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MAJOR MEDICAL EXPENSES STATEMENT
Plan Members Full Numerous or EmployerPersonal Identification No.
Group #513984I. D. #UNIVERSITY OF NEW BRUNSWICK
Date of Birth
Day / Month / Year
Language Preference
o
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What is major medical - unb?
Major medical - unb refers to the major medical expenses that are not covered by insurance.
Who is required to file major medical - unb?
All individuals who incur major medical expenses are required to file major medical - unb.
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Major medical - unb can be filled out by providing detailed information about the medical expenses incurred.
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The purpose of major medical - unb is to document and report major medical expenses for tax or insurance purposes.
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Information such as the date of service, type of medical expense, and amount paid must be reported on major medical - unb.
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