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PERSONAL REPRESENTATIVE REQUEST The purpose of implementing a Personal Representative is to enable another individual to act on your behalf with respect to: +Making decisions about your health benefits,
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How to fill out evernorth personal representative request

01
Obtain a copy of the Evernorth Personal Representative Request form.
02
Fill out the form completely with accurate information.
03
Ensure all required fields are filled in, including the decedent's information and the personal representative's information.
04
Sign and date the form.
05
Submit the completed form to Evernorth via mail, fax, or online submission.

Who needs evernorth personal representative request?

01
Individuals who have been appointed as the personal representative of a deceased person's estate.
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Evernorth personal representative request is a form used to appoint a personal representative to act on behalf of an individual in matters related to Evernorth services.
The individual who wants to appoint a personal representative is required to file the Evernorth personal representative request.
The Evernorth personal representative request can be filled out by providing information about the individual appointing the representative and the representative themselves.
The purpose of the Evernorth personal representative request is to authorize someone to make decisions and act on behalf of an individual in Evernorth-related matters.
The Evernorth personal representative request may require information such as the personal representative's contact details, relation to the individual, and authorization to act on their behalf.
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