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10.1146/annurev-physiol-061121-040014 [DOI] [PMC free article] [PubMed] [Google Scholar] 107.Bowler RP, Hansel NN, Jacobson S, Graham Barr R, Make BJ, Han MK, et al

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and (v) The product provides the same covered benefits, except for any changes in benefits that cumulatively impact the rate for any plan within the product within an allowable variation of 2 percentage points (not including changes pursuant to applicable Federal or State requirements)