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LATE FILED PROOF OF CLAIM AGAINST - page 9 / 13

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Accident & Health Claims . . . .

All accident and health claimants must complete a proof of claim in order to assure that all claims will be considered for payment. If your claim has already been submitted, you only need to fill out the proof of claim form. If this is a new claim, you must submit documentation to support your claim. You must provide all applicable information requested on the proof of claim form. The proof of claim form should be returned to Reliance (In Liquidation) as directed.

For the most part, the life and health guaranty associations have worked out a seamless transition for the payment of accident and health claims. Claims of residents in some states may not have coverage by their state life and health guaranty association as a result of statutory constraints. Those claimants will have a claim against the Reliance estate and will be paid to the extent funds are available. These claims will not be paid for many years.

Worker’s Compensation Claims . . . .

Under an agreement with the various state guaranty associations, and with the authorization of the Commonwealth Court of Pennsylvania, Reliance (In Liquidation) continued the payment of scheduled worker’s compensation

indemnity payments through compensation files have been

November

16,

2001.

All

active

worker’s

shipped to the state guaranty associations, and

future

payments

will

be

forthcoming

from

the

appropriate

guaranty

association

as

soon as the various guaranty associations can Certain workers compensation claims may not

begin making be covered

the payments. by a guaranty

association or may be handled by a party other than should contact your employer for that information.

a

guaranty

association.

You

If you have already submitted your claim to Reliance, you must complete a proof

of claim with the

form and return it to the Statutory Liquidator of Reliance in accordance

instructions

included

on

the

form.

While

it

is

necessary

for

you

to

provide all applicable requested information, documentation to support your claim at this

it is not necessary time. If additional

for you to provide documentation is

required, you will be contacted. If you must complete and return the to support your claim.

you have a new worker’s compensation claim, proof of claim form and provide documentation

Personal Automobile Claims . . .

If you have already submitted your automobile claim to Reliance, you must complete a proof of claim form and return it to the Statutory Liquidator of Reliance in accordance with the instructions included on the form. While it is necessary for you to provide all applicable requested information, it is not necessary for you to provide documentation to support your claim at this time. If additional documentation is required, you will be contacted. If you have a new

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