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11 <br />192540v3 <br /> <br /> GROUP HEALTH PLAN, INC. <br /> A Minnesota Nonprofit Corporation <br /> <br /> <br /> By: ____________________________________ <br /> ___________________________ [print name] <br /> Its ________________________ [title] <br /> <br /> <br /> <br /> <br />STATE OF MINNESOTA ) <br /> ( ss. <br />COUNTY OF RAMSEY ) <br /> <br /> The foregoing instrument was acknowledged before me this _______ day of <br />_________________, 20___, by ________________________, the ___________________ of <br />Group Health Plan, Inc., a Minnesota nonprofit corporation, on its behalf. <br /> <br /> _______________________________________ <br /> Notary Public <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DRAFTED BY: <br />Campbell, Knutson <br />Professional Association <br />Grand Oak Office Center I <br />860 Blue Gentian Road, Suite 290 <br />Eagan, Minnesota 55121 <br />Telephone: (651) 452-5000 <br />(JJJ) <br />