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Front and Back
1

1. Ramah Darom Election Form 16
2

Sheet1
2

7. DMO-PPO Opt _3 FOC with ortho Plan Summary
10

9. Humana Telemed Flyer
27

10. Mobile App Flyer
29

11. LTD_3259315_All Active Full Time Employees_bsum
30

12. BscLif_All Active Full Time Employees_bsum
33

13. 2016 Annual Health Plan Notices
36

Notice of Extended Coverage to Participants Covered Under a Group Health Plan
36

14. 2016 Marketplace Notice
39

PART B: Information About Health Coverage Offered by Your Employer
39

15. CHIP Notice 1-31-2016
41

16. Medicare D Creditable Drug coverage 2015
44