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INSTRUCTIONS FOR THE STATEMENT OF HEALTH FORM AND THE AUTHORIZATION FORM THAT FOLLOW THIS SECTION INSTRUCTIONS TO THE RECORDKEEPER (The Recordkeeper may be the Group Customer, a Third Party Administrator.

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How to fill out the Statement Of Health Form online

Completing the Statement Of Health Form online is a crucial step in securing group insurance coverage. This guide provides step-by-step instructions to help users fill out the form with confidence and accuracy, ensuring all necessary information is included.

Follow the steps to complete your Statement Of Health Form online.

  1. Use the ‘Get Form’ button to access the Statement Of Health Form and open it in the editor.
  2. Fill in your group customer information and insurance details as required by the form. Ensure to enter the employee's name and Social Security Number accurately.
  3. Complete all sections of the form, providing personal information for the proposed insured, such as name, date of birth, and contact information.
  4. Answer all health-related questions honestly and thoroughly. It's essential to provide complete information to avoid delays in processing.
  5. Once all sections are filled out, review the form for accuracy and completeness. Make sure there are no omitted answers, as this can lead to processing delays.
  6. Sign the form where indicated, ensuring you also sign the Authorization form if required. If the proposed insured is a minor, a personal representative must sign.
  7. After completing the forms, save your changes, and consider making a copy for your records. Then, follow the instructions to fax or mail the original forms to MetLife.

Complete your Statement Of Health Form online today to ensure a smooth application process.

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Statement of Health (SOH), also known as “evidence of good health” is the process by which MetLife determines if you are healthy enough to be considered eligible for the amount of insurance coverage for which you are seeking.

I have examined the individual named above and to the best of my knowledge; he/she is in good physical and mental health, free of any communicable diseases and is able to function in his/her profession at full capacity. By signing below I certify that the above information is true.

Proof of good health, also known as Evidence of Insurability (EOI), is an application process in which you provide information on the condition of your health and/or your dependent's health to get certain types of insurance coverage.

This form or a photographic copy of it authorizes to the extent permitted by the state laws of the applicable state any doctor or other practitioner and any hospital or sanitarium to give the Insurance Company all information you may have concerning my condition or that of my wife and children...

Your Personal Health Statement (PHS) is designed to help you better understand your recent medical and prescription claims including: Total amounts charged. Your discounts just for being a member. What your health plan paid on your claims. And what you owe, or may have paid, to your medical provider.

A Statement of Health is a document containing a series of questions about your overall health — such as if you're a smoker or if you've ever been treated for a medical condition, like cancer or high blood pressure.

What is a statement of good health? It's a document containing a series of questions about your overall health, such as if you're a smoker or if you've ever been treated for a medical condition, like cancer or high blood pressure.

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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