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Dumb question but if you charge more for smokers and offer a smoking cessation program as an alternative for tobacco users, is the requirement to participate in the smoking cessation program an annual thing for those individuals that do not quit or do you merely have to participate one time such that the following year you get the benefit of the lower rates even if you continue to smoke?

If the later, can you change up or introduce a new smoking cessation program and require individuals to take the new program to reduce the rates?

Any general suggestions as to how one might increase the percentage of non-smokers if increased rates and the smoking cessation program has not worked well?

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