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Fax 1 800 980 0298 2018
Account in my name Account and in the event that I am eligible and an Account is opened by the Bank I hereby direct agree that if the payable proceeds are less than 5 000 or I am ineligible to open an Account with the Bank I will subject to the terms and conditions of the policy receive a check directly from UnitedHealthcare Insurance Company for any benefit. Any person who with a purpose to injure defraud or deceive any insurance company files a statement of claim fraud as provided in RSA 638...Show details
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