Acrobat PDFMaker Office COM Addin "Save As" tab missing from Word

Hello,

Enterprise environment -

Microsoft Office Professional Plus 2016

Adobe Acrobat Pro DC

I noticed the "Save as PDF" tab will not show inside of Microsoft Word on launch.

I can check the box and enable it but at times the load behavior will show "unloaded"

This causes me to enable it.  When I close Word, the "Save as Adobe PDF" tab is no longer there the next time that I launch Microsoft Word.  I have attempted the work-around to no avail.

Missing Adobe Acrobat tab even when add-in is enabled in Office 2016 apps - Office Support

Any ideas?