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<br />INSTRUCTIONS: <br /> <br />As a Voting Member, you can participate in the election process in one of five ways: <br /> <br />I. Attend the annual meeting in person on December 3, 2004. <br /> <br />2. Vote by mail using the ballot form below. If you complete the ballot form, please do <br /> <br />complete the proxy form. <br /> <br />3. Assign your proxy to the Proxy Committee using the proxy form fm the reverse side 01 this form. By completing <br />the proxy form, you me authorizing the committee to cast your vole in a manner would recommend. <br /> <br />4. Appoint another Voting Member of the corporation as your proxy, which requires a special proxy form. <br />Contact the Company at 1800-342-47]8 to request this form. residents should cal! 277-2227. <br /> <br />5. Vote online at www.BCBSND.com by midnight CST, November 2004. Once you've arrived at the home page, <br />click on the online proxy/ballot section. This will bring you to a page requiring you to login with a User Key and <br />the first three (3) charlcters of your last name. The following is User Key fm ¡hi:" page. Please type it exactly <br />as it appears. <br /> <br />User Key: <br /> <br />6558028827 <br /> <br />After you login, you must choose whether you are submitting a haUot or a proxy- You cannot do both. Please <br />make sure that only the Voting Member completes this process. If you have questions regarding online voting, <br />please call the Comp::my at 1-800-342-47]8. Fargo residents should call 277-2227 <br /> <br />Proxy forms must be received by November 29, 2004, to be valid. Please complete and sign only one side of this form. <br />Forms received with both sides completed are void, as we are unable to determine which nption you intended. <br /> <br />IMPORTANT NOTE: <br />As the company offers several options for you to participate in 1this election - in person, by mail, <br />or online - it is important that you use only one of these methods to cast your vote. If you use <br />more than one method. your vote will be void. <br /> <br />SIGN ONLY ONE SIDE OF THIS CARD <br /> <br />Detach along perforation <br />Forms MUST be received by November 29, :~OO4 <br /> <br />- - - - - - - - - - -- <br /> <br />-. .. - - - <br /> <br />--------..-- <br /> <br />To cast your vote for the following candidates <br />please mark the box next to the name. Incumbent <br />candidates may run unopposed. For the open seat <br />election, vote for only one of the two candidates. <br /> <br />OPEN SEAT CANDIDATES: <br /> <br />-<,.-.....----.-.-., <br /> <br />select one nam.f <br /> <br />Provider Seat ifll <br /> <br />Gary P Miller <br />I.)J" <br />David R. Mülmcn <br /> <br />0 <br />D <br /> <br />Election of Directors: <br />INCUMBENT CANDIDATES <br />Provider Seat #2 Robert E, Grossman, M.D. 0 <br />Consumer Seat #1 Robert L. Lamp 0 <br />Consumer Seat #2 Roger A. Kenner 0 <br /> <br />User Key 655802882í <br /> <br />ATTN: MIKE MONTPLAISIR <br />CASS COUNTY PERSON NFL <br />PO BOX 2806 <br />FARGO ND 58108-2806 <br /> <br />Dated and signed this -...------- day of____.. <br /> <br />,2004 <br /> <br />Signature oj V"tit" Member (SfGN Oliff. Y Ollf!!: SIDE) <br /> <br />MS3540A.O2 <br /> <br />6427 <br /> <br />JM930MPlND~ <br /> <br />