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  • Simplified Issue Insurance Application Form

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Application for Simplified Issue Term Life Insurance AAA5089 (2008) rev. 12/09 1. PROPOSED INSURED INFORMATION a. Proposed Insured's Name (Last, First, MI) d. Address (Include City, State, and ZIP.

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Simplified issue term life insurance does what term life insurance does. It provides coverage for a certain length of time and pays out a certain benefit amount in the event of your death. Simplified issue term life insurance uses a simplified application process that lets you forgo a medical exam.

Simplified issue policies generally have higher death benefits than guaranteed issue policies. A guaranteed issue policy may only offer coverage of $25,000 or less. Those policies are generally meant to provide funds for a funeral and other final expenses.

Required signatures include: the applicant. the proposed insured (if different from the applicant) the agent soliciting the insurance.

These questions include name, address, age, height, weight, sex, occupation, earnings, beneficiary, insurance history and medical history.

The Conditions Common conditions in a policy include the requirement to file a proof of loss with the company, to protect property after a loss, and to cooperate during the company's investigation or defense of a liability lawsuit.

An insurance company will return the application to the agent if the agent submits an incomplete application. Statements made in the application are used by insurers to evaluate risks and decide whether or not to insure the life of the applicant. An applicant's statements are considered representations.

As the name suggests, simplified issue life insurance is a type of life insurance policy that features an easier application process and less complicated underwriting process. Applicants aren't required to take a medical exam, and applications are typically approved in just a few days.

The statements made by the applicant on an application for insurance are considered to be representations.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232