Get Enrollment Form - Pcms

The Enrollment Form - PCMS is a crucial document for those seeking coverage through Reliance Standard Life Insurance Company. This guide provides comprehensive instructions on how to accurately complete the form online, ensuring that all required information is submitted correctly.

Follow the steps to successfully fill out the Enrollment Form - PCMS online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by selecting the appropriate application type. Indicate whether you are a new hire, a late applicant, or if you are making a change in status. Provide the date of change as necessary.
3. Next, complete the employee/member information section. This includes your full name, address, email, social security number, gender, date of birth, phone number, occupation, and annual compensation.
4. Answer the question about your employment status, indicating whether you are actively performing all duties of your occupation.
5. If you are applying for spouse coverage, provide all requested spouse information, including name, gender, address, and date of birth.
6. In the coverage elected section, select whether to enroll or decline coverage for voluntary term life for yourself and your spouse. Specify amounts and indicate the corresponding premium amounts.
7. Complete the health questions section honestly. Answer every question regarding your or your spouse’s medical history and provide details as prompted.
8. Provide the primary care physician's name and contact information for both yourself and your spouse.
9. Review, sign, and date the form in the respective areas. Ensure that all information is accurate before submission.
10. Finally, save your changes and choose your preferred method to download, print, or share the form as needed.

Complete your Enrollment Form - PCMS online today to ensure your coverage needs are met.