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INSURANCE APPLICATION Life Insurance Company of North America (LINA) Return completed form to: a Cagney Company (herein called the Insurance Company) NE BCO For info and customer service call 1-800-759-0101
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What is evidence of insurability form?
Evidence of insurability form is a document that provides information about an individual's health and medical history, which is used by insurance companies to assess whether an applicant is eligible for coverage.
Who is required to file evidence of insurability form?
The individuals who are required to file evidence of insurability form are those who are applying for life insurance or making changes to their existing life insurance policies, such as increasing the coverage amount or adding additional riders.
How to fill out evidence of insurability form?
To fill out evidence of insurability form, you need to provide detailed information about your medical history, including any pre-existing conditions, surgeries, medications, and any other relevant health information. It is important to provide accurate and honest information to ensure the validity of your application.
What is the purpose of evidence of insurability form?
The purpose of evidence of insurability form is to enable insurance companies to assess the risk involved in providing coverage to an individual. By reviewing the medical history and current health status of the applicant, insurance companies can determine the premium rates, coverage limits, and exclusions that should apply to the policy.
What information must be reported on evidence of insurability form?
The information that must be reported on evidence of insurability form includes personal details, such as name, address, and contact information, as well as medical history, current health status, and any relevant information about pre-existing conditions, surgeries, medications, and lifestyle choices.
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