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This document provides instructions and information for completing the Evidence of Insurability form required for underwriting insurance with Unum Life Insurance Company of America.
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How to fill out evidence of insurability

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How to fill out EVIDENCE OF INSURABILITY

01
Obtain the EVIDENCE OF INSURABILITY form from your insurance provider.
02
Read the instructions carefully before filling out the form.
03
Fill in your personal information, including full name, date of birth, and contact details.
04
Detail any medical history, including past and current medical conditions, treatments, and medications.
05
Answer all questions honestly and to the best of your knowledge.
06
If required, provide information about your lifestyle habits, such as smoking or drinking.
07
Sign and date the form to confirm the accuracy of the information provided.
08
Submit the form as directed, either online or via mail.

Who needs EVIDENCE OF INSURABILITY?

01
Individuals applying for life insurance.
02
Employees enrolling in group insurance plans.
03
Those seeking coverage for specific health conditions.
04
Insurance applicants who exceed standard health thresholds.
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Most insurance providers have a portal where you can submit your EOI online, making the process as simple as possible. Employees may also choose to submit a paper application provided by HR. Each format should include step-by-step instructions on how to fill it out and submit it.
The EOI application is a questionnaire on which you and/or your dependent answer “yes” or “no” to questions concerning certain medical conditions. If you answer “yes” to any question(s), you are asked to provide details of the condition, such as pertinent dates, treatments, and names of physicians.
What is EOI? EOI stands for Evidence of Insurability. It is a statement or proof of medical history. We use it to determine whether we will or will not provide coverage.
In most cases, employees can complete the entire evidence of insurability process directly through the insurance company. In this digital age, many insurers provide online platforms and portals that allow employees to fill out and submit the form.
What Are the Key Components of Evidence of Insurability? Medical History: The insurance company may ask for a detailed medical history, which includes past illnesses, surgeries, medications, and current health conditions.
Providing evidence of insurability usually involves submitting an application with an extensive questionnaire and official documentation of the applicant's medical history.
Without evidence of insurability means an insurance provider underwrote a policy, such as for life or health insurance, without verifying that the policyholder was eligible for that coverage. Some group plans may not require proof of insurability if the applicant applies during the open enrollment period.
The EOI process involves providing a detailed medical history and lifestyle habits and occasionally undergoing a thorough health examination. The information from the EOI helps determine insurance premium rates, coverage limits, and eligibility.

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Evidence of Insurability (EOI) is a document that an individual submits to an insurance provider to prove their eligibility for coverage. It typically includes information about the applicant's health and medical history.
Generally, individuals who are applying for certain types of insurance coverage, especially those requiring proof of good health due to increased coverage amounts or specific health conditions, are required to file Evidence of Insurability.
To fill out Evidence of Insurability, individuals must complete the provided form by answering questions about their medical history, including any pre-existing conditions, medications, and recent medical treatments.
The purpose of Evidence of Insurability is to assess the risk associated with insuring an individual. Insurers use this information to determine eligibility for coverage and to set premiums.
Typically, information required includes the applicant's personal details, medical history, current health conditions, medications, and details about any recent treatments or surgeries.
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