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Get and Sign Reimbursement Agreement and Authorization Form Costco Benefits

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Overpayment as described above. REIMBURSEMENT AGREEMENT Costco Employee Benefits Program I understand and agree to all of the following 1. I will be responsible for all reasonable attorney s fees and costs the Plan incurs due to my failure to cooperate. I will cooperate with the Plan s right to reimbursement including by promptly providing any information requested by the Plan in connection with my third-party claim or third-party payment and by not taking any action which will prejudice the...
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