Form preview

Get the free Group Income Protection Member’s Continuation Statement

Get Form
This form is designed for members of a Group Income Protection scheme to provide necessary information regarding their incapacity and eligibility for benefits.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign group income protection members

Edit
Edit your group income protection members form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your group income protection members form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit group income protection members online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Log in to account. Start Free Trial and sign up a profile if you don't have one.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit group income protection members. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
Dealing with documents is always simple with pdfFiller.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out group income protection members

Illustration

How to fill out Group Income Protection Member’s Continuation Statement

01
Start with your personal details: Fill in your name, address, and contact information.
02
Provide your employment details: Include the name of your employer, your job title, and the dates of your employment.
03
Complete the medical section: Detail any medical conditions, treatments, or disabilities you have encountered.
04
Indicate your income: State your current income, including any benefits you receive, such as sick pay.
05
Review and sign: Ensure all information is correct, then sign and date the statement.

Who needs Group Income Protection Member’s Continuation Statement?

01
Individuals who are claiming or maintaining Group Income Protection benefits due to illness or disability need the statement.
02
Employers may also need it to support ongoing claims or to manage employee benefits.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.5
Satisfied
56 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Group Income Protection Member’s Continuation Statement is a document designed to provide information regarding an individual's eligibility for continued income protection benefits within a group insurance plan.
Typically, members of a group income protection plan who wish to maintain their coverage after a qualifying event, such as leaving employment, are required to file the Group Income Protection Member’s Continuation Statement.
To fill out the Group Income Protection Member’s Continuation Statement, members need to provide personal identification details, the date of the qualifying event, information about their previous employment, and any relevant health information as required by the form.
The purpose of the Group Income Protection Member’s Continuation Statement is to facilitate the process of retaining income protection coverage following a change in employment status, ensuring that members continue to receive financial support if they become unable to work due to ill health.
The information that must be reported includes the member's personal details, the nature of their qualifying event, previous employment details, and any pertinent medical information that may affect their ability to continue receiving benefits.
Fill out your group income protection members online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.