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Ttlement or judgment. I understand and consent that some of the personal information provided by me and my dependents under this group plan(s) may be disclosed to agents and representatives of PBC and other providers/insurers and their agents and representatives for the purposes of assessing and providing benefit coverage. I understand and consent that the personal information provided by me and my dependents under this group plan(s) may be disclosed to the Trustees of the Trust and their agents.

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