Page 60 - Evaluation for John Shartle

TUVS[\RR]W^_
cJYd RG ?bb CbJH EK]UWvwv xwv # xyxz{x|{v }}~ €vz‚xwv ƒ„ {v†v‡ˆ {x‡‰
m1n4o9=1q:1r163 t:96:96 <
p0q t
__``` t:96 «
__``` t:96 ©
[_UHf\Rabg
__``` t:96 8
eGaU [_UHf\Rabg _ hSM @UINYJMU CbJHW i ??TCj @UINYJMU CbJHW kMGa lHNRUIeUJbR\YJMUj [_\UJbR\A]bJHWf\Rabg _ m1n4o9=1 p0qq:1r163 s620=96o1 t:962

"#$$():: <=11ALMNIJK
!"#$$"%&'27 89:: ;5HIJKSMIJKNWNGH ZSNIUJMU]bJHW
*++, -!!.123456BBC@ DEF @GDEF QJRU XUYJM]aUINY
+u~xˆv‰ x‰v ‡‘”xˆv Ž• zwˆu €vz‚xwv xwˆ  –••v‚ˆzyv ”xˆv”v‰zwv {x‡ ƒˆxwˆ ”xˆv
’“ ‹Žv˜™>> ˜š_—›_BO›œ ˜š_˜B_—˜B› ˜—_˜B_—˜B™
—
/0>?@AO?@APC@ UWR J LMU_```Jz‡ %Š#-- ‹ux‡Œv Ž‚xˆzŽ‡
m523 t5q0:9=
? HGHARG JYYG SWUM MJRU kGM ˜—_˜B_—˜B™ NW W\G`Hf TJRUW GHbK J]]bK kGM R\U aGHR\ W\G`H JHI JMU JWUI GH R\U NHkGMaJRNGH KGS UHRUMUIf ¡GSM JYRSJb MJRU `Nbb U IURUMaNHUI S]GH JYYU]RJHYUf n43 mž s6Ÿ5=r9345
«qq:ž
85rq9=1 t:962
® t9=8
LGM Jbb J¢JNbJ bU ]bJHWF JHW`UMW RG VSUWRNGHW GH KGSM UHMGbbaUHR J]]bNYJRNGH `Nbb U SWUI RG IURUMaNHU `\NY\ MJRU J]]bNUW RG KGSf NIU NH KGSM WRJRU_JMUJf ¨9312©924o ©161ª32t9=3 «¬1n0o34­:1t9=3 ©¬1n0o34­:13 ©¯o122°9=±12
?bb MJRUW JMU WS £UYR RG Y\JH¤Uf ?HK MJRU Y\JH¤U `Nbb J]]bK RG Jbb aUa UMW Gk R\U WJaU YbJWW NHWSMUI SHIUM KGSM ]bJH `\G MUW
¥0q 35 ¦§
Your current zip
code in Maryland
CbJH ]JKW
À¸¸
µ¶·¸¹º»¸RUCbJH ]JKW À¸¸ÁCbJH ]JKWÁÀ¸¸Á
XNWYG¶
I made up your Part
¼NR\DHMGbbaUHS»½¿U¢U
QRJHIJMI TJRHR·º½¾b — TJRU
B effective date -- it
UHU²R EJ bUfJJM]WS]]bUaUHRJb\UJbR\fYGa_YGHRUHR_IJa_GbU_@UIQS]]XGYW_cUHUkNRWEJ bU_QRJRUCbJH³JMNJRNGHW_cE—™´BB>´QEX´Lf]Ikg¶·»¾º»¹RUCbJH ]JKW À¸¸ÁA AA A
has no effect on
premiums unless
you've been
QRJHIJMI TJ
enrolled in Part B
XNWYGS
for less than 6

months.
UHU²R EJ bUfJJM]WS]]bUaUHRJb\UJbR\fYGa_YGHRUHR_IJa_GbU_@UIQS]]XGYW_cUHUkNRWEJ bU_QRJRUCbJH³JMNJRNGHW_cE—P´BB>´QEX´?f]Ikg¶¦»¿U¢U
XNWYGS A A
«qq:ž ¼NR\DHMGbbaUHRHR¦º·Âb — TJRU¶À¾Âº¸¾RUCbJH ]JKW À¸¸ÁCbJH ]JKWÁ
QRJHIJMI TJ

UHU²R EJ bUfJJM]WS]]bUaUHRJb\UJbR\fYGa_YGHRUHR_IJa_GbU_@UIQS]]XGYW_cUHUkNRWEJ bU_QRJRUCbJH³JMNJRNGHW_cE—œ´BB>´QEX´cf]Ikg¶»·¿U¢U À¸¸ À¸¸CJ
«qq:ž ¼NR\DHMGbbaUHRHR¸º·Âb — TJRU¶··¸º»¾RUCbJH ]JKW À¸¸ÁCbJH ]JKWÁ
À¸¸
H
CbJH IGGRc UÄYUY\
CbJH ]JKWÁ GkMR cIUISYRN bUf UW ]JK CJMRWWJM¤UWf
__```
QRJHIJMI TJ
XNWYGS
«qq:ž ¼NR\DHMGbbaUHRHR»ºÀ·b — TJRU
UHU²R EJ bUfJJM]WS]]bUaUHRJb\UJbR\fYGa_YGHRUHR_IJa_GbU_@UIQS]]XGYW_cUHUkNRWEJ bU_QRJRUCbJH³JMNJRNGHW_cE—>´BB>´QEX´Ãf]Ikg¶¦¸¿U¢U