Supplemental Medical Insurance for MSC Volunteers
Please fill this out if you are volunteering for work tasks.
You must complete this form to be covered under the policy.

Eligible Persons: An Eligible Person is an individual who is both:
1. designated and recorded as a Volunteer by the Policyholder; and
2. participating in a volunteer project or program sponsored by the
Policyholder or a Participating Volunteer Organization.
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