INSERT DATE Employer From To Period (yrs and days) Medical Exam Monthly Cost Lump Sum Yrs. to repay ELECTIONS Normal/ Late/ Not Applicable ******* 00/00/00 00/00/00 0 * $0 $0 0
Médic O/N Coût mensuel Somme forfait. Années à payer Les Options Normales / Tardives / Non-applicables ******* 00/00/00 00/00/00 0 * 0 $ 0 $ 0