Get Life Insurance Application

Filling out a life insurance application online can seem daunting, but it is a straightforward process that helps ensure you have the coverage you need. This guide will walk you through each section of the Life Insurance Application, providing step-by-step instructions to make the process easier and more efficient.

Follow the steps to complete your Life Insurance Application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your personal information in the designated fields. This includes your name (last, first, middle initial), address (line 1, line 2, city, state, zip code), and any other personal identifiers as requested.
3. Indicate your current insurance status by answering whether you are insured under any IEEE Group Life Insurance Plans. If yes, provide the necessary details concerning the plan(s) and insurance amounts.
4. Confirm your membership in the Institute of Electrical and Electronics Engineers, Inc., by entering your membership number and expiration date. Be aware that membership is required for participation in this plan.
5. Choose your payment option for premium contributions. Select either Electronic Funds Transfer (EFT) or Periodic Billing, and provide the required details based on your choice.
6. Complete the insurance amounts for yourself and your dependents, specifying the initial amounts of coverage and any increases if applicable.
7. If you or your spouse have other life insurance policies or pending applications, provide the required details in the relevant sections of the form.
8. Address the tobacco/nicotine use questions by indicating whether you or your spouse have used tobacco or nicotine products recently, including the date of last use.
9. Review the insurance replacement information carefully, particularly if you are a resident of New York. Confirm if the new insurance will replace any existing policies.
10. After completing all required fields and sections, save your entries, and review the form for accuracy before submitting it.
11. Finally, once you are satisfied with the information provided, proceed to save changes, download, print, or share the completed form per your needs.

Start filling out your Life Insurance Application online for a secure financial future.