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PRIVATE Contracts Agreement is between James Neuenschwander, M.D. (\” Dr. Neuenschwander\”), whose principal place of business is 4201 Varsity Dr., Ann Arbor, MI 48108, and Beneficiary: ___ (Beneficiary)
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Obtain the necessary form for naming a beneficiary or legal entity.
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1 beneficiary or legal refers to a person or entity designated to receive assets or benefits from a will, trust, insurance policy, or other legal arrangement.
Individuals or entities who create legal arrangements such as wills, trusts, or insurance policies are required to designate beneficiaries.
To fill out 1 beneficiary or legal, one must clearly identify the beneficiary, provide their contact information, and specify the assets or benefits they are entitled to receive.
The purpose of 1 beneficiary or legal is to ensure that assets or benefits are distributed according to the wishes of the individual creating the legal arrangement.
Information such as the beneficiary's name, address, relationship to the individual creating the legal arrangement, and details of the assets or benefits they are entitled to receive must be reported on 1 beneficiary or legal.
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1997 2020 neuenschwander cms medicarecovered medigap reimbursement authorizes practitioners acknowledges beneficiaries opted pursuant supplemental reimburse medicare medicaid resides arbor md expire expressly excluded furnished consultation physicians ben

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