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This document serves as a claim form for critical illness and health screening benefits provided by Continental American Insurance Company. It outlines the necessary information required from the
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How to fill out critical illness claim form

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How to fill out CRITICAL ILLNESS CLAIM FORM

01
Read the instructions carefully provided with the form.
02
Fill out your personal details, including name, address, and contact information.
03
Provide the policy number and details of the insurance coverage.
04
Clearly state the diagnosed critical illness and provide the date of diagnosis.
05
Attach medical reports, test results, or any documentation supporting the critical illness claim.
06
Sign and date the form, ensuring all required declarations are complete.
07
Submit the form along with all necessary documents to the insurance company.

Who needs CRITICAL ILLNESS CLAIM FORM?

01
Individuals diagnosed with a critical illness who have a critical illness insurance policy.
02
Policyholders seeking to claim benefits due to a serious health condition covered under their insurance plan.
03
Dependents or beneficiaries of the insured person if they are eligible to file a claim.
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The CRITICAL ILLNESS CLAIM FORM is a document that policyholders need to fill out in order to claim benefits from their critical illness insurance policy.
The insured individual or the claimant, who is the beneficiary named in the critical illness insurance policy, is required to file the CRITICAL ILLNESS CLAIM FORM.
To fill out the CRITICAL ILLNESS CLAIM FORM, the claimant must provide personal information, details about the critical illness, medical history, and any supporting documentation as required by the insurance company.
The purpose of the CRITICAL ILLNESS CLAIM FORM is to formally request insurance benefits due to the diagnosis of a covered critical illness, allowing the insurance company to process the claim.
The CRITICAL ILLNESS CLAIM FORM typically requires information such as the claimant's personal details, date of diagnosis, specifics of the illness, treatment received, and physician's information.
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