Get Groupama_employee Moratorium Application Form ... - Smq Services

This guide provides step-by-step instructions on how to complete the Groupama_Employee Moratorium Application Form online. It is designed to assist users in filling out each section accurately and effectively.

Follow the steps to complete the application form successfully.

1. Click the 'Get Form' button to access the application form and open it in your preferred online editor.
2. In Section A, provide the group name, policy number, employee category number, and cover start date. Remember, the cover can only begin on the 1st of the month.
3. Move to Section B1 and fill in your personal details as the employee. This includes your title, first name, date of birth, surname, height, weight, occupation, address, postcode, telephone numbers, email, and mobile number.
4. Proceed to Section B2 to add your partner and dependant children's information. Fill in their titles, first names, surnames, dates of birth, heights, weights, and occupations.
5. In Section B3, disclose any sporting activities, smoking habits, alcohol consumption, and information regarding other private medical insurance policies held by any applicant.
6. Review Section C, which explains moratorium underwriting. It is important to understand how this affects the coverage of pre-existing conditions.
7. Finally, complete Section D by signing and dating the declaration. Ensure all information provided is true and complete before submitting the application form to your employer.

Complete your Groupama_Employee Moratorium Application Form online today to secure your health coverage.