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Metropolitan Life Insurance Company, New York, NY SBC Medical Underwriting, PO Box 14593, Lexington, KY 405124593 To be Completed by the Employer NameCustomer Underreporting Location NumberEmployers
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Statement of Health VA0105Doc is a form that requires an individual to provide information about their current health status.
All employees who are eligible for health benefits are required to file the Statement of Health VA0105Doc.
Statement of Health VA0105Doc can be filled out online or by submitting a paper form with accurate and honest information about one's health.
The purpose of Statement of Health VA0105Doc is to help insurance companies determine the risk associated with providing health coverage to an individual.
Information such as current health conditions, medical history, and any treatments or medications being taken must be reported on Statement of Health VA0105Doc.
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