Kaiser Foundation Health Plan Inc v. Merck & Company Inc. et al

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United States District Court
Northern District of California
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF CALIFORNIA
Kaiser Foundation Health Plan, Inc.,
Defendant(s).
Case No.
APPLICATION FOR ADMISSION
OF ATTORNEY PRO HAC VICE;
ORDER
(CIVIL LOCAL RULE 11-3)
I, 	, an active member in good standing of the bar of
, hereby respectfully apply for admission to practice pro hac
vice in the Northern District of California representing: 	in the
above-entitled action. My local co-counsel in this case is 	, an
attorney who is a member of the bar of this Court in good standing and who maintains an office
within the State of California. Local co-counsel’s bar number is: _________________.
M Y ADDRESS OF RECORD 	L OCAL CO- COUNSEL’S ADDRESS OF RECORD
M Y TELEPHONE # OF RECORD 	L OCAL CO- COUNSEL’S TELEPHONE # OF RECORD
M Y EMAIL ADDRESS OF RECORD 	L OCAL CO- COUNSEL’S EMAIL ADDRESS OF RECORD
I am an active member in good standing of a United States Court or of the highest court of
another State or the District of Columbia, as indicated above; my bar number is: 	.
A true and correct copy of a certificate of good standing or equivalent official document
from said bar is attached to this application.
I have been granted pro hac vice admission by the Court _______ times in the 12 months
preceding this application.
4:21-cv-05497-HSG
Ann L. Rives
District of Columbia
Daniel Allen Sasse
3 Park Plaza, 20th Floor, Irvine, CA 92614
(202) 624-2500 	(949) 263-8400
ARives@crowell.com 	DSasse@crowell.com
977113
Plaintiff,
v.
Merck & Company, Inc. et al.,
0
236234
1001 Pennsylvania Avenue, NW, Washington, DC 20004
Kaiser Foundation Health Plan, Inc.
Case 4:21-cv-05497-HSG Document 137 Filed 03/09/26 Page 1 of 3

Updated 11/2021 	2
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United States District Court
Northern District of California
I agree to familiarize myself with, and abide by, the Local Rules of this Court, especially
the Standards of Professional Conduct for attorneys and the Alternative Dispute Resolution Local
Rules. I declare under penalty of perjury that the foregoing is true and correct.
Dated:
APPLICANT
ORDER GRANTING APPLICATION
FOR ADMISSION OF ATTORNEY PRO HAC VICE
IT IS HEREBY ORDERED THAT the application of 	is
granted, subject to the terms and conditions of Civil L.R. 11-3. All papers filed by the attorney
must indicate appearance pro hac vice. Service of papers upon, and communication with, local co-
counsel designated in the application will constitute notice to the party.
Dated:
UNITED STATES DISTRICT JUDGE
Ann L. Rives
Ann L. Rives	March 9, 2026
3/9/2026
Case 4:21-cv-05497-HSG Document 137 Filed 03/09/26 Page 2 of 3

On behalf of JULIO A. CASTILLO, Clerk of the District of Columbia Court of Appeals,
the District of Columbia Bar does hereby certify that
Ann L Rives
was duly qualified and admitted on October 12, 2007 as an attorney and counselor entitled to
practice before this Court; and is, on the date indicated below, an Active member in good
standing of this Bar.
In Testimony Whereof,
I have hereunto subscribed my
name and affixed the seal of this
Court at the City of
Washington, D.C., on March 03, 2026.
JULIO A. CASTILLO
Clerk of the Court
Issued By:
David Chu - Director, Membership
District of Columbia Bar Membership
For questions or concerns, please contact the D.C. Bar Membership Office at 202-626-3475 or email
memberservices@dcbar.org.
Case 4:21-cv-05497-HSG Document 137 Filed 03/09/26 Page 3 of 3