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MEMBER SCHEDULE OF BENEFITS includingPLAN ELIGIBILITY AND COVERAGE RULES description OF PLAN BENEFITSDUKE BASIC Administered by Aetna Life Insurance Company 151 Farmington Avenue Hartford, CT 06156

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Duke basic is a tax form used to report income, deductions, and credits for individuals.

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Income, deductions, credits, and personal information such as name and social security number must be reported on Duke basic.

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