www.coveredca.com Open in urlscan Pro
23.99.0.12  Public Scan

URL: https://www.coveredca.com/?utm_source=SFMC&utm_medium=email&utm_campaign=D1-SEP-AF-2022&utm_content=&sfmc_id=32282756&utm_...
Submission: On August 04 via api from US — Scanned from DE

Form analysis 5 forms found in the DOM

/site-search.html

<form class="form-inline my-2 my-lg-0 py-3 px-3 d-lg-none nav-site-search-form" action="/site-search.html">
  <div class="position-relative w-100">
    <div class="row">
      <div class="col-12">
        <div class="input-group d-flex align-items-start w-100">
          <input type="hidden" class="d-none" name="index" value="1">
          <input class="form-control nav-site-search-form__input nav-site-search-form__input--mobile" placeholder="Search" aria-label="Search" name="query" type="text">
          <button class="btn border-left-0 border-radius-0 border-raidus-top-right-1 border-raidus-bottom-right-1 px-2 p-0 d-flex align-items-center border-gray-light" style="height: 40px;right: -1px" type="submit">
            <i class="material-icons text-primary">search</i>
          </button>
        </div>
      </div>
      <div class="col-12 nav-site-search-form__invalid-feedback nav-site-search-form__invalid-feedback--red d-none" id="nav-site-search-input-invalid-feedback">
      </div>
    </div>
  </div>
</form>

/site-search.html

<form action="/site-search.html" class="flex-grow-1 nav-site-search-form" id="site-search-form-nav">
  <div class="form-group mb-0">
    <div class="row">
      <div class="col-10 col-md-11">
        <div class="input-group">
          <div class="input-group-prepend">
            <button type="submit" class="form-control btn btn-white btn-primary-on-hover h-100 d-flex align-items-center border border-right-0" style="left: -1px">
              <i class="material-icons color-primary">search</i>
            </button>
          </div>
          <label for="site-search-input-nav" class="sr-only" style="top:1000px;">Search</label>
          <input type="text" class="form-control nav-site-search-form__input nav-site-search-form__input--desktop" style="border-top-right-radius: 50rem; border-bottom-right-radius: 50rem;" id="site-search-input-nav" name="query"
            placeholder="Search CoveredCA.com">
          <input type="hidden" class="d-none" id="site-search-index-nav" name="index" value="1">
        </div>
      </div>
      <div class="col-2 col-md-1">
        <div class="d-flex h-100 align-items-center">
          <button class="bg-transparent border-0 p-0 search-active-toggle" type="button" style="height: 24px;"><i class="w-24px color-white material-icons">close</i></button>
        </div>
      </div>
      <div class="col-12 nav-site-search-form__invalid-feedback nav-site-search-form__invalid-feedback--white d-none" id="nav-site-search-input-invalid-feedback">
      </div>
    </div>
  </div>
</form>

<form id="calculator-form" class="subsidy-calculator__form py-3 px-3 px-md-0" autocomplete="off">
  <!-- Calculator API Error Message -->
  <div id="subsidy-calculator__calculate-error-message" class="row mr-0 d-none">
    <div class="col">
      <div class="alert alert-danger text-center"> We are experiencing technical difficulties. Please try again later. </div>
    </div>
  </div>
  <!-- Household Income, Zip and County -->
  <div class="row mr-0 align-items-end">
    <!-- Household Income -->
    <div class="col-md-4 py-3">
      <div id="household-income-component-01">
        <div class="household-income-component">
          <!-- HouseholdIncome Label -->
          <div class="mb-2">
            <label class="household-income-component__label font-weight-bold d-inline m-0" for="subsidy-calculator__household-income"> Household Income </label>
            <span id="calculator-tooltip--household-income" data-toggle="tooltip" title="" class="font-18px text-primary cursor-pointer d-inline material-icons-outlined subsidy-calculator__tooltip-trigger" tabindex="0"
              data-template="<div class=&quot;tooltip subsidy-calculator__tooltip&quot; role=&quot;tooltip&quot;><div class=&quot;arrow&quot;></div><div class=&quot;tooltip-inner&quot;></div></div>"
              data-original-title="Household income refers to the estimated combined income of all family members for the year you plan to have coverage."> info </span>
          </div>
          <!-- HouseholdIncome Input -->
          <div class="d-flex">
            <input id="subsidy-calculator__household-income" class="household-income-component__input subsidy-calculator__input subsidy-calculator__input-income order-2" placeholder="28,000" type="text">
            <div class="input-group-prepend order-1">
              <span class="subsidy-calculator__dollar-sign">$</span>
            </div>
          </div>
          <!-- HouseholdIncome Invalid Feedback -->
          <div id="subsidy-calculator__household-income-invalid-feedback" class="household-income-component__invalid-feedback invalid-feedback"> Please enter a number </div>
        </div>
      </div>
    </div>
    <!-- ZIP -->
    <div class="col-6 col-md-4 py-3">
      <div id="zip-component-01">
        <!-- ZIP Code Component -->
        <div class="zip-code-component">
          <!-- Label -->
          <label class="font-weight-bold zip-code-component__label" for="subsidy-calculator__zip-code">ZIP Code</label> <br>
          <!-- Input Group -->
          <div class="d-flex">
            <!-- Input -->
            <input id="subsidy-calculator__zip-code" class="zip-code-component__input subsidy-calculator__input" placeholder="95834" type="text">
            <!-- Location Button -->
            <div class="input-group-append">
              <span class="input-group-text icon-styles subsidy-calculator__form-control">
                <button class="subsidy-calculator__flat-button gtm-calculator-geolocation zip-code-component__location-button" type="button">
                  <span class="sr-only">location</span>
                  <svg class="subsidy-calculator__icon-primary" focusable="false" viewBox="0 0 24 24" aria-hidden="true">
                    <path
                      d="M12 8c-2.21 0-4 1.79-4 4s1.79 4 4 4 4-1.79 4-4-1.79-4-4-4zm8.94 3c-.46-4.17-3.77-7.48-7.94-7.94V1h-2v2.06C6.83 3.52 3.52 6.83 3.06 11H1v2h2.06c.46 4.17 3.77 7.48 7.94 7.94V23h2v-2.06c4.17-.46 7.48-3.77 7.94-7.94H23v-2h-2.06zM12 19c-3.87 0-7-3.13-7-7s3.13-7 7-7 7 3.13 7 7-3.13 7-7 7z">
                    </path>
                  </svg>
                </button>
              </span>
            </div>
          </div>
          <!-- Invalid Feedback -->
          <div class="zip-code-component__invalid-feedback invalid-feedback"> Please enter a valid ZIP code </div>
        </div>
      </div>
    </div>
    <!-- County -->
    <div class="col-6 col-md-4 py-3">
      <div id="county-01" class="d-none">
        <div class="county-component">
          <label class="county-component__label font-weight-bold" for="subsidy-calculator__county">County</label> <br>
          <select id="subsidy-calculator__county" class="county-component__input subsidy-calculator__select">
            <option value="Sacramento">Sacramento</option>
          </select>
        </div>
      </div>
    </div>
  </div>
  <!-- Household Size, How many need coverage, coverage year-->
  <div class="row mr-0 align-items-end">
    <div id="household-size" class="col-6 col-md-4 py-3">
      <div class="household-size-component subsidy-calculator__household-size">
        <div class="mb-2">
          <label class="household-size-component__label font-weight-bold d-inline m-0" for="subsidy-calculator__household-size"> Household Size </label>
          <span id="calculator-tooltip--household-size" data-toggle="tooltip" data-placement="right" title="" class="font-18px text-primary cursor-pointer material-icons-outlined subsidy-calculator__tooltip-trigger" tabindex="0"
            data-template="<div class=&quot;tooltip subsidy-calculator__tooltip&quot; role=&quot;tooltip&quot;><div class=&quot;arrow&quot;></div><div class=&quot;tooltip-inner&quot;></div></div>"
            data-original-title="Include only the tax filer and any spouse or dependents (even if they aren’t applying for insurance)."> info </span>
        </div>
        <select id="subsidy-calculator__household-size" class="subsidy-calculator__select household-size-component__input">
          <option value="1">1</option>
          <option value="2">2</option>
          <option value="3">3</option>
          <option value="4">4</option>
          <option value="5">5</option>
          <option value="6">6</option>
          <option value="7">7</option>
          <option value="8">8</option>
        </select>
        <div role="alert">
          <div id="subsidy-calculator__household-size-invalid-feedback" class="invalid-feedback household-size-component__invalid-feedback"> Household size must be the same or more than how many need coverage. </div>
        </div>
      </div>
    </div>
    <div id="need-coverage" class="col-6 col-md-4 py-3">
      <div class="need-coverage-component">
        <label class="need-coverage-component__label font-weight-bold" for="subsidy-calculator__need-coverage">How many need coverage?</label> <br>
        <select id="subsidy-calculator__need-coverage" class="need-coverage-component__input subsidy-calculator__select">
          <option value="1">1</option>
          <option value="2">2</option>
          <option value="3">3</option>
          <option value="4">4</option>
          <option value="5">5</option>
          <option value="6">6</option>
          <option value="7">7</option>
          <option value="8">8</option>
        </select>
        <div role="alert">
          <div id="subsidy-calculator__need-coverage-invalid-feedback" class="need-coverage-component__invalid-feedback invalid-feedback"> Cannot be more than the household size </div>
        </div>
      </div>
    </div>
    <div id="coverage-year" class="col-12 col-md-4 py-3" style="display: none;">
      <div class="coverage-year-component">
        <div class="mb-2">
          <label class="coverage-year-component__label font-weight-bold d-inline m-0" for="subsidy-calculator__coverage-year"> When do you want to start coverage? </label>
        </div>
        <select disabled="" id="subsidy-calculator__coverage-year" class="coverage-year-component__input subsidy-calculator__select">
          <option value="2022">Next year (2022)</option>
          <option value="2021">This year (2021)</option>
        </select>
        <div class="coverage-year-component__invalid-feedback invalid-feedback" role="alert"> Please enter a coverage year </div>
      </div>
      <script>
        const now = new Date();
        if (now.getFullYear() > 2021) document.getElementById('coverage-year').style.display = 'none';
      </script>
    </div>
  </div>
  <!-- Age of members needing coverage -->
  <div class="row">
    <div id="ages" class="col-12">
      <div class="ages-component pt-4">
        <div class="mb-2">
          <span class="ages-component__label d-inline-block font-weight-bold pr-2"> Age of People Needing Coverage <span id="calculator-tooltip--member-ages" data-toggle="tooltip" data-placement="right" title=""
              class="font-18px text-primary cursor-pointer material-icons-outlined subsidy-calculator__tooltip-trigger" tabindex="0"
              data-template="<div class=&quot;tooltip subsidy-calculator__tooltip&quot; role=&quot;tooltip&quot;><div class=&quot;arrow&quot;></div><div class=&quot;tooltip-inner&quot;></div></div>"
              data-original-title="If under one year old, enter &quot;1&quot;. Enter the age you and your household members will be on Jan. 1, 2022."> info </span>
          </span>
          <span id="member-age-label" class="d-none">Age of People Needing Coverage</span>
        </div>
        <!-- Household Member Ages Input Container -->
        <div id="household-members" class="ages-component__ages-container d-flex flex-wrap m-0 w-100">
          <div class="household-member-age mr-2"><label for="dynamic-age-input-1" class="font-weight-bold sr-only"><br> Age of People Needing Coverage<br> <br> info<br> <br> </label><input type="number" id="dynamic-age-input-1"
              class="subsidy-calculator__household-member-age subsidy-calculator__input ages-component__age-input mr-2" placeholder="45"></div>
        </div>
        <div role="alert">
          <div id="household-members-invalid-feedback" class="ages-component__invalid-feedback invalid-feedback"> Please enter a valid age for each person. </div>
        </div>
      </div>
    </div>
  </div>
  <!-- UIB -->
  <div class="row mr-0 align-items-end pt-4">
    <div id="received-unemployment-benefits" class="col-md-8">
      <div class="uib-component d-none">
        <div class="font-weight-bold mb-2"> Received unemployment benefits in 2021? <span id="calculator-tooltip--uib" data-toggle="tooltip" data-placement="right" title=""
            class="font-18px text-primary cursor-pointer ml-2 material-icons-outlined subsidy-calculator__tooltip-trigger" tabindex="0"
            data-template="<div class=&quot;tooltip subsidy-calculator__tooltip&quot; role=&quot;tooltip&quot;><div class=&quot;arrow&quot;></div><div class=&quot;tooltip-inner&quot;></div></div>"
            data-original-title="If yes, your household likely qualifies for Silver 94 plans with lower deductibles, copays, and coinsurance — all for as low as $1 per person."> info </span>
        </div>
        <div class="d-inline-block pr-5 radio-container">
          <label for="yes-unemployment">Yes <input class="uib-component__yes-radio" type="radio" id="yes-unemployment" name="unemployment-benefits" value="yes">
            <span class="custom-radio"></span>
          </label><br>
        </div>
        <div class="d-inline-block radio-container">
          <label for="no-unemployment">No <input class="uib-component__no-radio" type="radio" id="no-unemployment" name="unemployment-benefits" value="no" checked="">
            <span class="custom-radio"></span>
          </label><br>
        </div>
        <div id="received-unemployment-benefits--info" class="subsidy-calculator__uib-info d-none">
        </div>
      </div>
    </div>
  </div>
  <!-- Calculate Button -->
  <div class="row mr-0 mt-auto pt-4">
    <div class="col-12 d-md-flex justify-content-md-end pr-md-5 py-3">
      <div id="calculate">
        <a href="#results-container" id="calculate-desktop" class="subsidy-calculator__calculate-button btn btn-primary px-0 px-lg-5 d-none d-sm-block gtm-calculator-calculate disabled">Calculate</a>
        <a href="#results-container" id="calculate-mobile" class="subsidy-calculator__calculate-btn-mobile btn btn-primary px-5 d-block d-sm-none w-75 mx-auto gtm-calculator-calculate disabled">Calculate</a>
      </div>
    </div>
  </div>
</form>

<form class="sign-up__form subscription w-100" id="footer-subscribe">
  <input type="hidden" name="StateSubsidy" value="true">
  <input type="hidden" name="Source" value="footer">
  <div class="row mx-0">
    <div class="col-12">
      <div class="form-group w-90 mx-auto">
        <label class="text-dark m-0 pl-3" for="Name">First Name</label>
        <input type="text" id="Name" name="Name" class="form-control form-control-sm border border-dark rounded-pill" placeholder="e.g. John">
      </div>
    </div>
    <div class="col-6 ml-2">
      <div class="form-group w-90 mx-auto">
        <label class="text-dark m-0 pl-3" for="Zip">ZIP Code</label>
        <input type="text" id="Zip" name="ZipCode" class="form-control form-control-sm border border-dark rounded-pill" placeholder="12345">
      </div>
    </div>
    <div class="col-12">
      <div class="form-group w-90 mx-auto mb-0">
        <label class="text-dark m-0 pl-3" for="EmailAddress">Email*</label>
        <input type="email" id="EmailAddress" name="EmailAddress" class="form-control form-control-sm border border-dark rounded-pill" placeholder="youremail@example.com" required="">
      </div>
    </div>
    <div class="col-12">
      <div class="w-90 mx-auto">
        <span class="font-size-12px pl-3">* required</span>
      </div>
    </div>
    <div class="col">
      <button type="submit" id="gtm-sign-up" class="sign-up__submit-button--footer btn btn-sm btn-primary d-block mx-auto mt-2 mt-lg-0 px-5">Subscribe</button>
    </div>
  </div>
</form>

<form class="sign-up__form subscription" id="pop-up-subscribe">
  <input type="hidden" name="StateSubsidy" value="true">
  <input type="hidden" name="Source" value="Pop-up">
  <div class="form-group">
    <label class="text-primary" for="fNamePopUp">Enter First Name</label>
    <input id="fNamePopUp" name="fNamePopUp" class="form-control border-primary">
  </div>
  <div class="form-group">
    <label class="text-primary" for="ZipCode">Enter ZIP Code</label>
    <input name="ZipCode" id="ZipCode" class="form-control border-primary">
  </div>
  <div class="form-group">
    <label class="text-primary" for="eAddressPopUp">Enter Email Address (Required)</label>
    <input type="email" id="eAddressPopUp" name="eAddressPopUp" class="form-control border-primary" required="">
  </div>
  <a class="text-center d-inline-block mb-4" href="/privacy">Privacy Policy</a>
  <div class="loading text-center mb-3"><img src="//www.coveredca.com/images/loading.gif" alt="Loading..."></div>
  <div class="col-8 offset-2">
    <button id="signUp" type="submit" class="sign-up__submit-button btn btn-action w-100 gtm-lead-popup-subscribe" disabled="">Subscribe</button>
  </div>
</form>

Text Content

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   Covered California Plans
   
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HEALTH INSURANCE WHEN YOU NEED IT.

Open enrollment is over, but you can still apply through special enrollment.


We are experiencing technical difficulties. Please try again later.
Household Income info
$
Please enter a number
ZIP Code

location
Please enter a valid ZIP code
County
Sacramento
Household Size info
1 2 3 4 5 6 7 8
Household size must be the same or more than how many need coverage.
How many need coverage?
1 2 3 4 5 6 7 8
Cannot be more than the household size
When do you want to start coverage?
Next year (2022) This year (2021)
Please enter a coverage year
Age of People Needing Coverage info Age of People Needing Coverage

Age of People Needing Coverage

info


Please enter a valid age for each person.
Received unemployment benefits in 2021? info
Yes

No


Calculate Calculate
Your Estimate $63 per month for a Silver plan. Bronze as low as $0. You may
qualify for: Covered California.
 * You save $507 per month.
 * Brand-name plans.

This isn’t an application for health coverage.


QUICK QUOTE


YOU MAY QUALIFY FOR

done
$63 per month
Medi-Cal
for a Silver plan.
Bronze plans as low as $0.
After financial help from: You may qualify for: You may qualify for: Covered
California both Covered California and no-cost or low-cost coverage through
Medi-Cal. no-cost or low-cost coverage
check_circle Financial Help: $507 per month
check_circle Bronze, Gold and Platinum plans also available
check_circle Coverage for children, adults and families
check_circle Free or affordable pregnancy coverage
check_circle Because of your income, you may be able to sign up now, even if you
don't have another qualifying life event.
Continue
This isn’t an application for health coverage. info
Total Subsidy: $506.80
Members going to cca: 1
Members going to medical: 0
Fed Fairshare: $62.90
FPL%: 217.39130434782606
Percentage of income: 0.0
SLS Benchmark cost: 569.70
SLS Rate: 394.53
Household Rating Factor: 1.44

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California works.

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OUR COVERAGE OPTIONS

Health, dental and vision care — all in one place.



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Adult Vision


Adults can enroll directly into a choice of two different providers. Learn More
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Covered California Children’s Vision


Children under 19 get free vision care with a Covered California health plan.
Learn More arrow_forward
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Covered California for Small Business


Health and dental options for small businesses with 1 to 100 employees. Learn
More arrow_forward
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Covered California Bronze

Premiums LOWEST
Out-of-Pocket HIGHEST

Lower monthly premium if you qualify for financial help. Learn More
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More Savings
Covered California Silver

Premiums LOWER
Out-of-Pocket MODERATE

Lower monthly premiums if you qualify for financial help, and lower deductibles
and copays for eligible people. Learn More arrow_forward
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No Deductibles
Covered California Gold

Premiums HIGHER
Out-of-Pocket LOWER

Lower monthly premium if you qualify for financial help. Learn More
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No Deductibles
Covered California Platinum

Premiums HIGHEST
Out-of-Pocket LOWEST

Lower monthly premium if you qualify for financial help. Learn More
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Medi-Cal for Individuals and Families


Depending on your income, you can get free or low-cost health care. Learn More
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Medi-Cal for Children


Children under age 19 can get Medi-Cal, even if their parents don't qualify.
Learn More arrow_forward
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Medi-Cal for Pregnancy


Free or affordable programs to start pregnancy coverage right away. Learn More
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Covered California Family Dental


Adults or families can add dental coverage to their health plan purchase. Learn
More arrow_forward
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Covered California Children’s Dental


Children get free dental care with a Covered California health plan. Learn More
arrow_forward
edit
Adult Vision


Adults can enroll directly into a choice of two different providers. Learn More
arrow_forward
edit
Covered California Children’s Vision


Children under 19 get free vision care with a Covered California health plan.
Learn More arrow_forward
edit
Covered California for Small Business


Health and dental options for small businesses with 1 to 100 employees. Learn
More arrow_forward
edit
Covered California Bronze

Premiums LOWEST
Out-of-Pocket HIGHEST

Lower monthly premium if you qualify for financial help. Learn More
arrow_forward
edit
More Savings
Covered California Silver

Premiums LOWER
Out-of-Pocket MODERATE

Lower monthly premiums if you qualify for financial help, and lower deductibles
and copays for eligible people. Learn More arrow_forward
edit
No Deductibles
Covered California Gold

Premiums HIGHER
Out-of-Pocket LOWER

Lower monthly premium if you qualify for financial help. Learn More
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How to Get Covered 

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Explore Discover the programs and benefits available to you.
Edit Feature

Join See if you qualify for special enrollment. Select the plan that's right for
you.
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All set! Start using your free preventive care.
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HOW CAN WE HELP YOU?


When will my coverage start?

Affected by Wildfires

Transition to Another Program

Report a Change to My Account

Documents to Confirm Eligibility

Tax Information

Forgot My Username or Password

Penalty for Being Uninsured

American Rescue Plan Information
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DATES AND DEADLINES


TODAY'S EVENTS

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Apply for Coverage Enroll in coverage right now through special enrollment.
Medi-Cal enrollment is year-round, and open enrollment resumes in the fall.
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edit
Access Your Form 1095-A Sign in to your account to get this form. You'll need it
when you file your 2021 taxes.
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COMING SOON

see all

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August 31 Deadline for Coverage Starting Sept. 1 Sign up through special
enrollment by Aug. 31 for a health plan that starts the following month.



READY TO CARE FOR YOUR HEALTH?

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NEW AND NEED ENROLLMENT HELP NOW? GET A CALL BACK IN 15 MINUTES OR LESS.

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confidential.

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HEALTH PLANS FOR SMALL BUSINESSES


SEE HOW WE CAN HELP YOURS.


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