You have submitted an FOI request
Date: Oct. 21, 2023, 1:29 p.m.
Your request is already in review
Date: 2023-10-23 11:16:24.000000
Your request was successful
Date: 2023-10-26 15:24:54.000000
How was your request?
Published by Insurance Commission(IC) on Oct. 21, 2023.
Requested from IC by K. Rubis at 01:29 PM on
Oct. 21, 2023.
Purpose: Claiming of Plan Benefit
Date of Coverage: 05/12/2016 - 10/21/2023
Tracking no: #IC-871622703713