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Get Supplementary Life Insureds Statement

Supplementary Life Insureds Statement Declaration of Health This declaration attaches to and forms part of your application for cover with Zurich. To avoid delays, please check that all questions.

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How to fill out the Supplementary Life Insureds Statement online

Completing the Supplementary Life Insureds Statement online is a crucial step in your insurance application process. This guide will walk you through each section of the form, ensuring that you provide all necessary information accurately and efficiently.

Follow the steps to fill out the form correctly.

  1. Click the 'Get Form' button to obtain the Supplementary Life Insureds Statement and open it in your editor.
  2. Fill in the policy number and policy type section. Ensure you select the relevant type, such as Wealth Protection, Active, Sumo, FutureWise, or Other.
  3. Complete the life insured details section. Enter the full name of the person insured, their date of birth, postal address, and contact details, including work, home, mobile, and email.
  4. Move on to the declaration of health and circumstances section. Answer each question regarding changes in health, family medical history, occupation, income, intention for overseas travel, and participation in hazardous activities. Select 'Yes' or 'No' for each question.
  5. If you answered 'Yes' to any question, provide detailed information as requested. This includes specific health-related treatments, details regarding your occupational duties, and any changes in your income.
  6. Read and understand the declaration at the bottom of the form. You must confirm that the statements and answers in your application are true and complete. Provide your name, sign, and date the document.
  7. Once you have completed all sections, save your changes. You may then save the document, download it, print it, or share it as needed.

Complete your Supplementary Life Insureds Statement online today for a seamless insurance application process!

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Dividends are not guaranteed. Indeterminate Premium Whole Life: An indeterminate premium whole life policy is like a non-participating whole life plan of insurance except that it provides for adjustable premiums.

Paid-up additional (PUA) insurance is extra whole life insurance coverage that's purchased in full by using any earned dividends or with a PUA rider. The additional coverage is added to the death benefit amount, and the premium payment will contribute to the policy's cash value.

Supplemental insurance is coverage that you can buy in addition to your primary health plan. These policies can help provide coverage for certain kinds of illnesses, accidents and injuries, and life insurance. Supplemental health policies are different from traditional health plans .

Cash value = A source of funds Not all life insurance can provide a source of supplemental retirement income. This is only possible with types of permanent insurance, which include whole life, universal, and variable life insurance policies.

The family income rider provides an additional death benefit that's paid out in monthly installments after the insured dies, through the end of the policy's term.

Family income life insurance refers to a life insurance policy that combines whole life with decreasing term insurance.

Universal life insurance is a type of permanent life insurance. With a universal life policy, the insured person is covered for the duration of their life as long as they pay premiums and fulfill any other requirements of their policy to maintain coverage.

Accidental Death Rider An accidental death rider pays out an additional amount of death benefit if the insured dies as the result of an accident. Normally, the additional benefit paid out on death due to an accident is equivalent to the face amount of the original policy, which doubles the benefit.

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