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PPSTA PLAN

PPSTA-amendment-2012-001-9-3

PPSTA-amendment-2012-002-1

Replacement of Medco to Express-Scripts
Clarification that Dependent Child coverage ends the last
day of month Dependent Child turns 26
Clarification of weight loss benefit
Clarification of age limits for infertility benefit
Clarification of inpatient Hospital copays

Amendment 2012-002

Benefit References*

Charts*

Clarification of availability of generic version of contraceptive drug affecting copay
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