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ATTACHMENT 12 Duplication of Benefits ProceduresDuplication of Benefits Procedures Introduction Section 312 of the Robert T. Stafford Disaster Assistance and Emergency Relief Act (42 U.S.C. 5155) prohibits
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01
Gather all necessary documentation, including any insurance policies or benefit plans that may be involved in the duplication of benefits procedures.
02
Contact the primary insurance provider and inform them of the potential duplication of benefits.
03
Follow the instructions provided by the primary insurance provider, which may include submitting claim forms or additional documentation.
04
Keep records of all communication and documentation related to the duplication of benefits procedures.
05
If necessary, consult with a legal or insurance professional for guidance throughout the process.
06
Review and respond to any correspondence or requests for information from the primary insurance provider in a timely manner.
07
Provide any requested information or documents to the primary insurance provider promptly.
08
Cooperate with the primary insurance provider's investigation into the duplication of benefits.
09
Keep a record of all payments received from insurance providers to ensure proper identification of any duplicate payments.
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If duplicate payments are identified, work with the primary insurance provider to resolve the issue and return any overpayments.

Who needs duplication of benefits procedures?

01
Anyone who has multiple insurance policies or benefit plans and wants to avoid receiving duplicate benefits in case of a claim.
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Duplication of benefits procedures are guidelines put in place to ensure that individuals or entities do not receive financial assistance from multiple sources for the same loss or expense, which helps to prevent over-compensation.
Typically, individuals or organizations receiving federal disaster assistance or other forms of aid that may result in potential duplication of benefits are required to file these procedures.
To fill out duplication of benefits procedures, individuals must gather relevant documentation of all assistance received, complete the required forms provided by the funding agency, and submit them along with any required supporting information.
The purpose of duplication of benefits procedures is to ensure that federal funds or other assistance are distributed fairly and do not exceed the actual need for relief or recovery, ensuring accountability in the use of public resources.
Information that must be reported includes details of all assistance received, the source of each assistance, the total amount of assistance, and documents validating the need for assistance.
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