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MUNICH RE Specialty INSURANCE SENIOR LIVING FACILITY PROFESSIONAL, GENERAL AND EMPLOYEE BENEFITS LIABILITY INSURANCE APPLICATION (Nursing Homes, Assisted Living, Residential Facilities) Portions of
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Obtain the necessary forms for the senior living facility supplemental from the facility or online.
02
Fill out personal information such as name, date of birth, address, and contact information.
03
Provide information on medical history, current medications, allergies, and any medical conditions.
04
Include emergency contact information and any preferences for care or activities.
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Review the completed form for accuracy and completeness before submitting it to the facility.

Who needs senior living facility supplemental?

01
Individuals who are seeking to move into a senior living facility.
02
Family members or caregivers assisting a loved one with transitioning to a senior living facility.
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Senior living facility supplemental is a form that provides additional information about a senior living facility beyond the standard reporting requirements.
Senior living facilities are required to file the supplemental form.
The form can be filled out online or submitted by mail with all the necessary information requested.
The purpose of the supplemental form is to ensure that all necessary information about the senior living facility is reported accurately.
The supplemental form may require information such as occupancy rates, staffing levels, resident demographics, and specific services offered.
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