Get Enrollment Form - Future Guard - Group Long Term Care Plan

Filling out the Enrollment Form for the Future Guard Group Long Term Care Plan online is a straightforward process. This guide will assist you in completing each section accurately and efficiently, ensuring that you provide all necessary information required for your application.

Follow the steps to successfully complete your enrollment form online.

1. Click the 'Get Form' button to obtain the enrollment form and open it in your preferred digital editor.
2. Begin by filling in Section 1, which requires your applicant information. Include your full name, date of birth, sex, social security number, daytime and evening phone numbers, as well as your home address.
3. Move to Section 2 to select your benefit options. Choose a daily maximum and lifetime maximum that suits your needs, and indicate your preferred inflation option. If you select Plan A for inflation protection, remember to sign the declaration.
4. In Section 3, confirm your eligibility by indicating if you are a member of Northrop Grumman Federal Credit Union, or the spouse of a member. Provide the member's name and number if applicable.
5. Proceed to Section 4 where you will select your premium payment method. Decide whether you prefer annual, semi-annual, quarterly, or monthly billing, and remember to attach a voided check if you opt for monthly automatic bank draft.
6. Section 5 is the Statement of Insurability. Answer questions regarding your health status over the past several years, including any treatments or conditions. Make sure to check 'Yes' or 'No' for each question, and provide further details where necessary.
7. Fill out Section 6 if you want to designate someone else to receive notices regarding your policy before it lapses due to nonpayment. Provide the names and contact details of your designees or choose not to designate anyone.
8. In Section 7, read the authorization notice carefully and certify that all information provided is accurate. Sign and date the form to finalize your application.
9. Once you have completed all sections of the form, save your changes. You can then download, print, or share the form as needed for your records.

Complete your enrollment form online today to secure your future long-term care needs.