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Financial agreements as calculated by Manulife. When not to use this form: For any benefits with an Administrative Services Only (ASO) billed in arrears financial agreement. 1 Plan sponsor information Plan sponsor (the Payor ) Plan sponsor/Payor's address (number, street, suite) City or town Name of person to be contacted Email address of person to be contacted Group contract number Province Postal code All billing divisions List specific billing division(s).

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