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endobj 669 0 obj << /Type/StructElem /S/Link /P 651 0 R /Alt (preventive services) /Pg 3 0 R /K [<< /Type/OBJR /Obj 44 0 R >> 86] >> endobj 670 0 obj << /Type/StructElem /S/Span /P 651 0 R /Pg 3 0 R /K 87 >> endobj 671 0 obj << /Type/StructElem /S/Link /P 651 0 R /Alt (https://www.healthcare.gov/coverage/preventive-care-benefits) /Pg 3 0 R /K [<< /Type/OBJR /Obj 45 0 R >> 88] >> endobj 651 0 obj << /Type/StructElem /S/P /P 650 0 R /Pg 3 0 R /K [652 0 R 653 0 R 654 0 R 655 0 R 656 0 R 657 0 R 658 0 R 659 0 R 660 0 R 661 0 R 662 0 R 663 0 R 664 0 R 665 0 R 666 0 R 667 0 R 668 0 R 669 0 R 670 0 R 671 0 R 89] >> endobj 650 0 obj << /Type/StructElem /S/TD /P 633 0 R /K 651 0 R >> endobj 633 0 obj << /Type/StructElem /S/TR /P 600 0 R /K [634 0 R 640 0 R 650 0 R] >> endobj 674 0 obj << /Type/StructElem /S/P /P 673 0 R /Pg 3 0 R /K 90 >> endobj 676 0 obj << /Type/StructElem /S/Link /P 675 0 R /Alt (deductibles) /Pg 3 0 R /K [<< /Type/OBJR /Obj 46 0 R >> 91] >> endobj 675 0 obj << /Type/StructElem /S/P /P 673 0 R /Pg 3 0 R /K [676 0 R 92] >> endobj 677 0 obj << /Type/StructElem /S/P /P 673 0 R /Pg 3 0 R /K 93 >> endobj 673 0 obj << /Type/StructElem /S/TH /P 672 0 R /K [674 0 R 675 0 R 677 0 R] /A << /O/Table /Scope/Row >> >> endobj 680 0 obj << /Type/StructElem /S/Span /P 679 0 R /Pg 3 0 R /K 94 >> endobj 681 0 obj << /Type/StructElem /S/Link /P 679 0 R /Alt (prescription drugs) /Pg 3 0 R /K [<< /Type/OBJR /Obj 47 0 R >> 95] >> endobj 682 0 obj << /Type/StructElem /S/Span /P 679 0 R /Pg 3 0 R /K 96 >> endobj 683 0 obj << /Type/StructElem /S/Link /P 679 0 R /Alt (network) /Pg 3 0 R /K [<< /Type/OBJR /Obj 48 0 R >> 97] >> endobj 684 0 obj << /Type/StructElem /S/Span /P 679 0 R /Pg 3 0 R /K 98 >> endobj 685 0 obj << /Type/StructElem /S/Link /P 679 0 R /Alt (deductibles) /Pg 3 0 R /K [<< /Type/OBJR /Obj 49 0 R >> 99] >> endobj 679 0 obj << /Type/StructElem /S/P /P 678 0 R /Pg 3 0 R /K [680 0 R 681 0 R 682 0 R 683 0 R 684 0 R 685 0 R 100] >> endobj 678 0 obj << /Type/StructElem /S/TD /P 672 0 R /K 679 0 R >> endobj 688 0 obj << /Type/StructElem /S/Span /P 687 0 R /Pg 3 0 R /K 101 >> endobj 689 0 obj << /Type/StructElem /S/Link /P 687 0 R /Alt (deductible) /Pg 3 0 R /K [<< /Type/OBJR /Obj 50 0 R >> 102] >> endobj 690 0 obj << /Type/StructElem /S/Span /P 687 0 R /Pg 3 0 R /K 103 >> endobj 691 0 obj << /Type/StructElem /S/Link /P 687 0 R /Alt (plan) /Pg 3 0 R /K [<< /Type/OBJR /Obj 51 0 R >> 104] >> endobj 687 0 obj << /Type/StructElem /S/P /P 686 0 R /Pg 3 0 R /K [688 0 R 689 0 R 690 0 R 691 0 R 105] >> endobj 686 0 obj << /Type/StructElem /S/TD /P 672 0 R /K 687 0 R >> endobj 672 0 obj << /Type/StructElem /S/TR /P 600 0 R /K [673 0 R 678 0 R 686 0 R] >> endobj 695 0 obj << /Type/StructElem /S/Span /P 694 0 R /Pg 3 0 R /K 106 >> endobj 696 0 obj << /Type/StructElem /S/Link /P 694 0 R /Alt (out-of-pocketlimit) /Pg 3 0 R /K [<< /Type/OBJR /Obj 52 0 R >> 107] >> endobj 694 0 obj << /Type/StructElem /S/P /P 693 0 R /K [695 0 R 696 0 R] >> endobj 698 0 obj << /Type/StructElem /S/Link /P 697 0 R /Alt (out-of-pocketlimit) /Pg 3 0 R /K [<< /Type/OBJR /Obj 53 0 R >> 108] >> endobj 699 0 obj << /Type/StructElem /S/Span /P 697 0 R /Pg 3 0 R /K 109 >> endobj 700 0 obj << /Type/StructElem /S/Link /P 697 0 R /Alt (plan) /Pg 3 0 R /K [<< /Type/OBJR /Obj 54 0 R >> 110] >> endobj 697 0 obj << /Type/StructElem /S/P /P 693 0 R /Pg 3 0 R /K [698 0 R 699 0 R 700 0 R 111] >> endobj 693 0 obj << /Type/StructElem /S/TH /P 692 0 R /K [694 0 R 697 0 R] /A << /O/Table /Scope/Row >> >> endobj 703 0 obj << /Type/StructElem /S/Span /P 702 0 R /Pg 3 0 R /K 112 >> endobj 704 0 obj << /Type/StructElem /S/Link /P 702 0 R /Alt (Network) /Pg 3 0 R /K [<< /Type/OBJR /Obj 55 0 R >> 113] >> endobj 705 0 obj << /Type/StructElem /S/Span /P 702 0 R /Pg 3 0 R /K 114 >> endobj 706 0 obj << /Type/StructElem /S/Link /P 702 0 R /Alt (Prescription drugs) /Pg 3 0 R /K [<< /Type/OBJR /Obj 56 0 R >> 115] >> endobj 702 0 obj << /Type/StructElem /S/P /P 701 0 R /Pg 3 0 R /K [703 0 R 704 0 R 705 0 R 706 0 R 116] >> endobj 701 0 obj << /Type/StructElem /S/TD /P 692 0 R /K 702 0 R >> endobj 709 0 obj << /Type/StructElem /S/Span /P 708 0 R /Pg 3 0 R /K 117 >> endobj 710 0 obj << /Type/StructElem /S/Link /P 708 0 R /Alt (out-of-pocket limit) /Pg 3 0 R /K [<< /Type/OBJR /Obj 57 0 R >> 118] >> endobj 711 0 obj << /Type/StructElem /S/Span /P 708 0 R /Pg 3 0 R /K 119 >> endobj 712 0 obj << /Type/StructElem /S/Link /P 708 0 R /Alt (plan) /Pg 3 0 R /K [<< /Type/OBJR /Obj 58 0 R >> 120] >> endobj 713 0 obj << /Type/StructElem /S/Span /P 708 0 R /Pg 3 0 R /K 121 >> endobj 714 0 obj << /Type/StructElem /S/Link /P 708 0 R /Alt (out-of-pocket limits) /Pg 3 0 R /K [<< /Type/OBJR /Obj 59 0 R >> << /Type/OBJR /Obj 60 0 R >> 122] >> endobj 715 0 obj << /Type/StructElem /S/Span /P 708 0 R /Pg 3 0 R /K 123 >> endobj 716 0 obj << /Type/StructElem /S/Link /P 708 0 R /Alt (out-of-pocket limit) /Pg 3 0 R /K [<< /Type/OBJR /Obj 61 0 R >> 124] >> endobj 708 0 obj << /Type/StructElem /S/P /P 707 0 R /Pg 3 0 R /K [709 0 R 710 0 R 711 0 R 712 0 R 713 0 R 714 0 R 715 0 R 716 0 R 125] >> endobj 707 0 obj << /Type/StructElem /S/TD /P 692 0 R /K 708 0 R >> endobj 692 0 obj << /Type/StructElem /S/TR /P 600 0 R /K [693 0 R 701 0 R 707 0 R] >> endobj 719 0 obj << /Type/StructElem /S/P /P 718 0 R /Pg 3 0 R /K 126 >> endobj 721 0 obj << /Type/StructElem /S/Span /P 720 0 R /Pg 3 0 R /K 127 >> endobj 722 0 obj << /Type/StructElem /S/Link /P 720 0 R /Alt (out-of-pocket limit) /Pg 3 0 R /K [<< /Type/OBJR /Obj 62 0 R >> 128] >> endobj 720 0 obj << /Type/StructElem /S/P /P 718 0 R /Pg 3 0 R /K [721 0 R 722 0 R 129] >> endobj 718 0 obj << /Type/StructElem /S/TH /P 717 0 R /K [719 0 R 720 0 R] /A << /O/Table /Scope/Row >> >> endobj 725 0 obj << /Type/StructElem /S/Link /P 724 0 R /Alt (Premiums) /Pg 3 0 R /K [<< /Type/OBJR /Obj 63 0 R >> 130] >> endobj 726 0 obj << /Type/StructElem /S/Span /P 724 0 R /Pg 3 0 R /K 131 >> endobj 727 0 obj << /Type/StructElem /S/Link /P 724 0 R /Alt (balance-billing) /Pg 3 0 R /K [<< /Type/OBJR /Obj 64 0 R >> 132] >> endobj 728 0 obj << /Type/StructElem /S/Span /P 724 0 R /Pg 3 0 R /K 133 >> endobj 729 0 obj << /Type/StructElem /S/Link /P 724 0 R /Alt (plan) /Pg 3 0 R /K [<< /Type/OBJR /Obj 65 0 R >> 134] >> endobj 730 0 obj << /Type/StructElem /S/Span /P 724 0 R /Pg 3 0 R /K 135 >> endobj 731 0 obj << /Type/StructElem /S/Link /P 724 0 R /Alt (pre-authorization) /Pg 3 0 R /K [<< /Type/OBJR /Obj 66 0 R >> 136] >> endobj 724 0 obj << /Type/StructElem /S/P /P 723 0 R /Pg 3 0 R /K [725 0 R 726 0 R 727 0 R 728 0 R 729 0 R 730 0 R 731 0 R 137] >> endobj 723 0 obj << /Type/StructElem /S/TD /P 717 0 R /K 724 0 R >> endobj 734 0 obj << /Type/StructElem /S/Span /P 733 0 R /Pg 3 0 R /K 138 >> endobj 735 0 obj << /Type/StructElem /S/Link /P 733 0 R /Alt (out-of-pocket limit) /Pg 3 0 R /K [<< /Type/OBJR /Obj 67 0 R >> 139] >> endobj 733 0 obj << /Type/StructElem /S/P /P 732 0 R /Pg 3 0 R /K [734 0 R 735 0 R 140] >> endobj 732 0 obj << /Type/StructElem /S/TD /P 717 0 R /K 733 0 R >> endobj 717 0 obj << /Type/StructElem /S/TR /P 600 0 R /K [718 0 R 723 0 R 732 0 R] >> endobj 738 0 obj << /Type/StructElem /S/P /P 737 0 R /Pg 3 0 R /K 141 >> endobj 740 0 obj << /Type/StructElem /S/Span /P 739 0 R /Pg 3 0 R /K 142 >> endobj 741 0 obj << /Type/StructElem /S/Link /P 739 0 R /Alt (network provider) /Pg 3 0 R /K [<< /Type/OBJR /Obj 68 0 R >> 143] >> endobj 739 0 obj << /Type/StructElem /S/P /P 737 0 R /Pg 3 0 R /K [740 0 R 741 0 R 144] >> endobj 737 0 obj << /Type/StructElem /S/TH /P 736 0 R /K [738 0 R 739 0 R] /A << /O/Table /Scope/Row >> >> endobj 744 0 obj << /Type/StructElem /S/Span /P 743 0 R /Pg 3 0 R /K 145 >> endobj 745 0 obj << /Type/StructElem /S/Link /P 743 0 R /Alt (http://www.aetna.com/docfind) /Pg 3 0 R /K [<< /Type/OBJR /Obj 69 0 R >> 146] >> endobj 746 0 obj << /Type/StructElem /S/Span /P 743 0 R /Pg 3 0 R /K 147 >> endobj 747 0 obj << /Type/StructElem /S/Link /P 743 0 R /Alt (network providers) /Pg 3 0 R /K [<< /Type/OBJR /Obj 70 0 R >> 148] >> endobj 743 0 obj << /Type/StructElem /S/P /P 742 0 R /Pg 3 0 R /K [744 0 R 745 0 R 746 0 R 747 0 R 149] >> endobj 742 0 obj << /Type/StructElem /S/TD /P 736 0 R /K 743 0 R >> endobj 750 0 obj << /Type/StructElem /S/Span /P 749 0 R /Pg 3 0 R /K 150 >> endobj 751 0 obj << /Type/StructElem /S/Link /P 749 0 R /Alt (plan) /Pg 3 0 R /K [<< /Type/OBJR /Obj 71 0 R >> 151] >> endobj 752 0 obj << /Type/StructElem /S/Span /P 749 0 R /Pg 3 0 R /K 152 >> endobj 753 0 obj << /Type/StructElem /S/Link /P 749 0 R /Alt (provider) /Pg 3 0 R /K [<< /Type/OBJR /Obj 72 0 R >> 153] >> endobj 754 0 obj << /Type/StructElem /S/Span /P 749 0 R /Pg 3 0 R /K 154 >> endobj 755 0 obj << /Type/StructElem /S/Link /P 749 0 R /Alt (network) /Pg 3 0 R /K [<< /Type/OBJR /Obj 73 0 R >> 155] >> endobj 756 0 obj << /Type/StructElem /S/Span /P 749 0 R /Pg 3 0 R /K 156 >> endobj 757 0 obj << /Type/StructElem /S/Link /P 749 0 R /Alt (provider) /Pg 3 0 R /K [<< /Type/OBJR /Obj 74 0 R >> 157] >> endobj 758 0 obj << /Type/StructElem /S/Span /P 749 0 R /Pg 3 0 R /K 158 >> endobj 759 0 obj << /Type/StructElem /S/Link /P 749 0 R /Alt (plans) /Pg 3 0 R /K [<< /Type/OBJR /Obj 75 0 R >> 159] >> endobj 760 0 obj << /Type/StructElem /S/Span /P 749 0 R /Pg 3 0 R /K 160 >> endobj 761 0 obj << /Type/StructElem /S/Link /P 749 0 R /Alt (network) /Pg 3 0 R /K [<< /Type/OBJR /Obj 76 0 R >> 161] >> endobj 762 0 obj << /Type/StructElem /S/Span /P 749 0 R /Pg 3 0 R /K 162 >> endobj 763 0 obj << /Type/StructElem /S/Link /P 749 0 R /Alt (out-of-network provider) /Pg 3 0 R /K [<< /Type/OBJR /Obj 77 0 R >> 163] >> endobj 764 0 obj << /Type/StructElem /S/Span /P 749 0 R /Pg 3 0 R /K 164 >> endobj 765 0 obj << /Type/StructElem /S/Link /P 749 0 R /Alt (provider) /Pg 3 0 R /K [<< /Type/OBJR /Obj 78 0 R >> 165] >> endobj 766 0 obj << /Type/StructElem /S/Span /P 749 0 R /Pg 3 0 R /K 166 >> endobj 767 0 obj << /Type/StructElem /S/Link /P 749 0 R /Alt (provider's) /Pg 3 0 R /K [<< /Type/OBJR /Obj 79 0 R >> 167] >> endobj 768 0 obj << /Type/StructElem /S/Span /P 749 0 R /Pg 3 0 R /K 168 >> endobj 769 0 obj << /Type/StructElem /S/Link /P 749 0 R /Alt (plan) /Pg 3 0 R /K [<< /Type/OBJR /Obj 80 0 R >> 169] >> endobj 770 0 obj << /Type/StructElem /S/Span /P 749 0 R /Pg 3 0 R /K 170 >> endobj 771 0 obj << /Type/StructElem /S/Link /P 749 0 R /Alt (balance billing) /Pg 3 0 R /K [<< /Type/OBJR /Obj 81 0 R >> 171] >> endobj 772 0 obj << /Type/StructElem /S/Span /P 749 0 R /Pg 3 0 R /K 172 >> endobj 773 0 obj << /Type/StructElem /S/Link /P 749 0 R /Alt (network provider) /Pg 3 0 R /K [<< /Type/OBJR /Obj 82 0 R >> 173] >> endobj 774 0 obj << /Type/StructElem /S/Span /P 749 0 R /Pg 3 0 R /K 174 >> endobj 775 0 obj << /Type/StructElem /S/Link /P 749 0 R /Alt (out-of-network provider) /Pg 3 0 R /K [<< /Type/OBJR /Obj 83 0 R >> 175] >> endobj 776 0 obj << /Type/StructElem /S/Span /P 749 0 R /Pg 3 0 R /K 176 >> endobj 777 0 obj << /Type/StructElem /S/Link /P 749 0 R /Alt (provider) /Pg 3 0 R /K [<< /Type/OBJR /Obj 84 0 R >> 177] >> endobj 749 0 obj << /Type/StructElem /S/P /P 748 0 R /Pg 3 0 R /K [750 0 R 751 0 R 752 0 R 753 0 R 754 0 R 755 0 R 756 0 R 757 0 R 758 0 R 759 0 R 760 0 R 761 0 R 762 0 R 763 0 R 764 0 R 765 0 R 766 0 R 767 0 R 768 0 R 769 0 R 770 0 R 771 0 R 772 0 R 773 0 R 774 0 R 775 0 R 776 0 R 777 0 R 178] >> endobj 748 0 obj << /Type/StructElem /S/TD /P 736 0 R /K 749 0 R >> endobj 736 0 obj << /Type/StructElem /S/TR /P 600 0 R /K [737 0 R 742 0 R 748 0 R] >> endobj 781 0 obj << /Type/StructElem /S/Span /P 780 0 R /Pg 3 0 R /K 179 >> endobj 782 0 obj << /Type/StructElem /S/Link /P 780 0 R /Alt (referral) /Pg 3 0 R /K [<< /Type/OBJR /Obj 85 0 R >> 180] >> endobj 780 0 obj << /Type/StructElem /S/P /P 779 0 R /Pg 3 0 R /K [781 0 R 782 0 R 181] >> endobj 784 0 obj << /Type/StructElem /S/Span /P 783 0 R /Pg 3 0 R /K 182 >> endobj 785 0 obj << /Type/StructElem /S/Link /P 783 0 R /Alt (specialist) /Pg 3 0 R /K [<< /Type/OBJR /Obj 86 0 R >> 183] >> endobj 783 0 obj << /Type/StructElem /S/P /P 779 0 R /Pg 3 0 R /K [784 0 R 785 0 R 184] >> endobj 779 0 obj << /Type/StructElem /S/TH /P 778 0 R /K [780 0 R 783 0 R] /A << /O/Table /Scope/Row >> >> endobj 787 0 obj << /Type/StructElem /S/P /P 786 0 R /Pg 3 0 R /K 185 >> endobj 786 0 obj << /Type/StructElem /S/TD /P 778 0 R /K 787 0 R >> endobj 790 0 obj << /Type/StructElem /S/Span /P 789 0 R /Pg 3 0 R /K 186 >> endobj 791 0 obj << /Type/StructElem /S/Link /P 789 0 R /Alt (specialist) /Pg 3 0 R /K [<< /Type/OBJR /Obj 87 0 R >> 187] >> endobj 792 0 obj << /Type/StructElem /S/Span /P 789 0 R /Pg 3 0 R /K 188 >> endobj 793 0 obj << /Type/StructElem /S/Link /P 789 0 R /Alt (referral) /Pg 3 0 R /K [<< /Type/OBJR /Obj 88 0 R >> 189] >> endobj 789 0 obj << /Type/StructElem /S/P /P 788 0 R /Pg 3 0 R /K [790 0 R 791 0 R 792 0 R 793 0 R 190] >> endobj 788 0 obj << /Type/StructElem /S/TD /P 778 0 R /K 789 0 R >> endobj 778 0 obj << /Type/StructElem /S/TR /P 600 0 R /K [779 0 R 786 0 R 788 0 R] >> endobj 600 0 obj << /Type/StructElem /S/Table /P 599 0 R /K [601 0 R 608 0 R 633 0 R 672 0 R 692 0 R 717 0 R 736 0 R 778 0 R] /A << /O/Layout /BBox [18 58.8532440944 774 462.75] >> >> endobj 599 0 obj << /Type/StructElem /S/FlowArea /P 562 0 R /K 600 0 R >> endobj 796 0 obj << /Type/StructElem /S/Figure /P 795 0 R /Alt (Caution\n) /Pg 95 0 R /K 0 /A << /O/Layout /BBox [25.6303995812 573.5319389733 52.9164217941 599.7230944655] /Placement/Block >> >> endobj 799 0 obj << /Type/StructElem /S/Span /P 798 0 R /Pg 95 0 R /K 1 >> endobj 800 0 obj << /Type/StructElem /S/Link /P 798 0 R /Alt (copayment) /Pg 95 0 R /K [<< /Type/OBJR /Obj 96 0 R >> 2] >> endobj 801 0 obj << /Type/StructElem /S/Span /P 798 0 R /Pg 95 0 R /K 3 >> endobj 802 0 obj << /Type/StructElem /S/Link /P 798 0 R /Alt (coinsurance) /Pg 95 0 R /K [<< /Type/OBJR /Obj 97 0 R >> 4] >> endobj 803 0 obj << /Type/StructElem /S/Span /P 798 0 R /Pg 95 0 R /K 5 >> endobj 804 0 obj << /Type/StructElem /S/Link /P 798 0 R /Alt (deductible) /Pg 95 0 R /K [<< /Type/OBJR /Obj 98 0 R >> 6] >> endobj 805 0 obj << /Type/StructElem /S/Span /P 798 0 R /Pg 95 0 R /K 7 >> endobj 806 0 obj << /Type/StructElem /S/Link /P 798 0 R /Alt (deductible) /Pg 95 0 R /K [<< /Type/OBJR /Obj 99 0 R >> 8] >> endobj 798 0 obj << /Type/StructElem /S/P /P 797 0 R /Pg 95 0 R /K [799 0 R 800 0 R 801 0 R 802 0 R 803 0 R 804 0 R 805 0 R 806 0 R 9] >> endobj 797 0 obj << /Type/StructElem /S/SubArea /P 795 0 R /K 798 0 R >> endobj 795 0 obj << /Type/StructElem /S/FlowObject /P 794 0 R /K [796 0 R 797 0 R] >> endobj 794 0 obj << /Type/StructElem /S/FlowArea /P 562 0 R /K 795 0 R >> endobj 811 0 obj << /Type/StructElem /S/P /P 810 0 R /Pg 95 0 R /K 10 >> endobj 812 0 obj << /Type/StructElem /S/P /P 810 0 R /Pg 95 0 R /K 11 >> endobj 810 0 obj << /Type/StructElem /S/TH /P 809 0 R /K [811 0 R 812 0 R] /A << /O/Table /Scope/Column /RowSpan 2 >> >> endobj 814 0 obj << /Type/StructElem /S/P /P 813 0 R /Pg 95 0 R /K 12 >> endobj 813 0 obj << /Type/StructElem /S/TH /P 809 0 R /K 814 0 R /A << /O/Table /Scope/Column /RowSpan 2 >> >> endobj 816 0 obj << /Type/StructElem /S/P /P 815 0 R /Pg 95 0 R /K 13 >> endobj 815 0 obj << /Type/StructElem /S/TH /P 809 0 R /K 816 0 R /A << /O/Table /Scope/Column /ColSpan 2 >> >> endobj 818 0 obj << /Type/StructElem /S/P /P 817 0 R /Pg 95 0 R /K 14 >> endobj 817 0 obj << /Type/StructElem /S/TH /P 809 0 R /K 818 0 R /A << /O/Table /Scope/Column /RowSpan 2 >> >> endobj 809 0 obj << /Type/StructElem /S/TR /P 808 0 R /K [810 0 R 813 0 R 815 0 R 817 0 R] >> endobj 821 0 obj << /Type/StructElem /S/P /P 820 0 R /Pg 95 0 R /K 15 >> endobj 820 0 obj << /Type/StructElem /S/TH /P 819 0 R /K 821 0 R /A << /O/Table /Scope/Column >> >> endobj 823 0 obj << /Type/StructElem /S/P /P 822 0 R /Pg 95 0 R /K 16 >> endobj 822 0 obj << /Type/StructElem /S/TH /P 819 0 R /K 823 0 R /A << /O/Table /Scope/Column >> >> endobj 819 0 obj << /Type/StructElem /S/TR /P 808 0 R /K [820 0 R 822 0 R] >> endobj 827 0 obj << /Type/StructElem /S/Span /P 826 0 R /Pg 95 0 R /K 17 >> endobj 828 0 obj << /Type/StructElem /S/Link /P 826 0 R /Alt (providers) /Pg 95 0 R /K [<< /Type/OBJR /Obj 100 0 R >> 18] >> endobj 826 0 obj << /Type/StructElem /S/P /P 825 0 R /Pg 95 0 R /K [827 0 R 828 0 R 19] >> endobj 825 0 obj << /Type/StructElem /S/TH /P 824 0 R /K 826 0 R /A << /O/Table /Scope/Row /RowSpan 3 >> >> endobj 830 0 obj << /Type/StructElem /S/P /P 829 0 R /Pg 95 0 R /K 20 >> endobj 829 0 obj << /Type/StructElem /S/TD /P 824 0 R /K 830 0 R >> endobj 833 0 obj << /Type/StructElem /S/Span /P 832 0 R /Pg 95 0 R /K 21 >> endobj 834 0 obj << /Type/StructElem /S/Link /P 832 0 R /Alt (copay) /Pg 95 0 R /K [<< /Type/OBJR /Obj 101 0 R >> 22] >> endobj 835 0 obj << /Type/StructElem /S/Span /P 832 0 R /Pg 95 0 R /K 23 >> endobj 836 0 obj << /Type/StructElem /S/Link /P 832 0 R /Alt (deductible) /Pg 95 0 R /K [<< /Type/OBJR /Obj 102 0 R >> 24] >> endobj 832 0 obj << /Type/StructElem /S/P /P 831 0 R /Pg 95 0 R /K [833 0 R 834 0 R 835 0 R 836 0 R 25] >> endobj 831 0 obj << /Type/StructElem /S/TD /P 824 0 R /K 832 0 R >> endobj 839 0 obj << /Type/StructElem /S/Span /P 838 0 R /Pg 95 0 R /K 26 >> endobj 840 0 obj << /Type/StructElem /S/Link /P 838 0 R /Alt (coinsurance) /Pg 95 0 R /K [<< /Type/OBJR /Obj 103 0 R >> 27] >> endobj 838 0 obj << /Type/StructElem /S/P /P 837 0 R /K [839 0 R 840 0 R] >> endobj 837 0 obj << /Type/StructElem /S/TD /P 824 0 R /K 838 0 R >> endobj 843 0 obj << /Type/StructElem /S/Span /P 842 0 R /Pg 95 0 R /K 28 >> endobj 844 0 obj << /Type/StructElem /S/Link /P 842 0 R /Alt (network) /Pg 95 0 R /K [<< /Type/OBJR /Obj 104 0 R >> 29] >> endobj 845 0 obj << /Type/StructElem /S/Span /P 842 0 R /Pg 95 0 R /K 30 >> endobj 846 0 obj << /Type/StructElem /S/Link /P 842 0 R /Alt (provider) /Pg 95 0 R /K [<< /Type/OBJR /Obj 105 0 R >> 31] >> endobj 842 0 obj << /Type/StructElem /S/P /P 841 0 R /Pg 95 0 R /K [843 0 R 844 0 R 845 0 R 846 0 R 32] >> endobj 841 0 obj << /Type/StructElem /S/TD /P 824 0 R /K 842 0 R >> endobj 824 0 obj << /Type/StructElem /S/TR /P 808 0 R /K [825 0 R 829 0 R 831 0 R 837 0 R 841 0 R] >> endobj 850 0 obj << /Type/StructElem /S/Link /P 849 0 R /Alt (Specialist) /Pg 95 0 R /K [<< /Type/OBJR /Obj 106 0 R >> 33] >> endobj 849 0 obj << /Type/StructElem /S/P /P 848 0 R /Pg 95 0 R /K [850 0 R 34] >> endobj 848 0 obj << /Type/StructElem /S/TD /P 847 0 R /K 849 0 R >> endobj 853 0 obj << /Type/StructElem /S/Span /P 852 0 R /Pg 95 0 R /K 35 >> endobj 854 0 obj << /Type/StructElem /S/Link /P 852 0 R /Alt (copay) /Pg 95 0 R /K [<< /Type/OBJR /Obj 107 0 R >> 36] >> endobj 855 0 obj << /Type/StructElem /S/Span /P 852 0 R /Pg 95 0 R /K 37 >> endobj 856 0 obj << /Type/StructElem /S/Link /P 852 0 R /Alt (deductible) /Pg 95 0 R /K [<< /Type/OBJR /Obj 108 0 R >> 38] >> endobj 852 0 obj << /Type/StructElem /S/P /P 851 0 R /Pg 95 0 R /K [853 0 R 854 0 R 855 0 R 856 0 R 39] >> endobj 851 0 obj << /Type/StructElem /S/TD /P 847 0 R /K 852 0 R >> endobj 859 0 obj << /Type/StructElem /S/Span /P 858 0 R /Pg 95 0 R /K 40 >> endobj 860 0 obj << /Type/StructElem /S/Link /P 858 0 R /Alt (coinsurance) /Pg 95 0 R /K [<< /Type/OBJR /Obj 109 0 R >> 41] >> endobj 858 0 obj << /Type/StructElem /S/P /P 857 0 R /K [859 0 R 860 0 R] >> endobj 857 0 obj << /Type/StructElem /S/TD /P 847 0 R /K 858 0 R >> endobj 862 0 obj << /Type/StructElem /S/P /P 861 0 R /Pg 95 0 R /K 42 >> endobj 861 0 obj << /Type/StructElem /S/TD /P 847 0 R /K 862 0 R >> endobj 847 0 obj << /Type/StructElem /S/TR /P 808 0 R /K [848 0 R 851 0 R 857 0 R 861 0 R] >> endobj 866 0 obj << /Type/StructElem /S/Link /P 865 0 R /Alt (Preventive care) /Pg 95 0 R /K [<< /Type/OBJR /Obj 110 0 R >> 43] >> endobj 867 0 obj << /Type/StructElem /S/Span /P 865 0 R /Pg 95 0 R /K 44 >> endobj 868 0 obj << /Type/StructElem /S/Link /P 865 0 R /Alt (screening) /Pg 95 0 R /K [<< /Type/OBJR /Obj 111 0 R >> 45] >> endobj 865 0 obj << /Type/StructElem /S/P /P 864 0 R /Pg 95 0 R /K [866 0 R 867 0 R 868 0 R 46] >> endobj 864 0 obj << /Type/StructElem /S/TD /P 863 0 R /K 865 0 R >> endobj 870 0 obj << /Type/StructElem /S/P /P 869 0 R /Pg 95 0 R /K 47 >> endobj 869 0 obj << /Type/StructElem /S/TD /P 863 0 R /K 870 0 R >> endobj 873 0 obj << /Type/StructElem /S/Span /P 872 0 R /Pg 95 0 R /K 48 >> endobj 874 0 obj << /Type/StructElem /S/Link /P 872 0 R /Alt (coinsurance) /Pg 95 0 R /K [<< /Type/OBJR /Obj 112 0 R >> 49] >> endobj 872 0 obj << /Type/StructElem /S/P /P 871 0 R /Pg 95 0 R /K [873 0 R 874 0 R 50] >> endobj 871 0 obj << /Type/StructElem /S/TD /P 863 0 R /K 872 0 R >> endobj 877 0 obj << /Type/StructElem /S/Span /P 876 0 R /Pg 95 0 R /K 51 >> endobj 878 0 obj << /Type/StructElem /S/Link /P 876 0 R /Alt (provider) /Pg 95 0 R /K [<< /Type/OBJR /Obj 113 0 R >> 52] >> endobj 879 0 obj << /Type/StructElem /S/Span /P 876 0 R /Pg 95 0 R /K 53 >> endobj 880 0 obj << /Type/StructElem /S/Link /P 876 0 R /Alt (plan) /Pg 95 0 R /K [<< /Type/OBJR /Obj 114 0 R >> 54] >> endobj 876 0 obj << /Type/StructElem /S/P /P 875 0 R /Pg 95 0 R /K [877 0 R 878 0 R 879 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obj << /Type/StructElem /S/P /P 889 0 R /K [891 0 R 892 0 R] >> endobj 889 0 obj << /Type/StructElem /S/TD /P 881 0 R /K 890 0 R >> endobj 894 0 obj << /Type/StructElem /S/P /P 893 0 R /Pg 95 0 R /K 62 >> endobj 893 0 obj << /Type/StructElem /S/TD /P 881 0 R /K 894 0 R >> endobj 881 0 obj << /Type/StructElem /S/TR /P 808 0 R /K [882 0 R 884 0 R 887 0 R 889 0 R 893 0 R] >> endobj 897 0 obj << /Type/StructElem /S/P /P 896 0 R /Pg 95 0 R /K 63 >> endobj 896 0 obj << /Type/StructElem /S/TD /P 895 0 R /K 897 0 R >> endobj 899 0 obj << /Type/StructElem /S/P /P 898 0 R /Pg 95 0 R /K 64 >> endobj 898 0 obj << /Type/StructElem /S/TD /P 895 0 R /K 899 0 R >> endobj 902 0 obj << /Type/StructElem /S/Span /P 901 0 R /Pg 95 0 R /K 65 >> endobj 903 0 obj << /Type/StructElem /S/Link /P 901 0 R /Alt (coinsurance) /Pg 95 0 R /K [<< /Type/OBJR /Obj 117 0 R >> 66] >> endobj 901 0 obj << /Type/StructElem /S/P /P 900 0 R /K [902 0 R 903 0 R] >> endobj 900 0 obj << /Type/StructElem /S/TD /P 895 0 R /K 901 0 R >> endobj 905 0 obj << /Type/StructElem /S/P /P 904 0 R /Pg 95 0 R /K 67 >> endobj 904 0 obj << /Type/StructElem /S/TD /P 895 0 R /K 905 0 R >> endobj 895 0 obj << /Type/StructElem /S/TR /P 808 0 R /K [896 0 R 898 0 R 900 0 R 904 0 R] >> endobj 908 0 obj << /Type/StructElem /S/P /P 907 0 R /Pg 95 0 R /K 68 >> endobj 910 0 obj << /Type/StructElem /S/Span /P 909 0 R /Pg 95 0 R /K 69 >> endobj 911 0 obj << /Type/StructElem /S/Link /P 909 0 R /Pg 95 0 R /K [<< /Type/OBJR /Obj 118 0 R >> 70] >> endobj 912 0 obj << /Type/StructElem /S/Link /P 909 0 R /Alt (prescription drug coverage) /Pg 95 0 R /K [<< /Type/OBJR /Obj 119 0 R >> << /Type/OBJR /Obj 120 0 R >> 71] >> endobj 913 0 obj << /Type/StructElem /S/Span /P 909 0 R /Pg 95 0 R /K 72 >> endobj 914 0 obj << /Type/StructElem /S/Link /P 909 0 R /Alt (www.aetnapharmacy.com/advancedcontrolaetna) /Pg 95 0 R /K [<< /Type/OBJR /Obj 121 0 R >> << /Type/OBJR /Obj 122 0 R >> 73] >> endobj 909 0 obj << /Type/StructElem /S/P /P 907 0 R /K [910 0 R 911 0 R 912 0 R 913 0 R 914 0 R] >> endobj 907 0 obj << /Type/StructElem /S/TH /P 906 0 R /K [908 0 R 909 0 R] /A << /O/Table /Scope/Row /RowSpan 4 >> >> endobj 916 0 obj << /Type/StructElem /S/P /P 915 0 R /Pg 95 0 R /K 74 >> endobj 915 0 obj << /Type/StructElem /S/TD /P 906 0 R /K 916 0 R >> endobj 919 0 obj << /Type/StructElem /S/Link /P 918 0 R /Alt (Copay) /Pg 95 0 R /K [<< /Type/OBJR /Obj 123 0 R >> 75] >> endobj 920 0 obj << /Type/StructElem /S/Span /P 918 0 R /Pg 95 0 R /K 76 >> endobj 921 0 obj << /Type/StructElem /S/Link /P 918 0 R /Alt (deductible) /Pg 95 0 R /K [<< /Type/OBJR /Obj 124 0 R >> 77] >> endobj 918 0 obj << /Type/StructElem /S/P /P 917 0 R /Pg 95 0 R /K [919 0 R 920 0 R 921 0 R 78] >> endobj 917 0 obj << /Type/StructElem /S/TD /P 906 0 R /K 918 0 R >> endobj 924 0 obj << /Type/StructElem /S/Span /P 923 0 R /Pg 95 0 R /K 79 >> endobj 925 0 obj << /Type/StructElem /S/Link /P 923 0 R /Alt (coinsurance) /Pg 95 0 R /K [<< /Type/OBJR /Obj 125 0 R >> 80] >> endobj 926 0 obj << /Type/StructElem /S/Span /P 923 0 R /Pg 95 0 R /K 81 >> endobj 927 0 obj << /Type/StructElem /S/Link /P 923 0 R /Alt (copay) /Pg 95 0 R /K [<< /Type/OBJR /Obj 126 0 R >> 82] >> endobj 928 0 obj << /Type/StructElem /S/Span /P 923 0 R /Pg 95 0 R /K 83 >> endobj 929 0 obj << /Type/StructElem /S/Link /P 923 0 R /Alt (deductible) /Pg 95 0 R /K [<< /Type/OBJR /Obj 127 0 R >> 84] >> endobj 923 0 obj << /Type/StructElem /S/P /P 922 0 R /Pg 95 0 R /K [924 0 R 925 0 R 926 0 R 927 0 R 928 0 R 929 0 R 85] >> endobj 922 0 obj << /Type/StructElem /S/TD /P 906 0 R /K 923 0 R >> endobj 932 0 obj << /Type/StructElem /S/Span /P 931 0 R /Pg 95 0 R /K 86 >> endobj 933 0 obj << /Type/StructElem /S/Link /P 931 0 R /Alt (network) /Pg 95 0 R /K [<< /Type/OBJR /Obj 128 0 R >> 87] >> endobj 934 0 obj << /Type/StructElem /S/Span /P 931 0 R /Pg 95 0 R /K 88 >> endobj 935 0 obj << /Type/StructElem /S/Link /P 931 0 R /Alt (formulary) /Pg 95 0 R /K [<< /Type/OBJR /Obj 129 0 R >> 89] >> endobj 931 0 obj << 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947 0 obj << /Type/StructElem /S/Link /P 945 0 R /Alt (coinsurance) /Pg 95 0 R /K [<< /Type/OBJR /Obj 132 0 R >> 97] >> endobj 948 0 obj << /Type/StructElem /S/Span /P 945 0 R /Pg 95 0 R /K 98 >> endobj 949 0 obj << /Type/StructElem /S/Link /P 945 0 R /Alt (copay) /Pg 95 0 R /K [<< /Type/OBJR /Obj 133 0 R >> 99] >> endobj 950 0 obj << /Type/StructElem /S/Span /P 945 0 R /Pg 95 0 R /K 100 >> endobj 951 0 obj << /Type/StructElem /S/Link /P 945 0 R /Alt (deductible) /Pg 95 0 R /K [<< /Type/OBJR /Obj 134 0 R >> 101] >> endobj 945 0 obj << /Type/StructElem /S/P /P 944 0 R /Pg 95 0 R /K [946 0 R 947 0 R 948 0 R 949 0 R 950 0 R 951 0 R 102] >> endobj 944 0 obj << /Type/StructElem /S/TD /P 936 0 R /K 945 0 R >> endobj 936 0 obj << /Type/StructElem /S/TR /P 808 0 R /K [937 0 R 939 0 R 944 0 R] >> endobj 954 0 obj << /Type/StructElem /S/P /P 953 0 R /Pg 95 0 R /K 103 >> endobj 953 0 obj << /Type/StructElem /S/TD /P 952 0 R /K 954 0 R >> endobj 957 0 obj << /Type/StructElem /S/Link /P 956 0 R /Alt (Copay) /Pg 95 0 R /K [<< /Type/OBJR /Obj 135 0 R >> 104] >> endobj 958 0 obj << /Type/StructElem /S/Span /P 956 0 R /Pg 95 0 R /K 105 >> endobj 959 0 obj << /Type/StructElem /S/Link /P 956 0 R /Alt (deductible) /Pg 95 0 R /K [<< /Type/OBJR /Obj 136 0 R >> 106] >> endobj 960 0 obj << /Type/StructElem /S/Span /P 956 0 R /Pg 95 0 R /K 107 >> endobj 961 0 obj << /Type/StructElem /S/Link /P 956 0 R /Alt (deductible) /Pg 95 0 R /K [<< /Type/OBJR /Obj 137 0 R >> 108] >> endobj 956 0 obj << /Type/StructElem /S/P /P 955 0 R /Pg 95 0 R /K [957 0 R 958 0 R 959 0 R 960 0 R 961 0 R 109] >> endobj 955 0 obj << /Type/StructElem /S/TD /P 952 0 R /K 956 0 R >> endobj 964 0 obj << /Type/StructElem /S/Span /P 963 0 R /Pg 95 0 R /K 110 >> endobj 965 0 obj << /Type/StructElem /S/Link /P 963 0 R /Alt (coinsurance) /Pg 95 0 R /K [<< /Type/OBJR /Obj 138 0 R >> 111] >> endobj 966 0 obj << /Type/StructElem /S/Span /P 963 0 R /Pg 95 0 R /K 112 >> endobj 967 0 obj << /Type/StructElem /S/Link /P 963 0 R /Alt (copay) /Pg 95 0 R /K [<< /Type/OBJR /Obj 139 0 R >> 113] >> endobj 968 0 obj << /Type/StructElem /S/Span /P 963 0 R /Pg 95 0 R /K 114 >> endobj 969 0 obj << /Type/StructElem /S/Link /P 963 0 R /Alt (deductible) /Pg 95 0 R /K [<< /Type/OBJR /Obj 140 0 R >> 115] >> endobj 963 0 obj << /Type/StructElem /S/P /P 962 0 R /Pg 95 0 R /K [964 0 R 965 0 R 966 0 R 967 0 R 968 0 R 969 0 R 116] >> endobj 962 0 obj << /Type/StructElem /S/TD /P 952 0 R /K 963 0 R >> endobj 952 0 obj << /Type/StructElem /S/TR /P 808 0 R /K [953 0 R 955 0 R 962 0 R] >> endobj 973 0 obj << /Type/StructElem /S/Link /P 972 0 R /Alt (Specialty drug) /Pg 95 0 R /K [<< /Type/OBJR /Obj 141 0 R >> 117] >> endobj 974 0 obj << /Type/StructElem /S/Link /P 972 0 R /Alt (s) /Pg 95 0 R /K [<< /Type/OBJR /Obj 142 0 R >> 118] >> endobj 972 0 obj << /Type/StructElem /S/P /P 971 0 R /K [973 0 R 974 0 R] >> endobj 971 0 obj << /Type/StructElem /S/TD /P 970 0 R /K 972 0 R >> endobj 976 0 obj << /Type/StructElem /S/P /P 975 0 R /Pg 95 0 R /K 119 >> endobj 975 0 obj << /Type/StructElem /S/TD /P 970 0 R /K 976 0 R >> endobj 978 0 obj << /Type/StructElem /S/P /P 977 0 R /Pg 95 0 R /K 120 >> endobj 977 0 obj << /Type/StructElem /S/TD /P 970 0 R /K 978 0 R >> endobj 981 0 obj << /Type/StructElem /S/Span /P 980 0 R /Pg 95 0 R /K 121 >> endobj 982 0 obj << /Type/StructElem /S/Link /P 980 0 R /Alt (Network) /Pg 95 0 R /K [<< /Type/OBJR /Obj 143 0 R >> 122] >> endobj 980 0 obj << /Type/StructElem /S/P /P 979 0 R /Pg 95 0 R /K [981 0 R 982 0 R 123] >> endobj 979 0 obj << /Type/StructElem /S/TD /P 970 0 R /K 980 0 R >> endobj 970 0 obj << /Type/StructElem /S/TR /P 808 0 R /K [971 0 R 975 0 R 977 0 R 979 0 R] >> endobj 985 0 obj << /Type/StructElem /S/P /P 984 0 R /Pg 95 0 R /K 124 >> endobj 984 0 obj << /Type/StructElem /S/TH /P 983 0 R /K 985 0 R /A << /O/Table /Scope/Row /RowSpan 2 >> >> endobj 987 0 obj << /Type/StructElem /S/P /P 986 0 R /Pg 95 0 R /K 125 >> endobj 986 0 obj << /Type/StructElem /S/TD /P 983 0 R /K 987 0 R >> endobj 990 0 obj << /Type/StructElem /S/Span /P 989 0 R /Pg 95 0 R /K 126 >> endobj 991 0 obj << /Type/StructElem /S/Link /P 989 0 R /Alt (coinsurance) /Pg 95 0 R /K [<< /Type/OBJR /Obj 144 0 R >> 127] >> endobj 989 0 obj << /Type/StructElem /S/P /P 988 0 R /K [990 0 R 991 0 R] >> endobj 988 0 obj << /Type/StructElem /S/TD /P 983 0 R /K 989 0 R >> endobj 994 0 obj << /Type/StructElem /S/Span /P 993 0 R /Pg 95 0 R /K 128 >> endobj 995 0 obj << /Type/StructElem /S/Link /P 993 0 R /Alt (coinsurance) /Pg 95 0 R /K [<< /Type/OBJR /Obj 145 0 R >> 129] >> endobj 993 0 obj << /Type/StructElem /S/P /P 992 0 R /K [994 0 R 995 0 R] >> endobj 992 0 obj << /Type/StructElem /S/TD /P 983 0 R /K 993 0 R >> endobj 997 0 obj << /Type/StructElem /S/P /P 996 0 R /Pg 95 0 R /K 130 >> endobj 996 0 obj << /Type/StructElem /S/TD /P 983 0 R /K 997 0 R >> endobj 983 0 obj << /Type/StructElem /S/TR /P 808 0 R /K [984 0 R 986 0 R 988 0 R 992 0 R 996 0 R] >> endobj 1000 0 obj << /Type/StructElem /S/P /P 999 0 R /Pg 95 0 R /K 131 >> endobj 999 0 obj << /Type/StructElem /S/TD /P 998 0 R /K 1000 0 R >> endobj 1003 0 obj << /Type/StructElem /S/Span /P 1002 0 R /Pg 95 0 R /K 132 >> endobj 1004 0 obj << /Type/StructElem /S/Link /P 1002 0 R /Alt (coinsurance) /Pg 95 0 R /K [<< /Type/OBJR /Obj 146 0 R >> 133] >> endobj 1002 0 obj << /Type/StructElem /S/P /P 1001 0 R /K [1003 0 R 1004 0 R] >> endobj 1001 0 obj << /Type/StructElem /S/TD /P 998 0 R /K 1002 0 R >> endobj 1007 0 obj << /Type/StructElem /S/Span /P 1006 0 R /Pg 95 0 R /K 134 >> endobj 1008 0 obj << /Type/StructElem /S/Link /P 1006 0 R /Alt (coinsurance) /Pg 95 0 R /K [<< /Type/OBJR /Obj 147 0 R >> 135] >> endobj 1006 0 obj << /Type/StructElem /S/P /P 1005 0 R /K [1007 0 R 1008 0 R] >> endobj 1005 0 obj << /Type/StructElem /S/TD /P 998 0 R /K 1006 0 R >> endobj 1010 0 obj << /Type/StructElem /S/P /P 1009 0 R /Pg 95 0 R /K 136 >> endobj 1009 0 obj << /Type/StructElem /S/TD /P 998 0 R /K 1010 0 R >> endobj 998 0 obj << /Type/StructElem /S/TR /P 808 0 R /K [999 0 R 1001 0 R 1005 0 R 1009 0 R] >> endobj 808 0 obj << /Type/StructElem /S/Table /P 807 0 R /K [809 0 R 819 0 R 824 0 R 847 0 R 863 0 R 881 0 R 895 0 R 906 0 R 936 0 R 952 0 R 970 0 R 983 0 R 998 0 R] /A << /O/Layout /BBox [17.8598225196 60.3440193406 773.6598425196 566.1249327265] >> >> endobj 807 0 obj << /Type/StructElem /S/FlowArea /P 562 0 R /K 808 0 R >> endobj 1015 0 obj << /Type/StructElem /S/P /P 1014 0 R /Pg 150 0 R /K 0 >> endobj 1016 0 obj << /Type/StructElem /S/P /P 1014 0 R /Pg 150 0 R /K 1 >> endobj 1014 0 obj << /Type/StructElem /S/TH /P 1013 0 R /K [1015 0 R 1016 0 R] /A << /O/Table /Scope/Column /RowSpan 2 >> >> endobj 1018 0 obj << /Type/StructElem /S/P /P 1017 0 R /Pg 150 0 R /K 2 >> endobj 1017 0 obj << /Type/StructElem /S/TH /P 1013 0 R /K 1018 0 R /A << /O/Table /Scope/Column /RowSpan 2 >> >> endobj 1020 0 obj << /Type/StructElem /S/P /P 1019 0 R /Pg 150 0 R /K 3 >> endobj 1019 0 obj << /Type/StructElem /S/TH /P 1013 0 R /K 1020 0 R /A << /O/Table /Scope/Column /ColSpan 2 >> >> endobj 1022 0 obj << /Type/StructElem /S/P /P 1021 0 R /Pg 150 0 R /K 4 >> endobj 1021 0 obj << /Type/StructElem /S/TH /P 1013 0 R /K 1022 0 R /A << /O/Table /Scope/Column /RowSpan 2 >> >> endobj 1013 0 obj << /Type/StructElem /S/TR /P 1012 0 R /K [1014 0 R 1017 0 R 1019 0 R 1021 0 R] >> endobj 1025 0 obj << /Type/StructElem /S/P /P 1024 0 R /Pg 150 0 R /K 5 >> endobj 1024 0 obj << /Type/StructElem /S/TH /P 1023 0 R /K 1025 0 R /A << /O/Table /Scope/Column >> >> endobj 1027 0 obj << /Type/StructElem /S/P /P 1026 0 R /Pg 150 0 R /K 6 >> endobj 1026 0 obj << /Type/StructElem /S/TH /P 1023 0 R /K 1027 0 R /A << /O/Table /Scope/Column >> >> endobj 1023 0 obj << /Type/StructElem /S/TR /P 1012 0 R /K [1024 0 R 1026 0 R] >> endobj 1030 0 obj << /Type/StructElem /S/P /P 1029 0 R /Pg 150 0 R /K 7 >> endobj 1029 0 obj << /Type/StructElem /S/TH /P 1028 0 R /K 1030 0 R /A << /O/Table /Scope/Row /RowSpan 3 >> >> endobj 1033 0 obj << /Type/StructElem /S/Link /P 1032 0 R /Alt (Emergency room care) /Pg 150 0 R /K [<< /Type/OBJR /Obj 151 0 R >> 8] >> endobj 1032 0 obj << /Type/StructElem /S/P /P 1031 0 R /K 1033 0 R >> endobj 1031 0 obj << /Type/StructElem /S/TD /P 1028 0 R /K 1032 0 R >> endobj 1036 0 obj << /Type/StructElem /S/Span /P 1035 0 R /Pg 150 0 R /K 9 >> endobj 1037 0 obj << /Type/StructElem /S/Link /P 1035 0 R /Alt (copay) /Pg 150 0 R /K [<< /Type/OBJR /Obj 152 0 R >> 10] >> endobj 1038 0 obj << /Type/StructElem /S/Span /P 1035 0 R /Pg 150 0 R /K 11 >> endobj 1039 0 obj << /Type/StructElem /S/Link /P 1035 0 R /Alt (deductible) /Pg 150 0 R /K [<< /Type/OBJR /Obj 153 0 R >> 12] >> endobj 1035 0 obj << /Type/StructElem /S/P /P 1034 0 R /Pg 150 0 R /K [1036 0 R 1037 0 R 1038 0 R 1039 0 R 13] >> endobj 1034 0 obj << /Type/StructElem /S/TD /P 1028 0 R /K 1035 0 R >> endobj 1042 0 obj << /Type/StructElem /S/Span /P 1041 0 R /Pg 150 0 R /K 14 >> endobj 1043 0 obj << /Type/StructElem /S/Link /P 1041 0 R /Alt (copay) /Pg 150 0 R /K [<< /Type/OBJR /Obj 154 0 R >> 15] >> endobj 1044 0 obj << /Type/StructElem /S/Span /P 1041 0 R /Pg 150 0 R /K 16 >> endobj 1045 0 obj << /Type/StructElem /S/Link /P 1041 0 R /Alt (deductible) /Pg 150 0 R /K [<< /Type/OBJR /Obj 155 0 R >> 17] >> endobj 1041 0 obj << /Type/StructElem /S/P /P 1040 0 R /Pg 150 0 R /K [1042 0 R 1043 0 R 1044 0 R 1045 0 R 18] >> endobj 1040 0 obj << /Type/StructElem /S/TD /P 1028 0 R /K 1041 0 R >> endobj 1048 0 obj << /Type/StructElem /S/Span /P 1047 0 R /Pg 150 0 R /K 19 >> endobj 1049 0 obj << /Type/StructElem /S/Link /P 1047 0 R /Alt (network) /Pg 150 0 R /K [<< /Type/OBJR /Obj 156 0 R >> 20] >> endobj 1047 0 obj << /Type/StructElem /S/P /P 1046 0 R /Pg 150 0 R /K [1048 0 R 1049 0 R 21] >> endobj 1046 0 obj << /Type/StructElem /S/TD /P 1028 0 R /K 1047 0 R >> endobj 1028 0 obj << /Type/StructElem /S/TR /P 1012 0 R /K [1029 0 R 1031 0 R 1034 0 R 1040 0 R 1046 0 R] >> endobj 1053 0 obj << /Type/StructElem /S/Link /P 1052 0 R /Alt (Emergency medical transportation) /Pg 150 0 R /K [<< /Type/OBJR /Obj 157 0 R >> 22] >> endobj 1052 0 obj << /Type/StructElem /S/P /P 1051 0 R /K 1053 0 R >> endobj 1051 0 obj << /Type/StructElem /S/TD /P 1050 0 R /K 1052 0 R >> endobj 1055 0 obj << /Type/StructElem /S/P /P 1054 0 R /Pg 150 0 R /K 23 >> endobj 1054 0 obj << /Type/StructElem /S/TD /P 1050 0 R /K 1055 0 R >> endobj 1057 0 obj << /Type/StructElem /S/P /P 1056 0 R /Pg 150 0 R /K 24 >> endobj 1056 0 obj << /Type/StructElem /S/TD /P 1050 0 R /K 1057 0 R >> endobj 1060 0 obj << /Type/StructElem /S/Span /P 1059 0 R /Pg 150 0 R /K 25 >> endobj 1061 0 obj << /Type/StructElem /S/Link /P 1059 0 R /Alt (network) /Pg 150 0 R /K [<< /Type/OBJR /Obj 158 0 R >> 26] >> endobj 1059 0 obj << /Type/StructElem /S/P /P 1058 0 R /Pg 150 0 R /K [1060 0 R 1061 0 R 27] >> endobj 1058 0 obj << /Type/StructElem /S/TD /P 1050 0 R /K 1059 0 R >> endobj 1050 0 obj << /Type/StructElem /S/TR /P 1012 0 R /K [1051 0 R 1054 0 R 1056 0 R 1058 0 R] >> endobj 1065 0 obj << /Type/StructElem /S/Link /P 1064 0 R /Alt (Urgent care) /Pg 150 0 R /K [<< /Type/OBJR /Obj 159 0 R >> 28] >> endobj 1064 0 obj << /Type/StructElem /S/P /P 1063 0 R /K 1065 0 R >> endobj 1063 0 obj << /Type/StructElem /S/TD /P 1062 0 R /K 1064 0 R >> endobj 1068 0 obj << /Type/StructElem /S/Span /P 1067 0 R /Pg 150 0 R /K 29 >> endobj 1069 0 obj << /Type/StructElem /S/Link /P 1067 0 R /Alt (copay) /Pg 150 0 R /K [<< /Type/OBJR /Obj 160 0 R >> 30] >> endobj 1070 0 obj << /Type/StructElem /S/Span /P 1067 0 R /Pg 150 0 R /K 31 >> endobj 1071 0 obj << /Type/StructElem /S/Link /P 1067 0 R /Alt (deductible) /Pg 150 0 R /K [<< /Type/OBJR /Obj 161 0 R >> 32] >> endobj 1067 0 obj << /Type/StructElem /S/P /P 1066 0 R /Pg 150 0 R /K [1068 0 R 1069 0 R 1070 0 R 1071 0 R 33] >> endobj 1066 0 obj << /Type/StructElem /S/TD /P 1062 0 R /K 1067 0 R >> endobj 1074 0 obj << /Type/StructElem /S/Span /P 1073 0 R /Pg 150 0 R /K 34 >> endobj 1075 0 obj << /Type/StructElem /S/Link /P 1073 0 R /Alt (copay) /Pg 150 0 R /K [<< /Type/OBJR /Obj 162 0 R >> 35] >> endobj 1076 0 obj << /Type/StructElem /S/Span /P 1073 0 R /Pg 150 0 R /K 36 >> endobj 1077 0 obj << /Type/StructElem /S/Link /P 1073 0 R /Alt (deductible) /Pg 150 0 R /K [<< /Type/OBJR /Obj 163 0 R >> 37] >> endobj 1073 0 obj << /Type/StructElem /S/P /P 1072 0 R /Pg 150 0 R /K [1074 0 R 1075 0 R 1076 0 R 1077 0 R 38] >> endobj 1072 0 obj << /Type/StructElem /S/TD /P 1062 0 R /K 1073 0 R >> endobj 1079 0 obj << /Type/StructElem /S/P /P 1078 0 R /Pg 150 0 R /K 39 >> endobj 1078 0 obj << /Type/StructElem /S/TD /P 1062 0 R /K 1079 0 R >> endobj 1062 0 obj << /Type/StructElem /S/TR /P 1012 0 R /K [1063 0 R 1066 0 R 1072 0 R 1078 0 R] >> endobj 1082 0 obj << /Type/StructElem /S/P /P 1081 0 R /Pg 150 0 R /K 40 >> endobj 1081 0 obj << /Type/StructElem /S/TH /P 1080 0 R /K 1082 0 R /A << /O/Table /Scope/Row /RowSpan 2 >> >> endobj 1084 0 obj << /Type/StructElem /S/P /P 1083 0 R /Pg 150 0 R /K 41 >> endobj 1083 0 obj << /Type/StructElem /S/TD /P 1080 0 R /K 1084 0 R >> endobj 1087 0 obj << /Type/StructElem /S/Span /P 1086 0 R /Pg 150 0 R /K 42 >> endobj 1088 0 obj << /Type/StructElem /S/Link /P 1086 0 R /Alt (coinsurance) /Pg 150 0 R /K [<< /Type/OBJR /Obj 164 0 R >> 43] >> endobj 1086 0 obj << /Type/StructElem /S/P /P 1085 0 R /K [1087 0 R 1088 0 R] >> endobj 1085 0 obj << /Type/StructElem /S/TD /P 1080 0 R /K 1086 0 R >> endobj 1091 0 obj << /Type/StructElem /S/Span /P 1090 0 R /Pg 150 0 R /K 44 >> endobj 1092 0 obj << /Type/StructElem /S/Link /P 1090 0 R /Alt (coinsurance) /Pg 150 0 R /K [<< /Type/OBJR /Obj 165 0 R >> 45] >> endobj 1090 0 obj << /Type/StructElem /S/P /P 1089 0 R /K [1091 0 R 1092 0 R] >> endobj 1089 0 obj << /Type/StructElem /S/TD /P 1080 0 R /K 1090 0 R >> endobj 1095 0 obj << /Type/StructElem /S/Span /P 1094 0 R /Pg 150 0 R /K 46 >> endobj 1096 0 obj << /Type/StructElem /S/Link /P 1094 0 R /Alt (allowed amount) /Pg 150 0 R /K [<< /Type/OBJR /Obj 166 0 R >> 47] >> endobj 1097 0 obj << /Type/StructElem /S/Span /P 1094 0 R /Pg 150 0 R /K 48 >> endobj 1098 0 obj << /Type/StructElem /S/Link /P 1094 0 R /Alt (pre-authorization) /Pg 150 0 R /K [<< /Type/OBJR /Obj 167 0 R >> 49] >> endobj 1094 0 obj << /Type/StructElem /S/P /P 1093 0 R /Pg 150 0 R /K [1095 0 R 1096 0 R 1097 0 R 1098 0 R 50] >> endobj 1093 0 obj << /Type/StructElem /S/TD /P 1080 0 R /K 1094 0 R >> endobj 1080 0 obj << /Type/StructElem /S/TR /P 1012 0 R /K [1081 0 R 1083 0 R 1085 0 R 1089 0 R 1093 0 R] >> endobj 1101 0 obj << /Type/StructElem /S/P /P 1100 0 R /Pg 150 0 R /K 51 >> endobj 1100 0 obj << /Type/StructElem /S/TD /P 1099 0 R /K 1101 0 R >> endobj 1104 0 obj << /Type/StructElem /S/Span /P 1103 0 R /Pg 150 0 R /K 52 >> endobj 1105 0 obj << /Type/StructElem /S/Link /P 1103 0 R /Alt (coinsurance) /Pg 150 0 R /K [<< /Type/OBJR /Obj 168 0 R >> 53] >> endobj 1103 0 obj << /Type/StructElem /S/P /P 1102 0 R /K [1104 0 R 1105 0 R] >> endobj 1102 0 obj << /Type/StructElem /S/TD /P 1099 0 R /K 1103 0 R >> endobj 1108 0 obj << /Type/StructElem /S/Span /P 1107 0 R /Pg 150 0 R /K 54 >> endobj 1109 0 obj << /Type/StructElem /S/Link /P 1107 0 R /Alt (coinsurance) /Pg 150 0 R /K [<< /Type/OBJR /Obj 169 0 R >> 55] >> endobj 1107 0 obj << /Type/StructElem /S/P /P 1106 0 R /K [1108 0 R 1109 0 R] >> endobj 1106 0 obj << /Type/StructElem /S/TD /P 1099 0 R /K 1107 0 R >> endobj 1111 0 obj << /Type/StructElem /S/P /P 1110 0 R /Pg 150 0 R /K 56 >> endobj 1110 0 obj << /Type/StructElem /S/TD /P 1099 0 R /K 1111 0 R >> endobj 1099 0 obj << /Type/StructElem /S/TR /P 1012 0 R /K [1100 0 R 1102 0 R 1106 0 R 1110 0 R] >> endobj 1114 0 obj << /Type/StructElem /S/P /P 1113 0 R /Pg 150 0 R /K 57 >> endobj 1113 0 obj << /Type/StructElem /S/TH /P 1112 0 R /K 1114 0 R /A << /O/Table /Scope/Row /RowSpan 2 >> >> endobj 1116 0 obj << /Type/StructElem /S/P /P 1115 0 R /Pg 150 0 R /K 58 >> endobj 1118 0 obj << /Type/StructElem /S/Span /P 1117 0 R /Pg 150 0 R /K 59 >> endobj 1119 0 obj << /Type/StructElem /S/Link /P 1117 0 R /Alt (copay) /Pg 150 0 R /K [<< /Type/OBJR /Obj 170 0 R >> 60] >> endobj 1120 0 obj << /Type/StructElem /S/Span /P 1117 0 R /Pg 150 0 R /K 61 >> endobj 1121 0 obj << /Type/StructElem /S/Link /P 1117 0 R /Alt (deductible) /Pg 150 0 R /K [<< /Type/OBJR /Obj 171 0 R >> 62] >> endobj 1117 0 obj << /Type/StructElem /S/P /P 1115 0 R /Pg 150 0 R /K [1118 0 R 1119 0 R 1120 0 R 1121 0 R 63] >> endobj 1123 0 obj << /Type/StructElem /S/Span /P 1122 0 R /Pg 150 0 R /K 64 >> endobj 1124 0 obj << /Type/StructElem /S/Link /P 1122 0 R /Alt (coinsurance) /Pg 150 0 R /K [<< /Type/OBJR /Obj 172 0 R >> 65] >> endobj 1122 0 obj << /Type/StructElem /S/P /P 1115 0 R /K [1123 0 R 1124 0 R] >> endobj 1125 0 obj << /Type/StructElem /S/P /P 1115 0 R /Pg 150 0 R /K 66 >> endobj 1126 0 obj << /Type/StructElem /S/P /P 1115 0 R /Pg 150 0 R /K 67 >> endobj 1128 0 obj << /Type/StructElem /S/Span /P 1127 0 R /Pg 150 0 R /K 68 >> endobj 1129 0 obj << /Type/StructElem /S/Link /P 1127 0 R /Alt (coinsurance) /Pg 150 0 R /K [<< /Type/OBJR /Obj 173 0 R >> 69] >> endobj 1127 0 obj << /Type/StructElem /S/P /P 1115 0 R /K [1128 0 R 1129 0 R] >> endobj 1131 0 obj << /Type/StructElem /S/Span /P 1130 0 R /Pg 150 0 R /K 70 >> endobj 1132 0 obj << /Type/StructElem /S/Link /P 1130 0 R /Alt (coinsurance) /Pg 150 0 R /K [<< /Type/OBJR /Obj 174 0 R >> 71] >> endobj 1130 0 obj << /Type/StructElem /S/P /P 1115 0 R /K [1131 0 R 1132 0 R] >> endobj 1134 0 obj << /Type/StructElem /S/Span /P 1133 0 R /Pg 150 0 R /K 72 >> endobj 1135 0 obj << /Type/StructElem /S/Link /P 1133 0 R /Alt (allowed amount) /Pg 150 0 R /K [<< /Type/OBJR /Obj 175 0 R >> 73] >> endobj 1136 0 obj << /Type/StructElem /S/Span /P 1133 0 R /Pg 150 0 R /K 74 >> endobj 1137 0 obj << /Type/StructElem /S/Link /P 1133 0 R /Alt (pre-authorization) /Pg 150 0 R /K [<< /Type/OBJR /Obj 176 0 R >> 75] >> endobj 1133 0 obj << /Type/StructElem /S/P /P 1115 0 R /Pg 150 0 R /K [1134 0 R 1135 0 R 1136 0 R 1137 0 R 76] >> endobj 1115 0 obj << /Type/StructElem /S/TD /P 1112 0 R /K [1116 0 R 1117 0 R 1122 0 R 1125 0 R 1126 0 R 1127 0 R 1130 0 R 1133 0 R] /A << /O/Table /ColSpan 4 /RowSpan 2 >> >> endobj 1112 0 obj << /Type/StructElem /S/TR /P 1012 0 R /K [1113 0 R 1115 0 R] >> endobj 1138 0 obj << /Type/StructElem /S/TR /P 1012 0 R >> endobj 1141 0 obj << /Type/StructElem /S/P /P 1140 0 R /Pg 150 0 R /K 77 >> endobj 1140 0 obj << /Type/StructElem /S/TH /P 1139 0 R /K 1141 0 R /A << /O/Table /Scope/Row /RowSpan 3 >> >> endobj 1143 0 obj << /Type/StructElem /S/P /P 1142 0 R /Pg 150 0 R /K 78 >> endobj 1144 0 obj << /Type/StructElem /S/P /P 1142 0 R /Pg 150 0 R /K 79 >> endobj 1146 0 obj << /Type/StructElem /S/Span /P 1145 0 R /Pg 150 0 R /K 80 >> endobj 1147 0 obj << /Type/StructElem /S/Link /P 1145 0 R /Alt (coinsurance) /Pg 150 0 R /K [<< /Type/OBJR /Obj 177 0 R >> 81] >> endobj 1145 0 obj << /Type/StructElem /S/P /P 1142 0 R /K [1146 0 R 1147 0 R] >> endobj 1149 0 obj << /Type/StructElem /S/Link /P 1148 0 R /Alt (Cost sharing) /Pg 150 0 R /K [<< /Type/OBJR /Obj 178 0 R >> 82] >> endobj 1150 0 obj << /Type/StructElem /S/Span /P 1148 0 R /Pg 150 0 R /K 83 >> endobj 1151 0 obj << /Type/StructElem /S/Link /P 1148 0 R /Alt (preventive services) /Pg 150 0 R /K [<< /Type/OBJR /Obj 179 0 R >> << /Type/OBJR /Obj 180 0 R >> 84] >> endobj 1152 0 obj << /Type/StructElem /S/Span /P 1148 0 R /Pg 150 0 R /K 85 >> endobj 1153 0 obj << /Type/StructElem /S/Link /P 1148 0 R /Alt (allowed amount) /Pg 150 0 R /K [<< /Type/OBJR /Obj 181 0 R >> 86] >> endobj 1154 0 obj << /Type/StructElem /S/Span /P 1148 0 R /Pg 150 0 R /K 87 >> endobj 1155 0 obj << /Type/StructElem /S/Link /P 1148 0 R /Alt (pre-authorization) /Pg 150 0 R /K [<< /Type/OBJR /Obj 182 0 R >> 88] >> endobj 1148 0 obj << /Type/StructElem /S/P /P 1142 0 R /Pg 150 0 R /K [1149 0 R 1150 0 R 1151 0 R 1152 0 R 1153 0 R 1154 0 R 1155 0 R 89] >> endobj 1156 0 obj << /Type/StructElem /S/P /P 1142 0 R /Pg 150 0 R /K 90 >> endobj 1158 0 obj << /Type/StructElem /S/Span /P 1157 0 R /Pg 150 0 R /K 91 >> endobj 1159 0 obj << /Type/StructElem /S/Link /P 1157 0 R /Alt (coinsurance) /Pg 150 0 R /K [<< /Type/OBJR /Obj 183 0 R >> 92] >> endobj 1157 0 obj << /Type/StructElem /S/P /P 1142 0 R /K [1158 0 R 1159 0 R] >> endobj 1161 0 obj << /Type/StructElem /S/Span /P 1160 0 R /Pg 150 0 R /K 93 >> endobj 1162 0 obj << /Type/StructElem /S/Link /P 1160 0 R /Alt (coinsurance) /Pg 150 0 R /K [<< /Type/OBJR /Obj 184 0 R >> 94] >> endobj 1160 0 obj << /Type/StructElem /S/P /P 1142 0 R /K [1161 0 R 1162 0 R] >> endobj 1163 0 obj << /Type/StructElem /S/P /P 1142 0 R /Pg 150 0 R /K 95 >> endobj 1165 0 obj << /Type/StructElem /S/Span /P 1164 0 R /Pg 150 0 R /K 96 >> endobj 1166 0 obj << /Type/StructElem /S/Link /P 1164 0 R /Alt (coinsurance) /Pg 150 0 R /K [<< /Type/OBJR /Obj 185 0 R >> 97] >> endobj 1164 0 obj << /Type/StructElem /S/P /P 1142 0 R /K [1165 0 R 1166 0 R] >> endobj 1168 0 obj << /Type/StructElem /S/Span /P 1167 0 R /Pg 150 0 R /K 98 >> endobj 1169 0 obj << /Type/StructElem /S/Link /P 1167 0 R /Alt (coinsurance) /Pg 150 0 R /K [<< /Type/OBJR /Obj 186 0 R >> 99] >> endobj 1167 0 obj << /Type/StructElem /S/P /P 1142 0 R /K [1168 0 R 1169 0 R] >> endobj 1142 0 obj << /Type/StructElem /S/TD /P 1139 0 R /K [1143 0 R 1144 0 R 1145 0 R 1148 0 R 1156 0 R 1157 0 R 1160 0 R 1163 0 R 1164 0 R 1167 0 R] /A << /O/Table /ColSpan 4 /RowSpan 3 >> >> endobj 1139 0 obj << /Type/StructElem /S/TR /P 1012 0 R /K [1140 0 R 1142 0 R] >> endobj 1170 0 obj << /Type/StructElem /S/TR /P 1012 0 R >> endobj 1171 0 obj << /Type/StructElem /S/TR /P 1012 0 R >> endobj 1012 0 obj << /Type/StructElem /S/Table /P 1011 0 R /K [1013 0 R 1023 0 R 1028 0 R 1050 0 R 1062 0 R 1080 0 R 1099 0 R 1112 0 R 1138 0 R 1139 0 R 1170 0 R 1171 0 R] /A << /O/Layout /BBox [18.19998 116.3131653543 773.9999999999 594.75] >> >> endobj 1011 0 obj << /Type/StructElem /S/FlowArea /P 562 0 R /K 1012 0 R >> endobj 1176 0 obj << /Type/StructElem /S/P /P 1175 0 R /Pg 188 0 R /K 0 >> endobj 1177 0 obj << /Type/StructElem /S/P /P 1175 0 R /Pg 188 0 R /K 1 >> endobj 1175 0 obj << /Type/StructElem /S/TH /P 1174 0 R /K [1176 0 R 1177 0 R] /A << /O/Table /Scope/Column /RowSpan 2 >> >> endobj 1179 0 obj << /Type/StructElem /S/P /P 1178 0 R /Pg 188 0 R /K 2 >> endobj 1178 0 obj << /Type/StructElem /S/TH /P 1174 0 R /K 1179 0 R /A << /O/Table /Scope/Column /RowSpan 2 >> >> endobj 1181 0 obj << /Type/StructElem /S/P /P 1180 0 R /Pg 188 0 R /K 3 >> endobj 1180 0 obj << /Type/StructElem /S/TH /P 1174 0 R /K 1181 0 R /A << /O/Table /Scope/Column /ColSpan 2 >> >> endobj 1183 0 obj << /Type/StructElem /S/P /P 1182 0 R /Pg 188 0 R /K 4 >> endobj 1182 0 obj << /Type/StructElem /S/TH /P 1174 0 R /K 1183 0 R /A << /O/Table /Scope/Column /RowSpan 2 >> >> endobj 1174 0 obj << /Type/StructElem /S/TR /P 1173 0 R /K [1175 0 R 1178 0 R 1180 0 R 1182 0 R] >> endobj 1186 0 obj << /Type/StructElem /S/P /P 1185 0 R /Pg 188 0 R /K 5 >> endobj 1185 0 obj << /Type/StructElem /S/TH /P 1184 0 R /K 1186 0 R /A << /O/Table /Scope/Column >> >> endobj 1188 0 obj << /Type/StructElem /S/P /P 1187 0 R /Pg 188 0 R /K 6 >> endobj 1187 0 obj << /Type/StructElem /S/TH /P 1184 0 R /K 1188 0 R /A << /O/Table /Scope/Column >> >> endobj 1184 0 obj << /Type/StructElem /S/TR /P 1173 0 R /K [1185 0 R 1187 0 R] >> endobj 1191 0 obj << /Type/StructElem /S/P /P 1190 0 R /Pg 188 0 R /K 7 >> endobj 1190 0 obj << /Type/StructElem /S/TH /P 1189 0 R /K 1191 0 R /A << /O/Table /Scope/Row /RowSpan 6 >> >> endobj 1194 0 obj << /Type/StructElem /S/Link /P 1193 0 R /Alt (Home health care) /Pg 188 0 R /K [<< /Type/OBJR /Obj 189 0 R >> 8] >> endobj 1193 0 obj << /Type/StructElem /S/P /P 1192 0 R /K 1194 0 R >> endobj 1192 0 obj << /Type/StructElem /S/TD /P 1189 0 R /K 1193 0 R >> endobj 1197 0 obj << /Type/StructElem /S/Span /P 1196 0 R /Pg 188 0 R /K 9 >> endobj 1198 0 obj << /Type/StructElem /S/Link /P 1196 0 R /Alt (coinsurance) /Pg 188 0 R /K [<< /Type/OBJR /Obj 190 0 R >> 10] >> endobj 1199 0 obj << /Type/StructElem /S/Span /P 1196 0 R /Pg 188 0 R /K 11 >> endobj 1200 0 obj << /Type/StructElem /S/Link /P 1196 0 R /Alt (deductible) /Pg 188 0 R /K [<< /Type/OBJR /Obj 191 0 R >> 12] >> endobj 1196 0 obj << /Type/StructElem /S/P /P 1195 0 R /Pg 188 0 R /K [1197 0 R 1198 0 R 1199 0 R 1200 0 R 13] >> endobj 1195 0 obj << /Type/StructElem /S/TD /P 1189 0 R /K 1196 0 R >> endobj 1203 0 obj << /Type/StructElem /S/Span /P 1202 0 R /Pg 188 0 R /K 14 >> endobj 1204 0 obj << /Type/StructElem /S/Link /P 1202 0 R /Alt (coinsurance) /Pg 188 0 R /K [<< /Type/OBJR /Obj 192 0 R >> 15] >> endobj 1205 0 obj << /Type/StructElem /S/Span /P 1202 0 R /Pg 188 0 R /K 16 >> endobj 1206 0 obj << /Type/StructElem /S/Link /P 1202 0 R /Alt (deductible) /Pg 188 0 R /K [<< /Type/OBJR /Obj 193 0 R >> 17] >> endobj 1202 0 obj << /Type/StructElem /S/P /P 1201 0 R /Pg 188 0 R /K [1203 0 R 1204 0 R 1205 0 R 1206 0 R 18] >> endobj 1201 0 obj << /Type/StructElem /S/TD /P 1189 0 R /K 1202 0 R >> endobj 1209 0 obj << /Type/StructElem /S/Span /P 1208 0 R /Pg 188 0 R /K 19 >> endobj 1210 0 obj << /Type/StructElem /S/Link /P 1208 0 R /Alt (allowed amount) /Pg 188 0 R /K [<< /Type/OBJR /Obj 194 0 R >> 20] >> endobj 1211 0 obj << /Type/StructElem /S/Span /P 1208 0 R /Pg 188 0 R /K 21 >> endobj 1212 0 obj << /Type/StructElem /S/Link /P 1208 0 R /Alt (pre-authorization) /Pg 188 0 R /K [<< /Type/OBJR /Obj 195 0 R >> 22] >> endobj 1208 0 obj << /Type/StructElem /S/P /P 1207 0 R /Pg 188 0 R /K [1209 0 R 1210 0 R 1211 0 R 1212 0 R 23] >> endobj 1207 0 obj << /Type/StructElem /S/TD /P 1189 0 R /K 1208 0 R >> endobj 1189 0 obj << /Type/StructElem /S/TR /P 1173 0 R /K [1190 0 R 1192 0 R 1195 0 R 1201 0 R 1207 0 R] >> endobj 1216 0 obj << /Type/StructElem /S/Link /P 1215 0 R /Alt (Rehabilitation services) /Pg 188 0 R /K [<< /Type/OBJR /Obj 196 0 R >> 24] >> endobj 1215 0 obj << /Type/StructElem /S/P /P 1214 0 R /K 1216 0 R >> endobj 1218 0 obj << /Type/StructElem /S/Span /P 1217 0 R /Pg 188 0 R /K 25 >> endobj 1219 0 obj << /Type/StructElem /S/Link /P 1217 0 R /Alt (copay) /Pg 188 0 R /K [<< /Type/OBJR /Obj 197 0 R >> 26] >> endobj 1220 0 obj << /Type/StructElem /S/Span /P 1217 0 R /Pg 188 0 R /K 27 >> endobj 1221 0 obj << /Type/StructElem /S/Link /P 1217 0 R /Alt (deductible) /Pg 188 0 R /K [<< /Type/OBJR /Obj 198 0 R >> 28] >> endobj 1217 0 obj << /Type/StructElem /S/P /P 1214 0 R /Pg 188 0 R /K [1218 0 R 1219 0 R 1220 0 R 1221 0 R 29] >> endobj 1223 0 obj << /Type/StructElem /S/Span /P 1222 0 R /Pg 188 0 R /K 30 >> endobj 1224 0 obj << /Type/StructElem /S/Link /P 1222 0 R /Alt (coinsurance) /Pg 188 0 R /K [<< /Type/OBJR /Obj 199 0 R >> 31] >> endobj 1222 0 obj << /Type/StructElem /S/P /P 1214 0 R /K [1223 0 R 1224 0 R] >> endobj 1225 0 obj << /Type/StructElem /S/P /P 1214 0 R /Pg 188 0 R /K 32 >> endobj 1227 0 obj << /Type/StructElem /S/Link /P 1226 0 R /Alt (Habilitation services) /Pg 188 0 R /K [<< /Type/OBJR /Obj 200 0 R >> 33] >> endobj 1226 0 obj << /Type/StructElem /S/P /P 1214 0 R /K 1227 0 R >> endobj 1228 0 obj << /Type/StructElem /S/P /P 1214 0 R /Pg 188 0 R /K 34 >> endobj 1230 0 obj << /Type/StructElem /S/Span /P 1229 0 R /Pg 188 0 R /K 35 >> endobj 1231 0 obj << /Type/StructElem /S/Link /P 1229 0 R /Alt (coinsurance) /Pg 188 0 R /K [<< /Type/OBJR /Obj 201 0 R >> 36] >> endobj 1229 0 obj << /Type/StructElem /S/P /P 1214 0 R /K [1230 0 R 1231 0 R] >> endobj 1232 0 obj << /Type/StructElem /S/P /P 1214 0 R /Pg 188 0 R /K 37 >> endobj 1214 0 obj << /Type/StructElem /S/TD /P 1213 0 R /K [1215 0 R 1217 0 R 1222 0 R 1225 0 R 1226 0 R 1228 0 R 1229 0 R 1232 0 R] /A << /O/Table /ColSpan 4 /RowSpan 2 >> >> endobj 1213 0 obj << /Type/StructElem /S/TR /P 1173 0 R /K 1214 0 R >> endobj 1233 0 obj << /Type/StructElem /S/TR /P 1173 0 R >> endobj 1237 0 obj << /Type/StructElem /S/Link /P 1236 0 R /Alt (Skilled nursing care) /Pg 188 0 R /K [<< /Type/OBJR /Obj 202 0 R >> 38] >> endobj 1236 0 obj << /Type/StructElem /S/P /P 1235 0 R /K 1237 0 R >> endobj 1235 0 obj << /Type/StructElem /S/TD /P 1234 0 R /K 1236 0 R >> endobj 1240 0 obj << /Type/StructElem /S/Span /P 1239 0 R /Pg 188 0 R /K 39 >> endobj 1241 0 obj << /Type/StructElem /S/Link /P 1239 0 R /Alt (coinsurance) /Pg 188 0 R /K [<< /Type/OBJR /Obj 203 0 R >> 40] >> endobj 1239 0 obj << /Type/StructElem /S/P /P 1238 0 R /K [1240 0 R 1241 0 R] >> endobj 1238 0 obj << /Type/StructElem /S/TD /P 1234 0 R /K 1239 0 R >> endobj 1244 0 obj << /Type/StructElem /S/Span /P 1243 0 R /Pg 188 0 R /K 41 >> endobj 1245 0 obj << /Type/StructElem /S/Link /P 1243 0 R /Alt (coinsurance) /Pg 188 0 R /K [<< /Type/OBJR /Obj 204 0 R >> 42] >> endobj 1243 0 obj << /Type/StructElem /S/P /P 1242 0 R /K [1244 0 R 1245 0 R] >> endobj 1242 0 obj << /Type/StructElem /S/TD /P 1234 0 R /K 1243 0 R >> endobj 1248 0 obj << /Type/StructElem /S/Span /P 1247 0 R /Pg 188 0 R /K 43 >> endobj 1249 0 obj << /Type/StructElem /S/Link /P 1247 0 R /Alt (allowed amount) /Pg 188 0 R /K [<< /Type/OBJR /Obj 205 0 R >> 44] >> endobj 1250 0 obj << /Type/StructElem /S/Span /P 1247 0 R /Pg 188 0 R /K 45 >> endobj 1251 0 obj << /Type/StructElem /S/Link /P 1247 0 R /Alt (pre-authorization) /Pg 188 0 R /K [<< /Type/OBJR /Obj 206 0 R >> 46] >> endobj 1247 0 obj << /Type/StructElem /S/P /P 1246 0 R /Pg 188 0 R /K [1248 0 R 1249 0 R 1250 0 R 1251 0 R 47] >> endobj 1246 0 obj << /Type/StructElem /S/TD /P 1234 0 R /K 1247 0 R >> endobj 1234 0 obj << /Type/StructElem /S/TR /P 1173 0 R /K [1235 0 R 1238 0 R 1242 0 R 1246 0 R] >> endobj 1255 0 obj << /Type/StructElem /S/Link /P 1254 0 R /Alt (Durable medical equipment) /Pg 188 0 R /K [<< /Type/OBJR /Obj 207 0 R >> 48] >> endobj 1254 0 obj << /Type/StructElem /S/P /P 1253 0 R /K 1255 0 R >> endobj 1253 0 obj << /Type/StructElem /S/TD /P 1252 0 R /K 1254 0 R >> endobj 1258 0 obj << /Type/StructElem /S/Span /P 1257 0 R /Pg 188 0 R /K 49 >> endobj 1259 0 obj << /Type/StructElem /S/Link /P 1257 0 R /Alt (coinsurance) /Pg 188 0 R /K [<< /Type/OBJR /Obj 208 0 R >> 50] >> endobj 1257 0 obj << /Type/StructElem /S/P /P 1256 0 R /K [1258 0 R 1259 0 R] >> endobj 1256 0 obj << /Type/StructElem /S/TD /P 1252 0 R /K 1257 0 R >> endobj 1262 0 obj << /Type/StructElem /S/Span /P 1261 0 R /Pg 188 0 R /K 51 >> endobj 1263 0 obj << /Type/StructElem /S/Link /P 1261 0 R /Alt (coinsurance) /Pg 188 0 R /K [<< /Type/OBJR /Obj 209 0 R >> 52] >> endobj 1261 0 obj << /Type/StructElem /S/P /P 1260 0 R /K [1262 0 R 1263 0 R] >> endobj 1260 0 obj << /Type/StructElem /S/TD /P 1252 0 R /K 1261 0 R >> endobj 1266 0 obj << /Type/StructElem /S/Span /P 1265 0 R /Pg 188 0 R /K 53 >> endobj 1267 0 obj << /Type/StructElem /S/Link /P 1265 0 R /Alt (durable medical equipment) /Pg 188 0 R /K [<< /Type/OBJR /Obj 210 0 R >> 54] >> endobj 1265 0 obj << /Type/StructElem /S/P /P 1264 0 R /Pg 188 0 R /K [1266 0 R 1267 0 R 55] >> endobj 1264 0 obj << /Type/StructElem /S/TD /P 1252 0 R /K 1265 0 R >> endobj 1252 0 obj << /Type/StructElem /S/TR /P 1173 0 R /K [1253 0 R 1256 0 R 1260 0 R 1264 0 R] >> endobj 1271 0 obj << /Type/StructElem /S/Link /P 1270 0 R /Alt (Hospice services) /Pg 188 0 R /K [<< /Type/OBJR /Obj 211 0 R >> 56] >> endobj 1270 0 obj << /Type/StructElem /S/P /P 1269 0 R /K 1271 0 R >> endobj 1269 0 obj << /Type/StructElem /S/TD /P 1268 0 R /K 1270 0 R >> endobj 1274 0 obj << /Type/StructElem /S/Span /P 1273 0 R /Pg 188 0 R /K 57 >> endobj 1275 0 obj << /Type/StructElem /S/Link /P 1273 0 R /Alt (coinsurance) /Pg 188 0 R /K [<< /Type/OBJR /Obj 212 0 R >> 58] >> endobj 1273 0 obj << /Type/StructElem /S/P /P 1272 0 R /K [1274 0 R 1275 0 R] >> endobj 1272 0 obj << /Type/StructElem /S/TD /P 1268 0 R /K 1273 0 R >> endobj 1278 0 obj << /Type/StructElem /S/Span /P 1277 0 R /Pg 188 0 R /K 59 >> endobj 1279 0 obj << /Type/StructElem /S/Link /P 1277 0 R /Alt (coinsurance) /Pg 188 0 R /K [<< /Type/OBJR /Obj 213 0 R >> 60] >> endobj 1277 0 obj << /Type/StructElem /S/P /P 1276 0 R /K [1278 0 R 1279 0 R] >> endobj 1276 0 obj << /Type/StructElem /S/TD /P 1268 0 R /K 1277 0 R >> endobj 1282 0 obj << /Type/StructElem /S/Span /P 1281 0 R /Pg 188 0 R /K 61 >> endobj 1283 0 obj << /Type/StructElem /S/Link /P 1281 0 R /Alt (allowed amount) /Pg 188 0 R /K [<< /Type/OBJR /Obj 214 0 R >> 62] >> endobj 1284 0 obj << /Type/StructElem /S/Span /P 1281 0 R /Pg 188 0 R /K 63 >> endobj 1285 0 obj << /Type/StructElem /S/Link /P 1281 0 R /Alt (pre-authorization) /Pg 188 0 R /K [<< /Type/OBJR /Obj 215 0 R >> 64] >> endobj 1281 0 obj << /Type/StructElem /S/P /P 1280 0 R /Pg 188 0 R /K [1282 0 R 1283 0 R 1284 0 R 1285 0 R 65] >> endobj 1280 0 obj << /Type/StructElem /S/TD /P 1268 0 R /K 1281 0 R >> endobj 1268 0 obj << /Type/StructElem /S/TR /P 1173 0 R /K [1269 0 R 1272 0 R 1276 0 R 1280 0 R] >> endobj 1288 0 obj << /Type/StructElem /S/P /P 1287 0 R /Pg 188 0 R /K 66 >> endobj 1287 0 obj << /Type/StructElem /S/TH /P 1286 0 R /K 1288 0 R /A << /O/Table /Scope/Row /RowSpan 3 >> >> endobj 1290 0 obj << /Type/StructElem /S/P /P 1289 0 R /Pg 188 0 R /K 67 >> endobj 1289 0 obj << /Type/StructElem /S/TD /P 1286 0 R /K 1290 0 R >> endobj 1292 0 obj << 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/S/TD /P 1308 0 R /K 1316 0 R >> endobj 1308 0 obj << /Type/StructElem /S/TR /P 1173 0 R /K [1309 0 R 1311 0 R 1313 0 R 1315 0 R] >> endobj 1173 0 obj << /Type/StructElem /S/Table /P 1172 0 R /K [1174 0 R 1184 0 R 1189 0 R 1213 0 R 1233 0 R 1234 0 R 1252 0 R 1268 0 R 1286 0 R 1299 0 R 1308 0 R] /A << /O/Layout /BBox [18.19998 258.8202992125 773.9999999999 594.75] >> >> endobj 1317 0 obj << /Type/StructElem /S/H2 /P 1172 0 R /Pg 188 0 R /K 80 >> endobj 1322 0 obj << /Type/StructElem /S/Span /P 1321 0 R /Pg 188 0 R /K 81 >> endobj 1323 0 obj << /Type/StructElem /S/Link /P 1321 0 R /Alt (Plan) /Pg 188 0 R /K [<< /Type/OBJR /Obj 217 0 R >> 82] >> endobj 1324 0 obj << /Type/StructElem /S/Span /P 1321 0 R /Pg 188 0 R /K 83 >> endobj 1325 0 obj << /Type/StructElem /S/Link /P 1321 0 R /Alt (plan) /Pg 188 0 R /K [<< /Type/OBJR /Obj 218 0 R >> 84] >> endobj 1326 0 obj << /Type/StructElem /S/Span /P 1321 0 R /Pg 188 0 R /K 85 >> endobj 1327 0 obj << /Type/StructElem /S/Link /P 1321 0 R /Alt (excluded services) /Pg 188 0 R /K [<< /Type/OBJR /Obj 219 0 R >> 86] >> endobj 1321 0 obj << /Type/StructElem /S/P /P 1320 0 R /Pg 188 0 R /K [1322 0 R 1323 0 R 1324 0 R 1325 0 R 1326 0 R 1327 0 R 87] >> endobj 1320 0 obj << /Type/StructElem /S/TD /P 1319 0 R /K 1321 0 R /A << /O/Table /ColSpan 3 >> >> endobj 1319 0 obj << /Type/StructElem /S/TR /P 1318 0 R /K 1320 0 R >> endobj 1330 0 obj << /Type/StructElem /S/P /P 1329 0 R /Pg 188 0 R /K 88 >> endobj 1331 0 obj << /Type/StructElem /S/P /P 1329 0 R /Pg 188 0 R /K 89 >> endobj 1332 0 obj << /Type/StructElem /S/P /P 1329 0 R /Pg 188 0 R /K 90 >> endobj 1333 0 obj << /Type/StructElem /S/P /P 1329 0 R /Pg 188 0 R /K 91 >> endobj 1334 0 obj << /Type/StructElem /S/P /P 1329 0 R /Pg 188 0 R /K 92 >> endobj 1335 0 obj << /Type/StructElem /S/P /P 1329 0 R /Pg 188 0 R /K 93 >> endobj 1336 0 obj << /Type/StructElem /S/P /P 1329 0 R /Pg 188 0 R /K 94 >> endobj 1329 0 obj << /Type/StructElem /S/TD /P 1328 0 R /K [1330 0 R 1331 0 R 1332 0 R 1333 0 R 1334 0 R 1335 0 R 1336 0 R] /A << /O/Table /ColSpan 3 >> >> endobj 1328 0 obj << /Type/StructElem /S/TR /P 1318 0 R /K 1329 0 R >> endobj 1318 0 obj << /Type/StructElem /S/Table /P 1172 0 R /K [1319 0 R 1328 0 R] /A << /O/Layout /BBox [18.19998 171.1178740157 774 236.1431338583] >> >> endobj 1341 0 obj << /Type/StructElem /S/Span /P 1340 0 R /Pg 188 0 R /K 95 >> endobj 1342 0 obj << /Type/StructElem /S/Link /P 1340 0 R /Alt (plan) /Pg 188 0 R /K [<< /Type/OBJR /Obj 220 0 R >> 96] >> endobj 1340 0 obj << /Type/StructElem /S/P /P 1339 0 R /Pg 188 0 R /K [1341 0 R 1342 0 R 97] >> endobj 1339 0 obj << /Type/StructElem /S/TD /P 1338 0 R /K 1340 0 R /A << /O/Table /ColSpan 3 >> >> endobj 1338 0 obj << /Type/StructElem /S/TR /P 1337 0 R /K 1339 0 R >> endobj 1345 0 obj << /Type/StructElem /S/P /P 1344 0 R /Pg 188 0 R /K 98 >> endobj 1346 0 obj << /Type/StructElem /S/P /P 1344 0 R /Pg 188 0 R /K 99 >> endobj 1347 0 obj << /Type/StructElem /S/P /P 1344 0 R /Pg 188 0 R /K 100 >> endobj 1348 0 obj << /Type/StructElem /S/P /P 1344 0 R /Pg 188 0 R /K 101 >> endobj 1349 0 obj << /Type/StructElem /S/P /P 1344 0 R /Pg 188 0 R /K 102 >> endobj 1350 0 obj << /Type/StructElem /S/P /P 1344 0 R /Pg 188 0 R /K 103 >> endobj 1351 0 obj << /Type/StructElem /S/P /P 1344 0 R /Pg 188 0 R /K 104 >> endobj 1344 0 obj << /Type/StructElem /S/TD /P 1343 0 R /K [1345 0 R 1346 0 R 1347 0 R 1348 0 R 1349 0 R 1350 0 R 1351 0 R] /A << /O/Table /ColSpan 3 >> >> endobj 1343 0 obj << /Type/StructElem /S/TR /P 1337 0 R /K 1344 0 R >> endobj 1337 0 obj << /Type/StructElem /S/Table /P 1172 0 R /K [1338 0 R 1343 0 R] /A << /O/Layout /BBox [18 64.8791968503 774 157.4564566929] >> >> endobj 1352 0 obj << /Type/StructElem /S/H2 /P 1172 0 R /Pg 188 0 R /K 105 >> endobj 1172 0 obj << /Type/StructElem /S/FlowArea /P 562 0 R /K [1173 0 R 1317 0 R 1318 0 R 1337 0 R 1352 0 R] >> endobj 1355 0 obj << /Type/StructElem /S/Span /P 1354 0 R /Pg 222 0 R /K 0 >> endobj 1356 0 obj << /Type/StructElem /S/Link /P 1354 0 R /Alt (https://www.dfs.ny.gov/consumers/health_insurance/home) /Pg 222 0 R /K [<< /Type/OBJR /Obj 223 0 R >> 1] >> endobj 1354 0 obj << /Type/StructElem /S/H2 /P 1353 0 R /Pg 222 0 R /K [1355 0 R 1356 0 R 2] >> endobj 1359 0 obj << /Type/StructElem /S/Lbl /P 1358 0 R /Pg 222 0 R /K 3 >> endobj 1361 0 obj << /Type/StructElem /S/Span /P 1360 0 R /Pg 222 0 R /K 4 >> endobj 1362 0 obj << /Type/StructElem /S/Link /P 1360 0 R /Alt (plan) /Pg 222 0 R /K [<< /Type/OBJR /Obj 224 0 R >> 5] >> endobj 1360 0 obj << /Type/StructElem /S/LBody /P 1358 0 R /Pg 222 0 R /K [1361 0 R 1362 0 R 6] >> endobj 1358 0 obj << /Type/StructElem /S/LI /P 1357 0 R /K [1359 0 R 1360 0 R] >> endobj 1364 0 obj << /Type/StructElem /S/Lbl /P 1363 0 R /Pg 222 0 R /K 7 >> endobj 1366 0 obj << /Type/StructElem /S/Span /P 1365 0 R /Pg 222 0 R /K 8 >> endobj 1367 0 obj << /Type/StructElem /S/Link /P 1365 0 R /Alt (www.dol.gov/ebsa/healthreform) /Pg 222 0 R /K [<< /Type/OBJR /Obj 225 0 R >> 9] >> endobj 1365 0 obj << /Type/StructElem /S/LBody /P 1363 0 R /Pg 222 0 R /K [1366 0 R 1367 0 R 10] >> endobj 1363 0 obj << /Type/StructElem /S/LI /P 1357 0 R /K [1364 0 R 1365 0 R] >> endobj 1369 0 obj << /Type/StructElem /S/Lbl /P 1368 0 R /Pg 222 0 R /K 11 >> endobj 1371 0 obj << /Type/StructElem /S/Span /P 1370 0 R /Pg 222 0 R /K 12 >> endobj 1372 0 obj << /Type/StructElem /S/Link /P 1370 0 R /Alt (plans) /Pg 222 0 R /K [<< /Type/OBJR /Obj 226 0 R >> 13] >> endobj 1373 0 obj << /Type/StructElem /S/Span /P 1370 0 R /Pg 222 0 R /K 14 >> endobj 1374 0 obj << /Type/StructElem /S/Link /P 1370 0 R /Alt (www.cciio.cms.gov) /Pg 222 0 R /K [<< /Type/OBJR /Obj 227 0 R >> 15] >> endobj 1370 0 obj << /Type/StructElem /S/LBody /P 1368 0 R /Pg 222 0 R /K [1371 0 R 1372 0 R 1373 0 R 1374 0 R 16] >> endobj 1368 0 obj << /Type/StructElem /S/LI /P 1357 0 R /K [1369 0 R 1370 0 R] >> endobj 1376 0 obj << /Type/StructElem /S/Lbl /P 1375 0 R /Pg 222 0 R /K 17 >> endobj 1378 0 obj << /Type/StructElem /S/Span /P 1377 0 R /Pg 222 0 R /K 18 >> endobj 1379 0 obj << /Type/StructElem /S/Link /P 1377 0 R /Alt (plan) /Pg 222 0 R /K [<< /Type/OBJR /Obj 228 0 R >> 19] >> endobj 1380 0 obj << /Type/StructElem /S/Span /P 1377 0 R /Pg 222 0 R /K 20 >> endobj 1381 0 obj << /Type/StructElem /S/Link /P 1377 0 R /Alt (plans) /Pg 222 0 R /K [<< /Type/OBJR /Obj 229 0 R >> 21] >> endobj 1377 0 obj << /Type/StructElem /S/LBody /P 1375 0 R /Pg 222 0 R /K [1378 0 R 1379 0 R 1380 0 R 1381 0 R 22] >> endobj 1375 0 obj << /Type/StructElem /S/LI /P 1357 0 R /K [1376 0 R 1377 0 R] >> endobj 1357 0 obj << /Type/StructElem /S/L /P 1353 0 R /K [1358 0 R 1363 0 R 1368 0 R 1375 0 R] >> endobj 1383 0 obj << /Type/StructElem /S/Span /P 1382 0 R /Pg 222 0 R /K 23 >> endobj 1384 0 obj << /Type/StructElem /S/Link /P 1382 0 R /Alt (Health Insurance) /Pg 222 0 R /K [<< /Type/OBJR /Obj 230 0 R >> 24] >> endobj 1385 0 obj << /Type/StructElem /S/Span /P 1382 0 R /Pg 222 0 R /K 25 >> endobj 1386 0 obj << /Type/StructElem /S/Link /P 1382 0 R /Alt (Marketplace) /Pg 222 0 R /K [<< /Type/OBJR /Obj 231 0 R >> 26] >> endobj 1387 0 obj << /Type/StructElem /S/Span /P 1382 0 R /Pg 222 0 R /K 27 >> endobj 1388 0 obj << /Type/StructElem /S/Link /P 1382 0 R /Alt (Marketplace) /Pg 222 0 R /K [<< /Type/OBJR /Obj 232 0 R >> 28] >> endobj 1389 0 obj << /Type/StructElem /S/Span /P 1382 0 R /Pg 222 0 R /K 29 >> endobj 1390 0 obj << /Type/StructElem /S/Link /P 1382 0 R /Alt (www.HealthCare.gov) /Pg 222 0 R /K [<< /Type/OBJR /Obj 233 0 R >> 30] >> endobj 1382 0 obj << /Type/StructElem /S/P /P 1353 0 R /Pg 222 0 R /K [1383 0 R 1384 0 R 1385 0 R 1386 0 R 1387 0 R 1388 0 R 1389 0 R 1390 0 R 31] >> endobj 1392 0 obj << /Type/StructElem /S/Span /P 1391 0 R /Pg 222 0 R /K 32 >> endobj 1393 0 obj << /Type/StructElem /S/Link /P 1391 0 R /Alt (plan) /Pg 222 0 R /K [<< /Type/OBJR /Obj 234 0 R >> 33] >> endobj 1394 0 obj << /Type/StructElem /S/Span /P 1391 0 R /Pg 222 0 R /K 34 >> endobj 1395 0 obj << /Type/StructElem /S/Link /P 1391 0 R /Alt (claim) /Pg 222 0 R /K [<< /Type/OBJR /Obj 235 0 R >> 35] >> endobj 1396 0 obj << /Type/StructElem /S/Span /P 1391 0 R /Pg 222 0 R /K 36 >> endobj 1397 0 obj << /Type/StructElem /S/Link /P 1391 0 R /Alt (grievance) /Pg 222 0 R /K [<< /Type/OBJR /Obj 236 0 R >> 37] >> endobj 1398 0 obj << /Type/StructElem /S/Span /P 1391 0 R /Pg 222 0 R /K 38 >> endobj 1399 0 obj << /Type/StructElem /S/Link /P 1391 0 R /Alt (appeal) /Pg 222 0 R /K [<< /Type/OBJR /Obj 237 0 R >> 39] >> endobj 1400 0 obj << /Type/StructElem /S/Span /P 1391 0 R /Pg 222 0 R /K 40 >> endobj 1401 0 obj << /Type/StructElem /S/Link /P 1391 0 R /Alt (claim) /Pg 222 0 R /K [<< /Type/OBJR /Obj 238 0 R >> 41] >> endobj 1402 0 obj << /Type/StructElem /S/Span /P 1391 0 R /Pg 222 0 R /K 42 >> endobj 1403 0 obj << /Type/StructElem /S/Link /P 1391 0 R /Alt (plan) /Pg 222 0 R /K [<< /Type/OBJR /Obj 239 0 R >> 43] >> endobj 1404 0 obj << /Type/StructElem /S/Span /P 1391 0 R /Pg 222 0 R /K 44 >> endobj 1405 0 obj << /Type/StructElem /S/Link /P 1391 0 R /Alt (claim) /Pg 222 0 R /K [<< /Type/OBJR /Obj 240 0 R >> 45] >> endobj 1406 0 obj << /Type/StructElem /S/Span /P 1391 0 R /Pg 222 0 R /K 46 >> endobj 1407 0 obj << /Type/StructElem /S/Link /P 1391 0 R /Alt (appeal) /Pg 222 0 R /K [<< /Type/OBJR /Obj 241 0 R >> 47] >> endobj 1408 0 obj << /Type/StructElem /S/Span /P 1391 0 R /Pg 222 0 R /K 48 >> endobj 1409 0 obj << /Type/StructElem /S/Link /P 1391 0 R /Alt (grievance) /Pg 222 0 R /K [<< /Type/OBJR /Obj 242 0 R >> 49] >> endobj 1410 0 obj << /Type/StructElem /S/Span /P 1391 0 R /Pg 222 0 R /K 50 >> endobj 1411 0 obj << /Type/StructElem /S/Link /P 1391 0 R /Alt (plan) /Pg 222 0 R /K [<< /Type/OBJR /Obj 243 0 R >> 51] >> endobj 1391 0 obj << /Type/StructElem /S/H2 /P 1353 0 R /Pg 222 0 R /K [1392 0 R 1393 0 R 1394 0 R 1395 0 R 1396 0 R 1397 0 R 1398 0 R 1399 0 R 1400 0 R 1401 0 R 1402 0 R 1403 0 R 1404 0 R 1405 0 R 1406 0 R 1407 0 R 1408 0 R 1409 0 R 1410 0 R 1411 0 R 52] >> endobj 1414 0 obj << /Type/StructElem /S/Lbl /P 1413 0 R /Pg 222 0 R /K 53 >> endobj 1416 0 obj << /Type/StructElem /S/Span /P 1415 0 R /Pg 222 0 R /K 54 >> endobj 1417 0 obj << /Type/StructElem /S/Link /P 1415 0 R /Alt (www.dol.gov/ebsa/healthreform) /Pg 222 0 R /K [<< /Type/OBJR /Obj 244 0 R >> 55] >> endobj 1415 0 obj << /Type/StructElem /S/LBody /P 1413 0 R /Pg 222 0 R /K [1416 0 R 1417 0 R 56] >> endobj 1413 0 obj << /Type/StructElem /S/LI /P 1412 0 R /K [1414 0 R 1415 0 R] >> endobj 1419 0 obj << /Type/StructElem /S/Lbl /P 1418 0 R /Pg 222 0 R /K 57 >> endobj 1421 0 obj << /Type/StructElem /S/Span /P 1420 0 R /Pg 222 0 R /K 58 >> endobj 1422 0 obj << /Type/StructElem /S/Link /P 1420 0 R /Alt (https://www.dfs.ny.gov/consumers/health_insurance/home) /Pg 222 0 R /K [<< /Type/OBJR /Obj 245 0 R >> 59] >> endobj 1420 0 obj << /Type/StructElem /S/LBody /P 1418 0 R /Pg 222 0 R /K [1421 0 R 1422 0 R 60] >> endobj 1418 0 obj << /Type/StructElem /S/LI /P 1412 0 R /K [1419 0 R 1420 0 R] >> endobj 1424 0 obj << /Type/StructElem /S/Lbl /P 1423 0 R /Pg 222 0 R /K 61 >> endobj 1426 0 obj << /Type/StructElem /S/Span /P 1425 0 R /Pg 222 0 R /K 62 >> endobj 1427 0 obj << /Type/StructElem /S/Link /P 1425 0 R /Alt (plans) /Pg 222 0 R /K [<< /Type/OBJR /Obj 246 0 R >> 63] >> endobj 1428 0 obj << /Type/StructElem /S/Span /P 1425 0 R /Pg 222 0 R /K 64 >> endobj 1429 0 obj << /Type/StructElem /S/Link /P 1425 0 R /Alt (www.cciio.cms.gov) /Pg 222 0 R /K [<< /Type/OBJR /Obj 247 0 R >> 65] >> endobj 1425 0 obj << /Type/StructElem /S/LBody /P 1423 0 R /Pg 222 0 R /K [1426 0 R 1427 0 R 1428 0 R 1429 0 R 66] >> endobj 1423 0 obj << /Type/StructElem /S/LI /P 1412 0 R /K [1424 0 R 1425 0 R] >> endobj 1431 0 obj << /Type/StructElem /S/Lbl /P 1430 0 R /Pg 222 0 R /K 67 >> endobj 1433 0 obj << /Type/StructElem /S/Span /P 1432 0 R /Lang (en_us) /Pg 222 0 R /K 68 >> endobj 1434 0 obj << /Type/StructElem /S/Link /P 1432 0 R /Alt (appeal) /Pg 222 0 R /K [<< /Type/OBJR /Obj 248 0 R >> 69] >> endobj 1435 0 obj << /Type/StructElem /S/Span /P 1432 0 R /Lang (en_us) /Pg 222 0 R /K 70 >> endobj 1436 0 obj << /Type/StructElem /S/Span /P 1432 0 R /Pg 222 0 R /K 71 >> endobj 1437 0 obj << /Type/StructElem /S/Link /P 1432 0 R /Alt (http://www.communityhealthadvocates.org/) /Pg 222 0 R /K [<< /Type/OBJR /Obj 249 0 R >> 72] >> endobj 1432 0 obj << /Type/StructElem /S/LBody /P 1430 0 R /K [1433 0 R 1434 0 R 1435 0 R 1436 0 R 1437 0 R] >> endobj 1430 0 obj << /Type/StructElem /S/LI /P 1412 0 R /K [1431 0 R 1432 0 R] >> endobj 1412 0 obj << /Type/StructElem /S/L /P 1353 0 R /K [1413 0 R 1418 0 R 1423 0 R 1430 0 R] >> endobj 1438 0 obj << /Type/StructElem /S/H2 /P 1353 0 R /Pg 222 0 R /K 73 >> endobj 1439 0 obj << /Type/StructElem /S/P /P 1353 0 R /Pg 222 0 R /K 74 >> endobj 1441 0 obj << /Type/StructElem /S/Link /P 1440 0 R /Alt (Minimum Essential Coverage) /Pg 222 0 R /K [<< /Type/OBJR /Obj 250 0 R >> 75] >> endobj 1442 0 obj << /Type/StructElem /S/Span /P 1440 0 R /Pg 222 0 R /K 76 >> endobj 1443 0 obj << /Type/StructElem /S/Link /P 1440 0 R /Alt (plans) /Pg 222 0 R /K [<< /Type/OBJR /Obj 251 0 R >> 77] >> endobj 1444 0 obj << /Type/StructElem /S/Span /P 1440 0 R /Pg 222 0 R /K 78 >> endobj 1445 0 obj << /Type/StructElem /S/Link /P 1440 0 R /Alt (health insurance) /Pg 222 0 R /K [<< /Type/OBJR /Obj 252 0 R >> 79] >> endobj 1446 0 obj << /Type/StructElem /S/Span /P 1440 0 R /Pg 222 0 R /K 80 >> endobj 1447 0 obj << /Type/StructElem /S/Link /P 1440 0 R /Alt (Marketplace) /Pg 222 0 R /K [<< /Type/OBJR /Obj 253 0 R >> 81] >> endobj 1448 0 obj << /Type/StructElem /S/Span /P 1440 0 R /Pg 222 0 R /K 82 >> endobj 1449 0 obj << /Type/StructElem /S/Link /P 1440 0 R /Alt (Minimum Essential Coverage) /Pg 222 0 R /K [<< /Type/OBJR /Obj 254 0 R >> 83] >> endobj 1450 0 obj << /Type/StructElem /S/Span /P 1440 0 R /Pg 222 0 R /K 84 >> endobj 1451 0 obj << /Type/StructElem /S/Link /P 1440 0 R /Alt (premium tax credit) /Pg 222 0 R /K [<< /Type/OBJR /Obj 255 0 R >> 85] >> endobj 1440 0 obj << /Type/StructElem /S/P /P 1353 0 R /Pg 222 0 R /K [1441 0 R 1442 0 R 1443 0 R 1444 0 R 1445 0 R 1446 0 R 1447 0 R 1448 0 R 1449 0 R 1450 0 R 1451 0 R 86] >> endobj 1452 0 obj << /Type/StructElem /S/H2 /P 1353 0 R /Pg 222 0 R /K 87 >> endobj 1453 0 obj << /Type/StructElem /S/P /P 1353 0 R /Pg 222 0 R /K 88 >> endobj 1455 0 obj << /Type/StructElem /S/Span /P 1454 0 R /Pg 222 0 R /K 89 >> endobj 1456 0 obj << /Type/StructElem /S/Link /P 1454 0 R /Alt (plan) /Pg 222 0 R /K [<< /Type/OBJR /Obj 256 0 R >> 90] >> endobj 1457 0 obj << /Type/StructElem /S/Span /P 1454 0 R /Pg 222 0 R /K 91 >> endobj 1458 0 obj << /Type/StructElem /S/Link /P 1454 0 R /Alt (Minimum Value Standards) /Pg 222 0 R /K [<< /Type/OBJR /Obj 257 0 R >> 92] >> endobj 1459 0 obj << /Type/StructElem /S/Span /P 1454 0 R /Pg 222 0 R /K 93 >> endobj 1460 0 obj << /Type/StructElem /S/Link /P 1454 0 R /Alt (premium tax credit) /Pg 222 0 R /K [<< /Type/OBJR /Obj 258 0 R >> 94] >> endobj 1461 0 obj << /Type/StructElem /S/Span /P 1454 0 R /Pg 222 0 R /K 95 >> endobj 1462 0 obj << /Type/StructElem /S/Link /P 1454 0 R /Alt (plan) /Pg 222 0 R /K [<< /Type/OBJR /Obj 259 0 R >> 96] >> endobj 1463 0 obj << /Type/StructElem /S/Span /P 1454 0 R /Pg 222 0 R /K 97 >> endobj 1464 0 obj << /Type/StructElem /S/Link /P 1454 0 R /Alt (Marketplace) /Pg 222 0 R /K [<< /Type/OBJR /Obj 260 0 R >> 98] >> endobj 1454 0 obj << /Type/StructElem /S/P /P 1353 0 R /Pg 222 0 R /K [1455 0 R 1456 0 R 1457 0 R 1458 0 R 1459 0 R 1460 0 R 1461 0 R 1462 0 R 1463 0 R 1464 0 R 99] >> endobj 1466 0 obj << /Type/StructElem /S/Span /P 1465 0 R /Pg 222 0 R /K 100 >> endobj 1467 0 obj << /Type/StructElem /S/Link /P 1465 0 R /Alt (plan) /Pg 222 0 R /K [<< /Type/OBJR /Obj 261 0 R >> 101] >> endobj 1465 0 obj << /Type/StructElem /S/P /P 1353 0 R /Pg 222 0 R /K [1466 0 R 1467 0 R 102] >> endobj 1353 0 obj << /Type/StructElem /S/FlowArea /P 562 0 R /K [1354 0 R 1357 0 R 1382 0 R 1391 0 R 1412 0 R 1438 0 R 1439 0 R 1440 0 R 1452 0 R 1453 0 R 1454 0 R 1465 0 R] >> endobj 1469 0 obj << /Type/StructElem /S/H2 /P 1468 0 R /Pg 265 0 R /K 0 >> endobj 1468 0 obj << /Type/StructElem /S/FlowArea /P 562 0 R /K 1469 0 R >> endobj 1470 0 obj << /Type/StructElem /S/Figure /P 562 0 R /Alt (Caution\n) /Pg 265 0 R /K 1 /A << /O/Layout /BBox [28.6126220337 509.101213024 88.4918918918 567.2742256374] /Placement/Block >> >> endobj 1473 0 obj << /Type/StructElem /S/Span /P 1472 0 R /Pg 265 0 R /K 2 >> endobj 1474 0 obj << /Type/StructElem /S/Link /P 1472 0 R /Alt (plan) /Pg 265 0 R /K [<< /Type/OBJR /Obj 266 0 R >> 3] >> endobj 1475 0 obj << /Type/StructElem /S/Span /P 1472 0 R /Pg 265 0 R /K 4 >> endobj 1476 0 obj << /Type/StructElem /S/Link /P 1472 0 R /Alt (providers) /Pg 265 0 R /K [<< /Type/OBJR /Obj 267 0 R >> 5] >> endobj 1477 0 obj << /Type/StructElem /S/Span /P 1472 0 R /Pg 265 0 R /K 6 >> endobj 1478 0 obj << /Type/StructElem /S/Link /P 1472 0 R /Alt (cost-sharing) /Pg 265 0 R /K [<< /Type/OBJR /Obj 268 0 R >> 7] >> endobj 1479 0 obj << /Type/StructElem /S/Span /P 1472 0 R /Pg 265 0 R /K 8 >> endobj 1480 0 obj << /Type/StructElem /S/Link /P 1472 0 R /Alt (deductibles) /Pg 265 0 R /K [<< /Type/OBJR /Obj 269 0 R >> 9] >> endobj 1481 0 obj << /Type/StructElem /S/Span /P 1472 0 R /Pg 265 0 R /K 10 >> endobj 1482 0 obj << /Type/StructElem /S/Link /P 1472 0 R /Alt (copayments) /Pg 265 0 R /K [<< /Type/OBJR /Obj 270 0 R >> 11] >> endobj 1483 0 obj << /Type/StructElem /S/Span /P 1472 0 R /Pg 265 0 R /K 12 >> endobj 1484 0 obj << /Type/StructElem /S/Link /P 1472 0 R /Alt (coinsurance) /Pg 265 0 R /K [<< /Type/OBJR /Obj 271 0 R >> 13] >> endobj 1485 0 obj << /Type/StructElem /S/Span /P 1472 0 R /Pg 265 0 R /K 14 >> endobj 1486 0 obj << /Type/StructElem /S/Link /P 1472 0 R /Alt (excluded services) /Pg 265 0 R /K [<< /Type/OBJR /Obj 272 0 R >> 15] >> endobj 1487 0 obj << /Type/StructElem /S/Span /P 1472 0 R /Pg 265 0 R /K 16 >> endobj 1488 0 obj << /Type/StructElem /S/Link /P 1472 0 R /Alt (plan) /Pg 265 0 R /K [<< /Type/OBJR /Obj 273 0 R >> 17] >> endobj 1489 0 obj << /Type/StructElem /S/Span /P 1472 0 R /Pg 265 0 R /K 18 >> endobj 1490 0 obj << /Type/StructElem /S/Link /P 1472 0 R /Alt (plans) /Pg 265 0 R /K [<< /Type/OBJR /Obj 274 0 R >> 19] >> endobj 1472 0 obj << /Type/StructElem /S/P /P 1471 0 R /Pg 265 0 R /K [1473 0 R 1474 0 R 1475 0 R 1476 0 R 1477 0 R 1478 0 R 1479 0 R 1480 0 R 1481 0 R 1482 0 R 1483 0 R 1484 0 R 1485 0 R 1486 0 R 1487 0 R 1488 0 R 1489 0 R 1490 0 R 20] >> endobj 1471 0 obj << /Type/StructElem /S/FlowArea /P 562 0 R /K 1472 0 R >> endobj 1492 0 obj << /Type/StructElem /S/P /P 1491 0 R /Pg 265 0 R /K 21 >> endobj 1497 0 obj << /Type/StructElem /S/Span /P 1496 0 R /Pg 265 0 R /K 22 >> endobj 1498 0 obj << /Type/StructElem /S/Link /P 1496 0 R /Alt (plans) /Pg 265 0 R /K [<< /Type/OBJR /Obj 275 0 R >> 23] >> endobj 1499 0 obj << /Type/StructElem /S/Span /P 1496 0 R /Pg 265 0 R /K 24 >> endobj 1500 0 obj << /Type/StructElem /S/Link /P 1496 0 R /Alt (deductible) /Pg 265 0 R /K [<< /Type/OBJR /Obj 276 0 R >> 25] >> endobj 1496 0 obj << /Type/StructElem /S/P /P 1495 0 R /Pg 265 0 R /K [1497 0 R 1498 0 R 1499 0 R 1500 0 R 26] >> endobj 1495 0 obj << /Type/StructElem /S/TD /P 1494 0 R /K 1496 0 R >> endobj 1494 0 obj << /Type/StructElem /S/TR /P 1493 0 R /K 1495 0 R >> endobj 1504 0 obj << /Type/StructElem /S/Span /P 1503 0 R /Pg 265 0 R /K 27 >> endobj 1505 0 obj << /Type/StructElem /S/Link /P 1503 0 R /Alt (Specialist) /Pg 265 0 R /K [<< /Type/OBJR /Obj 277 0 R >> 28] >> endobj 1506 0 obj << /Type/StructElem /S/Span /P 1503 0 R /Pg 265 0 R /K 29 >> endobj 1507 0 obj << /Type/StructElem /S/Link /P 1503 0 R /Alt (copayment) /Pg 265 0 R /K [<< /Type/OBJR /Obj 278 0 R >> 30] >> endobj 1503 0 obj << /Type/StructElem /S/P /P 1502 0 R /Pg 265 0 R /K [1504 0 R 1505 0 R 1506 0 R 1507 0 R 31] >> endobj 1502 0 obj << /Type/StructElem /S/TD /P 1501 0 R /K 1503 0 R >> endobj 1501 0 obj << /Type/StructElem /S/TR /P 1493 0 R /K 1502 0 R >> endobj 1511 0 obj << /Type/StructElem /S/Span /P 1510 0 R /Pg 265 0 R /K 32 >> endobj 1512 0 obj << /Type/StructElem /S/Link /P 1510 0 R /Alt (coinsurance) /Pg 265 0 R /K [<< /Type/OBJR /Obj 279 0 R >> 33] >> endobj 1510 0 obj << /Type/StructElem /S/P /P 1509 0 R /Pg 265 0 R /K [1511 0 R 1512 0 R 34] >> endobj 1509 0 obj << /Type/StructElem /S/TD /P 1508 0 R /K 1510 0 R >> endobj 1508 0 obj << /Type/StructElem /S/TR /P 1493 0 R /K 1509 0 R >> endobj 1516 0 obj << /Type/StructElem /S/Span /P 1515 0 R /Pg 265 0 R /K 35 >> endobj 1517 0 obj << /Type/StructElem /S/Link /P 1515 0 R /Alt (coinsurance) /Pg 265 0 R /K [<< /Type/OBJR /Obj 280 0 R >> 36] >> endobj 1515 0 obj << /Type/StructElem /S/P /P 1514 0 R /Pg 265 0 R /K [1516 0 R 1517 0 R 37] >> endobj 1514 0 obj << /Type/StructElem /S/TD /P 1513 0 R /K 1515 0 R >> endobj 1513 0 obj << /Type/StructElem /S/TR /P 1493 0 R /K 1514 0 R >> endobj 1493 0 obj << /Type/StructElem /S/Table /P 1491 0 R /K [1494 0 R 1501 0 R 1508 0 R 1513 0 R] /A << /O/Layout /BBox [23.6692913385 379.240535433 244.6653543307 434.344535433] >> >> endobj 1519 0 obj << /Type/StructElem /S/Span /P 1518 0 R /Pg 265 0 R /K 38 >> endobj 1520 0 obj << /Type/StructElem /S/Link /P 1518 0 R /Alt (Specialist) /Pg 265 0 R /K [<< /Type/OBJR /Obj 281 0 R >> 39] >> endobj 1521 0 obj << /Type/StructElem /S/Span /P 1518 0 R /Pg 265 0 R /K 40 >> endobj 1522 0 obj << /Type/StructElem /S/Link /P 1518 0 R /Alt (Diagnostic tests) /Pg 265 0 R /K [<< /Type/OBJR /Obj 282 0 R >> 41] >> endobj 1523 0 obj << /Type/StructElem /S/Span /P 1518 0 R /Pg 265 0 R /K 42 >> endobj 1524 0 obj << /Type/StructElem /S/Link /P 1518 0 R /Alt (Specialist) /Pg 265 0 R /K [<< /Type/OBJR /Obj 283 0 R >> 43] >> endobj 1518 0 obj << /Type/StructElem /S/P /P 1491 0 R /Pg 265 0 R /K [1519 0 R 1520 0 R 1521 0 R 1522 0 R 1523 0 R 1524 0 R 44] >> endobj 1528 0 obj << /Type/StructElem /S/P /P 1527 0 R /Pg 265 0 R /K 45 >> endobj 1527 0 obj << /Type/StructElem /S/TH /P 1526 0 R /K 1528 0 R /A << /O/Table /Scope/Row >> >> endobj 1530 0 obj << /Type/StructElem /S/P /P 1529 0 R /Pg 265 0 R /K 46 >> endobj 1529 0 obj << /Type/StructElem /S/TD /P 1526 0 R /K 1530 0 R >> endobj 1526 0 obj << /Type/StructElem /S/TR /P 1525 0 R /K [1527 0 R 1529 0 R] >> endobj 1533 0 obj << /Type/StructElem /S/P /P 1532 0 R /Pg 265 0 R /K 47 >> endobj 1532 0 obj << /Type/StructElem /S/TH /P 1531 0 R /K 1533 0 R /A << /O/Table /Scope/Row /ColSpan 2 >> >> endobj 1531 0 obj << /Type/StructElem /S/TR /P 1525 0 R /K 1532 0 R >> endobj 1537 0 obj << /Type/StructElem /S/Link /P 1536 0 R /Alt (Cost Sharing) /Pg 265 0 R /K [<< /Type/OBJR /Obj 284 0 R >> 48] >> endobj 1536 0 obj << /Type/StructElem /S/P /P 1535 0 R /K 1537 0 R >> endobj 1535 0 obj << /Type/StructElem /S/TH /P 1534 0 R /K 1536 0 R /A << /O/Table /Scope/Row /ColSpan 2 >> >> endobj 1534 0 obj << /Type/StructElem /S/TR /P 1525 0 R /K 1535 0 R >> endobj 1540 0 obj << /Type/StructElem /S/P /P 1539 0 R /Pg 265 0 R /K 49 >> endobj 1539 0 obj << /Type/StructElem /S/TH /P 1538 0 R /K 1540 0 R /A << /O/Table /Scope/Row >> >> endobj 1542 0 obj << /Type/StructElem /S/P /P 1541 0 R /Pg 265 0 R /K 50 >> endobj 1541 0 obj << /Type/StructElem /S/TD /P 1538 0 R /K 1542 0 R >> endobj 1538 0 obj << /Type/StructElem /S/TR /P 1525 0 R /K [1539 0 R 1541 0 R] >> endobj 1546 0 obj << /Type/StructElem /S/Link /P 1545 0 R /Alt (Copayments) /Pg 265 0 R /K [<< /Type/OBJR /Obj 285 0 R >> 51] >> endobj 1545 0 obj << /Type/StructElem /S/P /P 1544 0 R /K 1546 0 R >> endobj 1544 0 obj << /Type/StructElem /S/TH /P 1543 0 R /K 1545 0 R /A << /O/Table /Scope/Row >> >> endobj 1548 0 obj << /Type/StructElem /S/P /P 1547 0 R /Pg 265 0 R /K 52 >> endobj 1547 0 obj << /Type/StructElem /S/TD /P 1543 0 R /K 1548 0 R >> endobj 1543 0 obj << /Type/StructElem /S/TR /P 1525 0 R /K [1544 0 R 1547 0 R] >> endobj 1552 0 obj << /Type/StructElem /S/Link /P 1551 0 R /Alt (Coinsurance) /Pg 265 0 R /K [<< /Type/OBJR /Obj 286 0 R >> 53] >> endobj 1551 0 obj << /Type/StructElem /S/P /P 1550 0 R /K 1552 0 R >> endobj 1550 0 obj << /Type/StructElem /S/TH /P 1549 0 R /K 1551 0 R /A << /O/Table /Scope/Row >> >> endobj 1554 0 obj << /Type/StructElem /S/P /P 1553 0 R /Pg 265 0 R /K 54 >> endobj 1553 0 obj << /Type/StructElem /S/TD /P 1549 0 R /K 1554 0 R >> endobj 1549 0 obj << /Type/StructElem /S/TR /P 1525 0 R /K [1550 0 R 1553 0 R] >> endobj 1557 0 obj << /Type/StructElem /S/P /P 1556 0 R /Pg 265 0 R /K 55 >> endobj 1556 0 obj << /Type/StructElem /S/TH /P 1555 0 R /K 1557 0 R /A << /O/Table /Scope/Row /ColSpan 2 >> >> endobj 1555 0 obj << /Type/StructElem /S/TR /P 1525 0 R /K 1556 0 R >> endobj 1560 0 obj << /Type/StructElem /S/P /P 1559 0 R /Pg 265 0 R /K 56 >> endobj 1559 0 obj << /Type/StructElem /S/TH /P 1558 0 R /K 1560 0 R /A << /O/Table /Scope/Row >> >> endobj 1562 0 obj << /Type/StructElem /S/P /P 1561 0 R /Pg 265 0 R /K 57 >> endobj 1561 0 obj << /Type/StructElem /S/TD /P 1558 0 R /K 1562 0 R >> endobj 1558 0 obj << /Type/StructElem /S/TR /P 1525 0 R /K [1559 0 R 1561 0 R] >> endobj 1565 0 obj << /Type/StructElem /S/P /P 1564 0 R /Pg 265 0 R /K 58 >> endobj 1564 0 obj << /Type/StructElem /S/TH /P 1563 0 R /K 1565 0 R /A << /O/Table /Scope/Row >> >> endobj 1567 0 obj << /Type/StructElem /S/P /P 1566 0 R /Pg 265 0 R /K 59 >> endobj 1566 0 obj << /Type/StructElem /S/TD /P 1563 0 R /K 1567 0 R >> endobj 1563 0 obj << /Type/StructElem /S/TR /P 1525 0 R /K [1564 0 R 1566 0 R] >> endobj 1525 0 obj << /Type/StructElem /S/Table /P 1491 0 R /K [1526 0 R 1531 0 R 1534 0 R 1538 0 R 1543 0 R 1549 0 R 1555 0 R 1558 0 R 1563 0 R] /A << /O/Layout /BBox [17.9999999999 117.506973084 247.5 243.6499842519] >> >> endobj 1491 0 obj << /Type/StructElem /S/FlowArea /P 562 0 R /K [1492 0 R 1493 0 R 1518 0 R 1525 0 R] >> endobj 1569 0 obj << /Type/StructElem /S/P /P 1568 0 R /Pg 265 0 R /K 60 >> endobj 1574 0 obj << /Type/StructElem /S/Span /P 1573 0 R /Pg 265 0 R /K 61 >> endobj 1575 0 obj << /Type/StructElem /S/Link /P 1573 0 R /Alt (plans) /Pg 265 0 R /K [<< /Type/OBJR /Obj 288 0 R >> 62] >> endobj 1576 0 obj << /Type/StructElem /S/Span /P 1573 0 R /Pg 265 0 R /K 63 >> endobj 1577 0 obj << /Type/StructElem /S/Link /P 1573 0 R /Alt (deductible) /Pg 265 0 R /K [<< /Type/OBJR /Obj 289 0 R >> 64] >> endobj 1573 0 obj << /Type/StructElem /S/P /P 1572 0 R /Pg 265 0 R /K [1574 0 R 1575 0 R 1576 0 R 1577 0 R 65] >> endobj 1572 0 obj << /Type/StructElem /S/TD /P 1571 0 R /K 1573 0 R >> endobj 1571 0 obj << /Type/StructElem /S/TR /P 1570 0 R /K 1572 0 R >> endobj 1581 0 obj << /Type/StructElem /S/Span /P 1580 0 R /Pg 265 0 R /K 66 >> endobj 1582 0 obj << /Type/StructElem /S/Link /P 1580 0 R /Alt (Specialist) /Pg 265 0 R /K [<< /Type/OBJR /Obj 290 0 R >> 67] >> endobj 1583 0 obj << /Type/StructElem /S/Span /P 1580 0 R /Pg 265 0 R /K 68 >> endobj 1584 0 obj << /Type/StructElem /S/Link /P 1580 0 R /Alt (copayment) /Pg 265 0 R /K [<< /Type/OBJR /Obj 291 0 R >> 69] >> endobj 1580 0 obj << /Type/StructElem /S/P /P 1579 0 R /Pg 265 0 R /K [1581 0 R 1582 0 R 1583 0 R 1584 0 R 70] >> endobj 1579 0 obj << /Type/StructElem /S/TD /P 1578 0 R /K 1580 0 R >> endobj 1578 0 obj << /Type/StructElem /S/TR /P 1570 0 R /K 1579 0 R >> endobj 1588 0 obj << /Type/StructElem /S/Span /P 1587 0 R /Pg 265 0 R /K 71 >> endobj 1589 0 obj << /Type/StructElem /S/Link /P 1587 0 R /Alt (coinsurance) /Pg 265 0 R /K [<< /Type/OBJR /Obj 292 0 R >> 72] >> endobj 1587 0 obj << /Type/StructElem /S/P /P 1586 0 R /Pg 265 0 R /K [1588 0 R 1589 0 R 73] >> endobj 1586 0 obj << /Type/StructElem /S/TD /P 1585 0 R /K 1587 0 R >> endobj 1585 0 obj << /Type/StructElem /S/TR /P 1570 0 R /K 1586 0 R >> endobj 1593 0 obj << /Type/StructElem /S/Span /P 1592 0 R /Pg 265 0 R /K 74 >> endobj 1594 0 obj << /Type/StructElem /S/Link /P 1592 0 R /Alt (coinsurance) /Pg 265 0 R /K [<< /Type/OBJR /Obj 293 0 R >> 75] >> endobj 1592 0 obj << /Type/StructElem /S/P /P 1591 0 R /Pg 265 0 R /K [1593 0 R 1594 0 R 76] >> endobj 1591 0 obj << /Type/StructElem /S/TD /P 1590 0 R /K 1592 0 R >> endobj 1590 0 obj << /Type/StructElem /S/TR /P 1570 0 R /K 1591 0 R >> endobj 1570 0 obj << /Type/StructElem /S/Table /P 1568 0 R /K [1571 0 R 1578 0 R 1585 0 R 1590 0 R] /A << /O/Layout /BBox [288.2657480314 379.2523464566 509.2618110236 434.3563464566] >> >> endobj 1596 0 obj << /Type/StructElem /S/Span /P 1595 0 R /Pg 265 0 R /K 77 >> endobj 1597 0 obj << /Type/StructElem /S/Link /P 1595 0 R /Alt (Primary care physician) /Pg 265 0 R /K [<< /Type/OBJR /Obj 294 0 R >> 78] >> endobj 1595 0 obj << /Type/StructElem /S/P /P 1568 0 R /Pg 265 0 R /K [1596 0 R 1597 0 R 79] >> endobj 1599 0 obj << /Type/StructElem /S/Link /P 1598 0 R /Alt (Diagnostic tests) /Pg 265 0 R /K [<< /Type/OBJR /Obj 295 0 R >> 80] >> endobj 1598 0 obj << /Type/StructElem /S/P /P 1568 0 R /Pg 265 0 R /K [1599 0 R 81] >> endobj 1601 0 obj << /Type/StructElem /S/Link /P 1600 0 R /Alt (Prescription drugs) /Pg 265 0 R /K [<< /Type/OBJR /Obj 296 0 R >> 82] >> endobj 1602 0 obj << /Type/StructElem /S/Span /P 1600 0 R /Pg 265 0 R /K 83 >> endobj 1603 0 obj << /Type/StructElem /S/Link /P 1600 0 R /Alt (Diabetic supplies) /Pg 265 0 R /K [<< /Type/OBJR /Obj 297 0 R >> 84] >> endobj 1600 0 obj << /Type/StructElem /S/P /P 1568 0 R /Pg 265 0 R /K [1601 0 R 1602 0 R 1603 0 R 85] >> endobj 1607 0 obj << /Type/StructElem /S/P /P 1606 0 R /Pg 265 0 R /K 86 >> endobj 1606 0 obj << /Type/StructElem /S/TH /P 1605 0 R /K 1607 0 R /A << /O/Table /Scope/Row >> >> endobj 1609 0 obj << /Type/StructElem /S/P /P 1608 0 R /Pg 265 0 R /K 87 >> endobj 1608 0 obj << /Type/StructElem /S/TD /P 1605 0 R /K 1609 0 R >> endobj 1605 0 obj << /Type/StructElem /S/TR /P 1604 0 R /K [1606 0 R 1608 0 R] >> endobj 1612 0 obj << /Type/StructElem /S/P /P 1611 0 R /Pg 265 0 R /K 88 >> endobj 1611 0 obj << /Type/StructElem /S/TH /P 1610 0 R /K 1612 0 R /A << /O/Table /Scope/Row /ColSpan 2 >> >> endobj 1610 0 obj << /Type/StructElem /S/TR /P 1604 0 R /K 1611 0 R >> endobj 1616 0 obj << /Type/StructElem /S/Link /P 1615 0 R /Alt (Cost Sharing) /Pg 265 0 R /K [<< /Type/OBJR /Obj 298 0 R >> 89] >> endobj 1615 0 obj << /Type/StructElem /S/P /P 1614 0 R /K 1616 0 R >> endobj 1614 0 obj << /Type/StructElem /S/TH /P 1613 0 R /K 1615 0 R /A << /O/Table /Scope/Row /ColSpan 2 >> >> endobj 1613 0 obj << /Type/StructElem /S/TR /P 1604 0 R /K 1614 0 R >> endobj 1619 0 obj << /Type/StructElem /S/P /P 1618 0 R /Pg 265 0 R /K 90 >> endobj 1618 0 obj << /Type/StructElem /S/TH /P 1617 0 R /K 1619 0 R /A << /O/Table /Scope/Row >> >> endobj 1621 0 obj << /Type/StructElem /S/P /P 1620 0 R /Pg 265 0 R /K 91 >> endobj 1620 0 obj << /Type/StructElem /S/TD /P 1617 0 R /K 1621 0 R >> endobj 1617 0 obj << /Type/StructElem /S/TR /P 1604 0 R /K [1618 0 R 1620 0 R] >> endobj 1625 0 obj << /Type/StructElem /S/Link /P 1624 0 R /Alt (Copayments) /Pg 265 0 R /K [<< /Type/OBJR /Obj 299 0 R >> 92] >> endobj 1624 0 obj << /Type/StructElem /S/P /P 1623 0 R /K 1625 0 R >> endobj 1623 0 obj << /Type/StructElem /S/TH /P 1622 0 R /K 1624 0 R /A << /O/Table /Scope/Row >> >> endobj 1627 0 obj << /Type/StructElem /S/P /P 1626 0 R /Pg 265 0 R /K 93 >> endobj 1626 0 obj << /Type/StructElem /S/TD /P 1622 0 R /K 1627 0 R >> endobj 1622 0 obj << /Type/StructElem /S/TR /P 1604 0 R /K [1623 0 R 1626 0 R] >> endobj 1631 0 obj << /Type/StructElem /S/Link /P 1630 0 R /Alt (Coinsurance) /Pg 265 0 R /K [<< /Type/OBJR /Obj 300 0 R >> 94] >> endobj 1630 0 obj << /Type/StructElem /S/P /P 1629 0 R /K 1631 0 R >> endobj 1629 0 obj << /Type/StructElem /S/TH /P 1628 0 R /K 1630 0 R /A << /O/Table /Scope/Row >> >> endobj 1633 0 obj << /Type/StructElem /S/P /P 1632 0 R /Pg 265 0 R /K 95 >> endobj 1632 0 obj << /Type/StructElem /S/TD /P 1628 0 R /K 1633 0 R >> endobj 1628 0 obj << /Type/StructElem /S/TR /P 1604 0 R /K [1629 0 R 1632 0 R] >> endobj 1636 0 obj << /Type/StructElem /S/P /P 1635 0 R /Pg 265 0 R /K 96 >> endobj 1635 0 obj << /Type/StructElem /S/TH /P 1634 0 R /K 1636 0 R /A << /O/Table /Scope/Row /ColSpan 2 >> >> endobj 1634 0 obj << /Type/StructElem /S/TR /P 1604 0 R /K 1635 0 R >> endobj 1639 0 obj << /Type/StructElem /S/P /P 1638 0 R /Pg 265 0 R /K 97 >> endobj 1638 0 obj << /Type/StructElem /S/TH /P 1637 0 R /K 1639 0 R /A << /O/Table /Scope/Row >> >> endobj 1641 0 obj << /Type/StructElem /S/P /P 1640 0 R /Pg 265 0 R /K 98 >> endobj 1640 0 obj << /Type/StructElem /S/TD /P 1637 0 R /K 1641 0 R >> endobj 1637 0 obj << /Type/StructElem /S/TR /P 1604 0 R /K [1638 0 R 1640 0 R] >> endobj 1644 0 obj << /Type/StructElem /S/P /P 1643 0 R /Pg 265 0 R /K 99 >> endobj 1643 0 obj << /Type/StructElem /S/TH /P 1642 0 R /K 1644 0 R /A << /O/Table /Scope/Row >> >> endobj 1646 0 obj << /Type/StructElem /S/P /P 1645 0 R /Pg 265 0 R /K 100 >> endobj 1645 0 obj << /Type/StructElem /S/TD /P 1642 0 R /K 1646 0 R >> endobj 1642 0 obj << /Type/StructElem /S/TR /P 1604 0 R /K [1643 0 R 1645 0 R] >> endobj 1604 0 obj << /Type/StructElem /S/Table /P 1568 0 R /K [1605 0 R 1610 0 R 1613 0 R 1617 0 R 1622 0 R 1628 0 R 1634 0 R 1637 0 R 1642 0 R] /A << /O/Layout /BBox [282.5964566929 117.8757522877 512.0964566929 243.9688818897] >> >> endobj 1568 0 obj << /Type/StructElem /S/FlowArea /P 562 0 R /K [1569 0 R 1570 0 R 1595 0 R 1598 0 R 1600 0 R 1604 0 R] >> endobj 1648 0 obj << /Type/StructElem /S/P /P 1647 0 R /Pg 265 0 R /K 101 >> endobj 1653 0 obj << /Type/StructElem /S/Span /P 1652 0 R /Pg 265 0 R /K 102 >> endobj 1654 0 obj << /Type/StructElem /S/Link /P 1652 0 R /Alt (plans) /Pg 265 0 R /K [<< /Type/OBJR /Obj 302 0 R >> 103] >> endobj 1655 0 obj << /Type/StructElem /S/Span /P 1652 0 R /Pg 265 0 R /K 104 >> endobj 1656 0 obj << /Type/StructElem /S/Link /P 1652 0 R /Alt (deductible) /Pg 265 0 R /K [<< /Type/OBJR /Obj 303 0 R >> 105] >> endobj 1652 0 obj << /Type/StructElem /S/P /P 1651 0 R /Pg 265 0 R /K [1653 0 R 1654 0 R 1655 0 R 1656 0 R 106] >> endobj 1651 0 obj << /Type/StructElem /S/TD /P 1650 0 R /K 1652 0 R >> endobj 1650 0 obj << /Type/StructElem /S/TR /P 1649 0 R /K 1651 0 R >> endobj 1660 0 obj << /Type/StructElem /S/Span /P 1659 0 R /Pg 265 0 R /K 107 >> endobj 1661 0 obj << /Type/StructElem /S/Link /P 1659 0 R /Alt (Specialist) /Pg 265 0 R /K [<< /Type/OBJR /Obj 304 0 R >> 108] >> endobj 1662 0 obj << /Type/StructElem /S/Span /P 1659 0 R /Pg 265 0 R /K 109 >> endobj 1663 0 obj << /Type/StructElem /S/Link /P 1659 0 R /Alt (copayment) /Pg 265 0 R /K [<< /Type/OBJR /Obj 305 0 R >> 110] >> endobj 1659 0 obj << /Type/StructElem /S/P /P 1658 0 R /Pg 265 0 R /K [1660 0 R 1661 0 R 1662 0 R 1663 0 R 111] >> endobj 1658 0 obj << /Type/StructElem /S/TD /P 1657 0 R /K 1659 0 R >> endobj 1657 0 obj << /Type/StructElem /S/TR /P 1649 0 R /K 1658 0 R >> endobj 1667 0 obj << /Type/StructElem /S/Span /P 1666 0 R /Pg 265 0 R /K 112 >> endobj 1668 0 obj << /Type/StructElem /S/Link /P 1666 0 R /Alt (coinsurance) /Pg 265 0 R /K [<< /Type/OBJR /Obj 306 0 R >> 113] >> endobj 1666 0 obj << /Type/StructElem /S/P /P 1665 0 R /Pg 265 0 R /K [1667 0 R 1668 0 R 114] >> endobj 1665 0 obj << /Type/StructElem /S/TD /P 1664 0 R /K 1666 0 R >> endobj 1664 0 obj << /Type/StructElem /S/TR /P 1649 0 R /K 1665 0 R >> endobj 1672 0 obj << /Type/StructElem /S/Span /P 1671 0 R /Pg 265 0 R /K 115 >> endobj 1673 0 obj << /Type/StructElem /S/Link /P 1671 0 R /Alt (coinsurance) /Pg 265 0 R /K [<< /Type/OBJR /Obj 307 0 R >> 116] >> endobj 1671 0 obj << /Type/StructElem /S/P /P 1670 0 R /Pg 265 0 R /K [1672 0 R 1673 0 R 117] >> endobj 1670 0 obj << /Type/StructElem /S/TD /P 1669 0 R /K 1671 0 R >> endobj 1669 0 obj << /Type/StructElem /S/TR /P 1649 0 R /K 1670 0 R >> endobj 1649 0 obj << /Type/StructElem /S/Table /P 1647 0 R /K [1650 0 R 1657 0 R 1664 0 R 1669 0 R] /A << /O/Layout /BBox [551.5582677165 379.4673070866 772.5543307086 434.5713070866] >> >> endobj 1675 0 obj << /Type/StructElem /S/Span /P 1674 0 R /Pg 265 0 R /K 118 >> endobj 1676 0 obj << /Type/StructElem /S/Link /P 1674 0 R /Alt (Emergency room care) /Pg 265 0 R /K [<< /Type/OBJR /Obj 308 0 R >> 119] >> endobj 1677 0 obj << /Type/StructElem /S/Span /P 1674 0 R /Pg 265 0 R /K 120 >> endobj 1678 0 obj << /Type/StructElem /S/Link /P 1674 0 R /Alt (Diagnostic test) /Pg 265 0 R /K [<< /Type/OBJR /Obj 309 0 R >> 121] >> endobj 1674 0 obj << /Type/StructElem /S/P /P 1647 0 R /Pg 265 0 R /K [1675 0 R 1676 0 R 1677 0 R 1678 0 R 122] >> endobj 1680 0 obj << /Type/StructElem /S/Link /P 1679 0 R /Alt (Durable medical equipment) /Pg 265 0 R /K [<< /Type/OBJR /Obj 310 0 R >> 123] >> endobj 1681 0 obj << /Type/StructElem /S/Span /P 1679 0 R /Pg 265 0 R /K 124 >> endobj 1682 0 obj << /Type/StructElem /S/Link /P 1679 0 R /Alt (Rehabilitation services) /Pg 265 0 R /K [<< /Type/OBJR /Obj 311 0 R >> 125] >> endobj 1679 0 obj << /Type/StructElem /S/P /P 1647 0 R /Pg 265 0 R /K [1680 0 R 1681 0 R 1682 0 R 126] >> endobj 1686 0 obj << /Type/StructElem /S/P /P 1685 0 R /Pg 265 0 R /K 127 >> endobj 1685 0 obj << /Type/StructElem /S/TH /P 1684 0 R /K 1686 0 R /A << /O/Table /Scope/Row >> >> endobj 1688 0 obj << /Type/StructElem /S/P /P 1687 0 R /Pg 265 0 R /K 128 >> endobj 1687 0 obj << /Type/StructElem /S/TD /P 1684 0 R /K 1688 0 R >> endobj 1684 0 obj << /Type/StructElem /S/TR /P 1683 0 R /K [1685 0 R 1687 0 R] >> endobj 1691 0 obj << /Type/StructElem /S/P /P 1690 0 R /Pg 265 0 R /K 129 >> endobj 1690 0 obj << /Type/StructElem /S/TH /P 1689 0 R /K 1691 0 R /A << /O/Table /Scope/Row /ColSpan 2 >> >> endobj 1689 0 obj << /Type/StructElem /S/TR /P 1683 0 R /K 1690 0 R >> endobj 1695 0 obj << /Type/StructElem /S/Link /P 1694 0 R /Alt (Cost Sharing) /Pg 265 0 R /K [<< /Type/OBJR /Obj 312 0 R >> 130] >> endobj 1694 0 obj << /Type/StructElem /S/P /P 1693 0 R /K 1695 0 R >> endobj 1693 0 obj << /Type/StructElem /S/TH /P 1692 0 R /K 1694 0 R /A << /O/Table /Scope/Row /ColSpan 2 >> >> endobj 1692 0 obj << /Type/StructElem /S/TR /P 1683 0 R /K 1693 0 R >> endobj 1699 0 obj << /Type/StructElem /S/Link /P 1698 0 R /Alt (Deductibles) /Pg 265 0 R /K [<< /Type/OBJR /Obj 313 0 R >> 131] >> endobj 1698 0 obj << /Type/StructElem /S/P /P 1697 0 R /K 1699 0 R >> endobj 1697 0 obj << /Type/StructElem /S/TH /P 1696 0 R /K 1698 0 R /A << /O/Table /Scope/Row 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