Get Insurance Application Cigna Form

Filling out the Insurance Application Cigna Form online is a straightforward process designed to capture essential information for your insurance needs. This guide provides you with comprehensive, step-by-step instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to complete the Insurance Application Cigna Form online.

1. Press the ‘Get Form’ button to access the Insurance Application Cigna Form. This will open the form for you to fill out online.
2. Complete the employer section. This requires mandatory data such as employer name, location, date of hire, and annual salary. Ensure all details are accurate to facilitate processing.
3. In the employee section, select your title (Mr., Mrs., Ms.) and fill in your name, social security number, birthdate, address, and phone numbers. Mark your sex as either male or female.
4. If applying for spouse coverage, provide your spouse's marriage date and their personal information, including name, social security number, birthdate, and sex.
5. Indicate your coverage selections in the Voluntary Employee-Paid Coverage section. Specify the amounts requested considering the guaranteed coverage limits.
6. Respond to medical questions regarding tobacco usage and any significant health conditions for both you and your spouse. Follow the guidelines provided to determine if further information is required.
7. Complete the beneficiary section by listing the beneficiaries’ names, social security numbers, dates of birth, and their relationship to the insured person.
8. Review and sign the Acceptance/Declination section, authorizing any necessary payroll deductions for premiums, acknowledging the implications of declining coverage, and ensuring your understanding of the authorization document.
9. Fill in the height and weight information, and provide details for your physician and your spouse’s physician if applicable.
10. Complete the Agreements and Authorization section, ensuring your signature is included along with the date. This validates your application.
11. Finally, once all sections are accurately completed, save your changes. You may then download, print, or share the form as necessary.

Start your insurance application process online today!