45 Tindalo St., Brgy. Claro,

Project 3, Quezon CityMay 18, 2015MR. GERONIMO V. FRANCISCO

President and Chief Operations Officer,

Fortune Medicare, Inc.

3rd Floor, Citystate Centre, 709 Shaw Blvd.,

Pasig City

Attention: Cancellations Department Fortune Medicare, Inc. Subject: Cancellation of Health Care Program

S i r:

We, spouses, PAUL PATRICK BLANCO y SEOREN, under contract number HO-15-1177388 and KRISTINE JOYCE BLANCO y MARZAN, under contract number HO-15-1178443, would like to inform you that we decided to terminate our health insurance coverage effective immediately. We would appreciate if you could send us a written confirmation of the cancellation for our records at your earliest convenience.

Thank you and we hope you will consider this request and put into effect as soon as possible.

Sincerely yours,

PAUL PATRICK S. BLANCO

KRISTINE JOYCE M. BLANCO