%PDF-1.3
%
650 0 obj
<>/Metadata 646 0 R/Outlines 800 0 R/OutputIntents[<>]/Pages 645 0 R/StructTreeRoot 801 0 R/Type/Catalog/ViewerPreferences<>>>
endobj
799 0 obj
<>/Font<>>>/Fields[]>>
endobj
646 0 obj
<>stream
2017-07-18T07:40:50-07:00
2018-02-23T09:35:28-08:00
2018-02-23T09:35:28-08:00
Adobe InDesign CC 2017 (Macintosh)
uuid:7fbc94a6-3b3f-e042-8f07-b3153baa8448
xmp.did:0C3377D1242068118083F2CEC99F7B2C
xmp.id:35bf7ff4-ec0a-4ef9-a9cf-040ec11cb682
proof:pdf
1
xmp.iid:4637235f-96e3-4361-871f-95034cdfb64e
xmp.did:bd17d0ef-5351-4609-864a-bcfe453faeab
xmp.did:0C3377D1242068118083F2CEC99F7B2C
default
converted
from application/x-indesign to application/pdf
Adobe InDesign CC 2017 (Macintosh)
/
2017-07-18T07:40:50-07:00
application/pdf
WHA Advantage 15-30 HMO Copayment Summary
Acrobat Pro DC 18 Paper Capture Plug-in
False
PDF/X-1:2001
PDF/X-1:2001
PDF/X-1a:2001
endstream
endobj
800 0 obj
<>
endobj
645 0 obj
<>
endobj
801 0 obj
<>
endobj
808 0 obj
<>/CM12<>/CM13<>/CM14<>/CM15<>/CM16<>/CM17<>/CM18<>/CM19<>/CM2 844 0 R/CM2++++1 845 0 R/CM2+++1 846 0 R/CM2+++2 847 0 R/CM2+++3 848 0 R/CM2+++4 849 0 R/CM2++1 850 0 R/CM2++2 851 0 R/CM2++3 852 0 R/CM2++4 853 0 R/CM2++5 854 0 R/CM2++6 855 0 R/CM2+1 856 0 R/CM2+2 857 0 R/CM2+3 858 0 R/CM2+4 859 0 R/CM20<>/CM21<>/CM22<>/CM23<>/CM24<>/CM25<>/CM3 860 0 R/CM3++++1 861 0 R/CM3+++1 862 0 R/CM3+++2 863 0 R/CM3+++3 864 0 R/CM3+++4 865 0 R/CM3++1 866 0 R/CM3++2 867 0 R/CM3++3 868 0 R/CM3++4 869 0 R/CM3++5 870 0 R/CM3++6 871 0 R/CM3+1 872 0 R/CM3+2 873 0 R/CM3+3 874 0 R/CM3+4 875 0 R/CM4 876 0 R/CM4++++1 877 0 R/CM4+++1 878 0 R/CM4+++2 879 0 R/CM4+++3 880 0 R/CM4+++4 881 0 R/CM4++1 882 0 R/CM4++2 883 0 R/CM4++3 884 0 R/CM4++4 885 0 R/CM4++5 886 0 R/CM4++6 887 0 R/CM4+1 888 0 R/CM4+2 889 0 R/CM4+3 890 0 R/CM4+4 891 0 R/CM5 892 0 R/CM5++++1 893 0 R/CM5+++1 894 0 R/CM5+++2 895 0 R/CM5+++3 896 0 R/CM5+++4 897 0 R/CM5++1 898 0 R/CM5++2 899 0 R/CM5++3 900 0 R/CM5++4 901 0 R/CM5++5 902 0 R/CM5++6 903 0 R/CM5+1 904 0 R/CM5+2 905 0 R/CM5+3 906 0 R/CM5+4 907 0 R/CM6 908 0 R/CM6++++1 909 0 R/CM6+++1 910 0 R/CM6+++2 911 0 R/CM6+++3 912 0 R/CM6+++4 913 0 R/CM6++1 914 0 R/CM6++2 915 0 R/CM6++3 916 0 R/CM6++4 917 0 R/CM6++5 918 0 R/CM6++6 919 0 R/CM6+1 920 0 R/CM6+2 921 0 R/CM6+3 922 0 R/CM6+4 923 0 R/CM7 924 0 R/CM7++++1 925 0 R/CM7+++1 926 0 R/CM7+++2 927 0 R/CM7+++3 928 0 R/CM7+++4 929 0 R/CM7++1 930 0 R/CM7++2 931 0 R/CM7++3 932 0 R/CM7++4 933 0 R/CM7++5 934 0 R/CM7++6 935 0 R/CM7+1 936 0 R/CM7+2 937 0 R/CM7+3 938 0 R/CM7+4 939 0 R/CM8 940 0 R/CM8++++1 941 0 R/CM8+++1 942 0 R/CM8+++2 943 0 R/CM8+++3 944 0 R/CM8+++4 945 0 R/CM8++1 946 0 R/CM8++2 947 0 R/CM8++3 948 0 R/CM8++4 949 0 R/CM8++5 950 0 R/CM8++6 951 0 R/CM8+1 952 0 R/CM8+2 953 0 R/CM8+3 954 0 R/CM8+4 955 0 R/CM9 956 0 R/CM9++++1 957 0 R/CM9+++1 958 0 R/CM9+++2 959 0 R/CM9+++3 960 0 R/CM9+++4 961 0 R/CM9++1 962 0 R/CM9++2 963 0 R/CM9++3 964 0 R/CM9++4 965 0 R/CM9++5 966 0 R/CM9++6 967 0 R/CM9+1 968 0 R/CM9+2 969 0 R/CM9+3 970 0 R/CM9+4 971 0 R>>
endobj
809 0 obj
<>
endobj
810 0 obj
<>
endobj
811 0 obj
<>
endobj
1066 0 obj
<>7]/P 1065 0 R/Pg 806 0 R/S/Link>>
endobj
1069 0 obj
<>11]/P 1067 0 R/Pg 806 0 R/S/Link>>
endobj
1070 0 obj
<>13]/P 1067 0 R/Pg 806 0 R/S/Link>>
endobj
1074 0 obj
<>19]/P 1072 0 R/Pg 806 0 R/S/Link>>
endobj
1073 0 obj
<>17]/P 1072 0 R/Pg 806 0 R/S/Link>>
endobj
1068 0 obj
<>10]/P 1067 0 R/Pg 806 0 R/S/Link>>
endobj
1147 0 obj
[972 0 R 973 0 R 974 0 R 975 0 R 976 0 R 977 0 R 978 0 R 979 0 R 980 0 R 1163 0 R 1164 0 R 1165 0 R 1166 0 R 1167 0 R 1168 0 R 1169 0 R 1170 0 R 1171 0 R 1172 0 R 982 0 R 983 0 R 984 0 R 985 0 R 986 0 R 987 0 R 988 0 R 989 0 R 990 0 R 991 0 R 1173 0 R 1174 0 R 1175 0 R 1176 0 R 993 0 R 994 0 R]
endobj
1148 0 obj
[995 0 R 1177 0 R 1178 0 R 1179 0 R 1180 0 R 1181 0 R 1182 0 R 1183 0 R 1184 0 R 1185 0 R 1186 0 R 1187 0 R 1188 0 R 1189 0 R 1190 0 R 1191 0 R 1192 0 R 1193 0 R 1194 0 R 1195 0 R 1196 0 R 1197 0 R 1198 0 R 1199 0 R 1200 0 R 1201 0 R 1202 0 R 1203 0 R 1204 0 R 1205 0 R 1206 0 R 1207 0 R 1208 0 R 1209 0 R 1210 0 R 1211 0 R 1212 0 R 1213 0 R 1214 0 R 1215 0 R 1216 0 R 1217 0 R 1218 0 R 1219 0 R 1220 0 R 1221 0 R 1222 0 R 1223 0 R 1224 0 R 1225 0 R 1226 0 R 1227 0 R 1228 0 R 1229 0 R 1230 0 R 1231 0 R 1232 0 R 1233 0 R 1234 0 R 1235 0 R 1236 0 R 1237 0 R 1238 0 R 1239 0 R 1240 0 R 1241 0 R 1242 0 R 997 0 R 997 0 R 998 0 R 998 0 R]
endobj
1149 0 obj
[999 0 R 1000 0 R 1001 0 R 1002 0 R 1243 0 R 1244 0 R 1004 0 R 1157 0 R 1004 0 R 1005 0 R 1158 0 R 1159 0 R 1005 0 R 1160 0 R 1005 0 R 1006 0 R 1007 0 R 1161 0 R 1007 0 R 1162 0 R 1008 0 R 1009 0 R 1010 0 R 1011 0 R 1012 0 R 1013 0 R 1014 0 R 1015 0 R 1016 0 R 1017 0 R 1018 0 R]
endobj
1150 0 obj
<><>7]/P 1246 0 R/Pg 806 0 R/S/Link>>
endobj
1151 0 obj
<><>10]/P 1247 0 R/Pg 806 0 R/S/Link>>
endobj
1152 0 obj
<><>11]/P 1247 0 R/Pg 806 0 R/S/Link>>
endobj
1153 0 obj
<><>13]/P 1247 0 R/Pg 806 0 R/S/Link>>
endobj
1154 0 obj
<><>17]/P 1248 0 R/Pg 806 0 R/S/Link>>
endobj
1155 0 obj
<><>19]/P 1248 0 R/Pg 806 0 R/S/Link>>
endobj
1156 0 obj
[1019 0 R 1020 0 R 1021 0 R 1022 0 R 1023 0 R 1249 0 R 1024 0 R 1250 0 R 1025 0 R 1251 0 R 1252 0 R 1027 0 R 1253 0 R 1254 0 R 1255 0 R 1030 0 R 1256 0 R 1030 0 R 1257 0 R 1031 0 R 1258 0 R 1032 0 R 1259 0 R 1033 0 R 1034 0 R 1035 0 R 1036 0 R 1037 0 R 1038 0 R 1260 0 R 1039 0 R 1261 0 R 1039 0 R 1262 0 R 1040 0 R 1263 0 R 1040 0 R 1264 0 R 1040 0 R 1265 0 R 1042 0 R 1043 0 R 1044 0 R 1266 0 R 1267 0 R 1046 0 R 1047 0 R 1048 0 R 1049 0 R 1268 0 R 1269 0 R 1051 0 R 1052 0 R 1053 0 R 1054 0 R 1055 0 R 1056 0 R 1057 0 R 1270 0 R 1271 0 R 1272 0 R 1273 0 R 1274 0 R 1275 0 R 1276 0 R 1277 0 R 1278 0 R 1279 0 R 1280 0 R 1281 0 R 1282 0 R 1283 0 R 1284 0 R]
endobj
1157 0 obj
<><>7]/P 1004 0 R/Pg 806 0 R/S/Link>>
endobj
1158 0 obj
<><>10]/P 1005 0 R/Pg 806 0 R/S/Link>>
endobj
1159 0 obj
<><>11]/P 1005 0 R/Pg 806 0 R/S/Link>>
endobj
1160 0 obj
<><>13]/P 1005 0 R/Pg 806 0 R/S/Link>>
endobj
1161 0 obj
<><>17]/P 1007 0 R/Pg 806 0 R/S/Link>>
endobj
1162 0 obj
<><>19]/P 1007 0 R/Pg 806 0 R/S/Link>>
endobj
1007 0 obj
<>
endobj
806 0 obj
<>/MediaBox[0 0 612 792]/Parent 645 0 R/Resources<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 39/Tabs/S/Type/Page>>
endobj
1286 0 obj
<>stream
HWko8_ f$Rԣ(mnS5P,VX3_/=4(P&y{-h˗o_5c$O8SA~oUzg"GIH }a3"ziqf>'oG%m$ ,)2L$1y7R14j'RYѿ^O#DŽe!D/']q|T}|2Ĝ$#'J̎RsӌAPqf14_e9
"I9cSD&)KXzh7]WḒP1Ƃ涎>]H4nQ1%\0i,b{v=}}s'V*RԛT;D0L~+VA sbX+Q\[4dSww@}(;rY7U);afY.]y(>6>+_οiMN^&癪nC}6XX(>/wESnJXO`+ErW銩z9RQ&,np&hF+%.)z-cY]e&Xkqiָ^3/;_X᳑MٞhRZw#u,^ݭ*c}N7Rި-[mAfy_k
Opxl̅`dE.ʵ:ɮF>@i8Y8SeTEtZ7lUE1ŶQ^Lk`T
?2;Y[Bw8\g](M?O0PލIԏ|4aBImo,E קj`,YSHvMQoߞ!TDPUk{}P'UmX:2~Q5#Wo;Qƺ>Tatz.SQtj?F]XT.E>.}Ay|k¹bJm0v[ܼ4{]| z1qIQTԃ>W{
X]G>s60nJw?7|gx=lj;vp 5osQ;'%tV95pGX/
=jlH4_9ocMt2
,JrpVL|{eIuL }Y8);˾_ٺ,|%/>Ď LHޜ4z@{kMݷG~L|{wqƈpk*!͘}7#/!R7X춌$rf%D"\Qc8.ٚy/|Pbɉ/bQ-[AV"YBY-VDk