Fax Server 8/6/2014 2:17:38 PM PAGE 1/002 Fax Server UnitedHealth Group FACSI NI I LE T14 ANSNI rITAL SHEET TO: Attn: Jeffrey Epstein FROM: United Healthcare COMPANY: PHONE: FAX: FAX: PHONE: DATE: Wednesday, August 06, 2014 PAGES: 02 COMMENTS: Information included in this document is considered to be UnitedHealthCare's confidential and'or proprietary business information. Consequently, this information may be used only by the person or entity to which it is addressed by Unitedtlealthcare. Such recipient shall be liable for using and protecting UnitedFlealthcare's proprietary business information from further disclosure or misuse. consistent with recipient's contractual obligations under any applicable administrative services agreement, group policy contra. non-disclosure agreement or other applicable contract or law. The report you have received tray contain protected health information 1PHU and must be handled according to applicable state and federal law, including• but not limited to HIPAA. Individuals who misuse information any be subject to both civil and criminal penalties. EFTA00283887