Epstein Secrets

ar Olth.el €.41 I -1 .39-49/ Declining coverage due to existence of other coverage: Spouse's Employers Plan Individual Plan Covered by Medicare Medicaid COBRA from Prior Employer VA Eligibility Tn-Care I (we) have no other coverage at this time Other I understand that by waiving coverage at thi

chose not to enroll)' • Reason for Medicare eligibility: o Over 65 o Kidney Disease o Disabled o Disabled but actively at work Are you receiving Social Security Disability Insurance (SSDI)? o YES o NO Start Date Medicare — Spouse/Dependent Name: o Enrolled in Part A: Effective Date c Ineligible for Pail A' o Not Enrolled in

Existing Pa ent? nes r - No Declining coverage due to existence of other coverage. Spouse's Employer's Plan Individual Plan Covered by Medicare Medicaid COBRA from Pnor Employer VA Eligibility Tn-Care I (we) have no other coverage at this lime Other I understand that by waiving coverage at this

in Part D: Effective Date Reason for Medicare eligibility: Over 65 • Kidney Disease Disabled (2 Disabled but actively at work Are you receiving Social Security Disability Insurance (SSDI)? , . YES c: NO Start Date ___ If enrolled in Medicare, please attach a copy of your Medicare ID card. Ineligible for Part A' Not Enrolled

T TT TT TTT TT (1 1960 1964 1968 1972 1976 1980 1984 1988 1992 1996 2000 2004 2008 Note: Total government spending on healthcare includes Medicare, Medicaid and other programs and total government spending on education includes spending on pre-primary through tertiary education programs. Source: Dept. of

Federal health insurance program for virtually all persons age 65 and older, and permanently disabled persons under age 65, who qualify by receiving Social Security Disability Insurance. Mortgage-Backed Securities (MBSs) - Securities issued by financial institutions to investors with the payments of interest and principal backed by