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This document authorizes Genworth Life Insurance Company to verify employment of an eligible spouse for long term care insurance coverage.
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How to fill out Actively at Work Spouse Authorization

01
Obtain the Actively at Work Spouse Authorization form from your employer or their benefits administrator.
02
Read the instructions on the form carefully to understand the requirements.
03
Fill in your spouse’s personal information, including their full name, date of birth, and social security number.
04
Provide your own personal information, as the employee, including your name and employee ID.
05
Indicate the effective date for the authorization.
06
Sign and date the form, confirming that all information provided is accurate.
07
Submit the completed form to your HR department or benefits administrator as instructed.

Who needs Actively at Work Spouse Authorization?

01
Employees who want their spouses to be eligible for certain benefits offered by their employer.
02
Individuals whose employer requires proof that their spouse meets the criteria for benefits.
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Means a period of employment during which services are required to be performed. The continued payment of amounts in lieu of annual salary, annual bonuses, unused vacation, unused personal days will not be considered a period of Active Employment.
What does “actively at work” mean? In the simplest terms, the clause means that an employee must be engaged in a full-time working position on the day a disability or life insurance claim is made.
Active Work means you are performing all of the material duties of your occupation at your usual place of business or another location that your employer's business requires you to be and you are a citizen or legal resident of the United States – or Canada, but employed in a United States-based unit.
Actively at work means an employee is performing all regular duties of their occupation at work.
Actively at Work and "active work" means actually performing on a Full- time basis each and every duty pertaining to your job in the place where and the manner in which the job is normally performed.
What does “actively at work” mean? In the simplest terms, the clause means that an employee must be engaged in a full-time working position on the day a disability or life insurance claim is made.

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Actively at Work Spouse Authorization is a formal document that verifies whether an employee's spouse is actively engaged in employment, typically required for benefits eligibility.
Employees who are enrolling their spouse in benefits programs typically need to file the Actively at Work Spouse Authorization.
To fill out the Actively at Work Spouse Authorization, provide personal details of both the employee and spouse, confirm the spouse's employment status, and sign the document.
The purpose of the Actively at Work Spouse Authorization is to ensure that benefits are provided only to eligible dependents and to verify the employment status of the spouse.
The information that must be reported includes the employee's and spouse's names, the spouse's employer details, and a statement confirming the spouse's active employment status.
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