CONFIDENTIAL Via Email December 16, 2013 SUSAN DOMINGO FINANCIAL SERVICES KAPI’OLANI MEDICAL CENTER 1319 PUNAHOU ST HONOLULU, HI 96826 Dear Susan Domingo, Re: Patient – Jennifer Huculak Further to our telephone conversation today, please note that we are unable to provide coverage for any medical expenses incurred for Ms. Huculak’s baby. As Ms. Huculak’s emergency medical claim has been denied on the basis that her medical emergency is excluded from coverage under the terms of her pre-existing condition provision, her baby is also not eligible for coverage. In addition, please note that Ms. Huculak’s travel policy expired on November 9, 2013. If you have any additional questions regarding this patient, please do not hesitate to contact me by telephone at 306-667-5285 or by email at mfleming@sk.bluecross.ca. Regards, Michelle Fleming TEAM LEAD, HEALTH AND DENTAL CLAIMS _____________________________________________________________________________________________________________ HEAD OFFICE 516 SECOND AVENUE NORTH PO BOX 4030 SASKATOON SASKATCHEWAN S7K 3T2 PHONE 306.244.1192 FAX 306.652.5751 BRANCH OFFICE 100, 1870 ALBERT STREET REGINA SASKATCHEWAN S4P 4B7 PHONE 306.525.5025 FAX 306.525.2124 sk.bluecross.ca I push2play.ca I facebook.com/sk.push2play I 1-800-USEBLUE®