
Get the free DECLARATION OF INSURABILITY - Deseret Mutual
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FOR DESERT MUTUAL USE ONLY APPROVED o HIGH RISK o DECLINE o EFFECTIVE INITIALS 150 Social Hall Avenue, Suite 170 P.O. Box 45530 Salt Lake City, Utah 84145 Telephone 18015785600 Toll free 18007773622
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How to fill out declaration of insurability

How to fill out a declaration of insurability:
01
First, gather all the necessary information such as your personal details, including your name, date of birth, address, and contact information.
02
Next, provide information about your current health status, medical history, and any pre-existing conditions you may have. Be honest and thorough in your responses to ensure accurate assessment of your insurability.
03
If applicable, disclose any medications or treatments you are currently undergoing.
04
Indicate whether you have ever been declined coverage or had a policy rescinded in the past.
05
If you have undergone any medical exams recently, provide details of the tests and their results.
06
Review the declaration form to ensure all sections have been completed accurately and truthfully.
07
Sign and date the form to certify that the information provided is correct to the best of your knowledge.
Who needs a declaration of insurability?
01
Individuals applying for life insurance or disability insurance often require a declaration of insurability.
02
Employees seeking coverage through their employer's group insurance plan may also need to complete a declaration of insurability.
03
Individuals who previously had coverage but are applying for additional benefits or increased coverage may need to provide a declaration of insurability.
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What is declaration of insurability?
The declaration of insurability is a form that an insured individual must complete to provide information about their health status and medical history to the insurance company.
Who is required to file declaration of insurability?
Any individual applying for or making changes to their insurance policy may be required to file a declaration of insurability.
How to fill out declaration of insurability?
The form typically requires the individual to answer questions about their health, lifestyle, and medical history. It is important to provide accurate and truthful information.
What is the purpose of declaration of insurability?
The purpose of the declaration of insurability is for the insurance company to assess the risk of insuring the individual and determine the premiums to be charged.
What information must be reported on declaration of insurability?
Information such as current health conditions, medical treatments, medications, and family medical history may need to be reported on the declaration of insurability form.
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