Get Evidence Of Insurability Statement Life Coverage - Oakland University - Oakland
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How to fill out the Evidence Of Insurability Statement Life Coverage - Oakland University - Oakland online
This guide provides a comprehensive walkthrough for completing the Evidence Of Insurability Statement for Life Coverage through Oakland University. By following these steps, users can ensure that all necessary information is filled out correctly for submission.
Follow the steps to complete your form accurately.
- Press the ‘Get Form’ button to access the Evidence Of Insurability Statement.
- In Section A, ensure that your Control Number, Suffix, and Account numbers are accurately filled in (Field A1). Provide the Employee/Member’s Social Security Number (Field A2) and confirm that both your name and address, as well as the Employee/Member’s name and address, are clearly printed (Fields A3 and A4).
- Fill in the authorized representative's telephone number (Field A5), Employee/Member’s date of hire (Field A6), and their home and work telephone numbers (Field A7). Make sure to also include your email address (Field A8) and the Employee/Member’s email address (Field A9). Complete the Employee/Member’s Annual Earnings in Field A10.
- Check the appropriate boxes for individuals requesting life coverage (Field A11) and detail the current and requested additional amounts of coverage. Also, provide the total requested amount and Guarantee Issue amount for each individual.
- Ensure that both your and the Employee/Member's signatures are added where required (Field A12) before giving the form to the Employee/Member for submission.
- The Employee/Member should then verify that their name and Social Security Number are correct in Section A. They will complete Section B by listing only the individuals requesting coverage (Field B1) and by providing height and weight information (Field B1). Check the relevant boxes regarding dependent children and complete further medical history questions (Fields B2 and B3).
- The form must be signed by the Employee/Member and, if applicable, the spouse. After completing the form, make a copy for your records.
- Finally, submit the original form either by mailing it to Aetna Life Insurance Company or by faxing it to the appropriate number provided in the instructions.
Complete your Evidence Of Insurability Statement online now to ensure your life coverage needs are met.
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Completing the Evidence of Insurability Statement Life Coverage - Oakland University - Oakland involves filling out personal details, health history, and lifestyle choices. You need to provide truthful answers to all inquiries, ensuring all sections are complete before submission. Consider using resources from US Legal Forms to streamline the process and ensure you meet all requirements effectively.
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