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This document is a continuation statement for members of a Group Income Protection policy, intended for former employees to report their incapacity and provide relevant personal, occupational, and
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How to fill out group income protection members

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How to fill out Group Income Protection Member’s continuation statement

01
Obtain the Group Income Protection Member’s continuation statement from your employer or the insurance provider.
02
Review the instructions provided with the statement for any specific requirements.
03
Fill out your personal information at the top of the form, including your name, address, and policy number.
04
Indicate your current employment status, including any relevant job details and changes since your last submission.
05
Provide details about any income you are currently receiving and any other sources of support.
06
Complete any required declaration sections, confirming the accuracy of the information provided.
07
Sign and date the statement to validate your submission.
08
Submit the completed continuation statement by the specified deadline, either electronically or via postal mail as instructed.

Who needs Group Income Protection Member’s continuation statement?

01
Individuals who are covered under a Group Income Protection plan and are seeking to continue their coverage during a period of leave or after a change in employment.
02
Employees who have previously contributed to the Group Income Protection policy and want to ensure they do not lose their benefits.
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The Group Income Protection Member’s continuation statement is a document that outlines the continuation of income protection benefits for members after they leave employment or when certain conditions are met.
Typically, employers or administrators of group income protection plans are required to file the Group Income Protection Member’s continuation statement on behalf of their members.
To fill out the Group Income Protection Member’s continuation statement, provide necessary details such as the member's personal information, employment history, and any relevant changes in circumstances that affect the continuation of coverage.
The purpose of the Group Income Protection Member’s continuation statement is to ensure that members can maintain their income protection benefits even after leaving their employment, and to keep the insurance provider informed of any changes in the member's status.
The information that must be reported includes the member's name, membership number, details of employment termination or changes, health status updates, and any other relevant personal information that impacts coverage eligibility.
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