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32 348 225. 24 31 820. 95 33 639. 55 488 253. 48 Page 5 Option Summary Option Segment Package C F G Current Plan False Product PPO Medical Plan SCASD PPO Rx Plan SCASD R Alt Riders BARIATRIC INCLUSION 1474 Autism BARIATRIC INCLUSION 1474 Autism BARIATRIC INCLUSION 1474 Autism MHP 10/1/10 1006 PA DEP 26 Domestic Partner Network Coinsurance Benefit Summary OOP Max PCP/SCP HIP ER/Urgent Care OON Coins OON OOP Max Enrollment Subscribers Members EE/Chr Family Total Est. EMPLOYEE BENEFITS PROPOSAL...
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