Claim

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=60 BGCOLOR="#00BF00" TEXT="#F7F7FF"> <div> <B>Submit a claim to....        </B><FONT SIZE="5" COLOR="#000000" FACE="Copperplate Gothic Bold" ><B><U>Players Plan......Plus</U></B></FONT></div> <DIV ALIGN="LEFT"></DIV> <div> 24 / 7 coverage</div> <bR> <bR> <div> <B>Players</B></div> </td> </tr><tr> <td valign="top" width=140 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <A HREF="id51.htm" TARGET="_top" TITLE="Players"><U><B><IMG SRC="1f324240.gif" border=0 width="36" height="36" ALIGN="LEFT" HSPACE="0" VSPACE="0"></B></U></A><FONT SIZE="2" COLOR="#00BF00" FACE="Arial" ><B>Introduction</B></FONT></div> <bR> <div> <A HREF="id52.htm" TARGET="_top" TITLE="Details"><U><B><IMG SRC="1f324240.gif" border=0 width="36" height="36" ALIGN="LEFT" HSPACE="0" VSPACE="0"></B></U></A><B>Details & Benefits</B></div> <bR> <div> <A HREF="id53.htm" TARGET="_top" TITLE="Enroll"><U><B><IMG SRC="1f324240.gif" border=0 width="36" height="36" ALIGN="LEFT" HSPACE="0" VSPACE="0"></B></U></A><B>Sign up NOW</B></div> <bR> <div> <A HREF="id54.htm" TARGET="_top" TITLE="Claim"><U><B><IMG SRC="1f324240.gif" border=0 width="36" height="36" ALIGN="LEFT" HSPACE="0" VSPACE="0"></B></U></A><B>Claims</B></div> <bR> <bR> <div> <A HREF="id55.htm" TARGET="_top" TITLE="RX"><U><B><IMG SRC="1f324240.gif" border=0 width="36" height="36" ALIGN="LEFT" HSPACE="0" VSPACE="0"></B></U></A><B>Discount Rx Card</B></div> <bR> <div> <A HREF="id57.htm" TARGET="_top" TITLE="Contact"><U><B><IMG SRC="1f324240.gif" border=0 width="36" height="36" ALIGN="LEFT" HSPACE="0" VSPACE="0"></B></U></A><B>Contact Us</B></div> </td> <td valign="top" height=420 BGCOLOR="#FFFFFF" TEXT="#080000"> <bR> <div> <B>If you need to submit a claim you will find the claim form here online, or by contacting us, a form can be mailed to you.  Fill out the claim form completely and follow the instructions provided, including the correct mail to address.</B></div> <bR> <div> <B> <a href="HTMLobj-571/AllinOneClaimForm.pdf"><u>CLAIM FORM (Adobe pdf file format 143KB)</u> </a>  </B></div> <bR> </td> </tr></table></body>