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Please check with your tax advisor for details. Please refer to Humana s HSA contribution worksheet to calculate your maximum allowed contribution. You can find additional information on HSAs on Humana.com. Select the Quick Link for Spending Account information on the Member page. Medicare Medicare ID Spouse coverage m N m Y FL-72000 5/2015 Reorder FL-52000-SB 8/2015 Last name First name Dental 1. All other Dental plans Vision and Life plans insured or administered by m Humana Insurance...
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