EFTA Document EFTA02147162

To: From: Richard Kahn Sent Wed 2/13/2013 10:28:57 PM Subject Re: Health Insurance No it was for you declining coverage. Sent from my iPhone On Feb 13, 2013, at 5:24 PM, wrote: Rich, I think you meant to send to Lyn? Sent from my iPhone On Feb 13, 2013, at 5:13 PM, Richard Kahn wrote: Attached is fonn 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 Richard Kahn HBRK Associates Inc. Begin forwarded message: From: Date: Februa 1 , 1 : :1 T To: Subject: essa e rom 253 Reply-To: <SICMBT C25313021317491.pdf> EFTA_R1_00806017 EFTA02147162