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EXHIBIT A ×l)(d)FIFTH AMENDED MEDICAL PLAN DOCUMENTMONTGOMERY COUNTY EMPLOYEE BENEFIT PLANFIFTH AMENDED MEDICAL PLAN DOCUMENT Effective October 1, 2021Montgomery County, Texas, (the Employer\'),

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What is limitations adjusted as provided?

Limitations adjusted as provided refers to any restrictions or constraints that have been modified or adapted according to specific circumstances.

Who is required to file limitations adjusted as provided?

The individual or entity who is subject to the limitations and has adjusted them as provided must file the relevant documentation.

How to fill out limitations adjusted as provided?

Limitations adjusted as provided should be filled out by providing detailed information on the adjustments made, the reasons for the adjustments, and any supporting documentation.

What is the purpose of limitations adjusted as provided?

The purpose of limitations adjusted as provided is to ensure transparency and compliance by reporting any changes or modifications to existing limitations.

What information must be reported on limitations adjusted as provided?

The information that must be reported on limitations adjusted as provided includes the original limitations, the adjustments made, the reasons for the adjustments, and any supporting documentation.

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