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Get Gl3187e Form
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How to fill out the Gl3187e Form online
Filling out the Gl3187e Form online is an essential process for making changes to your group benefits. This guide provides clear and step-by-step instructions to assist you in accurately completing the form, ensuring your request is processed smoothly.
Follow the steps to complete the Gl3187e Form online successfully.
- Click the ‘Get Form’ button to access the Gl3187e Form. This will open the form in your online editor, allowing you to begin filling it out.
- Begin with Section 1, which requires general information. Fill in the plan contract number, account/division number, billing division (if applicable), plan member certificate number, plan sponsor, the name of the plan administrator, and their telephone number.
- If you are making a name change, proceed to Section 2 and enter the new name in the designated fields (last, first, middle initial).
- Section 3 addresses the plan member's address. Fill in your complete address, including the city, province, and postal code, ensuring accuracy.
- In Section 4, you can make a beneficiary change. Indicate the relationship to the plan member, and if changing the beneficiary, provide their name. Remember to sign from previous irrevocable beneficiaries if required.
- Section 5 allows you to add or delete benefits. Indicate whether you wish to add or delete health and dental benefits and provide information about dependents if applicable.
- The next section, Section 6, involves coordination of benefits. Answer questions regarding your spouse's health and dental coverage for claims adjudication.
- Complete Section 7 with family information, ensuring changes for dependents are noted accurately. Include all necessary dates and names.
- In Section 10, provide your signature and date to apply for coverage under the group benefits plan.
- Once all sections are filled out, review the entire form for accuracy before saving changes. You can then download, print, or share the completed form as needed.
Complete your Gl3187e Form online today to ensure your benefits are updated.
To send documents to Manulife, you can use their secure online portal or mail them directly to the address noted on their website. If you use the online option, make sure to include the Gl3187e Form and any other necessary paperwork. Double-check that you have all documents ready and that they are legible to avoid processing delays.
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