%PDF-1.7 % 1 0 obj <>/Metadata 169 0 R/ViewerPreferences 170 0 R>> endobj 2 0 obj <> endobj 3 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> endobj 4 0 obj <> stream x]o8^88֕sh춇m7>+Uzq$/e:cQ ̐^|x;ycD>IO2Icҧ$2/'=}B]ҫxw=IF|GʧO^}zŏ>eOOG|"`#VAL>mYM@ #/䑟>}qσr sX7Ȼb ?כ$M>'W קON!*D ڮ FhQm6ۢl^ 7[ؗw%4{gld/YUȉ(#=+B2c: 7 (/ w 7{r3:17QTYPF!#3f6I/Ԅ)d `tӹhXL z S.cݱEsYFmsȔ9Dْo.=Kf&OE͘e< e_ԙXZX{t8ĉa|u1BG3OOetv0 4# 2q7 x2s@ wA(CtgWIOflخfv v7CS.C=!Cr,4Q\}C1\/S~p#7sj@0d2Ksr%أ2$F3lalAur&1lL@`PW AO;f8H 5Hh|gE fS{2JMcJ>PNɁD` dMN_4Ӛo欆Ϸ `ag,p"$"덖7-%Z<ǙDFޱ!j` ݟF,ESFr|nַMC^vx9@g3D |ڲG,>Ձ>;ijѲϳذ@o3,#4mQEs>/oPDBk0Xyᷯk 5>Z~ -S Kubcv8DNp|A }&p6~Ah.u-yz]4sCbBa#Ӑķ$.U;m£3/vAJ( U.C- Q|K(3+BWx,ʲL1KRf>Xx5uۋhwvllCj(Ij2; @o6[!) If!S@/H2U'8-ڍ?ZwSz\Y  .?hOBBcD>DÄl``o!]0#nƶit ,8ZF]k0(jڧhȖٯ"Be y>=k"㪻JA,4fF#$_`4Cp vBwЇmPڟ~h 7)lɽPiV.Y'9xq8&t07w3ΩD$02f_|fM ̢ĠWų+VuRyú"~O4B|9F֚P1ؼx|V Ǿ| hh6w aۦHP.i+-5VK8 'Xv{O=n}=%rpP)44`l!EqbEK8h)2] WGfbo0hPv:õCFamb#7PVo U R,{ugX@z& nʬ.g4R8a@*bgPx1W2^x^}UpÀf4PdǮ$!_+=G h1\3gc D<͘G8~y}4`W#]F^GnhqZ{*an|5xnޝNCCcH G0t6CYCz'0OߐK |.Wyr]`A^~o؅/޻%!l7=vNYWevNȮ*me-aԻ㔙im>k!3T,c+Jѭngṟ"Gܓ]Q?x%sޤ ,;mt}8qn$%pMAY{`>N6Ԯ9"<3_uٟ6S௾ ]<ғ;fzJ `M{NLN̿V_XemWG;8ag#$K`ntǰ4Fy7QK Om%!(g( GѻeechULϖ{C%PN=dքКXg{}pI65 gW/>Nc(= s3߫F/pK أ~ ߬4boTqyL-nVMF͹^ h4pgN[=֭wN99M%cL ?kv$1y&NYJTmuM&Ox@LDxL1G7$b~qC:EX#gQ/X,9 U@n 5D?e~Qp✥2WkWX#JqV/z+G( iLSxVJ*$.KqY/,P) ix-R-P)>18.q19LS0c˧V߅:/J "+1⾴X^kE.`'ͅZfal$u&^*1#u U9qvWf(i\…cXK͊%F2s37b #>R[FBY y) -cEk'H,e]80Qem)21llX8mӊ%رck|V,QĎ% .5Sxe1bYf0^PdҧnY?r?=L8KjUE{F^nxR1O)VOɟhp&XϸsWV}Q{DǯyWNM{y5f;<ïuMM! „xV^ܲV f'ZЁF8s82{m_ psɁqz_u+^=}Qo Lǭ33^qR?48 Kug!,2@S?3C \ZV'4WpC4J^ RndywTC[&c$oIozޜq /2p HpE=~9&Iu2nIR[YGA|Cv:ow-YLqboD*Skn]n.0ޱ aaF$-4eӞOy ne.UX"%{Hh4x3:8_]v9Dy:P`3-L=uqPm?a`J6J~s0ӄ7np7tRF!)D*EE CwǓ~Fy ڻ♻(NC2VE xCNC3X;P KC38cϥlX6̂?D Y[Y2uxϜ\/2pa^!ӂƕFy6`H>il#|LvoZG9EbdcrB Å"얣n,nsy5N{gwFSyq-#cP(Asn p5A r+RƄ9fhpVyuk?4Kx7o_B;L ;2 j^kVo[dlAE+uh&%71\i266)'Ta{1G@Rljܚ{8J fk؂fnRpV`Q5ޕl G"b[qr1ޑ4С^A2ռ)dF:ǎY2cGJ3~8./F6CY|U`7}j_m 1x[!jng 킯| $ע hx-MWa\w@78y5M 1,J"Q,Q/J1ңCE)aggFOYC!'I p?MdA5,u.9Pd2V'4w\mA%&P4S``ӴC(!%;)XO> endobj 6 0 obj <> endobj 7 0 obj <> endobj 8 0 obj <> endobj 9 0 obj <> endobj 10 0 obj <> endobj 11 0 obj <> endobj 12 0 obj [ 13 0 R] endobj 13 0 obj <> endobj 14 0 obj <> endobj 15 0 obj <> endobj 16 0 obj <> endobj 24 0 obj <> stream xZ[oT7~G?-UHmBDQ BDE"7k;4ڇsf=jQ)gtPQ+6(cE')KQOD@krT]TpQY"VуYRI[ЪαEو1e!lRnQc 5%.YP٤Ay !Ҹ#Dა QgGZ D!Ag `8;A`bL\۸\FkJ%/Qfh0ָ`#8 aY\Lp%k:CvH\ JGFx:R1  9uӌi#7e+ObN1~ԃ.ShG."8G@"q "xxxxDF"2GE]H.Z$t=YiFo =YMag"qv1h&AftbRS ?f& /*vCbYW ۇ#aM&&@[Z\BHcyveUi@#V9a])-1W43)b> 3Jݜm% J0 "Z*/~۽. \eݯ*r*a{'>Xj1db h ϕo HD \1mFš.rE%> ^XSw$ @a7[@,|'Vf"UD6-3[F̭A̭N&p`'p`'p`'p`'p`E$ߣqzYw5Ů<#a%E=i"FD"*r$v7NDHPW[tum]= 7zdkh n7vy5v ..=r=(iZsF ZcuŤf殉=r5+ƈHCpKXnokX^6nmbk'-N^cyd)b(42%kUXWװTwU3d 2]J1;ACy b 1Tƣ~8c$8~8c(]lBb +V Wv 1˨bӊsf55,] Qb-f]U4ʸ8/8/8/8/4I8H8H8H~o}^o1L|^.ϋRu9 >L{*!? ai8f1y{3Y:f.1sK\b2%2JY*'Tr\RʡS * AYvj}Vds#(VV۷'ë%x^ܼԷoaýu^ysuyܲp.w7~g_ݧ;/J6{۫݇{ί.߯f9a޼u[O^{^ɷwi(WDu^9/'嬺rr|)` :Rsr'Rx04xTAOS(QƒfwugZwu'WwXuS7[zɿ) endstream endobj 164 0 obj [ 278 0 0 0 0 0 0 0 333 333 389 0 278 333 278 278 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 0 0 722 722 722 722 667 611 778 722 278 0 0 611 833 722 778 667 0 722 0 611 722 667 0 0 667 0 0 0 0 0 0 0 556 611 556 611 556 333 611 611 278 0 556 278 889 611 611 611 0 389 556 333 611 556 778 0 556] endobj 165 0 obj [ 278 0 0 556 0 0 667 0 0 0 389 0 278 0 278 278 0 556 0 556 0 0 0 0 0 0 278 278 0 0 0 556 0 667 667 722 722 667 611 778 722 278 0 0 556 833 722 778 667 778 722 667 611 722 0 944 0 667 611 0 0 0 0 556 0 556 556 500 556 556 278 556 556 222 0 500 222 833 556 556 556 556 333 500 278 556 500 722 500 500 500] endobj 166 0 obj <> stream x]M0 >8:YlgWvC #%@p&<99,lz=c۴rD9T]sNͅJC4zDwK8!%TӀA}e&]Ci=긬Ts4Ј?f]m{,yJ>CT>woT endstream endobj 167 0 obj <> stream x: tՕGe;#v4 Il'@<Ɩl IO [z -PJiCh'H ea-mdv l}OcNRi<{w73J"mu>޳ă-!%АSy?.hX*}@C׿#܆}M9`G=~؀{ I(BPܻ? |~UϿsRp— 4'^GzXR'&lǒBp<_ Cj0BB@}/>eymgR\7/y?ti4:)xO/M32sk+U1 a3Bd/I$-.E(6"$CV g3AO37+ S Sc/o2B_K6?: ޿-CWo*t t?`~MqA:/N^_\^<*Y}&Io8=MP_jeKkkʊҒB*.HOK]lIZo3 s*5}Vܧ %TQ\V#i,Ѥ>&-t ycXFheI{M"dۦ^oov,3$WH홞6I#}Rf3׆ͭrj)s<ir`d& 280%UZ֮em/jWMm9VR#._EK`,hVH^&MU8@_E[v+;z5^qRMSP{~=+QtbISY+Nk5}kPbGڸ}^CzO)JI[dĕ} ƭGǣAv4+[٩-JY)kLU%9ةEI:8P)5YB-/Ŋ$*ک`µ r\1#^-oROt&Ydi} OC} ZYXi[1hj/pr"Ⴭ[Yo[4EЏgSo ?8N3'gg6ә=3sdVNLsIzʴ;6m'v,btH[p:lr3Ez4  QF]f3.DUl8L7SX7,0B1ѳmb¼`7x˔Lorz[mlOp}-ΩB=.ɨbŠ`Ll*`F3"\fa4`'9+V#No`}Gv~:T-ázv~MIJ~c 3 %koێ(┯|a%c%$SRVNF Gq)Qqmj\c\a'+EBc)d1-2%&`L Lk lN5X`h/0ўbse-;ҡtAG}-G3+-DK逎LmUEGVVthƍ{9DLjFHC8w{>:>ڔٔ:nME>8weV̿:6? d؇0Rj7R'uR'53WW{8שR $G9vsOnWndj{%iqL?]:*vLV4&M5n:,MީH]VڜǡO\Yuǡ_(1BrE4ӝTA d۽4{Lƣ\sїcu[Yb|_dz/xөf:CG>y]5;r TTw6z%ǣ'=GRk+ ^5:{ ߧf.gZ%~.2,g Zm bx,/ȃ{cʠVve}oF߉KG"-=ď):=qH@zlM'[ |Lss$G3N *о0~GD<%Nθӿ~:n]p52wo簝i4REHn&"Up>I|%k7L􆙻f^n^YQk\{к&1zi؞ނw]G3)V8ed3IIE'49-Vpu\4n; =)+E #WMpF8+̈ l"?Lhq!=:qzS %F̪ rخ6ۇ bh{^>>Ÿ8^(IQτWjAħķ )2C!b4Mof(Jd?).y=܋\/ϽB ?!%FA?JwmdlKEqtYP ω4; 8>uEMŠLȆW:8)ʸ6:ޔ؃hf) ?3-qZ7?h\onFzT/M&Y|"'?q1HI5'*id'$.6b"k,H0/K-ޙȬ|pj)h$T/V,TT\7Z"ljn5AbyZu?~l9K8!ǺUD̍ufLfb3q"8>AǏ`!lH5 \3A1g1`~!U6]:.!nAhfjVtiuڕ+'/+VBirѐv, m)R޹-ϯw)Ǿ0}IFrB蓫//*Z&pWǿǷ*uJ{2}T' 4?t1(EqIqlПlp; ZR,R3) b[dEҖ֢eA";ͧl)JO]hw8w^]]3_Ͼ ^,ڽs椛S2*n=hk~'Npw YdfɩN/Gyܴ&-ܞh̭MgH?' *&KMqYeh n|ӧU)]g'uQWbN-.J**(^\\PZfyTDR+/,"V v)EB**,nn.w/)(̽CXuZIްyzT,|jbV_8`޻7Fx}SK劚~oC;B+G>(nɲ7>}z>3lܡq.<(hMJ?cc9XƍNfSsا<:,v@_a߯q{TDp<Ԓ:K?'8/K D"a; FFc08%E&H` Kܠ<2Gu:lb_u8Zi6sCǃt'MN]Ë`G¿0I0ٲ+˺ܢ/UĖӅJ3>;<(m5uz<ސ4K.pH!SCʰ6$_HRݒ?]JH#A5FWB^vGbjأ1o#)S]l? )8ץwp8&fPVH `B+cϸbL!UeK+Fhnn\AsB]AU cPW2AG :PCp3o}a* 'BPJ:Rs~+\)"ŵtͬ ̳֘l z]>g7.z$um9ǎ>Z n)d5zQKX;-EnذϯFO #aɭR7)GF&54!({O/ೌC'!C!Ïqa$Jn8 nx?=>+pޅ[ GITZX璠^AqHHzBm|nI(ɇcRquB SqTw{qitu= Y5hJFW{ ΄@)eL j-^Q|-ѻ EԏSۃRY(j5l@{}*VMe`tHakCLS܉b-Rbu^VDB̏+FuK`.9 aG+1)&Jqxp5o͌le:{>k 2tx4F\CyX/iZlX]J 3ykf-!ˬzdƘ]ClŲ.Rl蒼,Z;}^P<̋ ;1l(qa]t[uٱ#,Xv.6A+Ч\w#O|iV,V܍88|=Uj־0(Y 8XXu}xή؊ (s>Ts5+'iLo圞=U֋lL=]cP)ᨲJbc6|؞ñ,2w/a^ PObgNav*X) *vZIf[W9+OSkƞzfI!^=ʴ~,ұ~>;g?so8 _go<7 u;;> stream Microsoft® Word for Microsoft 365 ̾Ƶ Health Coverage Enrollments/ Changes/ Termination FormHRSTUD Microsoft® Word for Microsoft 3652021-12-06T09:59:20-05:002021-12-06T09:59:20-05:00 uuid:AD9BCF2D-DB2D-400D-B2EC-6E2EB3206682uuid:AD9BCF2D-DB2D-400D-B2EC-6E2EB3206682 endstream endobj 170 0 obj <> endobj 171 0 obj <<2DCF9BAD2DDB0D40B2EC6E2EB3206682>] /Filter/FlateDecode/Length 365>> stream x5RA]@F\d͊5+0b„/UynP<<|U=_MUwi:☘Hg^;߁$2( b8P5PV4FTę>#>3嗸-,峦&𘅩阆`>!XB,F bP Tb9V uE XUjk ؊lC#Ќx~a'v`7v{Ђ}؋ `? 0(zpq8S@'Π gqpp xU\ \uMmE)9/ x!t[X ?utce<КhEܲI endstream endobj xref 0 172 0000000017 65535 f 0000000017 00000 n 0000000168 00000 n 0000000224 00000 n 0000000507 00000 n 0000008216 00000 n 0000008269 00000 n 0000008436 00000 n 0000008667 00000 n 0000008720 00000 n 0000008883 00000 n 0000009110 00000 n 0000009237 00000 n 0000009267 00000 n 0000009422 00000 n 0000009496 00000 n 0000009729 00000 n 0000000018 65535 f 0000000019 65535 f 0000000020 65535 f 0000000021 65535 f 0000000022 65535 f 0000000023 65535 f 0000000024 65535 f 0000000025 65535 f 0000000026 65535 f 0000000027 65535 f 0000000028 65535 f 0000000029 65535 f 0000000030 65535 f 0000000031 65535 f 0000000032 65535 f 0000000033 65535 f 0000000034 65535 f 0000000035 65535 f 0000000036 65535 f 0000000037 65535 f 0000000038 65535 f 0000000039 65535 f 0000000040 65535 f 0000000041 65535 f 0000000042 65535 f 0000000043 65535 f 0000000044 65535 f 0000000045 65535 f 0000000046 65535 f 0000000047 65535 f 0000000048 65535 f 0000000049 65535 f 0000000050 65535 f 0000000051 65535 f 0000000052 65535 f 0000000053 65535 f 0000000054 65535 f 0000000055 65535 f 0000000056 65535 f 0000000057 65535 f 0000000058 65535 f 0000000059 65535 f 0000000060 65535 f 0000000061 65535 f 0000000062 65535 f 0000000063 65535 f 0000000064 65535 f 0000000065 65535 f 0000000066 65535 f 0000000067 65535 f 0000000068 65535 f 0000000069 65535 f 0000000070 65535 f 0000000071 65535 f 0000000072 65535 f 0000000073 65535 f 0000000074 65535 f 0000000075 65535 f 0000000076 65535 f 0000000077 65535 f 0000000078 65535 f 0000000079 65535 f 0000000080 65535 f 0000000081 65535 f 0000000082 65535 f 0000000083 65535 f 0000000084 65535 f 0000000085 65535 f 0000000086 65535 f 0000000087 65535 f 0000000088 65535 f 0000000089 65535 f 0000000090 65535 f 0000000091 65535 f 0000000092 65535 f 0000000093 65535 f 0000000094 65535 f 0000000095 65535 f 0000000096 65535 f 0000000097 65535 f 0000000098 65535 f 0000000099 65535 f 0000000100 65535 f 0000000101 65535 f 0000000102 65535 f 0000000103 65535 f 0000000104 65535 f 0000000105 65535 f 0000000106 65535 f 0000000107 65535 f 0000000108 65535 f 0000000109 65535 f 0000000110 65535 f 0000000111 65535 f 0000000112 65535 f 0000000113 65535 f 0000000114 65535 f 0000000115 65535 f 0000000116 65535 f 0000000117 65535 f 0000000118 65535 f 0000000119 65535 f 0000000120 65535 f 0000000121 65535 f 0000000122 65535 f 0000000123 65535 f 0000000124 65535 f 0000000125 65535 f 0000000126 65535 f 0000000127 65535 f 0000000128 65535 f 0000000129 65535 f 0000000130 65535 f 0000000131 65535 f 0000000132 65535 f 0000000133 65535 f 0000000134 65535 f 0000000135 65535 f 0000000136 65535 f 0000000137 65535 f 0000000138 65535 f 0000000139 65535 f 0000000140 65535 f 0000000141 65535 f 0000000142 65535 f 0000000143 65535 f 0000000144 65535 f 0000000145 65535 f 0000000146 65535 f 0000000147 65535 f 0000000148 65535 f 0000000149 65535 f 0000000150 65535 f 0000000151 65535 f 0000000152 65535 f 0000000153 65535 f 0000000154 65535 f 0000000155 65535 f 0000000156 65535 f 0000000157 65535 f 0000000158 65535 f 0000000159 65535 f 0000000160 65535 f 0000000161 65535 f 0000000162 65535 f 0000000163 65535 f 0000000000 65535 f 0000012197 00000 n 0000012501 00000 n 0000012827 00000 n 0000013121 00000 n 0000019170 00000 n 0000019203 00000 n 0000022517 00000 n 0000022563 00000 n trailer <<2DCF9BAD2DDB0D40B2EC6E2EB3206682>] >> startxref 23131 %%EOF xref 0 0 trailer <<2DCF9BAD2DDB0D40B2EC6E2EB3206682>] /Prev 23131/XRefStm 22563>> startxref 26730 %%EOF