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Get Generic Individual Pre-screen / Quote Form
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How to fill out the Generic Individual Pre-Screen / Quote Form online
Filling out the Generic Individual Pre-Screen / Quote Form online is a straightforward process that allows you to obtain quotes based on your specific insurance needs. This guide provides clear, step-by-step instructions to ensure all sections of the form are completed accurately.
Follow the steps to fill out the form with ease.
- Click the ‘Get Form’ button to obtain the form and open it in the editor.
- In Section A, provide your coverage information by selecting the carriers you are interested in quoting. You can choose from options like Aetna, MMO, Assurant, and more, specifying the product type you need.
- For Section B, fill in your applicant information. This includes your first name, middle initial, last name, city, social security number, zip code, height, weight, age, sex, county, state, and date of birth.
- Section C is for your spouse's information. Provide their first name, middle initial, last name, height, weight, sex, and age.
- In Section D, list any child dependents to be covered. Enter their last name, first name, sex, relationship to you, date of birth, height, weight, and indicate if they are full-time students.
- Provide information in the tobacco use section, indicating if you or anyone on the application has used tobacco in the last 12 months.
- Answer the other coverage information question regarding past health benefits coverage within the last two years.
- In Section E, disclose any relevant health history. Indicate if you or any family members have consulted a health care professional for listed health conditions, ensuring to check all applicable boxes.
- Lastly, review all sections for accuracy. Once completed, users can save changes, download, print, or share the form as needed.
Start completing your Generic Individual Pre-Screen / Quote Form online today for personalized insurance quotes.
Requesting a quotation sample is straightforward. Simply visit the uslegalforms platform and navigate to the section for Generic Individual Pre-Screen / Quote Forms. You can find options to request samples, enabling you to view templates that fit your needs and understand how to structure your own form effectively.
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