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Mailing information is from payroll data if an employee or PAY1 if a retiree PEBB continuation coverage subscriber or survivor. Any dependents enrolled in UMP will be listed 17-22. Any dependents enrolled in UMP will be listed in Lines 17-22. Sometimes this is an employee who was offered PEBB continuation coverage after loss of eligibility e.g. COBRA LWOP. The premium listed in Line 15 confirms which applies. PEBB Outreach Training 1B Employee only was offered PEBB continuation coverage after...
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