Request DismissalCal. Super. - 6th Dist.May 12, 2021ATTORNEY OR PARTY IMTHOU T ATTORNEY (Name, Sfefe Sar number end nddnssl Karlene Rogers-Aberman (237883) Stephenson, Acquisto & Colman, Inc. 303 N. Glenoaks Blvd. ¹700, Burbank, CA 91502-3226 TELEPHDNE No. (818) 559-4477 Fnx No (Dw nes (818) 559 5484 EJJAILADDRCSS(Onionec kaberman@aaCfirm.COm ATTDRNEY FOR(Meme) Plaintiff. STANFORD HEALTH sUPERIDR coURT oF OALIFDRNIA, coUNTY DF Santa Clara-Unlimited Jurisdiction sTREETADDREss 191 N. First Street MAILINGADDRESS Same cITYANDzlpcoDE San Jose, California 95113-1090 SRANCHNAME Downtown Superior Court PLAINTIFF/PETITIONER STANFORD HEALTH DEFENDANT/REsPQNDENT: HEAI TH COST SOLUTIONS, INC., et al. REQUEST FOR DISMISSAL FOR COURT USE ONLY CASE NUMSER 21CV382334 CIV-110 A conformed copy will not be returned by the clerk unless a method of return is provided with the document. 1. TO THE CLERK; Please dismiss this action as follows: a. (1) ~V With prejudice (2) ~ Without prejudice b (1) ~ Complaint (2) ~ Petition (3) ~ Cross-complaint filed by (name): (4) ~ Cross-complaint filed by (name) (5) M Entire action af all parties and afi causes af action (6) ~A Other (specify) **AS TO PRIVATE HEALTHCARE SYSTEMS, INC. ONLY'" on (date): on (dale) 2 (Comp/e/e in a/l cases except fami/y law cases.) The court ~ did ~y did not waive court fees and costs fora pa the clerk lf court fees and costs were waived, the declaration on the Date, 7/12/2021 KA~ENE RQOERsTABEKvIAN (TYPE OR PRINT NAME OF ~ ATTORNEY ~ PARTY WITHOUT ATTORNEY) (sf fr( E) ~J ttorney or party witho/tatto y ff)r f CI] Plaintiff/Pettttonep H Defendant/Respondent'If dismissal mquested is of specdied parbes only of speafied causes of actiononly, or ofspecaed cross-complaints only, so stats and identify the parties,causes of schon, or crossmomplsints to be dismissed M Cross-Complamant 3. TO THE CLERK: Consent to the above dismissal is hereby given.** Date This form may not be used for dismissal of a derivative action or a class action or of any party or cause of action in a class action. (Cal. Rules of Court, rules 3.760 and 3.770.) (TYPE OR PRINT NAME OF ~ ATTORNEY ~ PARTY YATHOUT ATTORNEY) ** If a cross-complaint - or Response (Family Law) seeking affirmative relmf - is on file, the attorney for cross-complainant (respondent) must mgn this consent if required by Code of Civil Procedure section 361 (i) o (f) (To be completed by c/erk) 4. ~ Dismissal entered as requested on (ds/e): (SIGNATURE) Attorney or party without attorney for: Plaintiff/Petitioner ~ Defendant/Respondent Cross-Complainant 5 ~ Dismissal entered on (dale): as to only (name) 6. ~ Dismissal not entered as requested for the following reasons (specify) 7. a M Attorney or party without attorney notified on (dale). b ~ Attorney or party without attorney not notified. Fihng party failed to provide C] a copy to be conformed ~ means to return conformed copy Date: Form Adopted for Mendatnry Use Judiael Ccunal of California clv-116(Rev Jen 1,2613) Clerk, by REQUEST FOR DISMISSAL , Deputy Plies I of 2 Code of Gvil Procedure, 2 661 et seq . Gov Code, 366637(c), Cei Rulesof Court, rule 31390 www nouns ce gov Electronically Filed by Superior Court of CA, County of Santa Clara, on 7/12/2021 12:54 PM Reviewed By: R. Nguyen Case #21CV382334 Envelope: 6826372 21CV382334 Santa Clara - Civil R. Nguyen 7/12/2021 12:54 PM 7/12/2021 12:54 PM X 7/12/2021 12:54 PM R. Nguyen X PLAINTIFF/PETITIONER STANFORD HEALTH DEFENDANT/RESPONDENT: HEALTH COST SOLUTIONS, INC., et al. CASE NUMBER: 21CV382334 CIV-110 COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS If a party whose court fees and costs were initially waived has recovered or will recover $ 10,000 or more in value by way of settlement, compromise, arbitration award, mediation settlement, or other means, the court has a statutory lien on that recovery. The court may refuse to dismiss the case until the lien is satisfied. (Gov. Code, g 68637.) Declaration Concerning Waived Court Fees 1 The court waived court fees and costs in this action for (name): 2. The person named in item 1 is (check one below): a ~ not recovering anything of value by this action. b M recovering less than $ 10,000 in value by this action. c. ~ recovering $10000 or more in value by this action. (If item 2c is checked, item 3 must be completed) 3. C] All court fees and court costs that were waived in this action have been paid to the court (check ona) C3 Yes H No I declare under penalty of per)ury under the laws of the State of California that the information above is true and correct. Date: ITYPE OR PRiNT NAME OF ~ ATTORNEY ~ PARTY MAKING DECLARATION) (SIGNATURE) Clv-110IRev Jaouafv 1,20ia] REQUEST FOR DISMISSAL Pose 2 of 2 PROOF OF SERVICE I am employed in the county of Los Angeles, State of California. I am over the age of 18 and not a party to the within action; my business address is 303 North Glenoaks Boulevard, Suite 700, Burbank, California 91502-3226. On 12 July 2021, I served the foregoing document(s) entitled: REQUEST FOR DISMISSAL - WITH PREJUDICE AS TO PRIVATE HEALTHCARE SYSTEMS ONLY 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 [X] BY MAIL: I am "readily familiar" with the firm's practice of collection and processing correspondence for mailing. Under that practice it would be deposited with the United States Postal Service on that same day with postage thereon fully prepaid at Burbank, California in the ordinary course of business. I am aware that on motion of the party served, service is presumed invalid ifpostal cancellation date or postage meter date is more than one day after date of deposit for mailing in affidavit. [C.C.P. 1013a(3); F.R.C.P. 5(b)] BY PERSONAL SERVICE: I caused the above-stated document(s) to be served by personally delivering a true copy thereof to the individuals identified above. [C.C.P. 1011(a); F.R.C.P. 5(b)] BY TELECOPIER: Service was effected on all parties at approximately am/pm by transmitting said document(s) from this firm's facsimile machine (818/559-4477) to the facsimile machine number(s) shown above. Transmission to said numbers was successful as evidenced by a Transmission Report produced by the machine indicating the documents had been transmitted completely and without error. C.R.C. 2008(e), Cal. Civ. Proc. Code $ 1013(e). BY FEDERAL EXPRESS: I caused such envelope(s), with overnightFederal Express Delivery Charges to be paid by this firm, to be deposited with the Federal Express Corporation at a regularly maintained facility on the aforementioned date. [C.C.P. 1013(c) 1013(d)] by placing a true copy thereof enclosed in a sealed envelope addressed per the attached Service List. ] BY ELECTRONIC SERVICE: By emailing true and correct copies to the persons at the electronic notification address(es) shown on the accompanying service list. The document(s) was/were served electronically and the transmission was reported as complete and without error. ] BY ELECTRONIC SERVICE [BY COURT]: by causing the foregoing document(s) to be electronically filed using the Court's Electronic Filing System which constitutes service of the filed document(s) at the electronic service address of the individual(s) listed on the attached mailing list. [X] State: I declare under penalty of perjury under the laws of the State of California that the above is true and correct. 9 10 12 ] Federal: I declare that I am employed in the office of a member of the bar of this court at whose direction the service was made. Executed on 12 July 2021 in Burbank, California. 13 14 15 ANGELA DEMERS 16 17 19 20 21 22 23 24 25 26 27 SERVICE LIST Private Healthcare Svstems. Inc. Marjorie Wilde Senior Counsel MultiPlan 535 E. Diehl Rd., Suite 100 Naperville, IL 60563 mari orie.wilde multinlan.corn 10 ll 12 13 14 15 16 17 Private Healthcare Systems, Inc., c/o CSC Lawyers Incorporating Service 2710 Gateway Oaks Drive, Suite 150N Sacramento, CA California Natural Products c/o InCorp Services, Inc. - Agent 5716 Corsa Avenue, Suite 110 Westlake Village, CA 91362 Health Cost Solutions c/o Paracorp Incorporated - Agent 2 North Jackson Street, Suite 605 Montgomery, AL 36104 19 20 21 22 23 24 25 26 27