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GROUP INSURANCE SUMMARY OF BENEFITS NONPARTICIPATING IDENTIFICATION NUMBER: 402893 001 EFFECTIVE DATE OF COVERAGE: October 1, 2013, ANNIVERSARY DATE: October 1 GOVERNING JURISDICTION: Maine UNM Life
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Document - bbenefiformlpcomb is a form used to report benefits received by individuals or entities.
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Document - bbenefiformlpcomb can be filled out by providing information on the benefits received.
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Information such as the type of benefits received, the amount of benefits, and any relevant dates must be reported on document - bbenefiformlpcomb.
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