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WHAT SHOULD BE INCLUDED IN THE APPLICATION FOR BENEFITS- PROOF OF LOSS?

application included loss proof
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WHAT SHOULD BE INCLUDED IN THE APPLICATION FOR BENEFITS- PROOF OF LOSS?

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a. written claim form or verbal claim – sometimes referred to as a “proof of claim” b. employee portion of written proof of claim – biographical information, reason for disability, restrictions and limitations, and very important – date of disability c. employer portion of written proof of claim – biographical information, job description, monthly pay and miscellaneous questions d. physician portion of written proof of claim – period of treatment, restrictions and limitations, perhaps diagnosis and treatment records e. other material 12. HOW DO I OBTAIN THE DOCUMENTS BY WHICH THE PLAN IS OPERATED In most situations, you, the employee, would be provided with the summary plan description (SPD), which is a much shorter document and a much easier to read document than would be the plan document. If you need to make a claim under the employee benefit plan, you would most likely start with the summary plan description. The plan and summary plan description provide you with the description of

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