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Protected Health Information Consent for the Massachusetts Driver Portable Health Fund

I agree that HFMI, LLC may disclose my Protected Health Information (“PHI”) to Stride Savings LLC, one or more ride share companies for which I drive, and their contractors so that these recipients can confirm that, during the relevant time period, I had purchased health insurance that qualifies me to receive a stipend under the terms of the Settlement Agreement between the Massachusetts Attorney General, Uber Technologies, Inc., and Lyft, Inc. I understand that such PHI may include information such as the name of the health insurer(s) providing such coverage and certain information about that coverage.