Cigna Global Health Benefits®

Certificate of Health Coverage

Issue Date: 20 Nov 2023

Member Name: SAURIN TAILOR
Date of Birth: 08 Sep 1984
Account Name: JPMORGAN - ACTIVE INPAT
Account Number: 02008A002

This health coverage is valid from 01 Feb 2023 until completion of the member's assignment subject to all terms,
provisions, and conditions of the plan provided that the plan is in effect between Cigna and the plan sponsor on the
claim service date. The plan covers medical expenses worldwide, except where coverage or services are prohibited
by applicable law or authority. This plan is self-insured by the plan sponsor. Cigna Health and Life Insurance
Company is the Claims Administrator for the plan.

Cigna health plans cover medically necessary claims related to infectious diseases and medical conditions per the
terms of the health plan. Cigna health plans do not contain an exclusion for COVID-19 specifically or for pandemics
more generally. Accordingly, this plan will provide coverage for the diagnosis and treatment of COVID-19 to the
same extent as it would for any other medical condition.

Dependants covered under this plan are:

MANSI SHAH – 18 Apr 1991

Cigna has many direct billing arrangements with international doctors and hospitals. If direct billing is not
available, the doctor or hospital can contact Cigna for a Guarantee of Payment.

The Cigna Global Health Benefits' Service Center can be reached at the following:
Phone: 1.800.441.2668 or 1.302.797.3100
Fax: 1.800.243.6998 or 1.302.797.3150
Website: www.cignaenvoy.com

Weihong Shen, Cigna Representative

Cigna products and services are provided by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life
Insurance Company. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
© 2023 Cigna.