I am to pay the employee health insurance application, due to illness hospitalization costs more than the maximum limit must apply for reimbursement to the Bureau of Health Insurance, how to write the

I am to pay the employee health insurance application, due to illness hospitalization costs more than the maximum limit must apply for reimbursement to the Bureau of Health Insurance, how to write the application

Application

Some health insurance bureau leadership:

Hello!

I am a participant so-and-so so-and-so (identity card number or medical insurance number), in a certain year on a certain date due to a certain disease admitted to a certain hospital, because of the seriousness of the condition, the medical cost is huge, has more than a certain million yuan, the family really can not afford, I implore the leadership to take care of the reimbursement.

(Can write a little sensational)

This is

Salute!

Applicant: so-and-so

Application date: Month and year

Extended reading: how to buy insurance, which is good, hand in hand to teach you to avoid the insurance of these "pits"