Common use of REQUIREMENT   TO   NOTIFY   THE   INSURER Clause in Contracts

REQUIREMENT   TO   NOTIFY   THE   INSURER. The Insured must contact Bupa Insurance Company’s Claims Administrator, USA Medical Services, at least seventy-two (72) hours in advance of receiving any medical care. Emergency treatment must be notified within forty-eight (48) hours of commencement of such treatment. If the Insured fails to contact USA Medical Services as stated herein, the Insured will be responsible for thirty percent (30%) of all covered medical and hospital charges related to the claim, in addition to the plan’s deductible and coinsurance (if applicable). USA Medical Services can be contacted 24 hours a day, 365 days a year at the following telephone numbers: In the U.S.A.: (000) 000-0000 Free of charge from the U.S.A.: 0-000-000-0000 Fax: (000) 000-0000 Visit My Bupa in our display options: xxx.xxxxxxxxx.xxx/XxXxxx Outside the USA: Phone number can be located on your ID card, or at xxx.xxxxxxxxx.xxx ONLINE TO MAKE YOUR LIFE EASIER! Log in to xxx.xxxxxxxxx.xxx, search for "My Bupa" in our display options and follow the registration steps with your email to manage your policy from the comfort of your home or office. Enjoy our online services: • Access to your policy documents and ID cards • Payments • Changes request • Claim request and update information • Pre-authorization services request • Costumer Service • Virtual Care (Telemedicine) You are responsible for checking all documents and correspondence online.

REQUIREMENT   TO   NOTIFY   THE   INSURER. The Insured must contact Bupa Insurance Company’s 's Claims Administrator, USA Medical Services, at least seventy-two (72) hours in advance of receiving any medical care. Emergency treatment must be notified within forty-eight (48) hours of commencement of such treatment. If the Insured fails to contact USA Medical Services as stated herein, the Insured will be responsible for thirty percent (30%) of all covered medical and hospital charges related to the claim, in addition to the plan’s 's deductible and coinsurance (if applicable). USA Medical Services can be contacted 24 hours a day, 365 days a year at the following telephone numbers: In the U.S.A.: (000) 000-0000 Free of charge from the U.S.A.: 0-000-000-0000 Fax: (000) 000-0000 Visit My Bupa in our display options: xxx.xxxxxxxxx.xxx/XxXxxx Outside the USA: Phone number can be located on your ID card, or at xxx.xxxxxxxxx.xxx BUPA GROUP ONLINE TO MAKE YOUR LIFE EASIER! Log in to xxx.xxxxxxxxx.xxx, search for "My Bupa" in our display options and follow the registration steps with your email to manage your policy from the comfort of your home or office. Enjoy our online services: • Access to your policy documents and ID cards • Payments • Changes request • Claim request and update information • Pre-authorization services request • Costumer Service • Virtual Care (Telemedicine) You are responsible for checking all documents and correspondence online.

REQUIREMENT   TO   NOTIFY   THE   INSURER. The Insured must contact Bupa Insurance Company’s Claims Administrator, USA Medical Services, at least seventy-two (72) hours in advance of receiving any medical care. Emergency treatment must be notified within forty-eight (48) hours of commencement of such treatment. If the Insured fails to contact USA Medical Services as stated herein, the Insured will be responsible for thirty percent (30%) of all covered medical and hospital charges related to the claim, in addition to the plan’s deductible and coinsurance (if applicable). USA Medical Services can be contacted 24 hours a day, 365 days a year at the following telephone numbers: In the U.S.A.: (000) 000-0000 Free of charge from the U.S.A.: 0-000-000-0000 Fax: (000) 000-0000 Visit My Bupa in our display options: xxx.xxxxxxxxx.xxx/XxXxxx Outside the USA: Phone number can be located on your ID card, or at at xxx.xxxxxxxxx.xxx ONLINE TO MAKE YOUR LIFE EASIER! Log in to xxx.xxxxxxxxx.xxx, search for "My Bupa" in our display options and follow the registration steps with your email to manage your policy from the comfort of your home or office. Enjoy our online services: • Access to your policy documents and ID cards • Payments • Changes request • Claim request and update information • Pre-authorization services request • Costumer Service • Virtual Care (Telemedicine) You are responsible for checking all documents and correspondence online.

REQUIREMENT   TO   NOTIFY   THE   INSURER. The Insured must contact Bupa Insurance Company’s Claims Administrator, USA Medical Services, at least seventy-two (72) hours in advance of receiving any medical care. Emergency treatment must be notified within forty-eight (48) hours of commencement of such treatment. If the Insured fails to contact USA Medical Services as stated herein, the Insured will be responsible for thirty percent (30%) of all covered medical and hospital charges related to the claim, in addition to the plan’s deductible and coinsurance (if applicable). USA Medical Services can be contacted 24 hours a day, 365 days a year at the following telephone numbers: In the U.S.A.: (000) 000-0000 Free of charge from the U.S.A.: 0-000-000-0000 Fax: (000) 000-0000 Visit My Bupa in our display options: xxx.xxxxxxxxx.xxx/XxXxxx Outside the USA: Phone number can be located on your ID card, or at xxx.xxxxxxxxx.xxx BUPA PRESTIGE ONLINE TO MAKE YOUR LIFE EASIER! Log in to xxx.xxxxxxxxx.xxx, search for "My Bupa" in our display options and follow the registration steps with your email to manage your policy from the comfort of your home or office. Enjoy our online services: • Access to your policy documents and ID cards • Payments • Changes request • Claim request and update information • Pre-authorization services request • Costumer Service • Virtual Care (Telemedicine) You are responsible for checking all documents and correspondence online.

REQUIREMENT   TO   NOTIFY   THE   INSURER. The Insured must contact Bupa Insurance Company’s Claims Administrator, USA Medical Services, at least seventy-two (72) hours in advance of receiving any medical care. Emergency treatment must be notified within forty-eight (48) hours of commencement of such treatment. If the Insured fails to contact USA Medical Services as stated herein, the Insured will be responsible for thirty percent (30%) of all covered medical and hospital charges related to the claim, in addition to the plan’s deductible and coinsurance (if applicable). USA Medical Services can be contacted 24 hours a day, 365 days a year at the following telephone numbers: In the U.S.A.: (000) 000-0000 Free of charge from the U.S.A.: 0-000-000-0000 Fax: (000) 000-0000 Visit My Bupa in our display options: xxx.xxxxxxxxx.xxx/XxXxxx Outside the USA: Phone number can be located on your ID card, or at at xxx.xxxxxxxxx.xxx YOUR HEALTHCARE PARTNER ONLINE TO MAKE YOUR LIFE EASIER! Log in to xxx.xxxxxxxxx.xxx, search for "My Bupa" in our display options and follow the registration steps with your email to manage your policy from the comfort of your home or office. Enjoy our online services: • Access to your policy documents and ID cards • Payments • Changes request • Claim request and update information • Pre-authorization services request • Costumer Service • Virtual Care (Telemedicine) You are responsible for checking all documents and correspondence online.

REQUIREMENT   TO   NOTIFY   THE   INSURER. The Insured must contact Bupa Insurance Company’s Claims Administrator, USA Medical Services, at least seventy-two (72) hours in advance of receiving any medical care. Emergency treatment must be notified within forty-eight (48) hours of commencement of such treatment. If the Insured fails to contact USA Medical Services as stated herein, the Insured will be responsible for thirty percent (30%) of all covered medical and hospital charges related to the claim, in addition to the plan’s deductible and coinsurance (if applicable). USA Medical Services can be contacted 24 hours a day, 365 days a year at the following telephone numbers: In the U.S.A.: (000) 000-0000 Free of charge from the U.S.A.: 0-000-000-0000 Fax: (000) 000-0000 Visit My Bupa in our display options: xxx.xxxxxxxxx.xxx/XxXxxx Outside the USA: Phone number can be located on your ID card, or at at xxx.xxxxxxxxx.xxx BUPA WORLDWIDE ONLINE TO MAKE YOUR LIFE EASIER! Log in to xxx.xxxxxxxxx.xxx, search for "My Bupa" in our display options and follow the registration steps with your email to manage your policy from the comfort of your home or office. Enjoy our online services: • Access to your policy documents and ID cards • Payments • Changes request • Claim request and update information • Pre-authorization services request • Costumer Service • Virtual Care (Telemedicine) You are responsible for checking all documents and correspondence online.

REQUIREMENT   TO   NOTIFY   THE   INSURER. The Insured must contact Bupa Insurance Company’s Claims Administrator, USA Medical Services, at least seventy-two (72) hours in advance of receiving any medical care. Emergency treatment must be notified within forty-eight (48) hours of commencement of such treatment. If the Insured fails to contact USA Medical Services as stated herein, the Insured will be responsible for thirty percent (30%) of all covered medical and hospital charges related to the claim, in addition to the plan’s deductible and coinsurance (if applicable). USA Medical Services can be contacted 24 hours a day, 365 days a year at the following telephone numbers: In the U.S.A.: (000) 000-0000 Free of charge from the U.S.A.: 0-000-000-0000 Fax: (000305) 000-000- 0000 Visit My Bupa in our display options: xxx.xxxxxxxxx.xxx/XxXxxx Outside the USA: Phone number can be located on your ID card, or at xxx.xxxxxxxxx.xxx BUPA CHOICE ONLINE TO MAKE YOUR LIFE EASIER! Log in to xxx.xxxxxxxxx.xxx, search for "My Bupa" in our display options and follow the registration steps with your email to manage your policy from the comfort of your home or office. Enjoy our online services: • Access to your policy documents and ID cards • Payments • Changes request • Claim request and update information • Pre-authorization services request • Costumer Service • Virtual Care (Telemedicine) You are responsible for checking all documents and correspondence online.