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Group Benefits Application for Optional Life Insurance for Plan Member and Spouse only INSTRUCTIONS Please print all answers 1. Please consult your plan administrator for type of coverage available

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What is application for optional life?

An application for optional life is a form that allows individuals to apply for additional life insurance coverage beyond the basic life insurance policy provided by their employer.

Who is required to file application for optional life?

Any individual who wants to obtain additional life insurance coverage beyond the basic policy provided by their employer is required to file an application for optional life.

How to fill out application for optional life?

To fill out the application for optional life, individuals need to provide personal information such as their name, contact details, beneficiary information, health information, and amount of coverage desired. The completed form should be submitted to the relevant insurance provider.

What is the purpose of application for optional life?

The purpose of the application for optional life is to request additional life insurance coverage to ensure financial protection for beneficiaries in the event of the applicant's death.

What information must be reported on application for optional life?

On the application for optional life, individuals must report their personal details (name, address, etc.), beneficiary information, health history, and the desired amount of coverage.

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