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GROUP COVERAGE CONTINUATION ELECTION FORMPacificSource Health Plans Membership Department PO Box 7068 Springfield, OR 974750068(For Washington groups that have elected to offer state continuation)

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Springfield, OR 97475-0068 refers to a specific location within Springfield, Oregon, which is a city in Lane County, located in the United States.

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Individuals or businesses that are subject to local taxes or certain regulatory requirements imposed by the city of Springfield may be required to file documents related to Springfield, OR 97475-0068.

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