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EVIDENCE OF INSURABILITY Reliance Standard Life Insurance Company Home Office--Chicago, Illinois Administrative Office--Philadelphia, Pennsylvania INSTRUCTIONS: Employer: ? ? Complete Policy No.,

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What is evidence of insurability form?

The evidence of insurability form is a document that individuals must complete and submit to their insurance provider to provide additional information about their health status. It is used to determine if the individual qualifies for certain insurance coverage or benefits.

Who is required to file evidence of insurability form?

Typically, individuals who are applying for or requesting certain insurance coverage or benefits are required to file an evidence of insurability form. This could include individuals who are enrolling in a new insurance policy or making changes to their existing coverage.

How to fill out evidence of insurability form?

To fill out an evidence of insurability form, individuals need to provide accurate and detailed information about their health history, current medical conditions, lifestyle habits, and any other relevant factors. It is important to answer all questions honestly and thoroughly.

What is the purpose of evidence of insurability form?

The purpose of the evidence of insurability form is to assess the level of risk an individual poses to the insurance provider. It helps determine if the individual meets the underwriting guidelines and qualifies for the requested insurance coverage or benefits.

What information must be reported on evidence of insurability form?

The information typically required on an evidence of insurability form includes personal details, such as name, date of birth, and contact information, as well as medical history, current medical conditions, and any medications or treatments currently being taken. Other information related to lifestyle habits, such as smoking or alcohol consumption, may also be requested.

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