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Open Enrollment Checklist OPEN ENROLLMENT JANUARY 18 FEBRUARY 29 2016 Materials in this Packet Read the Enrollment Guide carefully. Please share this information with your spouse if applicable. Complete and return the Electronic Disclosure Consent form in the enclosed envelope. My150. com A. B. C. D. E. Hourly H W Contribution Rate Retiree Subsidy 23. 1 x A Remaining Credits per Hour A - B Number of Hours/Month of Work Your MOE Health Plan Marketplace Great Benefits and Coverage with More...
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