This government document is issued by State Health Benefit Plan for use in Georgia
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https://www.google.com/url?client=internal-element-cse&cx=450907bf5042c4844&q=https://shbp.georgia.gov/document/publication/eligibility-and-enrollment-provisions-effective-january-1-2016pdf/download&sa=U&ved=2ahUKEwiQkO_EmeOLAxVvXUEAHZCnKyU4PBAWegQIAhAC&usg=AOvVaw14JA1_VX7ZjqN5zui3oC1h