Get Equitable Life Supplementary Form

This guide provides a comprehensive overview for users on how to complete the Equitable Life Supplementary Form online. It aims to support all users, regardless of their previous experience with digital document management.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the Equitable Life Supplementary Form and open it in your preferred online editor.
2. Begin by entering the plan member's last name and given names in the appropriate fields. This ensures that your identity is accurately represented.
3. Fill in the certificate or ID number, along with the date of birth and province to help validate your claim.
4. Move on to document drug expenses. Specify the number of receipts and the total drug amount charged per patient. Make sure to indicate the relationship of the patient to the plan member.
5. Proceed to the other expenses section. Follow the same format by including the number of receipts and amount charged per patient for each additional healthcare cost, ensuring to document if they are related to drugs.
6. Review the total of all drug and other expenses to ensure accuracy. Ensure that every amount is accounted for before moving on.
7. Answer the questions regarding coverage under another group insurance plan by selecting 'Yes' or 'No' and providing any necessary information.
8. Complete the authorization and certification section, ensuring all information is accurate. If submitting electronically, click to confirm your agreement.
9. Finally, review your completed form for accuracy. Then save changes, download, print, or share the form as needed before submission.

Complete your Equitable Life Supplementary Form online today for efficient claims processing.