Follow the steps to complete the Evidence of Insurability application.

1. Click the ‘Get Form’ button to access the form and open it.
2. Begin by providing your personal information on the form. Enter your name, address, and the name of your employer in the designated fields.
3. Fill in your group policy number to ensure correct processing of your application. For reference, this number is usually provided by your employer.
4. Input your Social Security number, using only the last four digits as required. Next, specify the coverage you are requesting by selecting from the options provided.
5. Complete the Health History section, responding accurately to all questions, including any medical conditions you may have. This information is confidential and will not be shared with your employer.
6. If you answer 'Yes' to any question in the Health History section, provide detailed information in the space provided to explain your condition.
7. Include your physician’s information, ensuring that the details correspond to your most recent medical records.
8. Carefully review the EOI application for completeness and accuracy. Once finalized, you will need to sign and date the form.
9. Submit your application by following the submission instructions on the form. You can save your changes, download, print, or share the completed form as needed.

Complete your Evidence of Insurability application online today.