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Application to extend coverage or start a new policy Ref: EXT Personal Information: AIMED Students Last Name(s): AIMED Students First Name(s): Date of Birth (mm/dd/YYY): Student #: Email: (required
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How to fill out application to extend coverage

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How to Fill Out an Application to Extend Coverage:

01
Gather all necessary information: Before starting the application, make sure you have all the required information at hand. This may include personal details such as name, contact information, and policy number. Additionally, you may need to provide information about any changes in your circumstances or the reason for requesting an extension.
02
Read the instructions thoroughly: Carefully go through the instructions provided with the application form. Ensure that you understand all the requirements and any supporting documentation that may be needed.
03
Fill out the personal details section: Start by providing your personal information accurately. This typically includes your full name, address, phone number, and email address. Double-check that the information is correct to avoid any delays or errors.
04
Describe the reason for the extension: In a separate section of the application, explain the reason why you are seeking an extension of coverage. Be concise and provide any necessary details that will help the insurance provider assess your request.
05
Provide updated information: If there have been any changes to your circumstances since the initial policy was issued, make sure to provide updated information. This may include changes in employment, marital status, or the birth of a child. Accuracy and completeness of information is crucial for a successful application.
06
Submit any required documentation: Depending on the reason for the coverage extension, you may need to include supporting documentation along with your application. This could be medical records, financial statements, or any other relevant documents. Ensure that you have all the necessary paperwork and submit it together with the application.

Who Needs an Application to Extend Coverage?

01
Policyholders in need of continued protection: Individuals who require extended coverage beyond the original policy term will need to complete an application to request an extension. This may arise due to various circumstances such as ongoing medical treatments, change in employment situation, or other life events.
02
Those whose current policy is approaching expiration: If your existing insurance coverage is about to expire, but you still require protection, you will need to fill out an application to extend coverage. It is important to submit the application in a timely manner to ensure uninterrupted coverage.
03
Individuals experiencing changes in circumstances: Life is full of unexpected changes, and sometimes your existing policy may no longer adequately cover your needs. If there have been changes in your circumstances, such as the birth of a child or a significant increase in medical expenses, you may need to extend your coverage through an application.
Remember, it is advisable to consult directly with your insurance provider for specific instructions and any additional requirements when filling out an application to extend coverage.
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An application to extend coverage is a form that allows individuals or organizations to request an extension of their insurance coverage beyond the current expiration date.
Any insured individual or organization who wishes to maintain insurance coverage beyond the expiration date is required to file an application to extend coverage.
To fill out an application to extend coverage, the insured individual or organization must provide their personal information, policy details, reasons for requesting the extension, and any additional required documentation.
The purpose of an application to extend coverage is to ensure that insurance coverage remains in place beyond the original expiration date, providing continued protection against potential risks.
Information required on an application to extend coverage may include personal details of the insured, policy number, requested extension period, reasons for extension, and any supporting documentation.
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