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Premium Rate Schedule & Contract Summary Quote Effective: 01/01/2015 03/31/2015 Version Updated: 10/16/2014 Plan ID: 78124NY098013700 Plan Name: SimplyBlue Plus Gold 5 Rating Region: Rochester Enrollment
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Plan id 78124ny098013700 is a unique identifier for a specific plan.
The entity or individual responsible for the plan is required to file plan id 78124ny098013700.
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