/P 1111 0 R
/S /Span
/Pg 1138 0 R
/Type /StructElem
/K 26
>>
endobj
1121 0 obj
<<
/P 1122 0 R
/S /Span
/Pg 1138 0 R
/Type /StructElem
/K 28
>>
endobj
1122 0 obj
<<
/P 1272 0 R
/S /P
/Pg 1138 0 R
/Type /StructElem
/Lang (VI)
/K [1121 0 R 29 2056 0 R 31]
>>
endobj
1123 0 obj
<<
/P 2056 0 R
/S /Span
/Pg 1138 0 R
/Type /StructElem
/K 30
>>
endobj
1124 0 obj
<<
/P 1274 0 R
/S /P
/Pg 1139 0 R
/Type /StructElem
/K 0
>>
endobj
1125 0 obj
<<
/A <<
/S /GoTo
/D (BM_1_1_copy)
>>
/C [0 0 0]
/Next 1126 0 R
/Title (Summary of Benefits and Coverage Letter in English)
/Parent 17 0 R
>>
endobj
1126 0 obj
<<
/A <<
/S /GoTo
/D (BM_1_2_copy)
>>
/C [0 0 0]
/Title (1557 Notice of Non-Discrimination)
/Parent 17 0 R
/Prev 1125 0 R
>>
endobj
1127 0 obj
<<
/Tabs /S
/Group <<
/S /Transparency
/Type /Group
/CS /DeviceRGB
>>
/Contents [2057 0 R]
/BleedBox [0 0 792 612]
/Type /Page
/Resources <<
/ProcSet [/PDF /Text /ImageC]
/Font <<
/F1 1196 0 R
/F2 1197 0 R
>>
/XObject <<
/I1 1198 0 R
>>
>>
/Parent 18 0 R
/CropBox [0 0 792 612]
/Annots [2058 0 R 2059 0 R 2060 0 R 2061 0 R 2062 0 R 2063 0 R 2064 0 R 2065 0 R 2066 0 R 2067 0 R
2068 0 R 2069 0 R 2070 0 R 2071 0 R 2072 0 R 2073 0 R 2074 0 R 2075 0 R 2076 0 R 2077 0 R
2078 0 R 2079 0 R 2080 0 R 2081 0 R 2082 0 R 2083 0 R 2084 0 R]
/StructParents 70
/Rotate 0
/MediaBox [0 0 792 612]
>>
endobj
1128 0 obj
<<
/Tabs /S
/Group <<
/S /Transparency
/Type /Group
/CS /DeviceRGB
>>
/Contents [2085 0 R]
/BleedBox [0 0 792 612]
/Type /Page
/Resources <<
/ProcSet [/PDF /Text /ImageC]
/Font <<
/F1 1196 0 R
/F2 1197 0 R
>>
>>
/Parent 18 0 R
/CropBox [0 0 792 612]
/Annots [2086 0 R 2087 0 R 2088 0 R 2089 0 R 2090 0 R 2091 0 R 2092 0 R 2093 0 R 2094 0 R 2095 0 R
2096 0 R 2097 0 R 2098 0 R 2099 0 R 2100 0 R 2101 0 R 2102 0 R 2103 0 R 2104 0 R 2105 0 R
2106 0 R]
/StructParents 98
/Rotate 0
/MediaBox [0 0 792 612]
>>
endobj
1129 0 obj
<<
/Tabs /S
/Group <<
/S /Transparency
/Type /Group
/CS /DeviceRGB
>>
/Contents [2107 0 R]
/BleedBox [0 0 792 612]
/Type /Page
/Resources <<
/ProcSet [/PDF /Text /ImageC]
/Font <<
/F1 1196 0 R
/F2 1197 0 R
>>
>>
/Parent 18 0 R
/CropBox [0 0 792 612]
/Annots [2108 0 R 2109 0 R 2110 0 R 2111 0 R 2112 0 R 2113 0 R 2114 0 R 2115 0 R 2116 0 R 2117 0 R
2118 0 R 2119 0 R 2120 0 R 2121 0 R 2122 0 R 2123 0 R 2124 0 R 2125 0 R 2126 0 R 2127 0 R
2128 0 R]
/StructParents 120
/Rotate 0
/MediaBox [0 0 792 612]
>>
endobj
1130 0 obj
<<
/Tabs /S
/Group <<
/S /Transparency
/Type /Group
/CS /DeviceRGB
>>
/Contents [2129 0 R]
/BleedBox [0 0 792 612]
/Type /Page
/Resources <<
/ProcSet [/PDF /Text /ImageC]
/Font <<
/F0 1195 0 R
/F1 1196 0 R
/F2 1197 0 R
>>
>>
/Parent 18 0 R
/CropBox [0 0 792 612]
/Annots [2130 0 R 2131 0 R 2132 0 R 2133 0 R 2134 0 R 2135 0 R 2136 0 R 2137 0 R 2138 0 R 2139 0 R
2140 0 R 2141 0 R 2142 0 R 2143 0 R 2144 0 R 2145 0 R 2146 0 R 2147 0 R 2148 0 R 2149 0 R
2150 0 R 2151 0 R 2152 0 R 2153 0 R 2154 0 R 2155 0 R 2156 0 R 2157 0 R]
/StructParents 142
/Rotate 0
/MediaBox [0 0 792 612]
>>
endobj
1131 0 obj
<<
/Tabs /S
/Group <<
/S /Transparency
/Type /Group
/CS /DeviceRGB
>>
/Contents [2158 0 R]
/BleedBox [0 0 792 612]
/Type /Page
/Resources <<
/ProcSet [/Text /ImageC]
/Font <<
/F1 1196 0 R
/F2 1197 0 R
/F3 2159 0 R
/F4 2160 0 R
>>
>>
/Parent 18 0 R
/CropBox [0 0 792 612]
/StructParents 171
/Rotate 0
/MediaBox [0 0 792 612]
>>
endobj
1132 0 obj
<<
/Tabs /S
/Group <<
/S /Transparency
/Type /Group
/CS /DeviceRGB
>>
/Contents [2161 0 R]
/BleedBox [0 0 792 612]
/Type /Page
/Resources <<
/ProcSet [/PDF /Text /ImageC]
/Font <<
/F0 1195 0 R
/F1 1196 0 R
/F2 1197 0 R
/F4 2160 0 R
/F5 2162 0 R
>>
/XObject <<
/I1 1198 0 R
>>
>>
/Parent 18 0 R
/CropBox [0 0 792 612]
/Annots [2163 0 R 2164 0 R 2165 0 R 2166 0 R 2167 0 R 2168 0 R 2169 0 R 2170 0 R 2171 0 R 2172 0 R
2173 0 R 2174 0 R 2175 0 R 2176 0 R 2177 0 R 2178 0 R 2179 0 R 2180 0 R 2181 0 R 2182 0 R
2183 0 R 2184 0 R 2185 0 R 2186 0 R 2187 0 R 2188 0 R 2189 0 R 2190 0 R]
/StructParents 172
/Rotate 0
/MediaBox [0 0 792 612]
>>
endobj
1133 0 obj
<<
/Tabs /S
/Group <<
/S /Transparency
/Type /Group
/CS /DeviceRGB
>>
/Contents [2191 0 R]
/BleedBox [0 0 792 612]
/Type /Page
/Resources <<
/ProcSet [/Text /ImageC]
/Font <<
/F0 1195 0 R
>>
>>
/Parent 18 0 R
/CropBox [0 0 792 612]
/StructParents 201
/Rotate 0
/MediaBox [0 0 792 612]
>>
endobj
1134 0 obj
<<
/Tabs /S
/Group <<
/S /Transparency
/Type /Group
/CS /DeviceRGB
>>
/Contents [2192 0 R]
/BleedBox [0 0 792 612]
/Type /Page
/Resources <<
/ProcSet [/PDF /Text /ImageC]
/Font <<
/F0 1195 0 R
>>
>>
/Parent 18 0 R
/CropBox [0 0 792 612]
/Annots [2193 0 R 2194 0 R]
/StructParents 202
/Rotate 0
/MediaBox [0 0 792 612]
>>
endobj
1135 0 obj
<<
/Tabs /S
/Group <<
/S /Transparency
/Type /Group
/CS /DeviceRGB
>>
/Contents [2195 0 R]
/BleedBox [0 0 792 612]
/Type /Page
/Resources <<
/ProcSet [/Text /ImageC]
/Font <<
/F0 1195 0 R
>>
>>
/Parent 18 0 R
/CropBox [0 0 792 612]
/Annots [2196 0 R 2197 0 R]
/StructParents 205
/Rotate 0
/MediaBox [0 0 792 612]
>>
endobj
1136 0 obj
<<
/Tabs /S
/Group <<
/S /Transparency
/Type /Group
/CS /DeviceRGB
>>
/Contents [2198 0 R]
/BleedBox [0 0 792 612]
/Type /Page
/Resources <<
/ProcSet [/Text /ImageC]
/Font <<
/F7 2199 0 R
/F8 2200 0 R
/F9 2201 0 R
/F0 1195 0 R
/F3 2159 0 R
/F6 2202 0 R
>>
>>
/Parent 18 0 R
/CropBox [0 0 792 612]
/Annots [2203 0 R 2204 0 R]
/StructParents 208
/Rotate 0
/MediaBox [0 0 792 612]
>>
endobj
1137 0 obj
<<
/Tabs /S
/Group <<
/S /Transparency
/Type /Group
/CS /DeviceRGB
>>
/Contents [2205 0 R]
/BleedBox [0 0 792 612]
/Type /Page
/Resources <<
/ProcSet [/Text /ImageC]
/Font <<
/F7 2199 0 R
/F10 2206 0 R
/F21 2207 0 R
/F8 2200 0 R
/F11 2208 0 R
/F22 2209 0 R
/F20 2210 0 R
/F18 2211 0 R
/F19 2212 0 R
/F16 2213 0 R
/F17 2214 0 R
/F14 2215 0 R
/F15 2216 0 R
/F12 2217 0 R
/F13 2218 0 R
/F6 2202 0 R
>>
>>
/Parent 18 0 R
/CropBox [0 0 792 612]
/StructParents 211
/Rotate 0
/MediaBox [0 0 792 612]
>>
endobj
1138 0 obj
<<
/Tabs /S
/Group <<
/S /Transparency
/Type /Group
/CS /DeviceRGB
>>
/Contents [2219 0 R]
/BleedBox [0 0 792 612]
/Type /Page
/Resources <<
/ProcSet [/Text /ImageC]
/Font <<
/F7 2199 0 R
/F8 2200 0 R
/F23 2220 0 R
/F24 2221 0 R
>>
>>
/Parent 18 0 R
/CropBox [0 0 792 612]
/StructParents 212
/Rotate 0
/MediaBox [0 0 792 612]
>>
endobj
1139 0 obj
<<
/Tabs /S
/Group <<
/S /Transparency
/Type /Group
/CS /DeviceRGB
>>
/Contents [2222 0 R]
/BleedBox [0 0 792 612]
/Type /Page
/Resources <<
/ProcSet [/Text /ImageC]
/Font <<
/F0 1195 0 R
>>
>>
/Parent 18 0 R
/CropBox [0 0 792 612]
/StructParents 213
/Rotate 0
/MediaBox [0 0 792 612]
>>
endobj
1140 0 obj
<<
/D [32 0 R /XYZ null 593.99994 null]
>>
endobj
1141 0 obj
<<
/D [1127 0 R /XYZ null 594 null]
>>
endobj
1142 0 obj
<<
/D [1128 0 R /XYZ null 594 null]
>>
endobj
1143 0 obj
<<
/D [1134 0 R /XYZ null 594 null]
>>
endobj
1144 0 obj
<<
/D [1135 0 R /XYZ null 594 null]
>>
endobj
1145 0 obj
<<
/D [1136 0 R /XYZ null 594 null]
>>
endobj
1146 0 obj
<<
/D [1132 0 R /XYZ null 0 null]
>>
endobj
1147 0 obj
<<
/D [32 0 R /XYZ null 593.99994 null]
>>
endobj
1148 0 obj
<<
/D [32 0 R /XYZ null 66.00626 null]
>>
endobj
1149 0 obj
<<
/D [1127 0 R /XYZ null 594 null]
>>
endobj
1150 0 obj
<<
/D [1127 0 R /XYZ null 47.99997 null]
>>
endobj
1151 0 obj
<<
/D [1128 0 R /XYZ null 594 null]
>>
endobj
1152 0 obj
<<
/D [1128 0 R /XYZ null 47.99997 null]
>>
endobj
1153 0 obj
<<
/D [1134 0 R /XYZ null 594 null]
>>
endobj
1154 0 obj
<<
/D [1134 0 R /XYZ null 36 null]
>>
endobj
1155 0 obj
<<
/D [1135 0 R /XYZ null 594 null]
>>
endobj
1156 0 obj
<<
/D [1135 0 R /XYZ null 36 null]
>>
endobj
1157 0 obj
<<
/D [1136 0 R /XYZ null 594 null]
>>
endobj
1158 0 obj
<<
/D [1136 0 R /XYZ null 36 null]
>>
endobj
1159 0 obj
<<
/D [32 0 R /XYZ null 547.20001 null]
>>
endobj
1160 0 obj
<<
/D [1134 0 R /XYZ null 594 null]
>>
endobj
1161 0 obj
<<
/D [32 0 R /XYZ null 547.20001 null]
>>
endobj
1162 0 obj
<<
/D [1127 0 R /XYZ null 527.20001 null]
>>
endobj
1163 0 obj
<<
/D [1127 0 R /XYZ null 525.70001 null]
>>
endobj
1164 0 obj
<<
/D [1127 0 R /XYZ null 489.28073 null]
>>
endobj
1165 0 obj
<<
/D [32 0 R /XYZ null 612 null]
>>
endobj
1166 0 obj
<<
/D [1130 0 R /XYZ null 529.5307 null]
>>
endobj
1167 0 obj
<<
/D [1130 0 R /XYZ null 507.0307 null]
>>
endobj
1168 0 obj
<<
/D [1130 0 R /XYZ null 507.0307 null]
>>
endobj
1169 0 obj
<<
/D [1130 0 R /XYZ null 507.0307 null]
>>
endobj
1170 0 obj
<<
/D [1130 0 R /XYZ null 437.86142 null]
>>
endobj
1171 0 obj
<<
/D [1130 0 R /XYZ null 415.36142 null]
>>
endobj
1172 0 obj
<<
/D [1130 0 R /XYZ null 415.36142 null]
>>
endobj
1173 0 obj
<<
/D [1130 0 R /XYZ null 415.36142 null]
>>
endobj
1174 0 obj
<<
/D [1130 0 R /XYZ null 277.68817 null]
>>
endobj
1175 0 obj
<<
/D [1132 0 R /XYZ null 532.36536 null]
>>
endobj
1176 0 obj
<<
/D [1132 0 R /XYZ null 516.82104 null]
>>
endobj
1177 0 obj
<<
/D [1132 0 R /XYZ null 472.02679 null]
>>
endobj
1178 0 obj
<<
/D [32 0 R /XYZ null 536.69604 null]
>>
endobj
1179 0 obj
<<
/D [1132 0 R /XYZ null 472.02679 null]
>>
endobj
1180 0 obj
<<
/D [1132 0 R /XYZ null 418.6709 null]
>>
endobj
1181 0 obj
<<
/D [32 0 R /XYZ null 535.19604 null]
>>
endobj
1182 0 obj
<<
/D [1132 0 R /XYZ null 260.01733 null]
>>
endobj
1183 0 obj
<<
/D [1132 0 R /XYZ null 472.02679 null]
>>
endobj
1184 0 obj
<<
/D [1132 0 R /XYZ null 418.6709 null]
>>
endobj
1185 0 obj
<<
/D [1132 0 R /XYZ null 260.01733 null]
>>
endobj
1186 0 obj
<<
/D [1132 0 R /XYZ null 472.02679 null]
>>
endobj
1187 0 obj
<<
/D [1132 0 R /XYZ null 418.6709 null]
>>
endobj
1188 0 obj
<<
/D [1132 0 R /XYZ null 260.01733 null]
>>
endobj
1189 0 obj
<<
/D [32 0 R /XYZ null 452.77673 null]
>>
endobj
1190 0 obj
<<
/D [1134 0 R /XYZ null 612 null]
>>
endobj
1191 0 obj
<<
/D [1134 0 R /XYZ null 386 null]
>>
endobj
1192 0 obj
<<
/D [1135 0 R /XYZ null 362 null]
>>
endobj
1193 0 obj
<<
/D [1136 0 R /XYZ null 421.23828 null]
>>
endobj
1194 0 obj
<<
/Filter /FlateDecode
/Length 14618
>>
stream
x}[$q{z6pjx'h4ݣ^X !W<~#*:<N2*`0E^TD jZu1"?\?\rۇ?~ԏ/W}W|XH vB Dg*Y2E.C>}bvO}Kb_k9T椌?r}H]j:Vc|62/q?پ̽w*՜q[Y}AT
"[dŹ:ɹϗԷL&gzZJg7~Ir=&$i'I}=iۏ+-$)̵P.ٔ_`߳r)uZV|ߔDV-k(MoXܢ[Fɓ8Ftz[y&zn#?LP3ثs\|_j?CV>h:~x{?mj~FR|'~=3)/tWncᯱ!(o0H}Z w"p[*
ت^K翗mAI]{ڽ3۟(SE뫷ɶZf3lŗ$
CbBچ4
@5 oC_+3G#XK|W`ұBYH^rұ lubmT2m!*d<:Qg*" m|?#JpxN5Nh^`29Tr|o혽ʆ+Eګ>Ɖ檉Ũpց̉!o<+Q">pB))*LŜK
Bvڪ/rp%!+Fyz60@$ Y`>1m,nئ%U,;FB4Z.U
Y5}h)YdŒݿZIɊ˽PY T[V1
9wQc*[v]jWP Y{.Ҡd,lYv|[o\A%(YdPQ^1^_d7B 硟JR|zO웡~dj]\m#Vbk3d̉U *@y0}h% ꁹJ
BO G6~D
0z@JjSY`d24bM3<4Ր9N/?Sڤ~?/\fQA~1YRgPFYsu&HUmk\xc3:]S`8DbA3yԿ+_}egN{e6]z~[~AnZaf99_sbG]U5 Aμ>'
T!"[CTאdyV@tD
DAa|I>^M\S4{+p>nƨ#P.K4}[ =hʴ&I:ɸA]X;e,6{%⛉M}{T*\vk4VY1nXO_[֓M-Yu\k -c!!l` YfDW0=i\Oy9Z%)Ч~h@443:E4VSrj%_jۯJ/TviXk/,S~V鎏)XOv 4[Vk-V볝UN;&iDN=mZܚY<3Gp~Fǒl?5};ж[~vRUS;ܷ*Lm͠ҳktw%FY'o?oB.:2WVN*id#X' XF6#Ut|C,zz%ny>g:M%@)mY5f{] ܶ
ƈ_nsZB2|VOYv9ѩae5[4=T3EVg3&XNiZ_:Vt
eVJ}EK]EzJ~
Uf\OYT"L̃,\#,:tG-PcM[h/~s5U[*-e3 w}C,+vM,˘BdZ|3^, zAZVuQ$+֧2o(#(掴)ݷ[Vѐ\Xd超mYDoֹxW%sKKn5!-COe){ӡ;ѻ"7ྂ((;]%z:B5<#K'6UPfR[xY|烈B2L*ZbڥVVgZY[ִH}#^0Sޖ,y'g"@I!5~OL_wk'ųr&UӬfH>0%ZT9cycÓS7& Է'8̀|Dfcē^SbB((MWbl:zި\Gxʼn{>;UnQJ6;w]f Q+\Lz7pT[ݕ#gg8F6ه&(JB{w8]w+]#Mkw+mvֶW77aW˶U)b%{ij_}qEu)TPMv#YR]ӝ<`V6wJf5ǙUFgۊCF37f1o#7qd*F֝AÍC}+P.շj$pj
V*6T SZ`u:\ě
+pځ.CwhE~֩*4*!wV|h4-9Uwi0݈eS.};q%܂O_CrVkwGg%e|SoC)#G˓pcIk
)xv;ƭ~g=3x +Bgiڲkkex8LiL
v8+YR0|h%;{)0O$HA{Zv<9q0Wen/J&))5X;S*GQS5K3G~r~
Rt=uAQSQ4EM:MDcq`jETypsۍ λf02qMNh4]L-ZE3VYsi1
#2>5]_!KJq@ 'v㴦~ w VzX豞e*nj* D]J|4y8ZeS*I
"mg*Dbu;f\V/wχ
ِWoU!f`Mr:ipZI͉@ƈxiGg,Kwr42gᐪpd0sƔglrơHwyڔ@NG:i˧J-]?͖MdRaB?~kU{Ľ_0VJ]Fb܁h=t +ZrPK~I3',U(o+r/Ž5/g#z膮Dp
emQ`Y%w\ch*u~040ŭ 2N%Cd1sgh]y Y3m&R,g,"?}+g-^aˎ7<|]?Ϯ
ء.u;0ɬւA
*=Uv%:1f]oP!oR8{`ou)ݶac͞[%io6W,(0qNd;.X,>pvi(5c'm8Gkӧd+) uMUb[*ŊX;Y<3G.oȦ0ش