BOUTHg_RN TRUST 0QMPANY 6100 REO HOOK QUARTER, B-3 s-r THOMAS VI 00802-0000 UnitedHealthcare . -s 4 >002669 7080107 003082 J.EPSTEIN 6100 RED HOOK QUARTER B-3 ST THOMAS VI 00802-0000 03082 7080107 0000 0002869 3519 116 EFTA00316314

Pend Unti Members: We're here to help Check benefits, view claims. lInd a dodo.% ask a Oues90n and more. Web: www.myuhc.com CaV anytime to speak Email: [email protected] illh a lkwse Phone: 800-782.3740 Mont* Elpallh: 800.842-2085 Providers: 877-842-3210 ormwo.UnntdHealthcats0ninecom Medical Claims: P.O. BOX 740800 ATIAMTAGA 303740900 PR • MAPFRE - PO Box70197. San Juan, PR C0935-8297 a .2 &trail AlIMUltiPlall MAPFRE 1-1,1"*•,••• 4* Ptarmactats: 888-290-S418 Pharmacy Claims: 091urnki PO Box 29044 Hol Springs, AR 71903 002649 0000000 7000107 001002 002670 01/01 EFTA00316315