STATE OF WISCONSIN CIRCUIT COURT MARATHON COUNTY JERRY C. DEAN, Plaintiff, STATE OF WISCONSIN DEPARTMENT OF HEALTH SERVICES, UNITEDHEALTHCARE INSURANCE COMPANY, UNITEDHEALTHCARE OF WISCONSIN, INCORPORATED, STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Involuntary Plaintiffs, v. AMERICAN FAMILY MUTUAL INSURANCE COMPANY, S.I., RACHEL H. BUSSE, Defendants. Case Number: 26-CV-74 Case Code: 30101 FORTY-FIVE DAY SUMMONS THE STATE OF WISCONSIN, TO: Rachel Busse 612 West 11th Street Marshfield, WI 54449 YOU ARE HEREBY NOTIFIED that the Plaintiff named above has filed a lawsuit or other legal action against you. Within forty-five (45) days after March 13, 2026, you must respond with a written demand for a copy of the Summons and Complaint. The demand must be sent or delivered to the Court, whose address is: Clerk of Courts Marathon County Courthouse 500 Forest Street Wausau, Wisconsin 54403 and to the Plaintiff's attorneys, whose address is: Shawn P. Brock, Esq. Hupy and Abraham, S.C. 3945 West College Avenue Appleton, Wisconsin 54914 You may have an attorney help or represent you. If you do not demand a copy of the Complaint within forty-five (45) days, the Court may grant judgment against you for the award of money or other legal action requested in the Complaint, and you may lose your right to object to anything that is or may be incorrect in the Complaint. A judgment may be enforced as provided by law. A judgment awarding money may become a lien against any real estate that you own now or may own in the future, and may also be enforced by garnishment or seizure of property. DATED at Appleton, Wisconsin this 11th day of March, 2026. HUPY AND ABRAHAM, S.C. Attorneys for Plaintiff By: Electronically Signed by Shawn P. Brock Shawn P. Brock State Bar Number: 1041430 POST OFFICE ADDRESS: 3945 West College Avenue Appleton, WI 54914 (920) 882-8382 WNAXLP March 13, 20, 27 2026 LWIX0477385