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Gov or call us at 1-800-XXX-XXXX. Para obtener una copia de este formulario en Espa ol llame 1-800-XXX-XXXX. Premium should reflect the discount for wellness programs. See question 15. a. How much will the employee have to pay in premiums for that plan Date of change mm/dd/yyyy An employer-sponsored health plan meets the minimum value standard if the plan s share of the total allowed benefit costs covered by the plan is no less than 60 percent of such costs Section 36B c 2 C ii of the...

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