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/regulations/PDFs/Approved%2520Voter%2520Registration%2520Regulations%252010-02-14.pdf&sa=U&ved=2ahUKEwiYo8O0t6PyAhUtxosKHXnTDMc4RhAWMAR6BAgJEAE&usg=AOvVaw00q1SlQsaNwjWoEo7BXASp