EFTA00395823.pdf

From: To: Subject: Health Insurance Date: Wed, 13 Feb 2013 22:13:25 +0000 Attachments: SKMBT_C25313021317491.pdf Attached is form for our new health insurance with Oxford They require all employees who receive other coverage to sign attached waiver Can you please read form for accuracy, fill in name of your carrier and policy number then sign and fax back to me Please call me with any questions Thank you ps - happy early bday HBRK Associates Inc. 575 Lexington Avenue, 4th Floor, New York. New York 10022 Begin forwarded message: From: Date: Februa 13, 2013 4:50:10 PM EST To: Subject: Messa e from KMBT C253 Reply-To: EFTA00395823