Page 22 - Appendices for Michael Bichy

LM@ <=>?@AB@B <=>?@AB@ CDBEF?GH H

Your monthly <=>?@AB@ CDBEF?GH IA?J@E KAEAH
premium may be
slightly different IA?J@E KAEA
depending on when
you first acquired
your Medigap policy
and when the early
enrollment discount
was applied.

! " # $% &' ()
&
*+, -. /0&1 ( 1
+2 3*45 6
4*278 9: ;