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AMERICAN HERITAGE LIFE INSURANCE COMPANY HOME OFFICE: 1776 AMERICAN HERITAGE LIFE DRIVE JACKSONVILLE, FLORIDA[removed][removed]A Stock Company
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Document Date: 2011-06-29 05:00:00

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City

DRIVE JACKSONVILLE / Jacksonville / /

Company

AMERICAN HERITAGE LIFE INSURANCE COMPANY / CERTIFICATE CAREFULLY! THIS IS LIMITED / /

Country

United States / /

Currency

USD / /

Facility

Charity Hospital / HOSPICE CARE / Hospice Care Team / Extended Care Facility / /

IndustryTerm

insurance coverage / hospice services / treatment management / intravenous solutions / treatment of cancer / treatment devices / TREATMENT OF LEUKEMIA / individual applications / home nursing services / home care services / food services / treatment for cancer / specified disease treatment / imaging / cancericidal chemical substances / /

MedicalCondition

specified disease / BENEFITS INFORMATION PAYMENT OF BENEFITS If cancer / CANCER / disease / sickness / injury / diseases / inpatient receiving cancer / /

MedicalTreatment

radiation therapy / AMPUTATION / CHEMOTHERAPY / SURGERY / RADIATION / /

Organization

C. Government / OF FAMILY MEMBERS Family / Veteran’s Administration / UN Court / Freestanding Hospice Care Center / U.S. Government / SEMI / AMERICAN HERITAGE LIFE INSURANCE COMPANY HOME OFFICE / OR CHARITY HOSPITAL / Medicare / /

Person

JERRY DOE / GRACE PERIOD / /

Position

nurse at home / nurse / PHYSICIAN / COACH / private nurse / attending physician / PAGE 3A GENERAL / /

ProvinceOrState

Florida / /

Technology

RADIATION / X-ray / diagnostic tests / CHEMOTHERAPY / /

SocialTag