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WA State Health Care Authority PEBB 626 8th Avenue SE P.O. Box 42684 Olympia, WA 98504-2684 TO RETIRED EMPLOYEES: All of us appreciate the protection and security insurance provides. This certificate describes the benefits that are available to you. We urge you to read it carefully. WA State Health Care Authority PEBB

Certificate of Coverage - Page 2 Certificate of Coverage Page 1 Page 3