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COLONIAL LIFE & ACCIDENT INSURANCE COMPANY 1200 Colonial Life Boulevard, P.O. Box 1365 Columbia, South Carolina 29202 (800) 325 4368 A Stock Company HOSPITAL CONFINEMENT INDEMNITY COVERAGE OUTLINE

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Filing - benefiformlpnet is a form used to report benefits received from a partnership.

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Partners who receive benefits from a partnership are required to file filing - benefiformlpnet.

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Filing - benefiformlpnet can be filled out by providing information about the benefits received and the partnership.

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