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From: MolinaHealthcare <noreply@memberdoc.com>
Reply-To: do-not-reply@memberservices.molinahealthcare.com
To: KELLY.ANDREWS@TESSOL-INC.COM
Subject: Requested Termination
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Date: Fri, 28 Feb 2025 16:46:29 +0000
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<p>&nbsp;</p>
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<p>Requested Termination</p>
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<td class=3D"col" style=3D"word-wrap: break-word; padding: 0px 0px 5px 0px;=
 font-size: 10px;" valign=3D"top">Important Update</td>
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<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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<tbody>
<tr>
<td style=3D"word-wrap: break-word; background-color: #118d95; padding: 0px=
 0px 5px 0px; color: white;"><strong>POLICY CANCELLATION CONFIRMATION</stro=
ng></td>
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ight: 40px;" border=3D"0" width=3D"100%" cellspacing=3D"0" cellpadding=3D"0=
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<td>
<h1 style=3D"color: #118d95;">Request for Cancellation of Insurance Policy<=
/h1>
</td>
</tr>
</tbody>
</table>
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e-height: 120%;" border=3D"0" width=3D"100%" cellspacing=3D"0" cellpadding=
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<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=
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<tbody>
<tr>
<td style=3D"word-wrap: break-word; padding: 0px 0px 5px 0px;">Your coverag=
e was cancelled on 02/28/2025 due to member request. There&#x27;s nothing E=
LSE you need to do.</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;"><strong>Our =
next steps:</strong>
<ul>
<li>Review your account</li>
<li>Mail you a refund check if due</li>
</ul>
</td>
</tr>
</tbody>
</table>
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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;">When we can =
help again, please let us know. If you have any questions, or need a Certif=
icate of Creditable Coverage, please call us at the number listed below.</t=
d>
</tr>
</tbody>
</table>
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e-height: 120%;" border=3D"0" width=3D"100%" cellspacing=3D"0" cellpadding=
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<td style=3D"word-wrap: break-word; padding: 0px 0px 5px 0px;">Sincerely,</=
td>
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e-height: 120%;" border=3D"0" width=3D"100%" cellspacing=3D"0" cellpadding=
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<td style=3D"word-wrap: break-word; padding: 0px 0px 5px 0px;">Molina Healt=
hcare of Washington, Inc.</td>
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<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/1/010001954d73cb9b-1ed3b17d-5b3a-4c65-bf0a-b340684cf5f4-000000/jJ3DxTGzIc=
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<h3><a style=3D"text-decoration: none; color: #25bec8;" href=3D"https://byx=
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>
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<td style=3D"word-wrap: break-word; color: black; vertical-align: text-top;=
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u63tVoM=3D415"> anytime, or call Member Services: (800) 525-4554, or TTY 71=
1 for the hearing impaired, Monday - Friday 8:00 a.m. to 6:00 p.m. Local Ti=
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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=
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<br /> Molina Healthcare, Inc.<br /> 200 Oceangate Ste. 100 <br /> Long Bea=
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