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Organization Type Payer (Insurance Company) Employer Government Union Benefits Consultant or Broker Other (Please Specify)

Number of Employees <100 100-499 100-499 1000-2499 2500-7499 7500-24999 25000+

State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

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