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PLAY TRAVEL BASE PLAN Summary of Benefits IMPORTANT Note: certain capitalized words are defined terms in the attached Policy/Certificate of insurance. Please ensure to review Your State Specific Endorsements
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How to fill out maximum benefit

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Determine eligibility for maximum benefit by reviewing the requirements set by the provider.
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Gather all necessary documentation, such as income statements, personal information, and proof of eligibility.
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Fill out the application form completely and accurately, ensuring all information is correct and up to date.
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Submit the completed application form along with the required documents to the provider.
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Follow up with the provider to ensure the application has been received and is being processed.
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If approved, carefully review the terms and conditions of the maximum benefit to understand how it can be utilized.

Who needs maximum benefit?

01
Individuals or families who meet the eligibility requirements set by the provider and are in need of financial assistance.
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