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Most, if not all, oral squamous cell carcinomas are preceded by clinically visible but otherwise often asymptomatic changes of the oral mucosa

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If a plan must comply with one or more requirements described in paragraph (a)(1) of this section for a given plan year or period of plan coverage, nothing in this section should be construed as preventing a plan sponsor from submitting an election in accordance with this section for a subsequent plan year or period of plan coverage