Get the free Term Life Insurance Application
We are not affiliated with any brand or entity on this form
Fill out
Complete the form online in a simple drag-and-drop editor.
eSign
Add your legally binding signature or send the form for signing.
Share
Share the form via a link, letting anyone fill it out from any device.
Export
Download, print, email, or move the form to your cloud storage.
Why pdfFiller is the best tool for your documents and forms
End-to-end document management
From editing and signing to collaboration and tracking, pdfFiller has everything you need to get your documents done quickly and efficiently.
Accessible from anywhere
pdfFiller is fully cloud-based. This means you can edit, sign, and share documents from anywhere using your computer, smartphone, or tablet.
Secure and compliant
pdfFiller lets you securely manage documents following global laws like ESIGN, CCPA, and GDPR. It's also HIPAA and SOC 2 compliant.
What is term life insurance application
The Term Life Insurance Application is a service agreement used by members of The Workmen’s Circle to apply for term life insurance coverage underwritten by Hartford Life Insurance Company.
pdfFiller scores top ratings on review platforms
Who needs term life insurance application?
Explore how professionals across industries use pdfFiller.
Term life insurance application is needed by:
-
Individuals seeking life insurance coverage
-
Spouses of members applying for insurance
-
Members of The Workmen’s Circle
-
Financial advisors assisting clients with life insurance options
-
Insurance brokers offering term life insurance products
-
Compliance officers ensuring proper documentation
-
Human resource professionals overseeing employee benefits
How to fill out the term life insurance application
-
1.To get started, access pdfFiller and search for the Term Life Insurance Application form.
-
2.Open the form in pdfFiller's editor, allowing you to view and fill in the necessary fields.
-
3.Before filling out the form, gather personal information including full names, addresses, dates of birth, and health history for yourself, your spouse, and dependents.
-
4.Begin by filling out the 'Member's Name' and 'Spouse's Name' fields, ensuring accurate spelling and information.
-
5.Continue entering your residential address, ensuring it is current and precise, as this will be used for correspondence.
-
6.In the date of birth section, input the correct birth dates for each applicant, as this information is essential for underwriting.
-
7.Use the available checkboxes to select the desired coverage options, making sure to review each choice carefully.
-
8.As you complete the form, utilize pdfFiller’s tools to add signatures in the designated signature lines for both the member and spouse.
-
9.Review your completed application for accuracy, ensuring that all required fields are filled and that there are no errors.
-
10.Once reviewed, save your progress by clicking the 'Save' button to return to it later if necessary.
-
11.To finalize the form, download it as a PDF or submit it directly through pdfFiller if applicable.
-
12.If sending via mail, attach your first premium payment and send it to Selman & Company in Cleveland, OH for processing.
Who is eligible to apply for the Term Life Insurance Application?
Eligibility for the Term Life Insurance Application is primarily for members of The Workmen’s Circle and their spouses. Both parties must complete and sign the application for coverage.
What information do I need to complete this application?
You will need personal details such as names, addresses, dates of birth for the member and spouse, as well as health history and preferred coverage options. Gathering this information in advance will ease the filling process.
Where should I submit the completed Term Life Insurance Application?
Completed applications should be sent to Selman & Company in Cleveland, OH, along with the first premium payment. Be sure to check for any specific submission guidelines included in the form.
What common mistakes should I avoid when filling out the form?
Common mistakes include incorrect or missing information, especially in the personal details sections. Ensure that all signatures are in place and that health history disclosures are complete to avoid delays.
How long does it take to process the application?
Processing times can vary, but generally, it can take several weeks to receive a decision on your application. It is advisable to check with Selman & Company after submission for updates.
Are there any fees associated with submitting the Term Life Insurance Application?
Yes, there is an initial premium payment required along with the submission of the application form. Please refer to the specific instructions for the amount due.
Is notarization required for this application?
Notarization is not required for the Term Life Insurance Application. However, both the member and spouse must provide their signatures to validate the application.
Related Forms
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.