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Okaloosa County BOCC — June 17, 2014 — MedicareCarveOut — reading text
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and/or Florida Blue HMO Licensed Agent (Print)
Dennis E. PAenes
Signature or peat Agent License Identification Number
A- 013980
Health and vision insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. HMO coverage is offered by Health Options, Inc.,
D/B/A Florida Blue HMO, an HMO subsidiary of Florida Blue. These companies are Independent Licensees of the Blue Cross and Blue Shield Association.
13123-0813R 05/28/2014 1:39:10 PM