobj
762 0 obj
<<
/K 94
/P 761 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
763 0 obj
<<
/ActualText (No. There is no co)
/K [ 95 ]
/P 761 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
764 0 obj
<<
/ActualText (-)
/K [ 96 ]
/P 761 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
765 0 obj
<<
/ActualText (insurance or copays with this plan.)
/K [ 97 ]
/P 761 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
766 0 obj
<<
/ActualText ( )
/K [ ]
/P 761 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
767 0 obj
<<
/ActualText ( )
/K [ ]
/P 761 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
768 0 obj
<<
/ActualText ( )
/K [ ]
/P 761 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
769 0 obj
<<
/ActualText ( )
/K [ ]
/P 761 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
770 0 obj
<<
/ActualText ( )
/K [ ]
/P 761 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
771 0 obj
<<
/ActualText ( )
/K [ ]
/P 761 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
772 0 obj
<<
/ActualText ( )
/K [ ]
/P 761 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
773 0 obj
<<
/K [ 774 0 R 775 0 R ]
/P 10 0 R
/Pg 88 0 R
/S /P
/Type /StructElem
>>
endobj
774 0 obj
<<
/K 98
/P 773 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
775 0 obj
<<
/ActualText ( )
/K [ ]
/P 773 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
776 0 obj
<<
/A 1414 0 R
/K [ 777 0 R ]
/P 10 0 R
/Pg 88 0 R
/S /L
/Type /StructElem
>>
endobj
777 0 obj
<<
/K [ 778 0 R ]
/P 776 0 R
/Pg 88 0 R
/S /LI
/Type /StructElem
>>
endobj
778 0 obj
<<
/K [ 779 0 R 780 0 R 781 0 R 782 0 R 783 0 R 784 0 R ]
/P 777 0 R
/Pg 88 0 R
/S /LBody
/Type /StructElem
>>
endobj
779 0 obj
<<
/K 99
/P 778 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
780 0 obj
<<
/ActualText (11.)
/K [ 100 ]
/P 778 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
781 0 obj
<<
/K 101
/P 778 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
782 0 obj
<<
/ActualText (Does this plan require )
/K [ 102 ]
/P 778 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
783 0 obj
<<
/ActualText (referrals?)
/K [ 103 ]
/P 778 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
784 0 obj
<<
/ActualText ( )
/K [ ]
/P 778 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
785 0 obj
<<
/K [ 786 0 R 787 0 R 788 0 R ]
/P 10 0 R
/Pg 88 0 R
/S /P
/Type /StructElem
>>
endobj
786 0 obj
<<
/K 104
/P 785 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
787 0 obj
<<
/ActualText (No. This plan does not require referrals. )
/K [ 105 ]
/P 785 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
788 0 obj
<<
/ActualText ( )
/K [ ]
/P 785 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
789 0 obj
<<
/K [ 790 0 R 791 0 R ]
/P 10 0 R
/Pg 88 0 R
/S /P
/Type /StructElem
>>
endobj
790 0 obj
<<
/K 106
/P 789 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
791 0 obj
<<
/ActualText ( )
/K [ ]
/P 789 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
792 0 obj
<<
/A 1415 0 R
/K [ 793 0 R ]
/P 10 0 R
/Pg 88 0 R
/S /L
/Type /StructElem
>>
endobj
793 0 obj
<<
/K [ 794 0 R ]
/P 792 0 R
/Pg 88 0 R
/S /LI
/Type /StructElem
>>
endobj
794 0 obj
<<
/K [ 795 0 R 796 0 R 797 0 R 798 0 R 799 0 R ]
/P 793 0 R
/Pg 88 0 R
/S /LBody
/Type /StructElem
>>
endobj
795 0 obj
<<
/K 107
/P 794 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
796 0 obj
<<
/ActualText (12.)
/K [ 108 ]
/P 794 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
797 0 obj
<<
/K 109
/P 794 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
798 0 obj
<<
/ActualText (Does this plan have a network?)
/K [ 110 ]
/P 794 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
799 0 obj
<<
/ActualText ( )
/K [ ]
/P 794 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
800 0 obj
<<
/K [ 801 0 R 802 0 R 803 0 R 804 0 R 805 0 R 806 0 R 807 0 R 808 0 R
809 0 R 810 0 R 811 0 R ]
/P 10 0 R
/Pg 88 0 R
/S /P
/Type /StructElem
>>
endobj
801 0 obj
<<
/K 111
/P 800 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
802 0 obj
<<
/ActualText (Yes, but you can go to )
/K [ 112 ]
/P 800 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
803 0 obj
<<
/ActualText (any )
/K [ 113 ]
/P 800 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
804 0 obj
<<
/ActualText (willing provider, hospital, or facility that accepts Medicare. This plan has In and Out )
/K [ 114 ]
/P 800 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
805 0 obj
<<
/K 115
/P 800 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
806 0 obj
<<
/ActualText (of )
/K [ 116 ]
/P 800 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
807 0 obj
<<
/ActualText (N)
/K [ 117 ]
/P 800 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
808 0 obj
<<
/ActualText (etwork )
/K [ 118 ]
/P 800 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
809 0 obj
<<
/ActualText (B)
/K [ 119 ]
/P 800 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
810 0 obj
<<
/ActualText (enefits where you pay the same.)
/K [ 120 ]
/P 800 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
811 0 obj
<<
/ActualText ( )
/K [ ]
/P 800 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
812 0 obj
<<
/K [ 813 0 R 814 0 R ]
/P 10 0 R
/Pg 88 0 R
/S /P
/Type /StructElem
>>
endobj
813 0 obj
<<
/K 121
/P 812 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
814 0 obj
<<
/ActualText ( )
/K [ ]
/P 812 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
815 0 obj
<<
/A 1416 0 R
/K [ 816 0 R ]
/P 10 0 R
/Pg 88 0 R
/S /L
/Type /StructElem
>>
endobj
816 0 obj
<<
/K [ 817 0 R ]
/P 815 0 R
/Pg 88 0 R
/S /LI
/Type /StructElem
>>
endobj
817 0 obj
<<
/K [ 818 0 R 819 0 R 820 0 R 821 0 R 822 0 R ]
/P 816 0 R
/Pg 88 0 R
/S /LBody
/Type /StructElem
>>
endobj
818 0 obj
<<
/K 122
/P 817 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
819 0 obj
<<
/ActualText (13.)
/K [ 123 ]
/P 817 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
820 0 obj
<<
/K 124
/P 817 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
821 0 obj
<<
/ActualText (Can I go to my current providers?)
/K [ 125 ]
/P 817 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
822 0 obj
<<
/ActualText ( )
/K [ ]
/P 817 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
823 0 obj
<<
/K [ 824 0 R 825 0 R 826 0 R ]
/P 10 0 R
/Pg 88 0 R
/S /P
/Type /StructElem
>>
endobj
824 0 obj
<<
/K 126
/P 823 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
825 0 obj
<<
/ActualText (\376\377\000Y\000e\000s\000.\000 \000Y\000o\000u\000 \000c\000a\000n\000 \000s\000e\000e\000 \000a\000n\000y\000 \000p\000r\000o\000v\000i\000d\000e\000r\000 \000t\000h\000a\000t\000 \000a\000c\000c\000e\000p\000t\000s\000 \000M\000e\000d\000i\000c\000a\000r\000e\000 \000a\000n\000d\000 \000i\000s\000 \000w\000i\000l\000l\000i\000n\000g\000 \000t\000o\000 \000b\000i\000l\000l\000 \000H\000u\000m\000a\000n\000a\000\256\000.)
/K [ 127 ]
/P 823 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
826 0 obj
<<
/ActualText ( )
/K [ ]
/P 823 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
827 0 obj
<<
/K [ 828 0 R 829 0 R ]
/P 10 0 R
/Pg 88 0 R
/S /P
/Type /StructElem
>>
endobj
828 0 obj
<<
/K 128
/P 827 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
829 0 obj
<<
/ActualText ( )
/K [ ]
/P 827 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
830 0 obj
<<
/K [ 831 0 R 832 0 R ]
/P 10 0 R
/Pg 88 0 R
/S /P
/Type /StructElem
>>
endobj
831 0 obj
<<
/K 129
/P 830 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
832 0 obj
<<
/ActualText ( )
/K [ ]
/P 830 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
833 0 obj
<<
/K [ 834 0 R 835 0 R ]
/P 10 0 R
/Pg 88 0 R
/S /P
/Type /StructElem
>>
endobj
834 0 obj
<<
/K 130
/P 833 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
835 0 obj
<<
/ActualText ( )
/K [ ]
/P 833 0 R
/Pg 88 0 R
/S /Span
/Type /StructElem
>>
endobj
836 0 obj
<<
/A 1417 0 R
/K [ 837 0 R ]
/P 10 0 R
/Pg 89 0 R
/S /L
/Type /StructElem
>>
endobj
837 0 obj
<<
/K [ 838 0 R ]
/P 836 0 R
/Pg 89 0 R
/S /LI
/Type /StructElem
>>
endobj
838 0 obj
<<
/K [ 839 0 R 840 0 R 841 0 R 842 0 R 843 0 R ]
/P 837 0 R
/Pg 89 0 R
/S /LBody
/Type /StructElem
>>
endobj
839 0 obj
<<
/K 0
/P 838 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
840 0 obj
<<
/ActualText (14.)
/K [ 1 ]
/P 838 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
841 0 obj
<<
/K 2
/P 838 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
842 0 obj
<<
/ActualText (What if my Provider says they do not accept this plan?)
/K [ 3 ]
/P 838 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
843 0 obj
<<
/ActualText ( )
/K [ ]
/P 838 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
844 0 obj
<<
/K [ 845 0 R 846 0 R 847 0 R 848 0 R 849 0 R 850 0 R 851 0 R 852 0 R
853 0 R 854 0 R 855 0 R 856 0 R 857 0 R 858 0 R 859 0 R 860 0 R
861 0 R 862 0 R 863 0 R 864 0 R 865 0 R 866 0 R 867 0 R 868 0 R
869 0 R ]
/P 10 0 R
/Pg 89 0 R
/S /P
/Type /StructElem
>>
endobj
845 0 obj
<<
/K 4
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
846 0 obj
<<
/ActualText (Please call your dedicated Labor First Retiree Advocacy Team at )
/K [ 5 ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
847 0 obj
<<
/ActualText (816)
/K [ 6 ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
848 0 obj
<<
/ActualText (-)
/K [ 7 ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
849 0 obj
<<
/ActualText (307)
/K [ 8 ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
850 0 obj
<<
/ActualText (-)
/K [ 9 ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
851 0 obj
<<
/ActualText (0060)
/K [ 10 ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
852 0 obj
<<
/ActualText ( )
/K [ ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
853 0 obj
<<
/ActualText (or Toll)
/K [ 11 ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
854 0 obj
<<
/ActualText (-)
/K [ 12 ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
855 0 obj
<<
/ActualText (Free at)
/K [ 13 ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
856 0 obj
<<
/ActualText (844)
/K [ 14 ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
857 0 obj
<<
/ActualText (-)
/K [ 15 ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
858 0 obj
<<
/ActualText (818)
/K [ 16 ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
859 0 obj
<<
/ActualText (-)
/K [ 17 ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
860 0 obj
<<
/ActualText (1001 )
/K [ 18 ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
861 0 obj
<<
/K 19
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
862 0 obj
<<
/ActualText (\(TTY 711\))
/K [ 20 ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
863 0 obj
<<
/ActualText ( )
/K [ ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
864 0 obj
<<
/ActualText (t)
/K [ 21 ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
865 0 obj
<<
/ActualText (o assist. We can reach out to your provider to e)
/K [ 22 ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
866 0 obj
<<
/ActualText (ducate)
/K [ 23 ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
867 0 obj
<<
/ActualText ( )
/K [ ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
868 0 obj
<<
/ActualText (them on your plan.)
/K [ 24 ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
869 0 obj
<<
/ActualText ( )
/K [ ]
/P 844 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
870 0 obj
<<
/K [ 871 0 R 872 0 R ]
/P 10 0 R
/Pg 89 0 R
/S /Textbox
/Type /StructElem
>>
endobj
871 0 obj
<<
/K [ 127 ]
/P 870 0 R
/Pg 89 0 R
/S /H2
/Type /StructElem
>>
endobj
872 0 obj
<<
/K [ 126 ]
/P 870 0 R
/Pg 89 0 R
/S /Figure
/Type /StructElem
>>
endobj
873 0 obj
<<
/K [ 874 0 R 875 0 R ]
/P 10 0 R
/Pg 89 0 R
/S /P
/Type /StructElem
>>
endobj
874 0 obj
<<
/K 25
/P 873 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
875 0 obj
<<
/ActualText ( )
/K [ ]
/P 873 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
876 0 obj
<<
/A 1418 0 R
/K [ 877 0 R ]
/P 10 0 R
/Pg 89 0 R
/S /L
/Type /StructElem
>>
endobj
877 0 obj
<<
/K [ 878 0 R ]
/P 876 0 R
/Pg 89 0 R
/S /LI
/Type /StructElem
>>
endobj
878 0 obj
<<
/K [ 879 0 R 880 0 R 881 0 R 882 0 R 883 0 R ]
/P 877 0 R
/Pg 89 0 R
/S /LBody
/Type /StructElem
>>
endobj
879 0 obj
<<
/K 26
/P 878 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
880 0 obj
<<
/ActualText (15.)
/K [ 27 ]
/P 878 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
881 0 obj
<<
/K 28
/P 878 0 R
/Pg 89 0 R
/S /Span
/Type /StructElem
>>
endobj
882 0 obj
<<
/ActualText (Is there a Prescription Deductible?)
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/ActualText (No. There Is no Prescription deductible on this plan.)
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895 0 obj
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/K 33
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<<
/ActualText (16.)
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/K 35
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<<
/K 41
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/ActualText (Yes. Your maximum annual out)
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/ActualText (pocket cost is $5,100.)
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/K 48
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/ActualText (17.)
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/K 50
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921 0 obj
<<
/ActualText (Is there a Donut Hole Coverage?)
/K [ 51 ]
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922 0 obj
<<
/ActualText ( )
/K [ ]
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<<
/K 52
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/ActualText (Yes. The plan has full Donut Hole Coverage. )
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933 0 obj
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/K 55
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934 0 obj
<<
/ActualText (18.)
/K [ 56 ]
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/K 57
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/ActualText ( )
/K [ ]
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937 0 obj
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/ActualText (Is there Catastrophic Coverage?)
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/K [ ]
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/ActualText (You will pay the greater of 5% or $3.95 for generics or $9.85 for brand medications in the Catastrophic phase. )
/K [ 59 ]
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<<
/ActualText (There is a $40 maximum out of pocket per prescription for )
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942 0 obj
<<
/ActualText (30)
/K [ 61 ]
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<<
/ActualText (-)
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/ActualText (day Retail or Mail Order and a $100 maximum )
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/ActualText (out of pocket per prescription for 90)
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/ActualText (Out of Pocket of $5,100 has been met.)
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949 0 obj
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/K [ ]
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<<
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<<
/K 68
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952 0 obj
<<
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/K [ ]
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953 0 obj
<<
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956 0 obj
<<
/K 69
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957 0 obj
<<
/ActualText (19.)
/K [ 70 ]
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958 0 obj
<<
/K 71
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>>
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959 0 obj
<<
/ActualText (Are my drugs covered?)
/K [ 72 ]
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960 0 obj
<<
/ActualText ( )
/K [ ]
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961 0 obj
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962 0 obj
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/K 73
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963 0 obj
<<
/ActualText (Most likely yes, the formulary is a )
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964 0 obj
<<
/ActualText (Comprehensive Formulary)
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<<
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/K [ ]
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966 0 obj
<<
/ActualText (just as before)
/K [ 76 ]
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967 0 obj
<<
/ActualText (. You will receive an Abridged )
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968 0 obj
<<
/K 78
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969 0 obj
<<
/ActualText (Formulary with your Welcome Kit and cards.)
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970 0 obj
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/K [ ]
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971 0 obj
<<
/ActualText (Please call your dedicated Labor First Retiree Advocacy Team )
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972 0 obj
<<
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/K [ 81 ]
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973 0 obj
<<
/ActualText ( )
/K [ ]
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endobj
974 0 obj
<<
/K 82
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>>
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975 0 obj
<<
/ActualText (816)
/K [ 83 ]
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endobj
976 0 obj
<<
/ActualText (-)
/K [ 84 ]
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endobj
977 0 obj
<<
/ActualText (307)
/K [ 85 ]
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endobj
978 0 obj
<<
/ActualText (-)
/K [ 86 ]
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979 0 obj
<<
/ActualText (0060 )
/K [ 87 ]
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980 0 obj
<<
/ActualText (or Toll)
/K [ 88 ]
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981 0 obj
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/ActualText (-)
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<<
/ActualText (Free at )
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983 0 obj
<<
/ActualText (844)
/K [ 91 ]
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984 0 obj
<<
/ActualText (-)
/K [ 92 ]
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985 0 obj
<<
/ActualText (818)
/K [ 93 ]
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986 0 obj
<<
/ActualText (-)
/K [ 94 ]
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987 0 obj
<<
/ActualText (1001 \(TTY 711\))
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/K [ ]
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<<
/ActualText (if )
/K [ 96 ]
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endobj
990 0 obj
<<
/ActualText (you do not see your drug listed or need help looking )
/K [ 97 ]
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991 0 obj
<<
/K 98
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>>
endobj
992 0 obj
<<
/ActualText (up your drugs. )
/K [ 99 ]
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>>
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993 0 obj
<<
/ActualText ( )
/K [ ]
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>>
endobj
994 0 obj
<<
/K [ 995 0 R 996 0 R ]
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>>
endobj
995 0 obj
<<
/K 100
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>>
endobj
996 0 obj
<<
/ActualText ( )
/K [ ]
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>>
endobj
997 0 obj
<<
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>>
endobj
998 0 obj
<<
/K [ 999 0 R ]
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endobj
999 0 obj
<<
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1000 0 obj
<<
/K 101
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>>
endobj
1001 0 obj
<<
/ActualText (20.)
/K [ 102 ]
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>>
endobj
1002 0 obj
<<
/K 103
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>>
endobj
1003 0 obj
<<
/ActualText (Can I go to the same Retail Pharmacy?)
/K [ 104 ]
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>>
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1004 0 obj
<<
/ActualText ( )
/K [ ]
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>>
endobj
1005 0 obj
<<
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1012 0 R 1013 0 R ]
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endobj
1006 0 obj
<<
/K 105
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>>
endobj
1007 0 obj
<<
/ActualText (Most likely, yes. There should be little to no pharmacy disruption. )
/K [ 106 ]
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endobj
1008 0 obj
<<
/ActualText (\376\377\000H\000u\000m\000a\000n\000a\000\256\000 )
/K [ 107 ]
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endobj
1009 0 obj
<<
/ActualText (Pharmacy Network )
/K [ 108 ]
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>>
endobj
1010 0 obj
<<
/ActualText (has over )
/K [ 109 ]
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>>
endobj
1011 0 obj
<<
/K 110
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>>
endobj
1012 0 obj
<<
/ActualText (65,000 pharmacies in network. You do NOT need new prescriptions for retail pharmacy fills. )
/K [ 111 ]
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endobj
1013 0 obj
<<
/ActualText ( )
/K [ ]
/P 1005 0 R
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>>
endobj
1014 0 obj
<<
/K [ 1015 0 R 1016 0 R ]
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