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    Pst. Alfred

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    John
    This document contains health insurance records for Alfred Ezekiel Lakotis and his dependents. It lists personal details such as name, gender, date of birth, policy numbers, plan type, and healthcare providers. It shows that Alfred Ezekiel Lakotis has a gold plan policy and his dependents Patience Alfred and Yambadume Alfred are covered under his policy as well. All three receive treatment from ECWA Comprehensive Health Centre Kaltungo.

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    Pst. Alfred

    Uploaded by

    John
    3 views1 page
    This document contains health insurance records for Alfred Ezekiel Lakotis and his dependents. It lists personal details such as name, gender, date of birth, policy numbers, plan type, and healthcare providers. It shows that Alfred Ezekiel Lakotis has a gold plan policy and his dependents Patience Alfred and Yambadume Alfred are covered under his policy as well. All three receive treatment from ECWA Comprehensive Health Centre Kaltungo.

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    This document contains health insurance records for Alfred Ezekiel Lakotis and his dependents. It lists personal details such as name, gender, date of birth, policy numbers, plan type, and healthcare providers. It shows that Alfred Ezekiel Lakotis has a gold plan policy and his dependents Patience Alfred and Yambadume Alfred are covered under his policy as well. All three receive treatment from ECWA Comprehensive Health Centre Kaltungo.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    3 views1 page

    Pst. Alfred

    Uploaded by

    John
    This document contains health insurance records for Alfred Ezekiel Lakotis and his dependents. It lists personal details such as name, gender, date of birth, policy numbers, plan type, and healthcare providers. It shows that Alfred Ezekiel Lakotis has a gold plan policy and his dependents Patience Alfred and Yambadume Alfred are covered under his policy as well. All three receive treatment from ECWA Comprehensive Health Centre Kaltungo.

    Copyright:

    © All Rights Reserved
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    of 1

    Cent re Kalt ungo Cent re Kalt ungo

    Dependent
    Access s Claim Hist
    Access Endory
    : Sponsors Hist ory
    Access AccessHealt
    End:hcare Plan Hist ory
    Star t : 1-Feb- 27-Jan-2024 Star t : 1-Feb- 27-Jan-2024
    Healt hcare Provider Hist ory
    2023 2023
    Name : Alfred Ezekiel Lakot is Name : Pat ience Alfred

    Sex: Male Sex: Female
    Alfred Patience
    Female, Spouse
    DoB/Age : 5-Mar- DoB/Age : 7-May-
    DoB: 7-May-2000, Age: 23 Years
    Alfred Ezekiel 1991/32yrs 2000/23yrs
    Policy Number: 0012297-1 (13014)
    Lakotis Policy : Gold Plan Dependant Status:
    PolicyActive
    : Gold Plan
    Status Start Date: 1-Feb-2023
    Senior Cadre (Married-Gold Policy Number : Policy Number :
    Sattus End Date:
    0012297 Healthcare Provider:
    0012297-1ECWA Comprehensive Health Centre Kaltungo
    Plan)

    Policy Number 0012297 Updat e Dependent


    Change Provider Disable Dependent Swit ch Principal
    ECWA HEALTH
    INSURANCE 
    Marital Status Married
    SCHEME Alfred Yambadume
    Male, Child
    Date of Bir th 5-Mar-1991 ENROLLEE SLIP
    DoB: 1-Apr-2022, Age: 1 Years
    Policy Number: 0012297-2 (13015)
    Warning:This Slip is Dependant
    NOT Status: Active
    Status Start Date: 1-Feb-2023
    Gender Male Transaferable Sattus End Date:
    Sponsor : ECWA Kalt ungo
    Healthcare Provider: ECWA Comprehensive Health Centre Kaltungo
    Plan Status Act ive DCC
    Healthcare Provider
    Updat e Dependent : ECWAProvider
    Change Disable Dependent
    Plan Expiry Date Comprehensive Healt h
    27-Jan-2024 Cent re Kalt ungo
    Access Access End:
    Total Claims 13,287 Star t : 1-Feb- 27-Jan-2024
    2023
    Name : Yambadume Alfred
    Sex: Male
    Add Dependent DoB/Age : 1-Apr-
    2022/1yrs
    Print Slip Policy : Gold Plan
    Policy Number :
    Change/Renew Plan 0012297-2

    About Me

     Health Care Provider


    ECWA Comprehensive
    Healt h Cent re Kalt ungo
    (Primary Healt hcare
    Provider)

     Employer/Sponsor
    ECWA Kalt ungo DCC

    Copyright © 2014-2021 (Big)DASS & Network SP Nigeria. All right s reserved. Version 1.0.0

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