This government document is issued by California Health Benefit Exchange for use in California
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https://www.google.com/url?client=internal-element-cse&cx=009854164935538441977:yzlo2be1knm&q=https://hbex.coveredca.com/toolkit/webinars-briefings/downloads/Authorized_Rep_From_Spanish.pdf&sa=U&ved=2ahUKEwifz4aMsqPyAhULyosKHfIRA244KBAWMAR6BAgEEAE&usg=AOvVaw10QZ4hjcuVR9ZHOXrmeNiB