>0000343 7344480 001 003082
J. EPSTEIN
6100 RED HOOK QUARTER B-3
ST THOMAS VI 00802-0000

UnitedHealthcare

FINANCIAL TRUST COMPANY
6100 RED HOOK QUARTER, B-3
ST THOMAS VI 00802-0000



030827344800000000034300003430204111

UnitedHealthcare

Health Plan (80840) 911-87726-04

Member ID: 854905597
Group Number: 272605
Member: JEFFREY EPSTEIN
FINANCIAL TRUST COMPANY
Payer ID 87726

Office: $20
ER: $200
UrgCare: $75
Spec: $30

medco
Rx Bin: 610014
Rx Grp: UHEALTH

UnitedHealthcare Choice Plus
Underwritten by UnitedHealthcare Insurance Company
DOI - 0501