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SCHEDULE OF EXHIBITS <br />Exhibit <br />Effective <br />Number <br />Exhibit Type <br />Applies To <br />Date <br />1 <br />Prepayment Fee Schedule <br />All Covered Persons <br />January 1, 2017 <br />2 <br />Evidence of Coverage <br />All Covered Persons <br />January 1, 2017 <br />3 <br />Schedule of Benefit <br />All Covered Persons <br />January 1, 2017 <br />GPNP10-DHMO SCHIEXHIBITS <br />25C-12 <br />