Waiver of Rights to Retain Coverage

Your HMFP policy was issued under very special terms that can’t be replicated in today’s market. Please acknowledge the following statements to proceed. I recognize the individual policy purchased by HMFP was provided to me:

Without any consideration of current or pre-existing medical conditions.
With a permanent rate discount that is unavailable to individual consumers
Using gender-neutral rates that are substantially lower than the gender-specific rates that would be charged if I purchase coverage as an individual
With rates based upon my age when I was employed at HMFP and that the cost of purchasing today will be significantly higher.

I do not wish to retain this protection

Monthly Archives: September, 2019

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September 10th, 2019 by admin | Posted in Uncategorized | 1 Comment

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Waiver of Rights to Retain Coverage

HMFP Coverage Retention Form

Monthly Archives: September, 2019

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