Get 67466-15.doc

This guide provides a clear and supportive approach to completing the 67466-15.doc application form online. By following these step-by-step instructions, users can efficiently fill out the necessary information to ensure their application is complete and ready for submission.

Follow the steps to accurately complete the 67466-15.doc form online.

1. Click the ‘Get Form’ button to obtain the form and open it in your online editor.
2. Begin filling in the Applicant Information section. Provide your name, mailing address, and contact numbers. Ensure clarity and accuracy as all Aetna correspondence will be sent to the provided address.
3. Complete the Marital Status section by selecting the applicable option and include your occupation and email address.
4. In the Individuals Covered section, include details for yourself and any dependents. Use the appropriate family codes and ensure all necessary information is filled, especially for dependent children up to age 26.
5. Detail your Health History in section E for both yourself and any dependents. Answer all questions truthfully and provide additional information where required.
6. Complete the Health Related Questions section. It is important to answer truthfully as this information may affect coverage approval.
7. In the Statement of Enrollment Conditions, review all conditions carefully to confirm your understanding and agreement before signing.
8. Provide signatures where required in the Signature section, ensuring all applicants age 18 and over have signed.
9. Once all sections are complete, save your changes. You can download, print, or send your completed 67466-15.doc online based on your preference.

Complete your documents online today and ensure you have all necessary health coverage details at hand.