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AMENDMENT NO. 4 This amendment forms a part of Group Identification No. 551767 047 issued to the Employer: The Roman Catholic Diocese of Knoxville The entire Summary of Benefits is replaced by the
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To fill out an amendment form, follow these steps:
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Start by indicating the type of amendment you are making, such as a name change, address update, or policy change.
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Provide your current information, which may include your full name, address, contact number, and policy number.
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Clearly state the changes you want to make in the amendment form, providing all the necessary details and supporting documentation if required.
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Sign and date the form to validate your request.
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Review the completed form to ensure all information is accurate and complete.
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Submit the amendment form to the appropriate entity or organization, following their specific instructions for submission.

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Amendment no is a change or addition made to a document or plan.
Individuals or entities who need to make changes or additions to a previously filed document or plan are required to file an amendment no.
To fill out an amendment no, you need to provide the required information and details of the changes or additions being made to the original document or plan.
The purpose of amendment no is to update or modify a document or plan to reflect new information or changes in circumstances.
The information that must be reported on an amendment no includes details of the changes or additions being made, as well as any supporting documentation or evidence.
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