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Notice of Renewal Premiums Due: Make Checks Payable To: MWAII-PREMIUM TRUST

This document is a notice of renewal premiums due for the policy holder Mery A Tovar Heredia. It provides the renewal annual premium amounts for medical insurance coverage from June 15, 2022 to June 15, 2023 for Mery A Tovar Heredia, Maria C Rojas Tovar, and Ignacio Rojas Tovar Alejandro. The total annual premium due is $2,316.96. It instructs the policy holder to send payment by a certain due date to the listed address or email and to update their beneficiary information on file.

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Mery A. Tovar H.
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130 views2 pages

Notice of Renewal Premiums Due: Make Checks Payable To: MWAII-PREMIUM TRUST

This document is a notice of renewal premiums due for the policy holder Mery A Tovar Heredia. It provides the renewal annual premium amounts for medical insurance coverage from June 15, 2022 to June 15, 2023 for Mery A Tovar Heredia, Maria C Rojas Tovar, and Ignacio Rojas Tovar Alejandro. The total annual premium due is $2,316.96. It instructs the policy holder to send payment by a certain due date to the listed address or email and to update their beneficiary information on file.

Uploaded by

Mery A. Tovar H.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NOTICE OF RENEWAL PREMIUMS DUE

Policy Holder: TOVAR HEREDIA, MERY A Customer ID: 318354


Address: CALLE TUNEZ CONJUNTO RESD. PARQUE CARONI
TORRE A APTO. 6-A VILLA AFRICANA 22049
PUERTO ORDAZ PPR 2, LTD.
961-45
VENEZUELA

Make Checks payable to: MWAII-PREMIUM TRUST


MEDICAL Certificate No: 24c77a44c Rate: A
Plan: THE NEW AMERICAN PLAN MEDICAL Deductible: US$ $2,000.00
Due Date: 06/15/2022 Coverage From: 06/15/2022 To: 06/15/2023 Paid To: 06/15/2023

Date of Birth Renewal Annual


Name (Month,Day,Yr) Age Relation Student Premium
TOVAR HEREDIA, MERY A 08/22/1987 34 POLICYHOLD N US$ $2,013.36
ROJAS TOVAR, MARIA C. 03/01/2012 10 CHILD N US$ $151.80
ROJAS TOVAR, IGNACIO 01/23/2015 7 CHILD N US$ $151.80
ALEJANDRO

Use your Customer ID and Certificate No. to renew online at


https://renew.morganwhiteintl.com.

Customer ID: 318354


Certificate No: 24c77a44c
Total Annual: US$ $2,316.96
Utilice su número de cliente y su número de certificado para renovar en
Total Modal: US$ $2,316.96
línea a https://renew.morganwhiteintl.com.

Customer ID: 318354


Certificate No: 24c77a44c

**************************************************************************************************************

La prima de renovación deberá de ser enviada a MWG International, 75 Valencia # 801, Coral Gables, Florida, 33134 USA o por correo
electronico a [email protected]. Ninguna póliza sera renovada hasta tanto se reciba el pago de la prima
en MWG International. No haga pagos de su prima en efectivo.

The renewal premium must be sent to MWG International, 75 Valencia # 801, Coral Gables, Florida, 33134 USA or by email to:
[email protected]. No renewal shall be effective until renewal payment is received by MWG International
Renewal payments should not be made in cash.

**************************************************************************************************************

Por favor enviarnos su correo electrónico con la renovación a [email protected], para actualizar nuestros archivos y poder
brindarles un servicio rápido y efficiente.

Please send us your email address with your renewal or send to [email protected] so we can update our records in order to
provide you with quicker and better service.

**************************************************************************************************************

Important **Please update beneficiary information on your policy. Contact your agent and send information to:
[email protected]

Importante** Por favor de enviarnos la actualización del beneficiario en su póliza. Comuníquese con su agente y envíenos la forma a:
[email protected]

03/24/2022 12:58 PM Page 1


NOTICE OF RENEWAL PREMIUMS DUE

03/24/2022 12:58 PM Page 1

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