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Blue Cross Center, 8000 Marathi Avenue, 1200 Marathi City, Metro Manila, Philippines Tel. No.: +63 2 8998001 Fax No.: +63 2 3250638 Website: www.bluecross.com.ph DECLARATION OF INSURABILITY Name of
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How to fill out declaration of insurability2014-06 junedoc:

01
Start by entering your personal information such as your full name, date of birth, address, and contact information.
02
Provide details about your current health status and any medical conditions or treatments you have received in the past.
03
Indicate whether you are a smoker or non-smoker, as this may affect your insurability.
04
Fill in any additional information requested, such as your occupation and income details.
05
Sign and date the declaration of insurability form to confirm that the information provided is accurate and complete.

Who needs declaration of insurability2014-06 junedoc:

01
Individuals who are applying for or making changes to their life insurance policies may be required to submit a declaration of insurability document.
02
Employers may request employees to fill out this form when enrolling in or making changes to group life insurance plans.
03
Individuals who have experienced significant changes in their health since their last insurance application may also be asked to provide a new declaration of insurability form.
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This form is used to provide information about the individual's insurability for insurance coverage.
Employees who are enrolling in or making changes to their insurance coverage may be required to file this form.
The form typically requires the individual to provide personal and medical information to assess their insurability.
The purpose is to determine if the individual is eligible for insurance coverage based on their health and medical history.
Information such as personal details, medical history, and any pre-existing conditions may need to be reported on the form.
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