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Notice of other means to qualify for the reward: Among other things, the plan must disclose in all plan materials the terms of a tobacco cessation program and the availability of a reasonable alternative standard to qualify for the lower premium (and, if applicable, the possibility of a waiver)

"Lung Cancer Risk After Exposure to Polycyclic Aromatic Hydrocarbons: A Review and Meta-Analysis"

While tobacco may be a substance that is easy for many Americans to stop using, its a heavier lift for the majority who still use it.

95% CI, 1.031.08 for 20 years of smoking and 1.11

[63] [64] The chain expanded aggressively across Hong Kong throughout the 1980s