Get Terminal Illness Accelerated Death Benefit Disclosure

This guide provides comprehensive instructions for completing the Terminal Illness Accelerated Death Benefit Disclosure form online. Understanding each section of this form will ensure that users can effectively request an accelerated death benefit when faced with a terminal illness diagnosis.

Follow the steps to complete the online form successfully.

1. Press the ‘Get Form’ button to access the Terminal Illness Accelerated Death Benefit Disclosure form and open it in your preferred editing tool.
2. Carefully read through the introductory section, which outlines the purpose of the form and the criteria needed to qualify for the accelerated death benefit. It is essential to ensure that you meet these criteria before proceeding.
3. In the section regarding the Insured’s information, accurately fill in the required details including the full name, date of birth, and insurance policy number of the person diagnosed with a terminal illness.
4. Locate the area designated for the Physician’s certification. Ensure that your physician provides their details and signs this section, confirming the diagnosis of terminal illness as required.
5. Next, complete the section detailing the request for the accelerated benefit. Clearly state the amount you wish to accelerate, up to the maximum allowed by your policy.
6. Review any additional requirements, including the consents needed from irrevocable beneficiaries and assignees. Make sure that all signatures are obtained as necessary.
7. Finally, ensure that all fields are completed accurately. Once everything is reviewed and correct, you can save your changes, then download, print, or share the completed form to submit it as needed.

Get started on filling out your documents online for a smoother process.