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Web in section 3 of axa’s form, it states that the new vendor must (1) check whether it is a transfer/contract exchange, a rollover, or conversion rollover, and (2) sign at the. Box 4956 syracuse, new york 13221 express mail equi. Web the 403(b) distribution/rollover authorization form must be submitted to national benefit services, llc (nbs), the third party administrator, to authorize a distribution or rollover. Any additional claim form that is required for the payment option you have selected (see additional option forms below) 4.
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