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並前往https://www.hca.wa.gov/assets/pebb/50-0226-pebb-premium-surcharge-attestation-help-sheet-2021.pdf

2021 PEBB Premium Surcharge Attestation Help Sheet

Then attest (respond) in the surcharge sections on your 2021 enrollment form, in PEBB My Account, or on the 2021 PEBB. Premium Surcharge Attestation Change Form ...

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