Get Verification Of Coverage For Life Insurance Policies Submitted To: Naic # Name Of Insurance Company

This guide provides a clear and comprehensive overview of how to complete the verification of coverage for life insurance policies form online. By following these steps, users can ensure they accurately submit their necessary information to the insurance company.

Follow the steps to efficiently complete the form.

1. Click ‘Get Form’ button to access the verification of coverage form. This will allow you to open the document in an editable format.
2. Begin by filling in the insurance company details. Enter the name of the insurance company and the corresponding NAIC number in the designated fields at the top of the form.
3. Next, provide the policy number, the name of the life settlement broker or provider, their address, and telephone number. Ensure that the contact person and their title are accurately filled out.
4. In the policy owner’s and insured’s information section, fill in the owner’s name, address, city, state, ZIP code, and the tax ID or social security number as required. Provide the insured’s name, date of birth, and if applicable, the second insured’s details.
5. Indicate if the policy is currently in force by checking the 'Yes' or 'No' box. If the policy is not in force, sign and date on page 4 and submit this to the life settlement broker or provider that requested the verification.
6. Specify the policy type (e.g., term, whole life) and provide additional details such as the original issue date, maturity date, state of issue, and questions related to beneficiaries, assignments, conversions, and reinstatements.
7. Complete the policy values section. Provide the current face amount of the policy, accumulated dividends, outstanding loans, net death benefit, current account value, and cash surrender value.
8. Under premium information, enter the current payment mode, current modal premium, dates for the last premium paid and the next due.
9. Ensure the life settlement broker/provider signs off on the submitted information, confirming its accuracy. The insurance company will also need to verify the provided details and sign accordingly.
10. Lastly, specify where additional forms should be submitted for processing, along with contact information. Include the requested forms that you may need related to the insurance policy.
11. Once all fields are accurately completed, save your changes, and you may download, print, or share the form as needed.

Complete your documents online today to ensure a smooth process.