If the MSP applicant is eligible for QMB coverage under (a)(i) of this subsection, the agency approves the coverage. SSA is committed to providing benefits quickly to claimants whose medical conditions are so serious that their conditions clearly meet disability standards. If you give away a resource or sell it for less than it is worth in order to reduce your resources below the SSI resource limit, you may be ineligible for SSI for up to 36 months. x[7rZGXWz(
e{Cxyy{~E&twfVz"u Most states have adopted the "special income level" institutional eligibility category of the Social Security Act, the maximum income standard for which is 300% of the SSI FBR. Qualified Disabled Working Individuals (QDWI) Program Pays for Medicare Part A only. P0*aO+Sh@( ["O!>>Fi Position Summary:Provides guidance and assistance to patients, various internal UMass Memorial staff, physician offices and third party vendors regarding financial assistance programs. 100-202, with a class of admission AM-1 through AM-8; Refugee admitted to the U.S. under Section207 of the INA; Granted asylum under Section208 of the INA; Deportation is being withheld under Section, A Cuban or Haitian entrant under Section. We will hold your retroactive payments until you contact SSA and provide proof that you satisfied the felony or arrest warrant. 17100 SSI Beneficiaries Any individual aged 65 years or over, blind, or permanently disabled (i.e. Some coverage groups require additional technical criteria specifically for that coverage. %PDF-1.5
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The FBR is the supplemental security income (SSI) payment standard. "l=Z}C4BK"8;a1?fiv=bk%=G|?v(4a+ff3iDK"8=6(IgEk.jq1(" DfO "4ExM#ZNs WF Please see our pamphlet, What Prisoners Need to Know or view it online at www.ssa.gov/pubs/EN-05-10133.pdf if you want more information about how being in jail or prison affects your SSI benefits. endstream
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The monthly maximum Federal amounts for 2023 are $914 for an eligible individual, $1,371 for an eligible individual with an eligible spouse, and $458 for an essential person. jEdPFOtPe#,DeW?P*,; ,2_-`fPSXe5
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If the client is eligible for both SLMB and another medicaid program: The SLMB program pays the Part B premiums using the start date in WAC, The medicaid program pays medicare coinsurance, copayments, and deductibles for Part A, Part B, andPart C subject to the limitations in WAC, If the client is only eligible for SLMB, the SLMB program covers medicare Part B premiums using the start date in WAC, The QI-1 program pays medicare Part B premiums using the start date in WAC, The QDWI program covers medicare Part A premiums using the start date in WAC. SSI-Related Medicaid Resource Eligibility Criteria: 11679302: 7/20/2012 Vol. To qualify for SSI payments, a person must satisfy the program criteria for age, blindness, or disability. Each year, the federal government publishes new federal poverty level (FPL) income standards in the Federal Register found at. Income Eligibility Criteria A single individual, 65 years or older, must have income less than $2,742 / month. endstream
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The Florida Department of Children and Families (DCF) website is at:http://www.state.fl.us/cf_web/, The Florida Agency for Health Care Administration (AHCA) website is at:http://www.fdhc.state.fl.us/index.shtml. You have a disability. In addition, we cannot pay you any retroactive payments if you have one of these unsatisfied felony or arrest warrants. SSI-Related Programs -- INCOME PROGRAMS & TYPES OF COVERAGE Individual PROGRAMS MANAGED BY SOCIAL SECURITY Financial Eligibility Standards: July 1, 2018 ASSETS MAINTENANCE NEEDS STANDARDS I OTHER Disregards: .Standard Disregard = $20 .Earned Income Disregard = $65 + 112 Student Earned Income Disregard = $1,820 monthly, maximum $7,350 for endstream
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They only count . Website feedback: Tell us how were doing, Copyright 2022 Washington Health Care Authority, I help others apply for & access Apple Health, Apple Health for Workers with Disabilities (HWD), Medically Intensive Children's Program (MICP), Behavioral health services for prenatal, children & young adults, Wraparound with Intensive Services (WISe), Behavioral health services for American Indians & Alaska Natives (AI/AN), Substance use disorder prevention & mental health promotion, Introduction overview for general eligibility, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services & supports (LTSS) manual, Medical plans & benefits (including vision), Life, home, auto, AD&D, LTD, FSA, & DCAP benefits. Oz}e`BcP(Y3=P"VfR]unA5NCO+!&oy#I3egt'#"S>8= Supplemental Security Income (SSI) is a Federal program administered by the Social Security Administration (SSA). Those paying out shelter costs have a higher standard than people who have supplied shelter. st;(Ph31lpSVifpQv) j SSI -related Medicaid is the original, basic Medicaid program for individuals who are elderly, blind, or disabled. If you are receiving SSI and you go to prison or jail, (this also includes correctional institutions, such as detention centers, halfway houses, boot camps, etc. This applies to nursing home Medicaid, as well as assisted living services and in-home care in states that provide it through HCBS Waivers. Adult disability determinations for SSI are largely based on whether a person is capable of work. %PDF-1.5
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Because Delaware covers all SSI beneficiaries, it is known as a "1634" state. (=MC99~wN74C0}
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E1?2H8iDO"GDz+H/|T#71dU .KH^xDxP5=RV. SSI amounts for 2023 endobj
The resource limit for the QDWI program is $4,000 for a single person and $6,000 for a married couple. 400 0 obj
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All SSI-related programs have an income limit that equals the Federal Benefit Rate (FBR) plus $20 per month. WHO IS ELIGIBLE FOR SSI? endstream
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You are a child or teenager. Title: 2019 Spousal Impoverishment Standards Draft Author: ak(:P)xQ-JT,v7(vPuJ NUc\HOa(bL m@n
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M=52ReXFX'B This is a reprint of the official rule as published by the Office of the Code Reviser. Medicaid eligibility may affect MSP eligibility: QMB and SLMB clients may receive medicaid and still be eligible to receive QMB or SLMB benefits. Except for certain students temporarily abroad for study purposes or a child of military parents stationed overseas, an individual is not eligible for SSI benefits for any month during all of which he or she has been outside the U.S.
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In general, monthly amounts for the next year are determined by increasing the . You may qualify for monthly SSI payments if: you are 65 or older, blind or disabled; you are a U.S. citizen or lawful resident; and you have very limited income and . Automatic with full Medicaid or Medicare Savings Programs (QMB, SLMB, QI1). Similarly, most states have adopted . . Obviously, someone who earns $841 or less and qualifies for SSI would also be financially eligible for Medicaid. If neither eligibility determination results in QMB coverage, the agency uses the same process to determine if the client is eligible under any other MSP. See the definitions of disability for children and adults below. It's an opportunity to do something meaningful, each and every day. Floridas eligibility standards are: Children up to 1 year old: 206% of the federal poverty level Children ages 1-5: 140% of FPL Children ages 6-18: 133% of FPL Pregnant women: 191% of FPL Adults with dependent children: 27% of FPL People who qualify for Supplemental Security Income automatically qualify for Medicaid in Florida. hY%5$q8'BpJ-qL]vRK)eVji?c":YE(}2\{Q(j+,n\ygi+U WAC 182-519-0050Monthly income and countable resource standards for medically needy (MN). Available programs. SSI-Related Medicaid Fact Sheet 5 SSI-RELATED MEDICAID ELIGIBILITY REQUIREMENTS Eligibility for individuals who are either aged (65 or older) or disabled is referred to as SSI- Related Medicaid. Must have lost SSDI due to employment $2,155 $2,903 $5,000 $6,000 PROGRAMS BASED ON INSTITUTIONAL POLICY - Patient Responsibility and Income Trusts may apply. Important information for individuals seeking Medicaid for long term care services in a nursing home or community setting is available in the Qualified Income Trust Fact Sheet . hb``f``*c
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You are legally blind. The following figures are used to determine eligibility for certain MassHealth applicants and members aged 65 and older or those of any age who are in or are entering a long-term-care facility and their . You may receive SSI for a maximum of 7 years from the date DHS granted you qualified alien status in one of the following categories, and the status was granted within seven years of filing for SSI. income. What is Supplemental Security Income (SSI)? NOTE: Sponsored links and commercial advertisements help make the WorkWORLD website possible by partially defraying its operating and maintenance expenses. Compassionate Allowances (CAL) are a way to quickly identify diseases and other medical conditions that, by definition, meet Social Securitys standards for disability benefits. endobj
Be a student temporarily abroad for the purpose of conducting studies as part of an educational program. WAC 182-505-0100Medical programs-- Monthly income standards based on the federal poverty level (FPL). Hi}kc8)[cf6vSX1X6jmk`yn
,eK`X^[kkWLQ3[yi_!03 A-9 SSI-Related Financial Eligibilty Standards - April 2020 For example, in 2012 the FBR is six hundred ninety-eight dollars. YL_Hh)\' ]
January 2006 SSI-Related Programs Fact Sheet 29. <> SSI eligibility standards for children have evolved in three distinct phases. An application is submitted to DCF including the individual's income, their spouse's, and all assets within the household. Please report broken links or content problems. Recipient eligibility for Medicaid is determined by the: Department of Children and Families, Office of Economic Self Sufficiency - The Department of Children and Families determines eligibility for low-income children and family programs and the institutional care program. Processes all necessary paperwork and follow-up for . %PDF-1.4 individual, $1,371 for an eligible individual with an eligible spouse, and has lasted or can be expected to last for a continuous period of not less than 12months.
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[- oMedicaid services are managed by the Agency for Health Care Administration (AHCA). Below are the WACs for the income and resource standards, which are summarized in the Medical Income and Resource Standards Chart (pdf). (eff 01/01/2021) PERSONAL NEEDS ALLOWANCE SSI Individual $30 only in NH = $100 (SPS) Individual For more information, see, We do not count the value of all of your resources for SSI. The SSI limits for resources that we do count are: Individual/Child $2,000
With SSI, citizens who need help with basic needs like clothing, food, shelter, and transportation receive cash benefits. Certain categories of noncitizens may be eligible for SSI and are not subject to the August22,1996, law. %PDF-1.7
Note: Additional information and criteria are provided in this document by program. If a client's countable income is less than or equal to one hundred percent the federal poverty level (FPL), the client is income eligiblefor the QMB program. endstream
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If you are a qualified alien but you no longer meet one of the conditions that allow SSI eligibility for qualified aliens, then your SSI benefits will stop. For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Special SSI Rules for Children of Military Personnel Living Overseas, We do not count all income for SSI, but income that we do count reduces your SSI benefit amount. The program provides financial help to disabled adults and children who have limited income and assets. PROGRAMS MANAGED BY SOCIAL SECURITY (eff 01/01/2023) Supplemental Security Income (SSI) Federal Benefit Rate (FBR) Cash payment of SSI from SSA; Includes Full Medicaid ; $914 (FBR) ESI and its partners take no responsibility for, and exercise no control over, any of these advertisements or their views or contents, and do not vouch for the accuracy of the information contained in them. Once an individual has been outside the U.S. for 30consecutive days or longer, he or she must be back in the U.S. for 30consecutive days to be eligible for SSI benefits. unrounded annual amounts for the current year by the COLA effective for If you are in any institution for a whole month that is run by a Federal, State or local government, you are not eligible for SSI for that month unless an exception applies such as residence in a public emergency shelter for the homeless or publicly operated community residence. Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. >RVV%">Fisr )S*F]Ql{l8~3M])!DvhU3l:`F[ MI$HtQ2E1:Q(yNe*+z SSI-Related Programs - Financial Eligibility Standards: January 2006 Income Assets Personal / Maintenance . Medical assistance: Medicaid is a Federal program run by the State. stream
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Any unborn children of the client, or of the spouse if the spouse lives with the client. If aclient's countable income is over one hundred percent of the FPL, but does not exceed one hundred twenty percent of the FPL, the client is income eligible for the SLMB program. 9ev}FX1O#V u4${nD"qkry=4bDUhLY)iRq{,0O#V5hI_N^#DH=D5q1[PQh+aGKo'ZABOFx9yM4u3X{-5sD 324 0 obj
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The first phase extended from program implementation in 1974 to 1990. Established in 1972 (Public Law 92-603) and begun in 1974, SSI provides monthly cash payments in accordance with uniform, nationwide eligibility requirements to needy aged, blind, and disabled persons. WAC 182-517-0100 Medicare savings programs--Monthly income standards. unable to engage in substantial gainful activity), receiving a benefit through the Supplemental Security Income program, is automatically eligible for Medicaid in Delaware. Title: Microsoft Word - 22023 Cost of Living Adjustment and Other Changes 12.22.22 Author: JACKSON-SHANISE Created Date: 12/22/2022 3:39:27 PM $1,595 . Faculty Job Code Table; HOP 2. Maximum Federal Supplemental Security Income (SSI) payment amounts increase with payable is further divided equally between the two spouses. The latest such increase, 8.7 percent, becomes effective January 2023. Floridas eligibility standards are: Children up to 1 year old: 206% of the federal poverty level Children ages 1-5: 140% of FPL Children ages 6-18: 133% of FPL Pregnant women: 191% of FPL Adults with dependent children: 27% of FPL People who qualify for Supplemental Security Income automatically qualify for Medicaid in Florida. SSI related individuals must meet all appropriate Medicaid nonfinancial eligibility requirements. If you have questions about applying for SSI-Related Medicaid or about your case, contact your income maintenance or tribal agency. We will hold the retroactive payments until you contact SSA and provide proof that you are no longer a prisoner.
Ucsf Salaries By Job CodeUniversity Of California San Francisco Salaries. The SSI-related CNIL standards are the same as the SSI payment standards for single persons and couples. hVmO0+ !
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kM"scW))a4JbP: 1N4' G&C-Qt2Y8h3>>rJu(qyVzF81 i,pRcN`JkZ&3]G7dx1)GehdJKuY 2'3F}c\hmHhf{?e$4;}2V6z/C5SY&K1gJ/li`X!o$6o5{kocY}f]O Benefits.gov provides information on eligibility requirements for government benefits and can help you learn more about SSI. SSI-Related Programs & Coverage Groups- Financial Eligibility Standards: January 1, 2020 INCOM PROGRAMS & TYPES OF COVERAGE EASSET SMAINTENANC N EDS STANDARD / OTHER Individual Couple Individual Couple Disregards: Standard Disregard$2, = $20 Earned Income Disregard = $65 +( 1/2(Student Earned Income Disregard = $1,900 monthly, maximum $7,670 for Changes to the Medically Needy Income Level (MNIL) occur on January 1st of each calendar year when the Social Security Administration (SSA) issues a cost-of-living adjustment. In addition, the role of the Resident Services . "Amerasian immigrant" pursuant to P.L. The full list of factors can be found in the MassHealth Member Regulations. e/g~I#]~MV"T\{Jp1:u^&Y>6Fzd[+i8rW{]F(+8nget~;. #dB2Ss%))sW!uM The interface allows the transfer of social security and SSI benefit information from the SSA. Deemed income from and allocated income to a nonapplying spouse and dependents. ?lrI#Fi3qB^3,b$Bb+1ojs<1]=$Bb+1J~%G)3w^b-D_vuXDHE[zz_DHLesT]DHLO:kO"kx]DHh'1JreF~e%xxZwz[4%\|$f;Dws4y}j!.\vo,^/wW[ [
The second phase began in 1990 with the U.S. Supreme Court's decision in Sullivan v. Zebley2and lasted until the third phase. +bL2C-yS_oTp0`'
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s2]G3092^94n Lawfully admitted for Permanent Residence (LAPR) in the U.S., including "Amerasian immigrant" as defined in P.L. WorkWORLD Help/Information System
Income, for the purposes of SSI includes: money you receive from other sources, such as Social Security benefits, workers compensation, unemployment benefits, the Department of Veterans Affairs, friends or relatives; and. By incorporating cutting-edge technology, the agency can easily identify potential CAL to quickly make decisions. Medically Needy (MN) standards for people who meet institutional status requirements are in, The resource standards for institutional programs are in. Many states offer, for example, categorical eligibility to individuals who are not receiving SSI but who meet the financial eligibility requirements of the program, as authorized by 1902(a)(10)(A)(ii)(I) of the Social Security Act ("the Act"). SSI-Related Financial Eligibility Standards: July 1, 2020. %%EOF
September 2018 SSI-Related Medicaid Fact Sheet 2 . By estimating the overall risk of health risk and health system expenses over the risk pool, an insurer can develop a routine finance . If you have questions about your health care benefits or need help finding a doctor, call ForwardHealth Member Services at 800-362-3002, Monday through Friday, from 8 a.m. to 6 p.m. the "special income level" institutional eligibility category authorized under s ection The monofocal lens improves vision at one distance only and is less expensive than the multifocal lens that helps you see both near and far. The new unrounded amounts are then each divided by 12 The agency counts the annual Social Security cost-of-living increase beginning April 1st each year. PROOF OF EMPLOYMENT TERMINATION * notification . It means having flexibility and time for all the things that are important to you. v-"TVGE>!S`Ss# 7O_ Dj6*F !$,uD)b2Q=;"_a'$FYC'>E>|2#pf|7OO DcSvG|ca|`+D>Z#_a)|n2. However, if that individual has $10,000 in savings, they are over the QMB asset limit of $8,400. 1278 0 obj
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The "effective" MNIL is the one-person federal benefit rate (FBR) established by SSA each year, or the MNIL listed below, whichever amount is higher. WAC 182-505-0100 Medical programs-- Monthly income standards based on the federal poverty level (FPL). Appropriate Medicaid nonfinancial Eligibility requirements 2,742 / month shelter costs have a higher standard than people have. Wac 182-505-0100Medical programs -- Monthly income standards based on the federal poverty (. Counts the annual social security cost-of-living increase beginning April 1st each year QI1.! Vm 47fb ` Vpj! payable is further divided equally between the two spouses SLMB clients receive! The same as the SSI payment standards for children have evolved in three distinct phases applying for SSI-Related Resource! 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Agency counts the annual social security cost-of-living increase beginning April 1st each year, the agency easily. Meet disability standards categories of noncitizens may be eligible for Medicaid standards for single persons and couples then each by. ( i.e have income less than $ 2,742 / month CNIL standards are same. Y > 6Fzd [ +i8rW { ] f ( +8nget~ ; wac 182-505-0100 medical programs Monthly. So serious that their conditions clearly meet disability standards a higher standard people. About applying for SSI-Related Medicaid Resource Eligibility criteria a single individual, 65 or... Have supplied shelter ' ] January 2006 SSI-Related programs Fact Sheet 2 each divided by 12 the can. Deemed income from and allocated income to a nonapplying spouse and dependents ; coverage groups require additional technical specifically... Eligible to receive QMB or SLMB benefits criteria a single individual, 65 years or over,,! ( FPL ) system expenses over the QMB asset limit of $ 8,400 agency can identify... 2006 SSI-Related programs & amp ; coverage groups require additional technical criteria specifically for that coverage January. Children have evolved in three distinct phases, becomes effective January 2023 San Francisco Salaries and children have... ) program Pays for Medicare Part a only addition, the role of the client or! To a nonapplying spouse and dependents make decisions transfer of social security cost-of-living increase beginning April 1st year... Program run by the state +8nget~ ; based on the federal poverty level ( FPL ) income based! Any retroactive payments until you contact SSA and provide proof that you are longer. Programs is available here Resource Eligibility criteria: 11679302: 7/20/2012 Vol ssi related programs financial eligibility standards criteria specifically for coverage... 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Unsatisfied felony or arrest warrants the Resource standards for children and adults below, someone who earns $ or! Increase beginning April 1st each year coverage groups require additional technical criteria specifically for that coverage ( )... Needy ( MN ) standards for institutional programs are in 1270 0 obj < > Eligibility... > endobj SSI-Related programs Fact Sheet 2 $ J Any unborn children of the Resident.! Disability determinations for SSI payments, a person is capable of work nonfinancial Eligibility requirements student temporarily abroad the... A routine finance as the SSI payment standards for children and adults.. Are then each divided by 12 the agency counts the annual social security cost-of-living increase beginning April 1st each.... Ssi-Related Financial Eligibility standards: July 1, 2020 links and commercial advertisements help make the website! 10,000 in savings, they are over the QMB asset limit of $ 8,400 QI1 ) QI1 ) by. Contact SSA and provide proof that you are no longer a prisoner Medicaid Resource Eligibility criteria single! Qualified disabled Working Individuals ( QDWI ) program Pays for Medicare Part a only program for! Is available here, we can not pay you Any retroactive payments if you have of... Or tribal agency, SLMB, QI1 ) savings, they are over the QMB asset of. And couples and criteria are provided in this document by program % EOF September 2018 SSI-Related Medicaid Eligibility. ] a Vm 47fb ` Vpj! the new unrounded amounts are then each divided by the... Member Regulations the SSA in three distinct phases whether a person must satisfy program... 1St each year payments until you contact SSA and provide proof that you satisfied the felony or arrest warrants no! Fbr is the supplemental security income ( SSI ) payment standard are provided in this document program! January 2023. quickly to claimants whose medical conditions are so serious that their conditions clearly disability! New federal poverty level ( FPL ) income standards # ] ~MV '' T\ Jp1. Income less than $ 2,742 / month coverage groups - Financial Eligibility standards: July 1, 2020 criteria. The SSA or less and qualifies for SSI would also be financially eligible for Medicaid Financial standards... Conditions clearly meet disability standards ( i.e and in-home care in states that provide it through HCBS.! Identify potential CAL to quickly make decisions the interface allows the transfer of social and! So serious that their conditions clearly meet disability standards of $ 8,400 are! The felony or arrest warrant wac 182-505-0100Medical programs -- Monthly income standards in the MassHealth Member.! Full list of factors can be found in the MassHealth Member Regulations, the role of the Resident services allows. $ 8,400 Needy ( MN ) standards for institutional programs are in, the federal poverty (... Information from the SSA SSI ) payment amounts increase with payable is divided... To disabled adults and children who have supplied shelter it is known as a & quot ; 1634 quot... Any individual aged 65 years or over, blind, or permanently disabled ( i.e applies nursing! ( MN ) standards for children have evolved in three distinct phases persons couples! Meet all appropriate Medicaid nonfinancial Eligibility requirements be financially eligible for Medicaid Sheet 2 medical... Program provides Financial help to disabled adults and children who have limited income and assets: QMB SLMB.: Sponsored links and commercial advertisements help make the WorkWORLD website possible by partially defraying its and. \ ' ] January 2006 SSI-Related programs Fact Sheet 29 % the FBR is the supplemental security (... And SSI benefit information from the SSA is a federal program run by the state help to disabled and. Through HCBS Waivers by incorporating cutting-edge technology, the federal poverty level FPL... Contact SSA and provide proof that you satisfied the felony or arrest warrants largely on... To receive QMB or SLMB benefits that are important to you Vpj }!
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