%PDF-1.7
%
1 0 obj
<<
/Subtype /XML
/Length 4415
/Type /Metadata
>>
stream
Stop Loss - Request For Information
application/pdf
ACA
Affordable Care Act
Benefit
Comment
Employee
Group
Health
Insurance
Notice
Plan
Request for Information
Stop Loss
Public Comment
ACA, Affordable Care Act, Benefit, Comment, Employee, Group, Health, Insurance, Notice, Plan, Request for Information, Stop Loss
Adobe PDF Library 10.0
2012-06-07T09:23:13-04:00
Acrobat PDFMaker 10.0 for Microsoft Outlook
2014-12-02T09:28:52-05:00
2014-12-02T09:28:52-05:00
uuid:567ebf3a-9e44-42fd-9319-b66d50200d7c
uuid:7bf247f0-591b-4e4b-b7ba-2535d5410a56
endstream
endobj
2 0 obj
<<
/Kids [3 0 R]
/Type /Pages
/Count 1
>>
endobj
4 0 obj
<<
/OutlookPDFMaker
<<
/Creator /OutlookPDFMaker9
>>
>>
endobj
5 0 obj
<<
/PageLayout /OneColumn
/Lang (en)
/Extensions
<<
/ADBE
<<
/ExtensionLevel 3
/BaseVersion /1.7
>>
>>
/Pages 2 0 R
/OpenAction 6 0 R
/PieceInfo 4 0 R
/Metadata 1 0 R
/Type /Catalog
>>
endobj
6 0 obj
<<
/D [3 0 R /FitH 792]
/S /GoTo
>>
endobj
3 0 obj
<<
/Rotate 0
/MediaBox [0.0 0.0 612.0 792.0]
/CropBox [0.0 0.0 612.0 792.0]
/Resources
<<
/ColorSpace
<<
/CS1 7 0 R
/CS0 8 0 R
>>
/Font
<<
/TT5 9 0 R
/TT4 10 0 R
/TT3 11 0 R
/TT2 12 0 R
/TT1 13 0 R
/TT0 14 0 R
>>
/ProcSet [/PDF /Text]
>>
/Contents 15 0 R
/Parent 2 0 R
/PZ 1.0
/Type /Page
/Annots 16 0 R
/Group 17 0 R
>>
endobj
15 0 obj
<<
/Filter /FlateDecode
/Length 1867
>>
stream
HW[oF}ׯ J&WA,c]$kj@}5)Erɑe#%v!is9|W˵&+"/0&a[8}[a,fyQġ'_6O<x>ͼ|9pr ЙhJ³.oF/yAZ}؎+r[`r54Q&WZ#wxZw`#Iwd2e`0nE`em|~%2gH993t'n|7N
?:F'ˏ?&8Of',\cGy~Dik$FMl$hvuZdL3bAhO7WyeZJ֍DE嫐&WlVxϻ|v,b,ۇ8^'bs` L?Aix }.~]U *.ײik MyzeSزrnlƓTi,ӻ4_rqy83ݻwߎspOCk^9LJqQzG'3`ͅ<-$$X#7-j[e%o̮;K`j)_7:5:Mn{!|1lvuyt?f%uAږ|H;ˮ,\zjUo$ːd1p.iPg^霮0.$ [iPЂԛ^ͽ*S n er>ޫVnlcw5Ų#Bw(!`'[DߤGjT2Siͱ+##Lx[:lleqgqs}X9]V9P?ƹJVڈI$Jf$R8$z)C䍁GtEF ;Aob>y%ֈϣa9s(lubayIv1unA7ggޮ?EOTz1} m7M1s6ip/o'\Zt{5*]qQ돼|` rz7,LCx :M'?fϧS8\Hg0J2CL)ȉ욊g3uvjOM&yp8m+K$4Y] \w~|ȖA@#>PtF38ӓfXmws 5?izv=t3`6貂91rCƤ$s'lG.YY蔪 ۮ#17teryY2`@y'WcgՊ*n
]&'i4PeKT%zVi$ rTFAuFjUcv3rröZ6(5@ǑrH^Bhs^ 1vγNmnJz12
>j
A O)Px3oQaOS&=ʷi+[X]`S
sv$Z^ŘD: T2fJip^Vҧhk!zXb|t6{7C@۷p5p.P+IrOo$:rhӭƜv|R ٶm7xLJdk"k1#OCzq*kJ
t))|ѧn-^V"(J2F2?=ُeJݧ6@CzEnN$XCsy=t{OM"x|т_ r
endstream
endobj
18 0 obj
<<
/Filter /FlateDecode
/N 1
/Length 216
>>
stream
Hb``$WR~|@T#2S/`M.(*(%8H8c-
fԉd9@6_IjH9(3=DR1%?)U!$5X3/9 ($5j%V*'&*r" (,!!0b;CҢ2(ɘ I8/
endstream
endobj
19 0 obj
<<
/Filter /FlateDecode
/N 3
/Length 2574
>>
stream
HyTSwoɞc
[5laQIBHADED2mtFOE.c}088GNg9w߽ '0 ֠Jb
2y.-;!KZ ^i"L0-
@8(r;q7Ly&Qq4j|9
V)gB0iW8#8wթ8_٥ʨQQj@&A)/g>'K t;\
ӥ$պFZUn(4T%)뫔0C&Zi8bxEB;Pӓ̹Aom?W=
x- [ 0}y)7ta>jT7@tܛ`q2ʀ&6ZLĄ?_yxg)˔zçLU*uSkSeO4?c. R
߁-25 S>ӣVd`rn~Y&+`;A4 A9 =-tl`;~p Gp| [`L`< "AYA+Cb(R, *T2B-
ꇆnQt}MA0alSx k&^>0|>_',G!"F$H:R!zFQd?r9\A&GrQhE]a4zBgE#H *B=0HIpp0MxJ$D1D, VĭKĻYdE"EI2EBGt4MzNr!YK ?%_(0J:EAiQ(()ӔWT6U@P+!~mDeԴ!hӦh/']B/ҏӿ?a0nhF!X8܌kc&5S6lIa2cKMA!E#ƒdV(kel
}}Cq9
N')].uJr
wG xR^[oƜchg`>b$*~ :Eb~,m,-ݖ,Y¬*6X[ݱF=3뭷Y~dó tizf6~`{v.Ng#{}}jc1X6fm;'_9 r:8q:˜O:ϸ8uJqnv=MmR 4
n3ܣkGݯz=[==<=GTB(/S,]6*-W:#7*e^YDY}UjAyT`#D="b{ų+ʯ:!kJ4Gmt}uC%K7YVfFY.=b?SƕƩȺy
چk5%4m7lqlioZlG+Zzmzy]?uuw|"űNwW&e֥ﺱ*|j5kyݭǯg^ykEklD_p߶7Dmo꿻1ml{Mś
nLl<9O [$h՛BdҞ@iءG&vVǥ8nRĩ7u\ЭD- u`ֲK³8%yhYѹJº;.!
zpg_XQKFAǿ=ȼ:ɹ8ʷ6˶5̵5͵6ζ7ϸ9к<Ѿ?DINU\dlvۀ܊ݖޢ)߯6DScs
2F[p(@Xr4Pm8Ww)Km
endstream
endobj
20 0 obj
<<
/Filter /FlateDecode
/N 3
/Alternate /DeviceRGB
/Length 2574
>>
stream
HyTSwoɞc
[5laQIBHADED2mtFOE.c}088GNg9w߽ '0 ֠Jb
2y.-;!KZ ^i"L0-
@8(r;q7Ly&Qq4j|9
V)gB0iW8#8wթ8_٥ʨQQj@&A)/g>'K t;\
ӥ$պFZUn(4T%)뫔0C&Zi8bxEB;Pӓ̹Aom?W=
x- [ 0}y)7ta>jT7@tܛ`q2ʀ&6ZLĄ?_yxg)˔zçLU*uSkSeO4?c. R
߁-25 S>ӣVd`rn~Y&+`;A4 A9 =-tl`;~p Gp| [`L`< "AYA+Cb(R, *T2B-
ꇆnQt}MA0alSx k&^>0|>_',G!"F$H:R!zFQd?r9\A&GrQhE]a4zBgE#H *B=0HIpp0MxJ$D1D, VĭKĻYdE"EI2EBGt4MzNr!YK ?%_(0J:EAiQ(()ӔWT6U@P+!~mDeԴ!hӦh/']B/ҏӿ?a0nhF!X8܌kc&5S6lIa2cKMA!E#ƒdV(kel
}}Cq9
N')].uJr
wG xR^[oƜchg`>b$*~ :Eb~,m,-ݖ,Y¬*6X[ݱF=3뭷Y~dó tizf6~`{v.Ng#{}}jc1X6fm;'_9 r:8q:˜O:ϸ8uJqnv=MmR 4
n3ܣkGݯz=[==<=GTB(/S,]6*-W:#7*e^YDY}UjAyT`#D="b{ų+ʯ:!kJ4Gmt}uC%K7YVfFY.=b?SƕƩȺy
چk5%4m7lqlioZlG+Zzmzy]?uuw|"űNwW&e֥ﺱ*|j5kyݭǯg^ykEklD_p߶7Dmo꿻1ml{Mś
nLl<9O [$h՛BdҞ@iءG&vVǥ8nRĩ7u\ЭD- u`ֲK³8%yhYѹJº;.!
zpg_XQKFAǿ=ȼ:ɹ8ʷ6˶5̵5͵6ζ7ϸ9к<Ѿ?DINU\dlvۀ܊ݖޢ)߯6DScs
2F[p(@Xr4Pm8Ww)Km
endstream
endobj
16 0 obj [21 0 R 22 0 R 23 0 R 24 0 R]
endobj
21 0 obj
<<
/Border [0 0 0]
/Subtype /Link
/BS
<<
/W 0
/Type /Border
/S /S
>>
/A
<<
/URI (mailto:rplattner@plattner-verderame.com)
/S /URI
>>
/Type /Annot
/Rect [156.0 722.0 210.0 731.0]
>>
endobj
22 0 obj
<<
/Border [0 0 0]
/Subtype /Link
/BS
<<
/W 0
/Type /Border
/S /S
>>
/A
<<
/URI (mailto:E-OHPSCA-STOPLOSS.EBSA@dol.gov)
/S /URI
>>
/Type /Annot
/Rect [156.0 711.0 250.0 720.0]
>>
endobj
23 0 obj
<<
/Border [0 0 0]
/Subtype /Link
/BS
<<
/W 0
/Type /Border
/S /S
>>
/A
<<
/URI (mailto:rplattner@plattner-verderame.com)
/S /URI
>>
/Type /Annot
/Rect [78.0 544.0 263.0 557.0]
>>
endobj
24 0 obj
<<
/Border [0 0 0]
/Subtype /Link
/BS
<<
/W 0
/Type /Border
/S /S
>>
/A
<<
/URI (http://www.pvazlaw.com/)
/S /URI
>>
/Type /Annot
/Rect [78.0 487.0 207.0 500.0]
>>
endobj
8 0 obj [/ICCBased 18 0 R]
endobj
7 0 obj [/ICCBased 19 0 R]
endobj
25 0 obj
<<
/FontName /Tahoma,Bold
/StemV 172
/Ascent 1065
/Flags 32
/FontWeight 700
/XHeight 548
/FontFamily (Tahoma)
/FontStretch /Normal
/Descent -216
/ItalicAngle 0
/FontBBox [-698 -216 1625 1065]
/Type /FontDescriptor
/CapHeight 727
>>
endobj
14 0 obj
<<
/LastChar 255
/BaseFont /Tahoma-Bold
/Subtype /TrueType
/Widths [1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 293 343 489 818 637 1199 781 275 454 454 637 818 313 431 313 577 637 637 637 637 637 637 637 637 637 637 363 363 818 818 818 566 920 685 686 667 757 615 581 745 764 483 500 696 572 893 771 770 657 770 726 633 612 739 675 1028 685 670 623 454 577 454 818 637 546 599 632 527 629 594 382 629 640 302 363 603 302 954 640 617 629 629 434 515 416 640 579 890 604 576 526 623 637 623 818 637 637 637 275 637 489 1000 637 637 546 1676 633 425 1037 637 623 637 637 275 275 489 489 637 637 909 546 861 515 425 985 637 526 670 293 343 637 637 637 637 637 637 546 929 508 703 818 431 929 637 520 818 539 539 546 651 637 363 546 539 539 703 1128 1128 1128 566 685 685 685 685 685 685 989 667 615 615 615 615 483 483 483 483 774 771 770 770 770 770 770 818 770 739 739 739 739 670 659 646 599 599 599 599 599 599 937 527 594 594 594 594 302 302 302 302 620 640 617 617 617 617 617 818 617 640 640 640 640 576 629 576]
/FontDescriptor 25 0 R
/Type /Font
/Encoding /WinAnsiEncoding
/FirstChar 0
>>
endobj
26 0 obj
<<
/FontName /Tahoma
/StemV 92
/Ascent 1034
/Flags 32
/FontWeight 400
/XHeight 545
/FontFamily (Tahoma)
/FontStretch /Normal
/Descent -216
/ItalicAngle 0
/FontBBox [-600 -216 1516 1034]
/Type /FontDescriptor
/CapHeight 727
>>
endobj
13 0 obj
<<
/LastChar 255
/BaseFont /Tahoma
/Subtype /TrueType
/Widths [1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 313 332 401 728 546 977 674 211 383 383 546 728 303 363 303 382 546 546 546 546 546 546 546 546 546 546 354 354 728 728 728 474 909 600 589 601 678 561 521 667 675 373 417 588 498 771 667 708 551 708 621 557 584 656 597 902 581 576 559 383 382 383 728 546 546 525 553 461 553 526 318 553 558 229 282 498 229 840 558 543 553 553 360 446 334 558 498 742 495 498 444 480 382 480 728 455 546 455 211 546 397 817 546 546 546 1391 557 383 977 455 559 455 455 211 211 401 401 455 546 909 546 876 446 383 909 455 444 576 313 332 546 546 546 546 382 546 546 929 493 573 728 363 929 546 471 728 493 493 546 568 546 354 546 493 493 573 1000 1000 1000 474 600 600 600 600 600 600 913 601 561 561 561 561 373 373 373 373 698 667 708 708 708 708 708 728 708 656 656 656 656 576 565 548 525 525 525 525 525 525 880 461 526 526 526 526 229 229 229 229 546 558 543 543 543 543 543 728 543 558 558 558 558 498 553 498]
/FontDescriptor 26 0 R
/Type /Font
/Encoding /WinAnsiEncoding
/FirstChar 0
>>
endobj
27 0 obj
<<
/FontName /Arial
/StemV 88
/Ascent 1006
/Flags 32
/FontWeight 400
/XHeight 519
/FontFamily (Arial)
/FontStretch /Normal
/Descent -325
/ItalicAngle 0
/FontBBox [-665 -325 2000 1006]
/Type /FontDescriptor
/CapHeight 716
>>
endobj
12 0 obj
<<
/LastChar 255
/BaseFont /ArialMT
/Subtype /TrueType
/Widths [750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 278 278 355 556 556 889 667 191 333 333 389 584 278 333 278 278 556 556 556 556 556 556 556 556 556 556 278 278 584 584 584 556 1015 667 667 722 722 667 611 778 722 278 500 667 556 833 722 778 667 778 722 667 611 722 667 944 667 667 611 278 278 278 469 556 333 556 556 500 556 556 278 556 556 222 222 500 222 833 556 556 556 556 333 500 278 556 500 722 500 500 500 334 260 334 584 350 556 350 222 556 333 1000 556 556 333 1000 667 333 1000 350 611 350 350 222 222 333 333 350 556 1000 333 1000 500 333 944 350 500 667 278 333 556 556 556 556 260 556 333 737 370 556 584 333 737 552 400 549 333 333 333 576 537 333 333 333 365 556 834 834 834 611 667 667 667 667 667 667 1000 722 667 667 667 667 278 278 278 278 722 722 778 778 778 778 778 584 778 722 722 722 722 667 667 611 556 556 556 556 556 556 889 500 556 556 556 556 278 278 278 278 556 556 556 556 556 556 556 549 611 556 556 556 556 500 556 500]
/FontDescriptor 27 0 R
/Type /Font
/Encoding /WinAnsiEncoding
/FirstChar 0
>>
endobj
28 0 obj
<<
/FontName /Arial,Italic
/StemV 92
/Ascent 998
/Flags 96
/FontWeight 400
/XHeight 519
/FontFamily (Arial)
/FontStretch /Normal
/Descent -325
/ItalicAngle -12
/FontBBox [-517 -325 1359 998]
/Type /FontDescriptor
/CapHeight 716
>>
endobj
11 0 obj
<<
/LastChar 255
/BaseFont /Arial-ItalicMT
/Subtype /TrueType
/Widths [750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 750 278 278 355 556 556 889 667 191 333 333 389 584 278 333 278 278 556 556 556 556 556 556 556 556 556 556 278 278 584 584 584 556 1015 667 667 722 722 667 611 778 722 278 500 667 556 833 722 778 667 778 722 667 611 722 667 944 667 667 611 278 278 278 469 556 333 556 556 500 556 556 278 556 556 222 222 500 222 833 556 556 556 556 333 500 278 556 500 722 500 500 500 334 260 334 584 350 556 350 222 556 333 1000 556 556 333 1000 667 333 1000 350 611 350 350 222 222 333 333 350 556 1000 333 1000 500 333 944 350 500 667 278 333 556 556 556 556 260 556 333 737 370 556 584 333 737 552 400 549 333 333 333 576 537 333 333 333 365 556 834 834 834 611 667 667 667 667 667 667 1000 722 667 667 667 667 278 278 278 278 722 722 778 778 778 778 778 584 778 722 722 722 722 667 667 611 556 556 556 556 556 556 889 500 556 556 556 556 278 278 278 278 556 556 556 556 556 556 556 549 611 556 556 556 556 500 556 500]
/FontDescriptor 28 0 R
/Type /Font
/Encoding /WinAnsiEncoding
/FirstChar 0
>>
endobj
29 0 obj
<<
/FontName /Verdana,Bold
/StemV 176
/Ascent 1072
/Flags 32
/FontWeight 700
/XHeight 548
/FontFamily (Verdana)
/FontStretch /Normal
/Descent -303
/ItalicAngle 0
/FontBBox [-550 -303 1707 1072]
/Type /FontDescriptor
/CapHeight 727
>>
endobj
10 0 obj
<<
/LastChar 255
/BaseFont /Verdana-Bold
/Subtype /TrueType
/Widths [1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 342 402 587 867 711 1272 862 332 543 543 711 867 361 480 361 689 711 711 711 711 711 711 711 711 711 711 402 402 867 867 867 617 964 776 762 724 830 683 650 811 837 546 555 771 637 948 847 850 733 850 782 710 682 812 764 1128 764 737 692 543 689 543 867 711 711 668 699 588 699 664 422 699 712 342 403 671 342 1058 712 687 699 699 497 593 456 712 650 979 669 651 597 711 543 711 867 711 711 711 332 711 587 1049 711 711 711 1777 710 543 1135 711 692 711 711 332 332 587 587 711 711 1000 711 964 593 543 1068 711 597 737 342 402 711 711 711 711 543 711 711 964 598 850 867 480 964 711 587 867 598 598 711 721 711 361 711 598 598 850 1182 1182 1182 617 776 776 776 776 776 776 1094 724 683 683 683 683 546 546 546 546 830 847 850 850 850 850 850 867 850 812 812 812 812 737 735 713 668 668 668 668 668 668 1018 588 664 664 664 664 342 342 342 342 679 712 687 687 687 687 687 867 687 712 712 712 712 651 699 651]
/FontDescriptor 29 0 R
/Type /Font
/Encoding /WinAnsiEncoding
/FirstChar 0
>>
endobj
30 0 obj
<<
/FontName /Verdana
/StemV 92
/Ascent 1051
/Flags 32
/FontWeight 400
/XHeight 545
/FontFamily (Verdana)
/FontStretch /Normal
/Descent -303
/ItalicAngle 0
/FontBBox [-560 -303 1447 1051]
/Type /FontDescriptor
/CapHeight 727
>>
endobj
9 0 obj
<<
/LastChar 255
/BaseFont /Verdana
/Subtype /TrueType
/Widths [1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 352 394 459 818 636 1076 727 269 454 454 636 818 364 454 364 454 636 636 636 636 636 636 636 636 636 636 454 454 818 818 818 545 1000 684 686 698 771 632 575 775 751 421 455 693 557 843 748 787 603 787 695 684 616 732 684 989 685 615 685 454 454 454 818 636 636 601 623 521 623 596 352 623 633 274 344 592 274 973 633 607 623 623 427 521 394 633 592 818 592 592 525 635 454 635 818 545 636 545 269 636 459 818 636 636 636 1521 684 454 1070 545 685 545 545 269 269 459 459 545 636 1000 636 977 521 454 981 545 525 615 352 394 636 636 636 636 454 636 636 1000 545 645 818 454 1000 636 542 818 542 542 636 642 636 364 636 542 545 645 1000 1000 1000 545 684 684 684 684 684 684 984 698 632 632 632 632 421 421 421 421 775 748 787 787 787 787 787 818 787 732 732 732 732 615 605 620 601 601 601 601 601 601 955 521 596 596 596 596 274 274 274 274 612 633 607 607 607 607 607 818 607 633 633 633 633 592 623 592]
/FontDescriptor 30 0 R
/Type /Font
/Encoding /WinAnsiEncoding
/FirstChar 0
>>
endobj
17 0 obj
<<
/CS 31 0 R
/S /Transparency
>>
endobj
31 0 obj [/ICCBased 20 0 R]
endobj
32 0 obj
<<
/Title ( P u b l i c C o m m e n t)
/Producer ( A d o b e P D F L i b r a r y 1 0 . 0)
/Keywords ( A C A , A f f o r d a b l e C a r e A c t , B e n e f i t , C o m m e n t , E m p l o y e e , G r o u p , H e a l t h , I n s u r a n c e , N o t i c e , P l a n , R e q u e s t f o r I n f o r m a t i o n , S t o p L o s s)
/Subject ( S t o p L o s s - R e q u e s t F o r I n f o r m a t i o n)
/ModDate (D:20141202092852-05'00')
/CreationDate (D:20120607092313-04'00')
>>
endobj xref
0 33
0000000000 65535 f
0000000015 00000 n
0000004515 00000 n
0000004905 00000 n
0000004574 00000 n
0000004648 00000 n
0000004852 00000 n
0000013687 00000 n
0000013652 00000 n
0000021280 00000 n
0000019799 00000 n
0000018348 00000 n
0000016907 00000 n
0000015445 00000 n
0000013972 00000 n
0000005246 00000 n
0000012821 00000 n
0000022506 00000 n
0000007190 00000 n
0000007487 00000 n
0000010143 00000 n
0000012868 00000 n
0000013069 00000 n
0000013268 00000 n
0000013468 00000 n
0000013722 00000 n
0000015201 00000 n
0000016665 00000 n
0000018099 00000 n
0000019547 00000 n
0000021034 00000 n
0000022558 00000 n
0000022594 00000 n
trailer
<<
/Info 32 0 R
/Root 5 0 R
/Size 33
/ID [ <8276a11c9a19461794df7ffadbea6869>]
>>
startxref
23146
%%EOF