div class=trans-pagebuttonPage 1button div class=trans-image amp-img class=trans-thumb alt=Page 1: Medical Plan A Medical Plan B Medical HDHP Complete yabcnetdocumentsYABC-Enrollment-A-B-HDHP-DentalpdfName Chanoc: 1-866-365-9198 FAX Coverage Selected: O Employee O Employee src=https:reader036fdocumentsinreader036viewer20220626136147ca0ba830d0442101aa0bhtml5thumbnails1jpg width=142 height=106 layout=responsive amp-img divpMedical Plan A Medical Plan B Medical HDHP Dentalp pAfter a complete explanation of the health plan and after careful consideration I am waiving ALL benefit coverage for: Check all that applyp pComplete Sections A B D Epdiv