The plan gives you access to the online weight loss and nutritional counseling programReal Appeal. MagnaCare makes the claims process as simple as possible, and offers online tools and a dedicated provider support team of network specialists who are on hand to answer your questions. PART_ACCESS - Basil Castrovinci Associates. Web Site: www.Caremark.com Our Vision Plan covers regular eye exams, lenses, and frames so that you can see in 20/20 every day. An official website of the United States government. Walsh v. Board of Trustees of Local 272 Welfare Fund and Local 272 Welfare Fund, 22-cv-592 (S.D.N.Y August 2, 2022) This case involves a suit filed by the U.S. Department of Labor (DOL) against a Taft-Harley welfare plan and its trustees alleging violations of certain amendments that the Affordable Care Act (ACA) made to ERISA. LOCAL 272. Go to the Member Dashboard to check your claim status. The U.S. Department of Labor will continue to investigate and seek remedies for potential violations.. Contact Express Scripts for a claim form at. Log on to our provider portal to research fee schedules, check your participation status, check member eligibility, and more. Address Vision Benefits Your vision benefit network is provided by VSP. You have the right to appeal any benefit determination-contact the Benefit Office for information on how to do so. Visit and register on MyCigna.com to get the current in-network providers for your plan. New York, NY 10010. 60607-1986. Fax: 312.829.0137, Fund Office Important Links. The Trustees retain the right to enhance or reduce benefits and/or eligibility criteria. Phone: (800) 652-0063 First, with the new 90 percent cost-sharing requirement, the fund lost its grandfathered status, then failed to cap participants annual out-of-pocket expenses, as the ACA requires. For more information, visit www.MyClGNA.com or call 800-CIGNA24 (800-244-6224). Phone: 708.326.6270, Indiana Wellness Center 7130 Columbia Gateway Drive, Suite A. Columbia, MD 21046. Welfare Fax: 312.829.7787 730. If you use a non-participating pharmacy, you must file a claim within 90 days from the date of purchase. This information is now available in a machine-readable format (in accordance with the rules.) You may locate contracting providers by clicking here to download a copy of the provider directory, visiting www.frontpathcoalition.com or by calling them directly at 419-891-5206 / 888-232-5800. Thank you for your patience! Many services do require a pre-certification. Warehouse . CVS/Caremark If you still have an issue locating a provider in your area, you can call directly. workers compensation, motor vehicle accident, malpractice). This portal is exclusively for healthcare providers to check the status of paid and pending claims for our members/your patients. This benefit covers therapies not previously covered by the Health Plan. 30 trust fund engineers magna. For any additional questions, please call (312) 970-1122. Welcome to Local 272 Welfare and Pension Funds Website, WE ARE LOOKING FOR PAST MEMBERS OF LOCAL 272, WELFARE SUMMARY PLAN DESCRIPTION AND SUMMARIES OF CHANGES, Local 272 WF SMM effective December 1, 2022UD (0 (7), Local 272 WF SMM effective March 1, 2023 (007 (1). Disclaimer and Privacy Policy | Terms of Use 2013 BeneSys Administrators All content on this site is copyrighted by BeneSys Administrators. Phone: (866) 831-4336 What is the chiropractic benefit after deductible? Your new, enhanced service portal is now live! Log onto MyCreateHealth.com to view all your claims for services received in 2017 and later. All Rights Reserved. local 29 blasters & drillers & minors. Frontpath Health Coalition is the PPO network chosen by the Trustees to service our participants beginning October 1, 2003. . Fax: 419-666-5410, Members Login Outside Philadelphia: 1-800-626-8144 www.ibx.com You must pre-authorize certain services or penalties will apply. Teamsters Local, 272 et al, No. Pipefitters Local Union 597 Find a vision provider or confirm that your current provider participates in the Davis Vision network: The amount of coverage for exams, lenses, frames, and coatings will depend on whether you are visiting a Davis Vision Care provider or using your own provider. Teamsters Local 272 represents workers in parking garages within the New York City region. . Annuity Fund Information. Livongo Diabetes Management Program: This program provides beneficiaries with a free blood glucose meter, test strips, coaching, and everything else you need to manage diabetes, at no cost to you. Since our health plan designs are customized for each client, they decide which services to cover, and how much to cover. Suite 700 $0 copay for participants in the Central Pennsylvania Teamsters Health and Welfare Fund. Flushing, NY 11355 Welcome to the Plumbers Local Union No. Address . Box 8085 Welfare Fund Provider Links. Teladoc- Effective January 1, 2020. Fund Mailings. Completely free for beneficiaries, Real Appeal offers weight loss health coaching as well as ongoing support and resources to keep you motivated. Box 188037 BEGINNING MARCH 1, 2023, THE COPAYS WILL INCREASE TO $35 FOR ALL MEDICAL VISITS THAT WERE PREVIOUSLY $25 OR $30.. ALL OTHER PROVISIONS OF THE PLAN REMAIN IN EFFECT. Please call 1-888-881-5462. Telephone (301) 899-7861, ext. Submit your inquiry to [emailprotected]. aetna. 1750 New York Avenue NW Washington, D.C., 20006 PH: 202 383-4800 Fax: 202 638-4856 Address There is no coverage if you use an Out-of Network Provider for routine vision care. For complete details on any of the following topics, please review the Summary Plan Description. Box 3223 The actions by the Teamsters Local 272 Welfare Fund and its trustees denied the funds participants and beneficiaries the healthcare benefits guaranteed to them by law. If you have any questions, please contact the Fund office at 1-800-342-3792 or 781-272-1000. Annually, the Welfare Fund pays over$150million in benefits to over 24,000 active and retired members, spouses and dependent children. Room 1201 Youll enjoy the experience on MyCreateHealth.com where you can: To view older claims (from 2016 and earlier), log onto the service portal at magnacare.com. Maintenance mode is on. We are a 501(c)(5) nonprofit organization that represents workers in the grocery, meat packing, food processing, retail, healthcare, cannabis, chemical, distillery and many other industries. Find company research, competitor information, contact details & financial data for Local 272 Welfare Fund of New York, NY. three rivers provider network. Get reviews, hours, directions, coupons and more for Local 272 Pension & Welfare Fund. P.O. Unsure which region to choose? IF YOU FOLLOW THE GUIDE ON THE PHONE ANNOUNCEMENT, YOU WILL BE ABLE TO GET YOUR HELP QUICKER. By accepting our use of cookies, your data will be aggregated with all other user data. Medicare Retiree Benefit Program. To order a new prescription drug card, contact Express Scripts at 1-800-467-2006. 212-726-9726. teamsters-local272.org. Contact [emailprotected] for assistance. Health Benefits Information Health Provider Links. LOCAL 272 WELFARE FUND HOME: WELFARE PLAN SUMMARY: NEWS: UPCOMING EVENTS: FORMS: USEFUL LINKS: ELIGIBILITY VALIDATION: TEMPORARY ID CARD: CONTACT US : . Employee Assistance Benefits. If you have questions, you may call the Fund office at 800-342-3792 extension 201. Empire Blue Cross & Blue Shield Find company research, competitor information, contact details & financial data for Pointers Cleaners and Caulkers Welfare Fund of Rego Park, NY. We intake bills on behalf of the employer, review them for accuracy, and confirm the amount to be paid. Telligen Maternity Program: Through this program, you can access support from pregnancy to early childcare, receiving your own dedicated maternity nurse, valuable education and resources, and a personalized action plan to support a healthy mother and baby. Let us know when you: get Married or Divorced, have a child, or move. Simply call (888) 819-1199 and enter your tax ID number, the member's ID number and date of birth. Box 981605 If you have met the individual $500 calendar-year deductible for Plan B and then switch to Plan A for the next six-month Eligibility Period, you automatically meet the $250 individual calendar-year deductible for Plan A. HMC can assist you with locating a participating provider that meets your needs and fits your schedule. When retired, our Health & Welfare plan (if eligible) requires you and/or your spouse to have Medicare A & B when eligible. Therefore, it is important you check eligibility for each patient on the provider portal before performing a service. The Chicago Journeymen Plumbers Local Union 130 UA, with over 6,000 members, is one of the largest straight-line plumbing locals in the United Association (UA) International Union who represents 350,000+ building tradesmen across the United States and Canada. Know a great provider? 1600 Stewart Avenue 1 Welfare Fund Contact Page. W33P ; WEPCO Federal Credit Union UFCW Local 27 . If you are seeking medical treatment and your provider is unable to verify coverage through its system, your provider may use any or all of the following alternatives: The above options are for your provider. . Please take note regarding the SUB fund: You must apply for benefits within 90 days of the Saturday of the week you are first unemployed and eligible for benefits. To determine if the company has properly remitted to the Health & Welfare Fund on your behalf, you should contact the Eligibility Department at 1-800-523-2846 ext. 29 blasters & drillers & minors. Members and their eligible dependents have access to professional counselors. Please refer to your explanation of benefits (EOB) or wait for the provider to bill you. Providers will follow their normal claim filing procedures for Electrical Workers Local 357 member claims. To become a network provider under the Aetna EPO program, contact the Provider Relations Department at Aetna Healthcare in Blue Bell, PA. Any dental service provider interested in becoming a member of the panel should contact the Fund's dental consultant, Louis P. Mattucci & Associates, at (215) 364-6500. To order a new medical card, contact MLBF at 1-800-342-3792 or 781-272-1000. Charged Party / Respondent Union LOCAL 670, STATIONARY ENGINEERS, FIREMEN, MAINTENANCE AND BUILDING SERVICES UNION, RWDSU: New York, NY 10007 : Charging Party Individual : Involved Party Employer VANTAGE PROPERTIES: Rego Park, NY 11374-1842 What kind of details do I have to provide about an accident? . Summary of Benefits and Coverage Plan A, Summary of Benefits and Coverage Plan A (Portuguese), Summary of Benefits and Coverage Plan A (Spanish), Summary of Benefits and Coverage Plan B, Summary of Benefits and Coverage Plan B (Portuguese), Summary of Benefits and Coverage Plan B (Spanish), Fitness Reimbursement (English & Spanish), Laborers Recovery Program Continental Portuguese, Buprenorphine / Naloxone Prior Authorization Form, HMC (Member Assistance Program)- Username: MALAB. You can also purchase discounted malpractice insurancethrough our agreement with MLMIC Insurance Company. Comprehensive Professional Systems, Inc. . The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Phone: (301) 731-1050 Toll Free: (800) 929-EWTF (3983) Fax: (301) 731-1065 . Electronic Claims: If you go to a provider in the Cigna Network, there is no need to file a claim. Welfare Fund. Empire Blue Cross & Blue Shield 11 Hanover Square, 8th Floor If you need clarification on a patient's coverage, contact Provider Services at 800.352.6465. Optum IF YOU NEED COVERAGE INFORMATION, PRESS 1 AT THE BEGINNING OF THE CALL PICKUP. IF YOU NEED COVERAGE INFORMATION, PRESS 1 AT THE BEGINNING OF THE CALL PICKUP. Lynbrook, New York 11563-9010 Toledo Electrical Benefit Plans P.O. From underground installations to final connections of fixtures and equipment, a plumber is required to have all the physical and mental skills needed to get the job done right the first time. Search for other Financial Services on The Real Yellow Pages. Site will be available soon. Plumbers Local Union No. Plumbers and Pipefitters Medical Fund. * Availity, LLC is an independent company . Within this website, you will now have access 24 hours a day, 7 days a week to commonly requested forms, useful links, and frequently asked questions regarding your benefits provided by the Plan. tricare champus. .h1 {font-family:'Merriweather';font-weight:700;} We can help you with depression, stress, anxiety, financial issues, stop smoking, and many other personal problems. The Clerk of the Court is instructed to close this case and . Does the Health & Welfare plan cover any gym or fitness benefit? Contact Express Scripts for a claim form atExpress-Scripts.com or 800-467-2006. MagnaCare is a third-party administrator (TPA) for self-insured clients, helping them manage their health plans. 60607-1986. Within 48 hours, our team will email you our contracting packet that includes the standard individual contract, application, and sample fee schedule. Fitters' Welfare Fund, Local 597 ("Welfare Fund"), effective November 1, 2021, unless otherwise indicated. Phone: 312.633.0597 Contact the Fund Office at 914-737-7220 or the insurer, Mutual of Omaha, at 800-775-8805. The Fund's reserves exceed two years of Fund expenses. Contact Anthem Blue Cross for Claims Pricing Inquiries: 800-688-3828. Review your contact info or beneficiaries, download and submit forms, check on health care claims and more. P.O. Any vision care provider interested . SBC Medicare Eligible 2020. Box 60408 The departments suit alleged violations of the Employee Retirement Income Security Act and the Affordable Care Act when the Local 272 fund and its trustees replaced annual benefits limits $125,000 for medical claims and $5,000 for pharmacy claims with a cost-sharing arrangement requiring participants to bear all but 10 percent of the cost of claims in excess of the same limits. PO Box 1407 Click Here for the Fund Office Current News. Browse for plan benefits and documents, or Login for your detailed Plan information. Our phones are open from 8AM until 4PM. WELFARE FUND. Vision Screening The Company offers pension, retirement, health, and other related funds. 1 Physician & Hospital Network It is your obligation to contact the Benefits Office to report ANY change in status. 338 magna. Dental Plan . Fred Alston, President Enter H&W Provider Portal. The SUB fund weekly benefit will be increased to $250 for the period of December 2022 through March 2023. Toledo Electrical Benefit Plans If you use a non-participating pharmacy, you must file a claim within 90 days from the date of purchase. Whats New. Your coverage can include: The Laborers Support Network is provided by the HMC Healthworks. New W-4P if you want to change your pension withholdings. Comprehensive Professional Systems, Inc. All examples and projections included on this website are not a guarantee of future benefits under the plans. Our Health and Welfare Coverage Plans provide unparalleled care at low cost to you. Web Site: www.vasculardiagnostic.com, Hearing Benefits Suite S . We provide coverage for a wide array of medical services, including appointments with physicians, emergency and hospital care, preventive care, and more. Toll-Free: 877-734-8543 (877-SEIU-KID) Pension (Nursing Home Workers only), dial ext. PHONE/FAX. Date of Service : January February March April May June July August September October November December @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} #views-exposed-form-manual-cloud-search-manual-cloud-search-results .form-actions{display:block;flex:1;} #tfa-entry-form .form-actions {justify-content:flex-start;} #node-agency-pages-layout-builder-form .form-actions {display:block;} #tfa-entry-form input {height:55px;} Extend your presence in New York, New Jersey, and Connecticut with our large, high-quality, affordable network, trusted by local, regional, national, and international TPAs and carriers for more than 30 years. For IT-related support, contact Primetech via E-Mail; support@prime-tech.net. If you use a participating Davis Vision provider, there is no need to file a claim. Electrical Welfare Trust Fund (800) 929-EWTF Local calls: (301) 731-1050 . For any additional questions, please call(312) 970-1122. Our Interactive Voice Response system (IVR) is available 24 hours a day, 7 days a week. In order to check the status of your claims for one or more of our members, you will need to first create an account. These reserves are necessary to protect working member's benefits during periods of low employment, to fund the cost of catastrophic claims and to help keep retiree medical benefits affordable. Will my coverage continue once I stop working? Address Contact Express Scripts, review their list of preferred brand-name drugs, or locate a participating retail pharmacy: Certain drugs must be pre-authorized. Click here to learn more about Real Appeal. Web Site: Liveandworkwell.com, Vision Benefits Prof. 580/Inst. Benefits Administration Corporation, Inc. (BACI) 9411 Philadelphia RD. 50-02 Fifth Street, 2nd Floor If you and your doctor do not FULLY complete the claim form, it will be rejected. No, you must use the Express Scripts card. Address Phone: 419-666-4450 #block-googletagmanagerheader .field { padding-bottom:0 !important; } Youll enjoy the experience on MyCreateHealth.com where you can: To view older claims (from 2016 and earlier), log onto the service portal at magnacare.com. you choose, that they are still in the network. Local 670 Welfare Fund Provider Portal - Find Official Portal. tricare champus. Universal Medical Form. 2013) . 1340 West Washington Boulevard Before sharing sensitive information, make sure youre on a federal government site. p.usa-alert__text {margin-bottom:0!important;} local 30 trust fund engineers magna. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} Web Site:http://www.cpsoptical.com/, Dental Benefits Vision Benefits. To set up electronic claims submission for your office, contact Change Healthcare (formerly EMDEON) at 800.845.6592. Phone 1919 Middle Country Road, Suite 304 The site is secure. . Please refer to the Summary Plan Description for important information and complete details. Technical Support Please refer to the appropriate Summary Plan Descriptions for important information and complete details. Welcome to the Plumbers Local Union No. Open 8am - 5pm | Monday - Friday. Chicago, IL. The Welfare Fund SPD is a booklet containing all the relevant information about your healthcare plan and other . Aetna Retiree Meeting/Webinar - Save the date! Box 853901 You and your doctor must FULLY complete a Providers Green Claim Form and return that completed form to the Fund Office within 90 days of the date your disability began. Joseph Mattesi, Vice President local 272 welfare fund magna. Instructions for responding are included in the letter you receive. You can check an unlimited number of patients in one call. Shoppers Pre-Medicare Retiree Assistance Program; UFCW & PE Health and Welfare Fund; UFCW & PE Legal Fund; UFCW & PE Pension Fund; UNITE HERE Local 25; Warehouse Employees Union Local . Well give you the support you need. If you meet the eligibility requirements, you will receive up to 13 weeks for any one continuous period of disability that is due to the same or related cause(s). Never miss a prescription with our Prescription Drug coverage plan. Does the Plan cover weight loss programs? 718 835 - 2700, e-mail or text Local 272 who may be entitled to a Pension. Welfare Fund Local 812 will cover any additional PPE costs charged by dental providers . The Massachusetts Laborers Benefit Funds reserve the right to amend, modify, or terminate all or part of any plan at any time. Learn more about our comprehensive health plan management >. The United Food and Commercial Workers International Union (UFCW) is a labor union made up of 1.3 million hard-working men and women in the U.S. and Canada. For providers to check claim status, the Provider must enter the Date of Service for the claim, Members ID number and the Providers ID number. If you have an autistic child, please contact us at at 419.666.4450 or by email atbenefits@electricalfunds.org. Click here for the requirements for reimbursement, Medicare Supplement Plan, Prescription Drug Plan, Mental Health and Substance Abuse Benefits Employee Assistance Program (EAP), Preferred Provider Organization (PPO) Medical Plan, Hearing Aid Plan, Personal Information Changes. Garden City, NY 11530. Address Plumbers Local Union No. Phone:(877) 521-0244 Customer Service ; 410-444-8516. Temporary Extension of Certain Deadlines Due to the COVID-19 Health Crisis - 2020-2021. Your provider must contact Cigna for a Medical admission and HMC Healthworks for a Behavioral Health/Substance Use admission. Worthington, OH 43085-6016 866-343-3709. For the providers listed above contact information go to Links on this website. Fax 718 - 641 - 8155 718 - 641 - 6627 e-mail or text info@ualocal1funds.org . If you visit one of their providers, you will not have to pay anything out of pocket. Need to update your information? This information is intended only to provide highlights of the plans. For full details on coverage and deductibles included under the Dental Plan, please review the Summary Plan Description. Vascular Diagnostic Associates, PC uhc onalaska. The consent judgment, filed in the U.S. District Court for the Southern District of New . If you go to a non-participating dentist, you must return a dental form (available at DeltaDentalMA.com) within 90 days of the date of service to Delta Dental. The LEAN recovery specialists are Laborers who have faced addiction themselves and are now in long-term recovery. Participant Portal. Operating Engineers Local 77; School Cafeteria Employees Local 634; UFCW Local 1500 Welfare Fund; UFCW Unions & Participating Employers. Contact the Local 812 Fund Office for more . Enrollment, and Beneficiary forms must be maintained with your current status. It does not contain complete Plan provisions. Although this booklet is meant to be an easy -to-understand description of your Plan benefits, . Learn more about our casualty solutions >. Learn more about the benefit funds available to participants and eligible dependents. El Paso, TX 79998-1605. NEW YORK Trustees to the Teamsters Local 272 Welfare Fund in New York City have agreed to amend the fund to resolve a lawsuit filed by the U.S. Department of Labor, regarding a fund requirement that participants bear 90 percent of the cost of medical and pharmacy claims above certain annual thresholds. For more information on your benefits, please download the Health & Welfare Funds Summary Plan Description. Annual Certification of Medicare Part D. Medicare Part D RX Creditable Coverage Notice. 190 ; A23 . 29 blasters & drillers & minors. Workers must receive the healthcare benefits guaranteed to them by law. A Summary of Benefits brochure with updated plan changes isavailable. any injury or disease not entitling you to automobile insurance wage continuation payments. Comprehensive Professional Systems, Inc. umr. info@ualocal1funds.org, Normal Business Hours Employer Information . You should have received your new insurance ID card and other materials by mail. American Health Holding, Inc. 100 W. Old Wilson Bridge Rd. A MEDICAL PROVIDER CAN CHECK YOUR ELIGIBILITY AND FIND THE STATUS OF A PREVIOUSLY FILED CLAIM USING OUR AUTOMATED SYSTEM. Health Providers . Box 60408 Rossford, OH 43460 Phone: 419-666-4450 Fax: 419-666-5410 If you can't see information for your spouse's or dependent's over age 18 on the portal, you'll need to fill out the following HIPAA Authorization Form allowing you to see their claims and other personal health care information. Without any evidence that the Fund paid the hospital, Montefiores claim here survives. Copyright 2023 Local 272 Welfare and Pension Fund - All Rights Reserved. Refer to the Summary Plan Description for complete details. Phone: (800) 741-9249. Learn more about your health plan and how we keep you well and healthy, Custom-fit your health plan to meet the unique needs of your members, Find out why TPAs and carriers choose MagnaCare, Join our network of leading providers in New York, New Jersey, and Connecticut. Subsequent claims must be made within 90 days of the week -ending for which benefits are payable. Salt Lake City, UT 84130-0757 Go to Cigna's provider portal at Cignaforhcp.cigna.com. New York, NY 10011 Do I need pre-certification for counseling? If you need clarification on a patients coverage, contact Provider Services at 800.352.6465. 338 magna. Federal government websites often end in .gov or .mil. Local 670 Welfare Fund Provider Portal. Plan A and Plan B include identical coverage for prescription drugs. You do not need pre-certification for outpatient counseling sessions utilizing a BlueCross BlueShield participating provider. When a member/dependent has any injury, we request information on how that injury happened. Your prescription information is on one side and the other side is your medical, mental health, and Vision information. Analyze a variety of pre-calculated financial metrics Copyright 2017 UA Local 1 | All Rights Reserved | Developed by. Local 26 IBEW-NECA Joint Trust Funds 10003 Derekwood Lane, Suite 130 Lanham, MD 20706-4811. Assistant Mgr (212) 726-9730 . Or FAX it to: (312) 421-6724. We provide coverage for everything from exams and cleanings to fillings, dentures, and orthodontics. The Laborers Support Network is available to listen and help you stay strong for your family. claims are remanded to the Fund for reconsideration and resolution within 60 days. Address BeneSys has provided Taft-Hartley Trust Fund Administration and I.T. Reach out to our office or call 781-272-1000 ext. The Local 272 Welfare and Pension Funds provide you and your family with health care benefits while you work in covered employment and with retirement benefits when you stop working and qualify for a pension. 1375 Virginia Drive, Suite 245 Ft. Washington, PA 19034. To find out if you are eligible for an eye exam you need to contact EyeMed at 866-800-5457 or log onto www.eyemed.com. IVR. Plans and their trustees must ensure they comply with these important health care protections for workers. 36 Hopatchung Road. The benefit amounts are estimates only, based on the stated assumptions and are subject to change. Return the application by email or by post. MagnaCare Matthew Bruccoleri, Secretary-Treasurer .usa-footer .grid-container {padding-left: 30px!important;} local 30 trust fund engineers magna. Motor Vehicle Accidents are Not covered by the Welfare Fund. Proudly providing benefits for the hard working men and women in the electrical industry in northwest Ohio and southeast Michigan. 272 welfare fund magna. The document is provided as a summary of the benefits available to the eligible members of the Toledo Electrical Welfare Fund. EyeMed administers our vision program. 21st Annual Employee Benefit Fair - Save the Date. In an effort to control costs and make the most of your healthcare dollars, the Fund thoroughly investigates all medical claims for potential third party liability (i.e.

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