e group policy), you should enroll in and maintain coverage under Medicare Part A, Part B, and/or Part D as applicable. Page 3 of 4 EFTA00521501 G. Signature Your enrollment in the plan is expressly conditioned upon your acceptance of all terms and conditions contained in this enrollment application. If

e group policy). you should enroll in and maintain coverage under Medicare Part A, Part B, and/or Part D as applicable. Page 3 of 4 EFTA00521833 G. Signature Your enrollment in the plan is expressly conditioned upon your acceptance of all terms and conditions contained in this enrollment application. It

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