Lesson 59: Medical Insurance (20-25 minutes)

Size: px
Start display at page:

Download "Lesson 59: Medical Insurance (20-25 minutes)"

Transcription

1 Main Topic 10: Health Care Lesson 59: Medical Insurance (20-25 minutes) Today, you will: 1. Learn useful vocabulary related to INSURANCE. 2. Review the form of verbs in Present Perfect Tense. I. VOCABULARY Exercise 1: What s the meaning? (5-6 minutes) Choose the meaning of the underlined words from the choices that follow. Then practice using the words in your own sentences. 1. Construction workers may file a claim if they meet an accident while at work. a. request b. complaint c. certificate d. lawsuit 2. This month s medical purchase exceeded the budget. a. expense b. allowance c. acquisition d. effectiveness 3. The applicant readies all the documents to speed up the processing. a. tenant b. claimant c. informant d. complainant 1

2 4. The medical examination should be done by a registered physician. a. scientist b. doctor c. lawyer d. professor 5. An insured patient may no longer worry about his hospital expenses. a. one who keeps on waiting b. one who earns lots of money c. one who practices meditation d. one who needs medical attention 2

3 Exercise 2: What s the word? (5-7 minutes) Read the following dialog with your tutor and try to use context clues to fill in the blanks with the most appropriate word. You can find the missing word from the pool of words at the bottom. An employee reports back to work after a week of being confined in the hospital. Employee: My medical exam results show that I have a high level of cholesterol. HR Officer: I m sorry to hear that. What was Dr. Yuri s (1)? Employee: She does not require me to take any medications for now, but I definitely have to be more careful with my food intake. She also said that a daily dosage of Vitamins C and E could help. HR Officer: You really have to take care of your health. That is a serious concern. A heart attack could lead to a severe (2) and even death. Just think about the people you will leave behind. Employee: I know. In fact, I called my insurance company to confirm that my six-year old daughter is my sole (3). I want her future to be secured just in case something bad happens to me. HR Officer: You signed the policy five years ago, right? Have you finished paying for it? Employee: I am already on my last (4) of payment. It has been helpful in paying for the different tests and the medical services. Having a medical insurance truly relieved me from additional worries. HR Officer: Wow! For such a small (5), it has been indeed a great investment. Choices: a. beneficiary b. disability c. relative d. premium e. prescription f. term 3

4 II. GRAMMAR REVIEW: Topic: Verb Form- Present Perfect (5-6 minutes) A verb in the present perfect tense is formed by using the helping verb have (has/have) and the past participle form of the main verb. This verb generally indicates either one of the two things: a. an experience that occurred at an unspecified time in the past b. an action or a situation that started in the past and continues to take place in the present. Remember: In stating experiences, words like ever/never are often used. In citing actions that started in the past and continues in the present, words like for and since may be utilized. In referring to situations that occurred unexpectedly, the word already is used; whereas, in expressing the completion or non-completion of an expected occurrence, the word yet is used. Examples: SUBJECT PREDICATE Has/Have Past Participle Sakura has observed silence in the past hour. I have never been to Europe. Mr. Kimura has not called since 1 p.m. The doctor and the nurse have already read my medical records. Comprehension Check: Have you ever experienced nausea after an accident? 4

5 Exercise 1: Incomplete Sentences (5-6 minutes) Choose the word or phrase that would best complete the following sentences. 1. Kenichi not undergone any operation and used his medical insurance yet. a. is b. was c. has d. had 2. I a hospital in five years. a. has ever visit b. have ever visit c. has ever visited d. have never visited 3. The insurance policy effect since your purchase. a. has take b. has took c. has token d. has taken 4. Either Kikukawa or her children payment this term. a. has already make b. has already made c. have already make d. have already made 5. Aiko, the daughter of Ishihara and Ogata, a physician. a. has not saw yet b. has not yet seen c. have not yet seen d. have not saw yet 5

Lesson 59: Medical Insurance (20-25 minutes)

Lesson 59: Medical Insurance (20-25 minutes) Main Topic 10: Health Care Lesson 59: Medical Insurance (20-25 minutes) Today, you will: 1. Learn useful vocabulary related to MEDICAL INSURANCE. 2. Review VERB FORM PRESENT PERFECT. I. VOCABULARY Exercise

More information

Lesson 54: Banking (20-25 minutes)

Lesson 54: Banking (20-25 minutes) Main Topic 9: Finance and Budgeting Lesson 54: Banking (20-25 minutes) Today, you will: 1. Learn useful vocabulary related to BANKING. 2. Review Verb Tenses (Basic Future Tense). I. VOCABULARY Exercise

More information

Lesson 56: Taxes (20-25 minutes)

Lesson 56: Taxes (20-25 minutes) Main Topic 9: Finance and Budgeting Lesson 56: Taxes (20-25 minutes) Today, you will: 1. Learn useful vocabulary related to Taxes. 2. Review Introduction to Present Progressive. I. VOCABULARY Exercise

More information

Lesson 38: Retirement (20-25 minutes))

Lesson 38: Retirement (20-25 minutes)) Main Topic 5: Performance Lesson 38: Retirement (20-25 minutes)) Today, you will: 1. Learn useful vocabulary related to RETIREMENT. 2. Review Adverbs of Frequency. I. VOCABULARY Exercise 1: What s the

More information

Lesson 56: Taxes (18-25 minutes)

Lesson 56: Taxes (18-25 minutes) Main Topic 9: Finance and Budgeting Lesson 56: Taxes (18-25 minutes) Today, you will: 1.Learn useful vocabulary related to TAXES. 2.Review Verb Form- Present Progressive Tense. I. READING Exercise 1: What

More information

Lesson 59: Medical Insurance (18-25 minutes)

Lesson 59: Medical Insurance (18-25 minutes) Main Topic 10: Health Care Lesson 59: Medical Insurance (18-25 minutes) Today, you will practice your Reading and Listening Skills as you study texts related to INSURANCE. I. READING Exercise 1: What s

More information

Lesson 3: Failing to Get Medical. Treatment the Right Way

Lesson 3: Failing to Get Medical. Treatment the Right Way Lesson 3: Failing to Get Medical Treatment the Right Way Rule: The insurance company picks the medical provider. The injured worker can request a change in treatment. When you need a doctor, of course

More information

Chapter 27 Health and Life Insurance Name

Chapter 27 Health and Life Insurance Name Chapter 27 Health and Life Insurance Name FILL IN WITH WORD BANK. Put the best answer in the blank. basic health insurance beneficiaries Cash value coordination of benefits group plan Guaranteed insurability

More information

Subject: Personal Finance Grade: 12th Mr. Holmes Unit Lesson Layer Duration "Take Charge of Your TYPES OF INSURANCE Applied (do) 2/4/13-2/15/13

Subject: Personal Finance Grade: 12th Mr. Holmes Unit Lesson Layer Duration Take Charge of Your TYPES OF INSURANCE Applied (do) 2/4/13-2/15/13 Subject: Personal Finance Grade: 12th Mr. Holmes Unit Lesson Layer Duration "Take Charge of Your TYPES OF INSURANCE Applied (do) 2/4/13-2/15/13 Finances" Advanced Level Essential Questions What do you

More information

The Registered Disability Savings Plan

The Registered Disability Savings Plan Newfoundland and Labrador Association for Community Living & The Registered Disability Savings Plan One of the tools we have used for securing her future is the RDSP (Registered Disability Savings Plan).

More information

Your AARP Personal Guide to Buying Health Insurance. What you should know. BA9802 (3/06)

Your AARP Personal Guide to Buying Health Insurance. What you should know. BA9802 (3/06) Your AARP Personal Guide to Buying Health Insurance What you should know. BA9802 (3/06) A word from AARP Health Care Options AARP Health Care Options is happy to offer you this personal guide to buying

More information

Your Benefits Resources 101

Your Benefits Resources 101 Your Benefits Resources 101 How to Enroll Enrolling means choosing the right benefits for you and your family. With Your Benefits Resources, it s easy to find what fits. Use this to explore and enroll

More information

individual life product solutions

individual life product solutions individual life product solutions 1 make the most of every hard-earned dollar. You work hard for your money. Now make it work just as hard for you. At Sanlam we can help you transform your money into something

More information

Name Fakultät Matrikel Nr.

Name Fakultät Matrikel Nr. PLACEMENT TEST FOR UNIcert BUSINESS ENGLISH LEVEL III Name Fakultät Matrikel Nr. The following test consists of 3 parts: verb grammar, reading and word grammar. Please spend 30 minutes answering the 50

More information

Lesson 6: Failing to Understand What You Get. From a Workers Comp Claim

Lesson 6: Failing to Understand What You Get. From a Workers Comp Claim Lesson 6: Failing to Understand What You Get From a Workers Comp Claim Rule: Workers Comp is based on disability. Many injured workers know someone who was injured at work and got a "big" settlement. But

More information

WELCOME. Dr. Susan Bracker 1 Saredon Place, Suite 100 Rochester, NY CHILDS NAME: CHILDS HOME ADDRESS: NAME: RELATION:

WELCOME. Dr. Susan Bracker 1 Saredon Place, Suite 100 Rochester, NY CHILDS NAME: CHILDS HOME ADDRESS: NAME: RELATION: TELL US ABOUT YOUR CHILD CHILDS NAME: CHILDS HOME ADDRESS: WELCOME Dr. Susan Bracker 1 Saredon Place, Suite 100 Rochester, NY 14606 585-225-5600 EMAIL: CHILDS DOB: AGE: M/F NICKNAME SCHOOL: CHILDS PHONE

More information

Generic Transitions. Final Expense Transition Phrases. Hospital Indemnity Transition Phrases

Generic Transitions. Final Expense Transition Phrases. Hospital Indemnity Transition Phrases Transition Phrases Cheat Sheet Generic Transitions I am going to ask you some questions that may sound a little bit different. I m doing this to make sure we have all of your concerns covered as Medicare

More information

Processing your claim

Processing your claim protecting Processing your claim Step by step 02 POTÉGE Assurance-prêt 03 SUMMAY Steps in the claim process...5 Step 1 What you need to submit...5 Step 2 Verification...8 Step 3 Decision or further examination

More information

Accident Report Cover Sheet

Accident Report Cover Sheet Accident Report Cover Sheet Employee Name: Social Security #: Address: Phone Number: D.O.B.: Marital Status: Dependents: Date Employee first started working for Kaye Personnel: (not at incident site, but

More information

Personal Accident Claim Form

Personal Accident Claim Form Please read this page before completing the claim form Personal Accident Claim Form Equestrian Australia National Insurance Programme Thank you for your claim form request. This letter contains important

More information

Unit 4 More Banking: Checks, Savings and ATMs

Unit 4 More Banking: Checks, Savings and ATMs Unit 4 More Banking: Checks, Savings and ATMs Banking: Vocabulary Review Directions: Draw a line to match the word with its meaning. 1. bank 2. credit 3. ATM 4. minimum 5. maximum 6. teller 7. balance

More information

HEALTH CARE CHAPTER 22. Tuesday, September 27, 11

HEALTH CARE CHAPTER 22. Tuesday, September 27, 11 HEALTH CARE CHAPTER 22 YOU ARE HERE 2 WHY HEALTH CARE IS NOT JUST ANOTHER GOOD 3 WHY HEALTH CARE IS NOT JUST ANOTHER GOOD Rapid increases in quality (which get confused as price increases) Treatments developed

More information

It s Time for Medicare

It s Time for Medicare It s Time for Medicare med-ageinbook-1214 Medicare What you need to know. You re turning 65. Or you re already 65 and getting ready to retire and lose your healthcare coverage. You re almost ready for

More information

119 Washington Ave. Albany, NY Phone Fax

119 Washington Ave. Albany, NY Phone Fax 119 Washington Ave. Albany, NY 12210 Phone 518.462.6831 Fax 518.935-2852 www.empirejustice.org The New York State Supplement Program: The impact of State takeover on the administration of the program and

More information

The Workers Compensation Minefield:

The Workers Compensation Minefield: 518-346-7777 All Injury Cases Workers Compensation Social Security Claims The Workers Compensation Minefield: 10 Traps To Avoid www.comp7777.com 518-346-7777 All Injury Cases Workers Compensation Social

More information

Being a Guarantor. This booklet will help you understand all that is involved in being a Guarantor.

Being a Guarantor. This booklet will help you understand all that is involved in being a Guarantor. is a big responsibility and can have serious consequences. It is important to understand exactly what you are getting yourself into and what the impact of signing the agreement may be. can be a helpful

More information

Your guide to lifetime mortgages

Your guide to lifetime mortgages Your guide to lifetime mortgages What is a lifetime mortgage? 1 What difference could a lifetime mortgage make to you? 4 What is a lifetime mortgage? A way of releasing money from your home without having

More information

WE RE IN. Start building a pension for life with HOOPP today.

WE RE IN. Start building a pension for life with HOOPP today. Start building a pension for life with HOOPP today. WE RE IN Have questions? Want to learn more? Call 416-369-9212 Toll-free: 1-877-43HOOPP (46677) Or visit hoopp.com/parttime This brochure provides an

More information

2. How to Increase my Savings and Write a Budget

2. How to Increase my Savings and Write a Budget 2. How to Increase my Savings and Write a Budget Building a Better Future 67 68 Building a Better Future UNIT 2: HOW TO INCREASE MY SAVINGS AND WRITE A BUDGET Lesson 1: How to Increase my Savings Lesson

More information

READ THIS MEMO IN ITS ENTIRETY

READ THIS MEMO IN ITS ENTIRETY To: From: Re: ALL Full-Time Iredell County Government Employees Theresa Patton, HR Benefits Specialist 2016 Section 125 Benefits Enrollment Date: April 12, 2016 READ THIS MEMO IN ITS ENTIRETY Once again

More information

Work with a partner. All these words are connected to getting a mortgage. Do you know their meaning?

Work with a partner. All these words are connected to getting a mortgage. Do you know their meaning? Warm Up Work with a partner. Are you planning to move house in the near future? Conversation Practice with a partner. Well I finally did it! I ve decided to buy a house! That s great! Have you found a

More information

TO UNDERSTANDING MEDICAL INSURANCE PACKAGES

TO UNDERSTANDING MEDICAL INSURANCE PACKAGES 3 STEPS TO UNDERSTANDING MEDICAL INSURANCE PACKAGES What s Inside Step 1: What What are medical insurance packages? 4 Step 2: How How do medical insurance packages work? STEPS TO UNDERSTANDING MEDICAL

More information

Henry W. Bloch & Richard A. Bloch

Henry W. Bloch & Richard A. Bloch LESSON LESSON DESCRIPTION DESCRIPTION Henry W. Bloch & Richard A. Bloch H&R Block In this lesson, students will explore the concepts of niche market and business organizations as they explore the contributions

More information

EMPLOYEE INSURANCE POLICY. Group Personal Accident Insurance Policy

EMPLOYEE INSURANCE POLICY. Group Personal Accident Insurance Policy EMPLOYEE INSURANCE POLICY Group Mediclaim Policy Group Personal Accident Insurance Policy Policy effective 7 th December 12 Objective To support employees in their immediate and long term needs by providing

More information

Bedbugs on the rise in the U.S.A.

Bedbugs on the rise in the U.S.A. www.breaking News English.com Ready-to-use ESL / EFL Lessons 1,000 IDEAS & ACTIVITIES FOR LANGUAGE TEACHERS The Breaking News English.com Resource Book http://www.breakingnewsenglish.com/book.html Bedbugs

More information

Ombudsman s Commentary

Ombudsman s Commentary The SPSO laid five investigation reports before the Scottish Parliament today. Three were about the local government sector and two about the health sector. Case numbers Last month (in June 2011) in addition

More information

Who Administers the Workers Compensation Program and Related Responsibilities?

Who Administers the Workers Compensation Program and Related Responsibilities? What is Workers Compensation? Who Administers the Workers Compensation Program and Related Responsibilities? Who is Eligible for Workers Compensation? What Coverage is Provided? What is a Compensable Injury?

More information

Unit 2 Basic Banking Services. High-Intermediate and Advanced

Unit 2 Basic Banking Services. High-Intermediate and Advanced Unit 2 Basic Banking Services High-Intermediate and Advanced Objectives Identify vocabulary and concepts related to basic banking services. Identify checking account services and understand related fees.

More information

Emergency Room Visit Covered Only If It s A True Emergency. Pre-Certify Non-Emergency Hospital. Stays As Well As Emergency Stays

Emergency Room Visit Covered Only If It s A True Emergency. Pre-Certify Non-Emergency Hospital. Stays As Well As Emergency Stays Not every article in this newsletter applies to you. Please check your Plan of Benefits first. For Your Benefit The Warehouse Employees Union Local No. 730 Trust Funds www.associated-admin.com October

More information

CLIENT QUESTIONNAIRE - PERSONAL INJURY EVALUATION DATE OF BIRTH ADDRESS CITY WORK PHONE # STATE ZIP

CLIENT QUESTIONNAIRE - PERSONAL INJURY EVALUATION DATE OF BIRTH ADDRESS CITY WORK PHONE # STATE ZIP CHRISTOFF & CHRISTOFF ATTORNEYS FILE NO. CLIENT QUESTIONNAIRE - PERSONAL INJURY EVALUATION DATE OF ACCIDENT STATUTE DATE DATE OF BIRTH HOME PHONE # CITY WORK PHONE # STATE ZIP SOCIAL SECURITY# MARITAL

More information

Frequently Asked Questions About Health Insurance

Frequently Asked Questions About Health Insurance Frequently Asked Questions About Health Insurance Q #1: My employer doesn t offer health coverage. Where else can I get health insurance? A #1: A good place to start your research is www.healthinsuranceinfo.net,

More information

Medicare Select Enrollment Application

Medicare Select Enrollment Application Medicare Select Enrollment Application Underwritten by Unity Health Plans Insurance Corporation 840 Carolina Street Sauk City, WI 53583-1374 (800) 362-3309 Fax (608) 643-2564 QuartzBenefits.com Information

More information

MedicAre: don t delay. apply for Medicare as soon as you become eligible. You ve earned it. Make the most of it.

MedicAre: don t delay. apply for Medicare as soon as you become eligible. You ve earned it. Make the most of it. 2015 don t delay. apply for Medicare as soon as you become eligible. MedicAre: You ve earned it. Make the most of it. You can enroll in Medicare the three months before, during and the three months after

More information

2011 Guide to Medicare

2011 Guide to Medicare 2011 Guide to Medicare What you need to know now Look to Highmark to keep you informed. At Highmark Blue Shield, we feel strongly that it s our responsibility to give you the information you need to make

More information

Automobile, health, life, disability, and property insurance provide fi nancial protection. An insurance claim must be fi led to recover losses.

Automobile, health, life, disability, and property insurance provide fi nancial protection. An insurance claim must be fi led to recover losses. What can insurance do for me? Chapter 28 Key Terms policy premium deductible health maintenance organization (HMO) preferred provider organization (PPO) life insurance dividend disability insurance property

More information

Guidance notes (continued)

Guidance notes (continued) Help and advice about other benefits If you want general advice about any other benefits you may be able to claim Ring the Benefit Enquiry Line (BEL) for people with disabilities on 0800 88 22 00. People

More information

TEXAS ASSOCIATION OF PEDIATRIC NEUROLOGY, P.A. Jerry J. Tomasovic, M.D.

TEXAS ASSOCIATION OF PEDIATRIC NEUROLOGY, P.A. Jerry J. Tomasovic, M.D. Jerry J. Tomasovic, M.D. PATIENT NAME D.O.B. Who referred you today? What are the concerns that brought you here today? What specific questions do you have today? Please list present medication and dosage:

More information

HOW TO MAKE A COMPLAINT, REQUEST A COVERAGE DECISION,

HOW TO MAKE A COMPLAINT, REQUEST A COVERAGE DECISION, OPTIMA MEDICARE HMO HOW TO MAKE A COMPLAINT, REQUEST A COVERAGE DECISION, OR FILE AN APPEAL ABOUT COVERED MEDICARE PART C MEDICAL CARE AND SERVICES OR COVERED PART D PRESCRIPTION DRUGS Optima Medicare

More information

May 11, 2008 RAILROAD INSURANCE COVERAGE UPDATE STEVE YOUNG

May 11, 2008 RAILROAD INSURANCE COVERAGE UPDATE STEVE YOUNG May 11, 2008 RAILROAD INSURANCE COVERAGE UPDATE STEVE YOUNG 1. TO HAVE COVERAGE: a. New employee working under UTU contract must work 4 months before coverage begins b. All other new employees need only

More information

For faster claim payment* please submit your claim online at

For faster claim payment* please submit your claim online at Claims Made Easy For faster claim payment* please submit your claim online at www.combinedinsurance.com/claims FILING A CLAIM BY MAIL 1. Download the claim form 2. Print all six pages of the claim form

More information

Health Care Costs Survey

Health Care Costs Survey Summary and Chartpack The USA Today/Kaiser Family Foundation/Harvard School of Public Health Health Care Costs Survey August 2005 Methodology The USA Today/Kaiser Family Foundation/Harvard University Survey

More information

Accident and Sickness

Accident and Sickness Accident and Sickness Proof of Loss Form Important Information Notice to Insured/Claimant: Please answer all the questions completely and accurately. Indicate N.A. where question is not applicable. To

More information

INSURANCE TO COVER LOANS. We will pay your debts. When you can t. Desjardins Insurance refers to Desjardins Financial Security Life Assurance Company.

INSURANCE TO COVER LOANS. We will pay your debts. When you can t. Desjardins Insurance refers to Desjardins Financial Security Life Assurance Company. INSURANCE TO COVER LOANS We will pay your debts When you can t Desjardins Insurance refers to Desjardins Financial Security Life Assurance Company. In case of premature death, critical illness or if you

More information

INS and OUTs of insurance

INS and OUTs of insurance INS and OUTs of insurance What do other high school students know about insurance? We asked high school students about what they think about insurance. Insurance is something that will pay for medical

More information

Liberty National Enrolling the Employee Script

Liberty National Enrolling the Employee Script Introduce Liberty National & Introductory Offers Agent: Hi, thanks for coming by today. I m with Liberty National and you are? Build Rapport After you introduce yourself to the employee, verify their eligibility

More information

IB Interview Guide: Case Study Exercises Three-Statement Modeling Case (30 Minutes)

IB Interview Guide: Case Study Exercises Three-Statement Modeling Case (30 Minutes) IB Interview Guide: Case Study Exercises Three-Statement Modeling Case (30 Minutes) Hello, and welcome to our first sample case study. This is a three-statement modeling case study and we're using this

More information

The Registered Disability Savings Plan

The Registered Disability Savings Plan The Registered Disability Savings Plan BC EDITION our son has been PLAN s advice that we need to think about both Josh s social and financial wellbeing if we want to secure a good life for him. Saving

More information

Creditor Disability Claim Application Kit

Creditor Disability Claim Application Kit Creditor Disability Claim Application Kit The Application Kit contains: an instruction sheet plus forms that need to be completed in order to apply for disability benefits; and some important information

More information

A delay in returning the Disability application may result in the loss of benefits.

A delay in returning the Disability application may result in the loss of benefits. Dear Pension Applicant: We have enclosed a Disability Pension package. Please complete, sign and return all forms in the enclosed pre-paid envelope. Also, submit a copy of the proofs highlighted. If you

More information

ONEACCORD PHYSICAL THERAPY CASA GRANDE, GILBERT & PHOENIX, AZ REGISTRATION FORM PATIENT INFORMATION. q Mr. q Mrs.

ONEACCORD PHYSICAL THERAPY CASA GRANDE, GILBERT & PHOENIX, AZ REGISTRATION FORM PATIENT INFORMATION. q Mr. q Mrs. ONEACCORD PHYSICAL THERAPY CASA GRANDE, GILBERT & PHOENIX, AZ REGISTRATION FORM Today s date: Primary Doctor: PATIENT INFORMATION Patient s last name: First: Middle: Is this your legal name? q Mr. q Mrs.

More information

Malpractice Coverage for Physician Assistants

Malpractice Coverage for Physician Assistants Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/clinicians-roundtable/malpractice-coverage-for-physicianassistants/3674/

More information

IMPORTANT NOTE. The workbook is designed to help you keep your own notes as you listen to the audio lessons.

IMPORTANT NOTE. The workbook is designed to help you keep your own notes as you listen to the audio lessons. IMPORTANT NOTE The workbook is designed to help you keep your own notes as you listen to the audio lessons. If you don't have a printer, go to the previous page and click on the link to open the workbook

More information

The Registered Disability Savings Plan

The Registered Disability Savings Plan The Registered Disability Savings Plan INVESTING FOR THE FUTURE: Our Family s Experience MANITOBA EDITION We have recently opened up an RDSP for Josef to help him realize his dreams for the future. The

More information

Event Information. Response. Question. 1.0 A. Shopper/Auditor ID Code: B. Cluster Date Range: C. Event Date/ Time: D. Event ID # (from HPMS):

Event Information. Response. Question. 1.0 A. Shopper/Auditor ID Code: B. Cluster Date Range: C. Event Date/ Time: D. Event ID # (from HPMS): Event Information # Response 1.0 A. Shopper/Auditor ID Code: B. Cluster Date Range: C. Event Date/ Time: D. Event ID # (from HPMS): E. Parent Organization Name: F. Product Name(s): G. Contract #: H. Address

More information

AMERIND RISK TRIBAL WORKERS' COMPENSATION (TWC) PROGRAM EMPLOYEE INJURY REPORT TO BE FILLED OUT BY EMPLOYER

AMERIND RISK TRIBAL WORKERS' COMPENSATION (TWC) PROGRAM EMPLOYEE INJURY REPORT TO BE FILLED OUT BY EMPLOYER AMERIND RISK TRIBAL WORKERS' COMPENSATION (TWC) PROGRAM EMPLOYEE INJURY REPORT TO BE FILLED OUT BY EMPLOYER Submit Report to: CLAIM ADMINISTRATOR BERKLEY RISK ADMINISTRATORS COMPANY, LLC PO BOX 59143 MINNEAPOLIS,

More information

APM PATIENT INFORMATION. Date of Birth / / SS# - - Sex: q Male q Female. Address: City State Zip. Employer Phone # ( ) Occupation

APM PATIENT INFORMATION. Date of Birth / / SS# - - Sex: q Male q Female. Address: City State Zip. Employer Phone # ( ) Occupation APM PATIENT INFORMATION Date: / / Name: / / (Last) (First) (MI) Date of Birth / / SS# - - Sex: q Male q Female Address: City State Zip Home Phone # ( ) Work Phone # ( ) Circle preferred number for communication

More information

A delay in returning the Disability application may result in the loss of benefits.

A delay in returning the Disability application may result in the loss of benefits. Dear Pension Applicant: We have enclosed a Disability Pension package. Please complete, sign and return all forms in the enclosed pre-paid envelope. Also, submit a copy of the proofs highlighted. If you

More information

National Survey on Consumer Experiences With and Attitudes Toward Health Plans

National Survey on Consumer Experiences With and Attitudes Toward Health Plans Chartpack The Kaiser Family Foundation/Harvard School of Public Health National Survey on Consumer Experiences With and Attitudes Toward Health Plans August 2001 Section I: Experiences With Health Plans

More information

Allowable Expenses. Assigned Claims Facility. Attendant Care. Adjuster. Case Manager. Catastrophic Injury. Causation.

Allowable Expenses. Assigned Claims Facility. Attendant Care. Adjuster. Case Manager. Catastrophic Injury. Causation. The following list defines various words/lingo used throughout this website, by No-Fault adjusters and insurance company, and by attorneys specializing in the No-Fault law. Allowable Expenses Assigned

More information

BlueChoice PPO. Health Savings Account (HSA) - Compatible High-Deductible Health Plans (HDHP) for Individuals and Families

BlueChoice PPO. Health Savings Account (HSA) - Compatible High-Deductible Health Plans (HDHP) for Individuals and Families BlueChoice PPO Health Savings Account (HSA) - Compatible High-Deductible Health Plans (HDHP) for Individuals and Families BlueChoice PPO Health Savings Account (HSA) - Compatible High-Deductible Health

More information

Chapter 8. Your rights and responsibilities

Chapter 8. Your rights and responsibilities Chapter 8: Your rights and responsibilities 1 Chapter 8. Your rights and responsibilities SECTION 1 Our plan must honor your rights as a member of the plan... 1 Section 1.1 We must provide information

More information

Disability Claim Form Instructions

Disability Claim Form Instructions Documentation required upon submitting a Disability Claim: Disability Claim Form Instructions To substantiate a claim for disability benefits covered by the Policy terms, the following documents must be

More information

DON'T WRECK. 10 Steps to Protect Yourself After a Car Crash. A free publication by the Law Offices of James Scott Farrin

DON'T WRECK. 10 Steps to Protect Yourself After a Car Crash. A free publication by the Law Offices of James Scott Farrin DON'T WRECK 10 Steps to Protect Yourself After a Car Crash A free publication by the Law Offices of James Scott Farrin The goal of this booklet is simple. People just like you are in car wrecks every day.

More information

Act today, protect what matters

Act today, protect what matters Why you need protection Act today, protect what matters Life changes. Be prepared. Be protected. Say Yes to Life and Critical illness cover If someone is likely to suffer financially if you fall seriously

More information

Mistakes to Avoid If You Are in a Georgia Car Wreck

Mistakes to Avoid If You Are in a Georgia Car Wreck Mistakes to Avoid If You Are in a Georgia Car Wreck JAMES K. MURPHY Murphy Law Firm, LLC Georgia Accident & Injury Attorney 8302 Office Park Drive 2 Table of Contents: Preface: Who is Behind This Book,

More information

Safeguarding you and your family

Safeguarding you and your family Your guide to insurance Contents Why insurance matters 1 Types of cover 3 What s right for me? 4 Safeguarding you and your family Life is unpredictable. From day to day we control what we can and generally

More information

(847)

(847) 2017 Player/ Parent Tryout Information Sheet Thank you for attending Pi Volleyball spring club tryouts. Tryouts will conclude Monday, March 13th; within 1-48 hours of the tryouts conclusion, I will send

More information

uqua 6560 Greenback Lane, Citrus Heights, CA (916) Fax (916)

uqua 6560 Greenback Lane, Citrus Heights, CA (916) Fax (916) NOTICE OF PATIENT INFORMATION PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED OR DISCLOSED AND HOW YOU CAN GET ACCESS TO INFORMATION PLEASE REVIEW IT CAREFULLY FUQUA PHYSICAL

More information

Agent Pre Steps - Position the Sale:

Agent Pre Steps - Position the Sale: Agent Pre Steps - Position the Sale: What/Who do you currently have for Health Insurance? What do you like about it? What don t you like about it? What do you want/need coverage for? Who is currently covered?

More information

STUDENT MODULE 11.1 INSURANCE AND RISK MANAGEMENT PAGE 1

STUDENT MODULE 11.1 INSURANCE AND RISK MANAGEMENT PAGE 1 STUDENT MODULE 11.1 INSURANCE AND RISK MANAGEMENT PAGE 1 Standard 11: The student will describe and explain how various types of insurance can be used to manage risk. Identifying Risk Suppose you overhear

More information

Employment and Support Allowance

Employment and Support Allowance Employment and Support Allowance Part 1 1 When do you want to claim Employment and Support Allowance Part 2 About you 2 Surname 3 Other name(s) 4 Any other surname(s) you've been known by 5 Title 6 Date

More information

Legal & General Critical Illness Cover

Legal & General Critical Illness Cover 1 Contents Critical Illness Cover Page 3 What is a critical illness? Page 4 Could it happen to me? Page 5 How can Critical Illness Cover help? Page 6-7 Legal & General Nurse Support Services Page 8-9 Legal

More information

WILLIAM A. HERRERAS ATTORNEY AT LAW

WILLIAM A. HERRERAS ATTORNEY AT LAW WILLIAM A. HERRERAS ATTORNEY AT LAW 709 E. Grand Avenue Arroyo Grande, CA 93420 (805)473-8550 Mailing: P.O. Box 1668 Arroyo Grande, CA 93421 FAX (805)473-8583 The date and time of your scheduled appointment

More information

Episode 116: Budgeting Basics

Episode 116: Budgeting Basics Episode 116: Budgeting Basics Episode 116 Synopsis: BIZ KID$ The Biz Kid$ learn the first rule of money management: you can t manage what you don t know. Join the kids and you ll look at spending and expenses

More information

WHAT YOU SHOULD KNOW WHEN YOU HAVE BEEN INJURED IN A MOTOR VEHICLE ACCIDENT

WHAT YOU SHOULD KNOW WHEN YOU HAVE BEEN INJURED IN A MOTOR VEHICLE ACCIDENT WHAT YOU SHOULD KNOW WHEN YOU HAVE BEEN INJURED IN A MOTOR VEHICLE ACCIDENT This document provides current information about obtaining assistance to meet your needs through insurance benefits and other

More information

Protective Custom Choice. UL UNIVERSAL LIFE INSURANCE Product Guide PLC.6311 (07.14)

Protective Custom Choice. UL UNIVERSAL LIFE INSURANCE Product Guide PLC.6311 (07.14) Protective Custom Choice SM UL UNIVERSAL LIFE INSURANCE Product Guide PLC.6311 (07.14) You worry about what would happen to your loved ones in the event of your untimely death. You want to make sure they

More information

ESTATE PLANNING QUESTIONNAIRE

ESTATE PLANNING QUESTIONNAIRE ESTATE PLANNING QUESTIONNAIRE Date No. E-mail address File Number Business Phone No. Fax No. This form is extremely important. Your accuracy and completeness in responding will help me best represent you.

More information

The Center for Hospital Finance and Management

The Center for Hospital Finance and Management The Center for Hospital Finance and Management 624 North Broadway/Third Floor Baltimore MD 21205 410-955-3241/FAX 410-955-2301 Mr. Chairman, and members of the Aging Committee, thank you for inviting me

More information

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. Solve the problem.

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. Solve the problem. MULTIPLE CHOICE. Choose the one alternative that best completes the statement or Solve the problem. 1. Find forα=0.01. A. 1.96 B. 2.575 C. 1.645 D. 2.33 2.Whatistheconfidencelevelofthefolowingconfidenceintervalforμ?

More information

Automobile Injury Compensation Appeal Commission

Automobile Injury Compensation Appeal Commission Automobile Injury Compensation Appeal Commission IN THE MATTER OF an Appeal by [the Appellant] AICAC File No.: AC-03-123 PANEL: APPEARANCES: Ms Yvonne Tavares, Chairperson Mr. Neil Cohen Dr. Patrick Doyle

More information

Your helpful life insurance guide: Life insurance claims

Your helpful life insurance guide: Life insurance claims Your helpful life insurance guide: Life insurance claims You may have some questions about what your loved ones would need to do in the event of making a life insurance claim. At Amica Life, we believe

More information

Total and Permanent Disablement

Total and Permanent Disablement Total and Permanent Disablement Claim Form Pages 1 4 to be completed by the insured person and pages 7 10 to be completed by the treating doctor. We ll assess your claim as quickly as possible. The information

More information

Advanced Podiatry. W E A R E V E R Y P L E A S E D T O H A V E Y O U W I T H U S! Please answer the following questions to help us become acquainted.

Advanced Podiatry. W E A R E V E R Y P L E A S E D T O H A V E Y O U W I T H U S! Please answer the following questions to help us become acquainted. W E A R E V E R Y P L E A S E D T O H A V E Y O U W I T H U S! Please answer the following questions to help us become acquainted. Date How did you hear about us? (Be Specific Please) First Name Last Name

More information

DSISD Employee Benefits Package

DSISD Employee Benefits Package DSISD Employee Benefits Package Plan Sponsors and Third Party Administrators Medical Benefits Provided through the Teacher Retirement System of Texas (TRS) Supplemental Benefits Provided through the Region

More information

SOCIAL SECURITY DISABILITY (SSD)

SOCIAL SECURITY DISABILITY (SSD) SOCIAL SECURITY DISABILITY (SSD) Social Security is a federal program that pays monthly benefits to aged, blind and disabled people. In some cases, other family members may also be eligible to get benefits

More information

NSW JUNIOR RUGBY LEAGUE

NSW JUNIOR RUGBY LEAGUE SPORTS INJURY CLAIM FORM NSW JUNIOR RUGBY LEAGUE This information must be completed and signed by the Injured Person, a Club Official and your District Administrator and forwarded to GAB Robins Australia

More information

Christina Agustin, MD Board Certified in Adult Psychiatry 1 Lake Bellevue Drive, Suite 101 Bellevue, WA Phone Fax:

Christina Agustin, MD Board Certified in Adult Psychiatry 1 Lake Bellevue Drive, Suite 101 Bellevue, WA Phone Fax: Christina Agustin, MD Board Certified in Adult Psychiatry 1 Lake Bellevue Drive, Suite 101 Bellevue, WA 98005 Phone 425-301-9869 Fax: 866-546-1618 Welcome to my practice. I look forward to meeting with

More information

Everyone deserves a better Tomorrow.

Everyone deserves a better Tomorrow. Everyone deserves a better Tomorrow. Trans$ure SM is interest sensitive whole life insurance with benefits that never decrease and premiums that never increase. Underwritten by Transamerica Life Insurance

More information

Personal Accident & Sickness

Personal Accident & Sickness Personal Accident & Sickness Claim Form IMPORTANT NOTICES INSURER AND AGENT The contract of insurance is arranged by Winsure Underwriting Pty Ltd ( Winsure ) (ABN 68 169 336 252, AR No. 459637), an Authorised

More information

Long Island Neurology Consultants NOTICE OF PRIVACY PRACTICES

Long Island Neurology Consultants NOTICE OF PRIVACY PRACTICES Long Island Neurology Consultants NOTICE OF PRIVACY PRACTICES EFFECTIVE DATE: THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

More information