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COMMONWEALTH OF MASSACHUSETTS GROUP INSURANCE COMMISSION Health Insurance Buyout Election Form YOU MUST READ PAGE TWO BEFORE COMPLETING FORM PRINT CLEARLY Social Security Number Insured Names (First)(MI)(Last)Street
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How to fill out insured name first

01
To fill out the insured name first, follow these steps:
02
Locate the space provided for the insured name on the form.
03
Start by entering the first name of the insured individual.
04
If applicable, enter the middle name or initial.
05
Finally, enter the last name of the insured individual.
06
Verify that the name is spelled correctly and matches the legal name of the insured.
07
Double-check for any errors or missing information before submitting the form.

Who needs insured name first?

01
Anyone who is required to submit an insurance application or form that asks for the insured name needs to fill it out first. This typically includes policyholders, beneficiaries, or those who are applying for insurance coverage.
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Insured name first refers to the primary person covered by an insurance policy.
The policyholder or the primary insured individual is required to provide the insured name first.
Insured name first should be filled out with the full legal name of the primary insured individual as it appears on the insurance policy documents.
The purpose of insured name first is to accurately identify the primary individual covered by the insurance policy.
The insured name first should include the full legal name of the primary insured individual and any other relevant identifying information required by the insurance provider.
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