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 E-mail address: xxxxxx@xxxxxxxxxxxxxxxx.xxx Outside the USA: Phone number can be located on your ID card, or at at xxx.xxxxxxxxx.xxx YOUR HEALTHCARE PARTNER

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 E-mail addressVisit My Bupa in our display options: xxxxxx@xxxxxxxxxxxxxxxx.xxx xxx.xxxxxxxxx.xxx/XxXxxx Outside the USA: Phone number can be located on your ID card, or at at xxx.xxxxxxxxx.xxx YOUR HEALTHCARE PARTNERxxx.xxxxxxxxx.xxx

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 E-mail address: xxxxxx@xxxxxxxxxxxxxxxx.xxx Outside the USA: Phone number can be located on your ID card, or at at xxx.xxxxxxxxx.xxx YOUR HEALTHCARE PARTNER

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 E-mail address: xxxxxx@xxxxxxxxxxxxxxxx.xxx Outside the USA: Phone number can be located on your ID card, or at at xxx.xxxxxxxxx.xxx YOUR HEALTHCARE PARTNER

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 E-mail address: xxxxxx@xxxxxxxxxxxxxxxx.xxx Outside the USA: Phone number can be located on your ID card, or at at xxx.xxxxxxxxx.xxx YOUR HEALTHCARE PARTNERPARTNER BUPA CHOICE