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, . . <br /> � ;. <br /> NROXY <br /> The undersigned hereby appoints the Board of Directors of Health Care Service Corporation, a Mutual Legal Reserve Company, <br /> or any successor thereof("HCSC"), with full power of substitution, and such persons as the Board of Directors may designate by <br /> resolution, as the undersigned's proxy to act on behalf of the undersigned at all meetings of inembers of HCSC (and at all <br /> meetings of inembers of any successor of HCSC) and any adjournments thereof, with full power to vote on behalf of the <br /> undersigned on all matters that may come before any such meeting and any adjournment thereof. The annual meeting of <br /> members shall be held each year in the corporate headquarters on the last Tuesday of October at 12:30 p.m. Special meetings <br /> of inembers may be called pursuant to notice mailed to the member not less than 30 nor more than 60 days prior to such <br /> meetings. This proxy shall remain in effect until revoked in writing by the undersigned at least 20 days prior to any meeting of <br /> members or by attending and voting in person at any annual or special meeting of inembers. <br /> Group No.: P22346, By� Stephen L. Garman - City Manager <br /> P22347, <br /> P22348, <br /> P22349, <br /> 022346 Steve Garman <br /> Print Signer's rne e <br /> � City Manager <br /> Sign u e and ' e <br /> Group Name: City of Decatur, Illinois <br /> Address: #1 Gary K. Anderson Plaza <br /> �'�ty: Decatur State: Illinois Zip Code: 62523 <br /> Dated this day of December 2007 ' <br /> Month Year ' <br /> GA-10-4 HCSC IL Rev. 09/12/07 (On-line Version) page 6 <br />