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Group Employee Benefits Application For Wellness Benefit included in Accident and/or Critical Illness policiesSection Equitable Financial Life Insurance Company I Equitable Financial Life Insurance

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How to fill out equitable wellness benefit claim

01

Obtain the equitable wellness benefit claim form from the insurance provider.

02

Fill out your personal information, including name, address, and policy number.

03

Provide details of the wellness service or treatment received.

04

Attach any necessary documentation, such as receipts or invoices.

05

Sign and date the form before submitting it to the insurance provider.

Who needs equitable wellness benefit claim?

01

Individuals who have received wellness services or treatments covered by their insurance policy.

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What is equitable wellness benefit claim?

Equitable wellness benefit claim is a request for reimbursement of expenses related to wellness activities that promote health and well-being.

Who is required to file equitable wellness benefit claim?

All employees who have participated in eligible wellness activities and wish to be reimbursed for related expenses are required to file equitable wellness benefit claim.

How to fill out equitable wellness benefit claim?

To fill out equitable wellness benefit claim, employees must provide details of the wellness activity, expenses incurred, and supporting documentation such as receipts or invoices.

What is the purpose of equitable wellness benefit claim?

The purpose of equitable wellness benefit claim is to encourage and support employees in maintaining a healthy lifestyle by reimbursing them for expenses incurred in participating in wellness activities.

What information must be reported on equitable wellness benefit claim?

Information that must be reported on equitable wellness benefit claim includes details of the wellness activity, date of the activity, expenses incurred, and supporting documentation such as receipts.

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