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Get Lincoln Unifier Service Form
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How to fill out the Lincoln Unifier Service Form online
The Lincoln Unifier Service Form is essential for managing changes related to third-party administration services. This guide provides step-by-step instructions to help users fill out this form accurately and efficiently online.
Follow the steps to complete the Lincoln Unifier Service Form.
- Click the ‘Get Form’ button to access the Lincoln Unifier Service Form. This will open the document in the editor for you to fill out.
- Begin by providing the plan information. Enter the plan name, address, city, state, zip code, and contract number in the designated fields.
- Next, fill in the details of the previous TPA service provider. Include the TPA name, TPA number, address, city, state, zip code, and phone number.
- Now, complete the section for the new TPA service provider. Enter the TPA name, effective date of change, contact person's name, their address, city, state, zip code, and contact phone number.
- In the next field, provide the TPA fax number and email address to ensure proper communication.
- Finally, in the signature section, include the plan sponsor or trustee's signature and name, along with the date of completion. Make sure to check that all information is correct before submitting the form.
Complete your documents online to ensure a smooth transition in third-party administration services.
This notice of death will take approximately five minutes to complete. Lincoln will not receive any of the information provided until you have completed the submission at the bottom of the page. Your claim package will be sent by email within five business days after submitting this notification.
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