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[DOC File]Overpayment Notification Sample Letter
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Title: Overpayment Notification Sample Letter Author: Finance & Administration Last modified by: Finance & Administration Created Date: 3/30/2004 4:58:00 PM
loss of benefit coverage letter

[DOC File]Sample COBRA letter to employees on company letterhead
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Coverage for your eligible dependents can be extended up to 36 months if one of the following “qualifying events” occurs: They are covered under the plan(s) and you die while still employed. You or your spouse become legally separated or divorced. A dependent child reaches maximum age for coverage.
coverage letter sample

[DOC File]Sample Letter Employers Can Give to Employees
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Title: Sample Letter Employers Can Give to Employees Author: 499420 Last modified by: 255287 Created Date: 4/27/2005 2:23:00 PM Company: Social Security Administration
summary of benefit coverage template

[DOC File]Client Sample Insurance Letter for Out of Network ...
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Date. Address. Phone number. To Whom It May Concern: I am writing to request that your insurance company provide out-of-network payment for services at the Attachment Institute of New England, located at 21 Cedar St, Worcester, MA.
summary of benefits & coverage

COBRA Continuation Coverage Election Form
COBRA Continuation Coverage Election Form. Form completion instructions: This notice must be sent to the plan participants and beneficiaries by first class mail or hand delivered not later than 14 days after the plan administrator receives notice that a qualifying event occurred.
insurance coverage letter sample

SAMPLE ANNUAL AGE 26 LETTER - DHRMWeb
The program’s Benefits Eligibility System indicates that you provide coverage for a child whose eligibility will cease as of January 1. Thus, the 26-year-old-child will be automatically removed from coverage. Because your child will no longer be eligible for the program, you may be eligible for a reduced membership and lower premium cost.
letter of coverage insurance

[DOCX File]FMLA Notification Letter
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You must be enrolled in the benefit plan to be entitled to the continuation of the benefit coverage, and you will remain responsible for your portion of the premiums. If you are on an unpaid FMLA leave, you will receive a FMLA Benefits Election form. That form will provide you with instructions for continuing or canceling your insurance, and ...
employee loss of coverage letter

[DOC File]Letter from Employer to Employees
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By signing up for this enhanced benefit you have: A reduction in withholding taxes. An increase in take-home pay. The continued benefit of your company-sponsored health insurance plan. We are pleased to offer this enhanced benefit and hope all XYZ Company employees will sign up for the Premium Only Plan. Informational meetings will take place soon.
end of benefits coverage letter

[DOC File]Sample Company Policy on Personal Use of Company Vehicles
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Have no alcohol or drugs in or upon a vehicle while it is being used for the benefit of the firm or during business hours. ... A COPY OF THE INSURANCE POLICY CONFIRMING THE ABOVE COVERAGE MUST BE SUBMITTED. ©2002 The Human Equation, Inc. Title: Sample Company Policy on Personal Use of Company Vehicles Author: IS Last modified by: Anita Byer
loss of benefit coverage letter

[DOCX File]Sample Wrap Document (Editable)
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Coverage may also terminate if you fail to pay your share of the premium, if your hours drop below the required eligibility threshold, if you submit false claims, etc. (See the Certificate of Coverage for more information.) Coverage for your spouse and dependents stops when your coverage stops.
coverage letter sample

Examples of benefit coverage letters