Get 81223 Genworth Change Form

The 81223 Genworth Change Form is an essential document for making adjustments to your long-term care insurance coverage. This guide will provide you with clear, step-by-step instructions on how to effectively complete the form online to ensure your changes are processed smoothly.

Follow the steps to successfully complete the 81223 Genworth Change Form.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the name of the policyholder (Insured 1) in the designated field, ensuring you include the first, middle, and last names accurately.
3. If applicable, fill in the name of the second policyholder (Insured 2) for shared coverage, using their first, middle, and last names.
4. Provide the policy number or certificate number in the specified field, if available.
5. Indicate how you would like the unearned premium refund to be processed, by selecting one of the available options. Carefully read the implications of each choice.
6. Next, check the type of change you are making and provide a description of the change in the provided area.
7. Fill out the medical history questions that determine eligibility for benefit increases, answering 'Yes' or 'No' as appropriate.
8. Enter the proposed effective date of the changes in the indicated fields, ensuring you clarify the 'From' and 'To' dates.
9. If required, address any sections regarding cancellation or addition of riders, as well as any address changes for the policyholder or insured spouse.
10. Finally, review all entered information for accuracy, then save your changes. You may choose to download, print, or share the completed form as necessary.

Complete your documents online today to ensure a streamlined process!