TITLE
(RENEWAL) MEDICAL & HOSPITAL GROUP SUBSCRIBER AGREEMENT - (PACIFICARE HMO FOR BENEFIT YEAR 2005-2006) GROUP CODE: 515102-ACTIVE/515103-COBRA, AMEND GROUP COVERAGE EFFECTIVE DATE TO 12/1/2005 - 11/30/2006, PLAN CODE: FHC, FHZ, ACD, HA1, MPU, R04