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Subject: Application Acknowledgement
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<p>&nbsp;</p>
<!--meta name=3D"viewport" content=3D"width=3Ddevice-width, initial-scale=
=3D1.0"/-->
<p>Application Acknowledgement</p>
<!-- [if gte mso 9]>   <style>    /* Target Outlook 2007 and 2010 */   </st=
yle>  <![endif]--><!-- body wrapper -->
<table style=3D"table-layout: fixed; margin: 0; padding: 0; width: 100%; li=
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<tbody>
<tr>
<td class=3D"col" style=3D"word-wrap: break-word; padding: 0px 0px 5px 0px;=
 font-size: 10px;" valign=3D"top">Important Update</td>
</tr>
<tr>
<td class=3D"col" style=3D"word-wrap: break-word; padding: 0px 0px 5px 0px;=
" valign=3D"top"> <img src=3D"https://ods-enote-template-images.s3.amazonaw=
s.com/006+-++Molina+Healthcare+Logo+STD-PMS320-JPG.jpg" width=3D"200" alt=
=3D"Molina Logo" > <!--[This is a logo]--></td>
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align=3D"center" bgcolor=3D"white">
<tbody>
<tr>
<td style=3D"word-wrap: break-word; background-color: #118d95; padding: 0px=
 0px 5px 0px; color: white;"><strong>APPLICATION CONFIRMATION</strong></td>
</tr>
</tbody>
</table>
<table class=3D"title" style=3D"table-layout: fixed; padding: 15px; line-he=
ight: 40px;" border=3D"0" width=3D"100%" cellspacing=3D"0" cellpadding=3D"0=
" align=3D"center" bgcolor=3D"white">
<tbody>
<tr>
<td>
<h1 style=3D"color: #118d95;">Your Application Has Been Received</h1>
</td>
</tr>
</tbody>
</table>
<table class=3D"container" style=3D"table-layout: fixed; padding: 15px; lin=
e-height: 120%;" border=3D"0" width=3D"100%" cellspacing=3D"0" cellpadding=
=3D"0" align=3D"center" bgcolor=3D"white">
<tbody>
<tr>
<td style=3D"word-wrap: break-word; padding: 0px 0px 5px 0px;">Dear KELLY T=
 ANDREWS,</td>
</tr>
</tbody>
</table>
<table class=3D"container" style=3D"table-layout: fixed; padding: 15px; lin=
e-height: 120%;" border=3D"0" width=3D"100%" cellspacing=3D"0" cellpadding=
=3D"0" align=3D"center" bgcolor=3D"white">
<tbody>
<tr>
<td style=3D"word-wrap: break-word; padding: 0px 0px 5px 0px;">Thank you fo=
r choosing Molina Healthcare of Washington, Inc.! We recognize that you hav=
e choices and truly appreciate your selection of a Molina Marketplace plan.=
 We are reviewing your application and will contact you when the review is =
complete.</td>
</tr>
</tbody>
</table>
<table class=3D"container" style=3D"table-layout: fixed; padding: 15px; lin=
e-height: 120%;" border=3D"0" width=3D"100%" cellspacing=3D"0" cellpadding=
=3D"0" align=3D"center" bgcolor=3D"white">
<tbody>
<tr>
<td style=3D"word-wrap: break-word; padding: 0px 0px 5px 0px;">Create your =
MyMolina account: Go to <a href=3D"https://byxys3pw.r.us-east-1.awstrack.me=
/L0/https:%2F%2Fmember.molinahealthcare.com%2F/1/010001936ce636bf-1a4a8417-=
ced2-4827-852b-e2952379fc55-000000/km3f2fXphxS5zifnBlh-AfFVU7M=3D402">MyMol=
ina.com </a> and create your account. Your MyMolina account provides you in=
formation on your benefit coverage, access to self service options, free he=
alth tools available to you as our member, and much more!</td>
</tr>
</tbody>
</table>
<table class=3D"container" style=3D"table-layout: fixed; padding: 15px; lin=
e-height: 120%;" border=3D"0" width=3D"100%" cellspacing=3D"0" cellpadding=
=3D"0" align=3D"center" bgcolor=3D"white">
<tbody>
<tr>
<td style=3D"word-wrap: break-word; padding: 0px 0px 5px 0px;">You may ask =
for a paper copy of your Schedule of Benefits (SOB) to
                                                                    be mail=
ed to you, at no added charge, by calling us at (800) 525-4554.</td>
</tr>
</tbody>
</table>
<table class=3D"container" style=3D"table-layout: fixed; padding: 15px; lin=
e-height: 120%;" border=3D"0" width=3D"100%" cellspacing=3D"0" cellpadding=
=3D"0" align=3D"center" bgcolor=3D"white">
<tbody>
<tr>
<td style=3D"word-wrap: break-word; padding: 0px 0px 5px 0px;">Thank you fo=
r choosing Molina Healthcare of Washington, Inc..</td>
</tr>
</tbody>
</table>
<table class=3D"grid3" style=3D"table-layout: fixed;" border=3D"0" width=3D=
"100%" cellspacing=3D"0" cellpadding=3D"0" align=3D"center" bgcolor=3D"whit=
e">
<tbody>
<tr>
<td bgcolor=3D"#f1f1f0" width=3D"33.33%">
<table style=3D"table-layout: fixed;" align=3D"center">
<tbody>
<tr>
<td style=3D"word-wrap: break-word; height: 110px; padding: 20px 0px 0px 0p=
x;" align=3D"center"><a href=3D"https://byxys3pw.r.us-east-1.awstrack.me/L0=
/https:%2F%2Fbillpay.molinahealthcare.com%2FPayment%2FLogin/1/010001936ce63=
6bf-1a4a8417-ced2-4827-852b-e2952379fc55-000000/QSKSADykg6gge6XTpIv-rTakEek=
=3D402"><img src=3D"https://ods-enote-template-images.s3.amazonaws.com/Paym=
ent_options1.png" alt=3D"Image" width=3D"90px" height=3D"90px" /></a></td>
</tr>
<tr>
<td style=3D"word-wrap: break-word; vertical-align: middle; text-top;height=
: 100%; padding: 0px 0px 5px 0px;" align=3D"center">
<h3><a style=3D"text-decoration: none; color: #25bec8;" href=3D"https://byx=
ys3pw.r.us-east-1.awstrack.me/L0/https:%2F%2Fbillpay.molinahealthcare.com%2=
FPayment%2FLogin/2/010001936ce636bf-1a4a8417-ced2-4827-852b-e2952379fc55-00=
0000/SW7JBDADeORJVQoIA8VKoYKEa7E=3D402"> Payment Options</a></h3>
</td>
</tr>
<tr>
<td style=3D"word-wrap: break-word; color: black; vertical-align: text-top;=
 padding: 0px 0px 20px 0px;" align=3D"center"><a style=3D"text-decoration: =
none; color: black;" href=3D"https://byxys3pw.r.us-east-1.awstrack.me/L0/ht=
tps:%2F%2Fbillpay.molinahealthcare.com%2FPayment%2FLogin/3/010001936ce636bf=
-1a4a8417-ced2-4827-852b-e2952379fc55-000000/N6WWFZZ6NhokTn-KqvEnQn1jZfs=3D=
402">For your convenience,<br />we offer many ways for you to pay your mont=
hly premium for your individual health care coverage plan. Choose what work=
s best for you. </a></td>
</tr>
</tbody>
</table>
</td>
<td bgcolor=3D"#faf9f9" width=3D"33.33%">
<table style=3D"table-layout: fixed;" align=3D"center">
<tbody>
<tr>
<td style=3D"word-wrap: break-word; height: 110px; padding: 20px 0px 0px 0p=
x;" align=3D"center"><a href=3D"https://byxys3pw.r.us-east-1.awstrack.me/L0=
/https:%2F%2Fprovidersearch.molinahealthcare.com%2FProvider%2FProviderSearc=
h%3FRedirectFrom=3DMolinaStaticWeb%26memstate=3Dmi%26State=3Dmi%26Coverage=
=3DMMP/1/010001936ce636bf-1a4a8417-ced2-4827-852b-e2952379fc55-000000/w8gnf=
9t89YVFtlbhNpU92gmeZBQ=3D402"><img src=3D"https://ods-enote-template-images=
.s3.amazonaws.com/Provider+Search1.png" alt=3D"Image" width=3D"90px" height=
=3D"90px" /></a></td>
</tr>
<tr>
<td style=3D"word-wrap: break-word; vertical-align: middle; text-top;height=
: 100%; padding: 0px 0px 5px 0px;" align=3D"center">
<h3><a style=3D"text-decoration: none; color: #25bec8;" href=3D"https://byx=
ys3pw.r.us-east-1.awstrack.me/L0/https:%2F%2Fprovidersearch.molinahealthcar=
e.com%2FProvider%2FProviderSearch%3FRedirectFrom=3DMolinaStaticWeb%26memsta=
te=3Dmi%26State=3Dmi%26Coverage=3DMMP/2/010001936ce636bf-1a4a8417-ced2-4827=
-852b-e2952379fc55-000000/YMZ82dvrjafAGJNVRVgqoG1FvAc=3D402">Provider Finde=
r</a></h3>
</td>
</tr>
<tr>
<td style=3D"word-wrap: break-word; color: black; vertical-align: text-top;=
 padding: 0px 0px 20px 0px;" align=3D"center"><a style=3D"text-decoration: =
none; color: black;" href=3D"https://byxys3pw.r.us-east-1.awstrack.me/L0/ht=
tps:%2F%2Fprovidersearch.molinahealthcare.com%2FProvider%2FProviderSearch%3=
FRedirectFrom=3DMolinaStaticWeb%26memstate=3Dmi%26State=3Dmi%26Coverage=3DM=
MP/3/010001936ce636bf-1a4a8417-ced2-4827-852b-e2952379fc55-000000/r18HuoriJ=
oripSZ4YTH1t2ujlIs=3D402">Search for doctors, dentists, hospitals and other=
 health care providers in your network.</a><br /> <a href=3D"https://byxys3=
pw.r.us-east-1.awstrack.me/L0/https:%2F%2Fprovidersearch.molinahealthcare.c=
om%2FProvider%2FProviderSearch%3FRedirectFrom=3DMolinaStaticWeb%26memstate=
=3Dmi%26State=3Dmi%26Coverage=3DMMP/4/010001936ce636bf-1a4a8417-ced2-4827-8=
52b-e2952379fc55-000000/ldgrBKMMhVMN0W_Zpp3noHVYZxo=3D402">Search Now!</a><=
/td>
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<td bgcolor=3D"#f1f1f0" width=3D"33.33%">
<table style=3D"table-layout: fixed;" align=3D"center">
<tbody>
<tr>
<td style=3D"word-wrap: break-word; height: 110px; padding: 20px 0px 0px 0p=
x;" align=3D"center"><a href=3D"https://byxys3pw.r.us-east-1.awstrack.me/L0=
/https:%2F%2Fwww.molinamarketplace.com%2Fmarketplace%2Fwa%2Fen-us%2FFAQ.asp=
x/1/010001936ce636bf-1a4a8417-ced2-4827-852b-e2952379fc55-000000/3GxSIUIUOZ=
Z0aa1uqe0HsOQYyuQ=3D402"><img src=3D"https://ods-enote-template-images.s3.a=
mazonaws.com/member1.png" alt=3D"Image" width=3D"90px" height=3D"90px" /></=
a></td>
</tr>
<tr>
<td style=3D"word-wrap: break-word; vertical-align: middle; text-top;height=
: 100%; padding: 0px 0px 5px 0px;" align=3D"center">
<h3><a style=3D"text-decoration: none; color: #25bec8;" href=3D"https://byx=
ys3pw.r.us-east-1.awstrack.me/L0/https:%2F%2Fwww.molinamarketplace.com%2Fma=
rketplace%2Fwa%2Fen-us%2FFAQ.aspx/2/010001936ce636bf-1a4a8417-ced2-4827-852=
b-e2952379fc55-000000/TsqkEqL0WpePhkXAwQXYiTo6gBM=3D402">New Member? What t=
o Expect</a></h3>
</td>
</tr>
<tr>
<td style=3D"word-wrap: break-word; color: black; vertical-align: text-top;=
 padding: 0px 0px 20px 0px;" align=3D"center"><a style=3D"text-decoration: =
none; color: black;" href=3D"https://byxys3pw.r.us-east-1.awstrack.me/L0/ht=
tps:%2F%2Fwww.molinamarketplace.com%2Fmarketplace%2Fwa%2Fen-us%2FFAQ.aspx/3=
/010001936ce636bf-1a4a8417-ced2-4827-852b-e2952379fc55-000000/uI4Cz70mzTBWX=
_8EB4DRlO8dfz4=3D402">Now that we have your application, here's what you ca=
n expect.</a></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<!-- Footer Area -->
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<td style=3D"word-wrap: normal; padding: 10px 0px 0px 0px;"><u></u></td>
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<td style=3D"color: #0c5186; width: 70%; padding: 5px 0px 0px 10px;" align=
=3D"left"><a style=3D"color: #25a1a9; font-size: 1.3em; text-decoration: no=
ne;" href=3D"http://byxys3pw.r.us-east-1.awstrack.me/L0/www.molinamarketpla=
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PaFyZAx8Slsp4qNzvN5_NI=3D402">www.molinamarketplace.com</a></td>
<td style=3D"padding: 5px 0px 0px 0px;" align=3D"right"><a href=3D"https://=
byxys3pw.r.us-east-1.awstrack.me/L0/https:%2F%2Fwww.facebook.com%2FMolinaHe=
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agram.com%2Fmolinahealth%2F/1/010001936ce636bf-1a4a8417-ced2-4827-852b-e295=
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th=3D"42" height=3D"42" /></a> <a href=3D"http://byxys3pw.r.us-east-1.awstr=
ack.me/L0/http:%2F%2Fwww.twitter.com%2Fmolinahealth/1/010001936ce636bf-1a4a=
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pw.r.us-east-1.awstrack.me/L0/http:%2F%2Fwww.youtube.com%2Fuser%2FMolinaHea=
lthcare/1/010001936ce636bf-1a4a8417-ced2-4827-852b-e2952379fc55-000000/d6cr=
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<table class=3D"container" style=3D"table-layout: fixed; padding: 0px; line=
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cellpadding=3D"0" align=3D"center" bgcolor=3D"white">
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<td style=3D"word-wrap: break-word; font-size: 10px; padding: 0px 0px 5px 0=
px;" align=3D"left">Molina Healthcare complies with applicable Federal civi=
l rights laws and does not discriminate on the basis of race, color, nation=
al origin, age, disability, or sex. You have the right to get this informat=
ion in a different format, such as audio, Braille, or large font due to spe=
cial needs or in your language at no additional cost. <br /> ATTENTION: If =
you speak English, language assistance services, free of charge, are availa=
ble to you. Call Member Services. The number is on the back of your Member =
ID card.<br /> ATENCI&Oacute;N: si habla espa&ntilde;ol, tiene a su disposi=
ci&oacute;n servicios gratuitos de asistencia ling&uuml;&iacute;stica. Llam=
e a Servicios para Miembros. El n&uacute;mero de tel&eacute;fono est&aacute=
; al reverso de su tarjeta de identificaci&oacute;n del miembro.<br /> =E6=
=B3=A8=E6=84=8F=EF=BC=9A=E5=A6=82=E6=9E=9C=E6=82=A8=E4=BD=BF=E7=94=A8=E7=B9=
=81=E9=AB=94=E4=B8=AD=E6=96=87=EF=BC=8C=E6=82=A8=E5=8F=AF=E4=BB=A5=E5=85=8D=
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=E5=8B=99=E3=80=82=E8=AB=8B=E8=87=B4=E9=9B=BB=E6=9C=83=E5=93=A1=E6=9C=8D=E5=
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<br /> Molina Healthcare, Inc.<br /> 200 Oceangate Ste. 100 <br /> Long Bea=
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