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City of Lakewood : Plan t CGVerage Perlod: 0110112017-1213112017 <br />8ummaryof8anefit3and Coverage: Whalihla Plan Covarad What it Cask Cuvemge for: J%Vle w Faniy l Ilan Type: PPD <br />Your Grl...a,. and Appeals Right.: <br />Hyeu hare. ¢nydanitt are dauds5edwiR a d�ul clwsa-aae(m 'moons �mtxyaurpan, Yo'anaYha atk I.mrcal vfleaorkvaiwe. 5rq�usWns abma:your <br />r.4hb, Pisnctix.wa3:slarre,yw wn wn�at lha planai fA0.5102503. You maYalaoceniad Oe CelwhnentoflaWsFmpNleee l3enefUSawnly PAnmisOafim <br />at gm.463.E&:A (31i3J a wwx ddgmAeteafiealth�e(om1. <br />Deaa Ihl. Coverage Provide Minimum E.... it.[ Coverage? <br />TherR vladk Cae Fd r¢qulresmoslµrope bta':ehea•Aa:ewle. plhatqualreaas'ntiwnamesaentia nwage'ihls plan <rpdi<y tices provide min'mum <br />uaenlci wvemg¢. <br />Does Ihie Coverage Meet the Minimum Velu.Standard? <br />the lJ6xdadkfam FG e.lati Nee a—invan ue:lnndaNat6 hlaa(atFaYhp'an.lhe!renmrimm4•standaN a 60'b laFuarim reM1ve}.ThisheaYhcm'e:ape <br />does meet the minimum value alandmd F., Ox heirefk it provides. <br />31 <br />