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1) Association between e-cigarettes and cardiac arrhythmia Cardiac arrhythmias, due to the high cost of diagnostic and therapeutic interventions, are a major public health problem in low and middle-income countries [59]

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For purposes of this paragraph (c)(5), an HRA may rely on the participant's documentation or attestation unless the HRA, its plan sponsor, or any other entity acting in an official capacity on behalf of the HRA has actual knowledge that any individual covered by the HRA is not, or will not be, enrolled in individual health insurance coverage for the plan year (or applicable portion of the plan year) or the month, as applicable

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