This government document is issued by Butte County for use in Butte County, CA
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https://www.google.com/url?client=internal-element-cse&cx=012322145536355981883:hkructoocvu&q=https://www.buttecounty.net/Portals/17/Benefits/OpenEnrollment/Met_Life_Statement_of_Health.pdf&sa=U&ved=2ahUKEwjo5pHjovHxAhXuwosKHcCEDSw4FBAWMAh6BAgFEAE&usg=AOvVaw1fZUtODbK9eGzcyOwrBjaA