National Union Fire Insurance Company of Pittsburgh, Pa.
Insured: ________________________
Group Name: Kettering University
Policy #: CHH0068071	Effective Date: 07/01/2010
Identification No.: ________________________

The Covered Person on the reverse side of this card, and such dependents as are listed on the enrollment form are entitled to the benefits stated in the plan. For benefits please call: Maksin Management Corp. 1-877-775-5430 Mail Claims to: Maksin Management Corp., P.O Box 2647 Camden, NJ 08101-2647 To secure a claim form go to the World Wide Web Site for all information: http://www.maksin.com or call Maksin Management at 1-877-775-5430 NEIC # 22195