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  • Usable Life Company Group I Application For Home Office

Get Usable Life Company Group I Application For Home Office

USAble Life Company GROUP INSURANCE APPLICATION P.O. Box 1650 Little Rock, Arkansas 72203 For Home Office use only Type or Print In Black Ink Group #: SECTION I. GROUP INFORMATION 1. Legal Name of.

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How to fill out the USAble Life Company GROUP I APPLICATION For Home Office online

This guide provides clear and comprehensive instructions on how to complete the USAble Life Company GROUP I APPLICATION For Home Office online. Whether you are a policyholder or an authorized representative, you will find step-by-step guidance to facilitate the form-filling process.

Follow the steps to efficiently complete your application.

  1. Press the ‘Get Form’ button to obtain the application form and open it in your online editor.
  2. Begin filling out the form by entering the legal name of the policyholder in Section I as well as the taxpayer ID number (TIN). Select the type of company from the provided options, including corporation and LLC.
  3. Provide the contact information at the company, including the benefits and billing contact person's names, phone numbers, fax numbers, email addresses, and web addresses.
  4. List any subsidiary or affiliate companies that will be covered, along with the nature of the business and the Standard Industry Classification (SIC) code.
  5. Indicate whether there are employees located in any states other than the policyholder's main address and provide details if applicable.
  6. Specify the number of eligible employees, the billing method, and when changes in benefits will become effective.
  7. Detail the eligibility waiting period, and provide information pertaining to future or current employees that may apply. Include minimum hours required to be eligible for coverage.
  8. In Sections II-IV, choose applicable coverages for life, accidental death and dismemberment, short term disability, and long term disability, providing necessary details like employer contribution, effective dates, and renewal dates.
  9. Once all sections are filled out correctly, you may save your changes, download a copy, print the application, or share it as required.

Complete your USAble Life Company GROUP I APPLICATION online today for a seamless experience.

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You can use the money to pay for anything you need, including daily living expenses such as groceries, gas, childcare, or travel. Our affordable plans are available for you, your spouse, and your children for monthly premiums as low as $20.

USAble Life is a medium insurance company with 350 employees and an annual revenue of $87.0M that is headquartered in Little Rock, AR. We will deliver service excellence, innovative solutions, and outstanding partnerships that increase our members' financial security and overall health and well-being.

Senior Vice President, Operations Beth Burwell is senior vice president of operations for USAble Life and its parent company, Life & Specialty Ventures (LSV).

Please email Customer Care at custserv@usablelife.com or call 800-370-5856 for further assistance.

Unified Life is committed to providing you with excellent and professional customer service. Both our website (.UnifiedLife.com) and Customer Service Team (800-237-4463) are able to answer many frequently asked questions about your policy.

At USAble Life, we offer you a wide range of supplemental insurance plans that provide financial protection to you and your family. Our accident, critical illness, and hospital indemnity coverage complements your medical plan.

Our Customer Care team is happy to check your claim status for you. Call at your convenience, Monday through Friday, 8:00 a.m. to 5:00 p.m. CST at 800-370-5856, or email custserv@usablelife.com.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232