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If the plan is sponsored by multiple employers, and only certain employers substantially fail to comply with the requirements of paragraph (e) or (g)(1) of this section, then the election is invalidated with respect to those employers only, and not with respect to other employers that complied with those requirements, unless the plan chooses to cancel its election entirely

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The pupils were dilated and unresponsive

But if it happens over and over as when a person is smoking cigarette after cigarette, for example the arterial walls can become permanently damaged, and that damage can cause blood clots, heart attack or stroke