Get Group Insurance Enrollment Form - Barp

Filling out the Group Insurance Enrollment Form - BARP online is a crucial step in securing your group insurance coverage. This guide will walk you through each section of the form, ensuring that you complete it accurately and efficiently.

Follow the steps to fill out the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it for completion.
2. Begin by entering your group policy number and certificate number in the designated fields. Ensure that you provide accurate information, as this is essential for processing your enrollment.
3. Fill in your personal details: first name, middle name, last name, address, telephone number, date of birth, and occupation. Indicate your coverage preference and marital status by selecting the appropriate options.
4. Decide if you wish to cover your dependents by answering the question regarding their coverage. Include details for your dependents, such as their names, dates of birth, and relationships to you.
5. Designate a beneficiary by providing their name, date of birth, and relationship to you. Note if there are multiple beneficiaries and any statutory requirements that may apply.
6. Complete the member history section by visiting the BARP office to obtain the necessary details for the existing membership number, date of membership, and effective date of insurance.
7. In the section for dependents to be insured, clearly list each dependent with their name, date of birth, and relationship to you, ensuring all entries are correct.
8. Authorize the release of medical information by signing and providing relevant details as specified in the consent section. This allows necessary medical information to be shared with Sagicor Life Inc.
9. Fill in the direct credit authorization fields, including your bank's name, branch, account number, transit number, and email address for notifications. Confirm your agreement with the terms by signing the section.
10. After filling out all required fields, take the time to review your entries for accuracy. Once confirmed, you can save your changes, download, print, or share the completed form as needed.

Complete the Group Insurance Enrollment Form - BARP online today to secure your coverage.