Get Assurant Evidence Of Insurability

Filling out the Assurant Evidence Of Insurability form is an essential step for employees seeking to obtain life insurance coverage. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to successfully complete the Assurant Evidence Of Insurability form.

1. Use the ‘Get Form’ button to access the Assurant Evidence Of Insurability form and open it in an online editing platform.
2. Begin by entering your personal information, including your name, group policy or participant number, and account number. Ensure that all entries are accurate to avoid processing delays.
3. Fill out the employer information, including the name of your employer and the certificate number associated with your coverage.
4. Indicate whether you have elected optional life coverage and specify any amounts that exceed the guarantee issue coverage amounts.
5. Complete the Employee Health Statement section by answering all questions honestly for yourself and your eligible dependents. Pay particular attention to weight changes, pregnancy status, and any recent medical treatments.
6. Provide the height and weight details for both yourself and your spouse, if applicable, and respond to each of the medical questions with either 'YES' or 'NO'.
7. If applicable, use the remarks section to provide additional details for any questions answered with 'YES'. Include information about the nature of the illness, injury, or treatment and the attending physician's details.
8. Confirm that you have read the important notice to applicants. Then, complete the authorization to release information section, which permits the insurer to contact health providers for relevant information.
9. Sign and date the application in the provided fields. If dependent coverage is elected, ensure that your spouse also signs and dates the form.
10. Once completed, you can save the changes, download the form, print it, or share it as needed to finalize your submission.

Begin the process of completing your Assurant Evidence Of Insurability form online today.