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Exhbit B ORE Peace Corps Emp Rider

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A PDF document (109 KB) attached to Health & Life Insurance Services for Locally Employed Staff of the U.S. Mission in Belize, from the Department of State. Due Nov 4, 2026, 5:00 PM (UTC-6).

File name: Exhbit B_ORE Peace Corps Emp Rider.pdf

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EXHIBIT B - ORE AND PEACE CORPS EMPLOYEES RIDER

1. EMPLOYEES BY GENDER WITHIN AGE RANGES - (ORE)

Employee by Gender Within Age Ranges

FEMALE

Age (years)
Number
20-34
35-45
46-55
56-60

TOTAL

MALE

Age (years)
20-34
35-45
46-55
56-60

TOTAL

Number

2. EMPLOYEE SPOUSES BY GENDER WITHIN AGE RANGES - (ORE)

Employee Spouses by Gender Within Age Ranges

FEMALE

Age (years)
Number
20-34
35-45
46-55
56-65
66+

TOTAL

MALE

Age (years)
20-34
35-45
46-55
56-65
66+

TOTAL

Number

3. DEPENDENT CHILDREN BY GENDER WITHIN AGE RANGES - (ORE)

Dependent Children By Gender Within Age Ranges

FEMALE

Age (years)

MALES

Number

Age (years)

0-10

Number

0-10

11-18

11-18

19-25
(if
full-time student)

19-25
(if
full-time student)

TOTAL

TOTAL

SENSITIVE BUT UNCLASSIFIED

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