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To: Beacon Employee and Spouse/Domestic Partner (DP) who are enrolling in a Beacon 2013 Health Plan Summit Health in partnership with Cagney Voucher program for remote biometric screenings From: Re:
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Point by point steps to fill out on behalf of OneBeacon:

01
Begin by gathering all the necessary information and documentation required for filling out the form. This may include personal details, contact information, policy number, and any relevant supporting documents.
02
Ensure you have a clear understanding of the purpose and requirements of filling out the form on behalf of OneBeacon. Familiarize yourself with the specific instructions and guidelines mentioned in the form or provided by OneBeacon.
03
Use accurate and up-to-date information while filling out the form. Double-check all the details to avoid any errors or discrepancies.
04
Follow the instructions provided in the form for each section or question. If there are any specific fields that you are unsure about, seek clarification from OneBeacon or the relevant authority.
05
Pay attention to any additional documents or attachments that may need to be submitted along with the form. Ensure they are properly completed and attached as instructed.
06
Review the completed form thoroughly before submitting it. Look for any missing information or mistakes that need to be corrected.
07
If required, sign the form using the appropriate method specified (e.g., physical signature, electronic signature).
08
Submit the form as instructed by OneBeacon. This may involve mailing it to a specific address, sending it electronically, or submitting it through an online portal.
09
Keep a copy of the filled-out form and any accompanying documents for your records.

Who needs to fill out on behalf of OneBeacon:

01
Policyholders: Individuals or businesses who have an insurance policy with OneBeacon and need to fill out forms related to policy management, claims, or changes in coverage.
02
Authorized representatives: In some cases, individuals who have been granted the authority to act on behalf of the policyholder may need to fill out forms on behalf of OneBeacon. This can include legal representatives, power of attorney holders, or designated agents.
03
Third-party service providers: Certain professionals or entities, such as insurance brokers, law firms, or claims adjusters, may need to fill out forms on behalf of their clients who are OneBeacon policyholders.
04
Beneficiaries or claimants: Individuals who are entitled to benefits or claims from a OneBeacon policy may be required to fill out specific forms to initiate the claim process or provide necessary information.
Remember, it is important to refer to the specific instructions or consult with OneBeacon directly for accurate and personalized guidance when filling out forms or acting on behalf of OneBeacon.
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On behalf of OneBeacon means acting or representing OneBeacon in a particular matter.
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