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/12 p. 727 Account Ending 0-13001 Detail Continued Amount 07/13/12 AMERICAN EXPRESS TVLPHOENI X AZ DELTA AIR LINES INC. From: To: BOZEMAN SALT LAKE CITY ALBUQUERQUE SALT LAKE CITY BOZEMAN Carrier. Class: DL DL DL A DL A $900.20 Ticket Number: 00670760047064 Date of Departure:07/27 Passe
es not meet Minimum Creditable Coverage standards and will not satisfy the individual mandate that you have health insurance. As of January 1 2009. the Massachusetts Health Care Reform Law requires that Massachusetts residents, eighteen (18) years of age and older, must have health coverage that meets the Minimum Creditable Coverage st
7/14/12 07/14/12 07/14/12 07/14/12 Amount AMERICAN EXPRESS TVLPHOENIX AZ DELTA AIR LINES INC. $900.20 From: To: Carrier: Class: BOZEMAN SALT LAKE CITY DL ALBUQUERQUE DL SALT LAKE CITY DL A BOZEMAN DL A Ticket Number: 00670760047064 Date of Departure:07/27 Passenger Name: HORNER/JOHN ROBE
es not meet Minimum Creditable Coverage standards and will not satisfy the individual mandate that you have health insurance. As of January 1 2009, the Massachusetts Health Care Reform Law requires that Massachusetts residents, eighteen (18) years of age and older, must have health coverage that meets the Minimum Creditable Coverage st
ng 0-13001 Detail Continued Amount 07/13/12 AMERICAN EXPRESS TVLPHOENIX AZ DELTA AIR LINES INC. $900.20 From: To: Corner. Class: BOZEMAN SALT LAKE CITY DL ALBUQUERQUE DL SALT LAKE CITY DL A BOZEMAN DL A Ticket Number: 00670760047064 Date of Departure: 07/27 Passenger Name: HORNER/JOHN ROB
oes not meet Minimum Creditable Coverage standards and will not satisfy the individual mandate that you have health insurance. As of January I 2009. the Massachusetts Health Care Reform Law requires that Massachusetts residents, eighteen (IS) years of age and older, must have health coverage that meets the Minimum Creditable Coverage st
Entities connected to both Salt Lake City and the Massachusetts Health Care Reform Law

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