
Get the free Continuation of Insurance Application Form
Show details
Group Administered Texas Nine (9) Month State
Continuation of Insurance Application Form
Who is Eligible?
Any individual who is covered under a group health plan either as the employee, the spouse
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign continuation of insurance application

Edit your continuation of insurance application form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly
Email, fax, or share your continuation of insurance application form via URL. You can also download, print, or export forms to your preferred cloud storage service.
Editing continuation of insurance application online
Follow the steps below to benefit from the PDF editor's expertise:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit continuation of insurance application. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
It's easier to work with documents with pdfFiller than you could have believed. You can sign up for an account to see for yourself.
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out continuation of insurance application

How to fill out continuation of insurance application:
01
Gather all necessary documents: Before starting the application, make sure you have all the required documents handy. This may include your previous insurance policy, personal identification documents, proof of address, and any other relevant paperwork.
02
Provide accurate personal information: Fill out the application with your personal information accurately. This may include your full name, date of birth, contact information, and social security number. Make sure to double-check the information you provide to avoid any mistakes.
03
Include policy details: Provide the details of your previous insurance policy, such as the policy number, coverage dates, and the name of the insurance company. This information is crucial to ensure continuity of coverage and avoid any gaps.
04
Review and update coverage: Take the time to review your current coverage and make any necessary updates. This may include adjusting the coverage amounts or adding additional beneficiaries. Verify that the coverage details align with your current needs and preferences.
05
Specify any changes or updates: If there have been any changes in your personal circumstances, such as a change in address or marital status, make sure to mention these in the application. Providing accurate and updated information will help prevent any potential issues in the future.
06
Review and sign the application: Once you have completed all the required sections of the application, carefully review the information provided for accuracy. Sign the application using your legal signature and ensure that you understand and agree to the terms and conditions.
Who needs continuation of insurance application:
01
Individuals with expiring insurance policies: If your insurance policy is nearing its expiration date, you will need to fill out a continuation application to ensure you maintain consistent coverage without any gaps.
02
Policyholders seeking to switch insurance providers: If you are considering changing insurance providers but want to maintain continuous coverage, you will need to complete a continuation of insurance application.
03
Individuals experiencing changes in insurance circumstances: Changes in personal circumstances, such as getting married, moving, or having a child, may require you to fill out a continuation application to update your coverage accordingly.
Remember, it is always best to consult with your insurance provider directly for specific instructions and guidelines on how to fill out a continuation of insurance application to ensure you meet all requirements.
Fill
form
: Try Risk Free
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
How do I modify my continuation of insurance application in Gmail?
It's easy to use pdfFiller's Gmail add-on to make and edit your continuation of insurance application and any other documents you get right in your email. You can also eSign them. Take a look at the Google Workspace Marketplace and get pdfFiller for Gmail. Get rid of the time-consuming steps and easily manage your documents and eSignatures with the help of an app.
How can I send continuation of insurance application for eSignature?
When you're ready to share your continuation of insurance application, you can swiftly email it to others and receive the eSigned document back. You may send your PDF through email, fax, text message, or USPS mail, or you can notarize it online. All of this may be done without ever leaving your account.
How do I fill out the continuation of insurance application form on my smartphone?
You can quickly make and fill out legal forms with the help of the pdfFiller app on your phone. Complete and sign continuation of insurance application and other documents on your mobile device using the application. If you want to learn more about how the PDF editor works, go to pdfFiller.com.
What is continuation of insurance application?
Continuation of insurance application is a process by which an individual or a group extends their existing insurance coverage beyond the current policy period.
Who is required to file continuation of insurance application?
Individuals or groups who wish to continue their insurance coverage beyond the current policy period are required to file continuation of insurance application.
How to fill out continuation of insurance application?
To fill out a continuation of insurance application, you need to provide your personal and insurance information, specify the desired coverage extension period, and submit any necessary supporting documents.
What is the purpose of continuation of insurance application?
The purpose of continuation of insurance application is to ensure uninterrupted insurance coverage for individuals or groups who want to extend their policy beyond the current period.
What information must be reported on continuation of insurance application?
The information that must be reported on a continuation of insurance application includes personal details, policy number, desired coverage extension period, any changes in circumstances, and any supporting documents as required.
Fill out your continuation of insurance application online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Continuation Of Insurance Application is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.