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Accident Companionship with outofpocket costs for accidental injuries.CH ACC COM MT 517Notice to Our Customers About Supplemental Insurance The supplemental plan discussed in this document is separate
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01
To fill out the accident companion - surebridge, follow these steps:
02
Start by entering your personal information, including your name, date of birth, and contact details.
03
Provide information about the accident, such as the date, time, and location.
04
Describe the nature of the accident and any injuries sustained.
05
Include details about any witnesses or individuals involved in the accident.
06
Provide information about any medical treatment received and the name of the healthcare provider.
07
If applicable, provide details about any insurance coverage you have and any claims filed.
08
Review the form for accuracy and completeness before submitting it.
09
Sign and date the form to validate your submission.
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Keep a copy of the filled-out accident companion for your records.

Who needs accident companion - surebridge?

01
Anyone who has a SureBridge Accident Companion policy can use this form.
02
It is typically used by individuals who have been involved in an accident and need to document the details for insurance purposes.
03
The Accident Companion helps policyholders easily gather and organize relevant information about the accident and related injuries.
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Accident companion - surebridge is a supplemental insurance policy designed to provide additional coverage for accidents.
The policyholder or the insured individual is required to file accident companion - surebridge.
Accident companion - surebridge can be filled out online through the insurance provider's website or by contacting their customer service.
The purpose of accident companion - surebridge is to provide additional financial protection in case of accidents.
Information such as the date and time of the accident, the cause of the accident, and details of the injuries sustained must be reported on accident companion - surebridge.
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