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Get Unicare Ec729 2013
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How to fill out the Unicare EC729 online
Filling out the Unicare EC729 fitness club reimbursement form is an essential process for UniCare State Indemnity Plan members seeking reimbursement. This comprehensive guide will walk you through each section and field of the form, ensuring you complete it accurately and efficiently.
Follow the steps to successfully complete your reimbursement form.
- Click ‘Get Form’ button to access the form and open it in the editor.
- Enter your name as the enrollee in the first field (Last, First, MI). This identifies you as the member of the plan.
- Fill in your UniCare ID Number in the following field. This number is unique to you and helps in processing your reimbursement.
- Provide your enrollee address in the designated section, ensuring accuracy to prevent any delays.
- Input the name and address of your fitness club. Ensure that this information matches the records you provide.
- In the phone section, include the contact number for the fitness club.
- Enter your date of birth to confirm your identity.
- If applicable, fill in the name of the member associated with your fitness club membership.
- Indicate the member’s relationship to you for clarity in eligibility.
- Check the box indicating the proof of membership. You may need to attach a copy of your fitness club membership agreement.
- Fill in the amount you have paid for the membership in the next field.
- For proof of payment, check one of the boxes for the type of documentation you are including, such as an itemized receipt or a credit card statement.
- Sign the form in the signature section to confirm the information provided is accurate and to agree to the program's requirements.
- Finally, note the date of your signature in order to complete the submission process.
- Save your changes, and choose to download, print, or share the form as needed.
Start completing your Unicare EC729 form online today for your fitness reimbursement!
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UniCare was acquired by Anthem, which significantly expanded its operational framework and service offerings. This acquisition has enabled UniCare to enhance its healthcare services and benefits. If you are exploring health insurance, the Unicare EC729 plan benefits from this strong backing.
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