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Get American Equity Investment Life Insurance Company Terminal Illness Verification 2020-2025
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How to fill out the American Equity Investment Life Insurance Company Terminal Illness Verification online
Filling out the Terminal Illness Verification form is an essential step for accessing benefits under the Terminal Illness Rider. This guide will provide you with clear instructions to efficiently and accurately complete the form online.
Follow the steps to complete the verification form with ease.
- Click the ‘Get Form’ button to access the Terminal Illness Verification form and open it in the editing interface.
- In Section 2, enter the contract number(s) associated with the patient. Then fill in the patient’s name using the provided fields: prefix, legal first name, middle name (if applicable), last name, and suffix.
- Provide the patient’s date of birth in the designated format.
- Move to Section 3 and specify the type of terminal illness afflicting the patient. Include the original date of diagnosis and the date on which the diagnosis was deemed terminal.
- In Section 4, the physician must certify the information. If you are the physician: sign in the provided space, print your name, and indicate the date and your phone number. Ensure that you certify all the statements listed in this section.
- After completing the form, review all entries to ensure accuracy. You can then save the changes, download, print, or share the form as necessary.
Begin completing the Terminal Illness Verification form online now.
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From its humble beginnings of just three employees, American Equity has grown to encompass three insurance companies with over 900 employees, more than 40,000 financial professionals and more than half a million clients around the country.
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