Get Gc-463 2013-2025

The GC-463 form is designed for requesting continuation of coverage for a handicapped child. This guide aims to provide clear, step-by-step instructions to help you complete this form accurately and efficiently online.

Follow the steps to complete the GC-463 form online.

1. Press the ‘Get Form’ button to access the GC-463 form and open it in your preferred online editor.
2. In Section 1, provide your employee information, including your name and Aetna ID number. This information is essential for locating your account.
3. Proceed to Section 2 and fill in your employer's name. Ensuring the accuracy of this information is crucial for proper processing.
4. In Section 3, indicate whether the dependent was previously covered under your plan. Answer 'yes' or 'no' as applicable.
5. Complete Section 4, the Employee Statement, affirming that all provided information is accurate to the best of your knowledge. Ensure you sign and date this section.
6. Fill out Section 5 with the attending physician's information, including their name, address, and contact number. This physician will complete the required statement.
7. In Section 6, provide your signature and date to authorize the release of your dependent’s health information to Aetna for coverage evaluation.
8. Section 7 requires you to enter dependent information, including their name.
9. Fill out Section 8 by providing detailed information about the dependent’s incapacity, including the start date, type of incapacity, living arrangements, work history, and financial support details.
10. Review the entire form to ensure accuracy. After verifying all sections, you can save changes, download, print, or share the completed form.

Complete your GC-463 form online today for a smoother submission process.