Get the free Statement of Insurability - SpeedInsure

STATEMENT OF INSURABILITY 1 Statement of Insurability Policy No. Insured / Dependent Policy Owner Please tick Yes or No to the questions below Personal Statement) (To be completed for all cases a)

How to fill out statement of insurability

How to fill out a statement of insurability:

1. Start by obtaining the necessary form from your insurance provider. This form may be available online or through your insurance agent.
2. Read through the form carefully to understand the information requested. The statement of insurability typically includes personal details such as name, address, date of birth, and contact information.
3. Provide accurate and up-to-date information about your health history. This may include disclosing any pre-existing medical conditions, previous surgeries or hospitalizations, and any medications you are currently taking.
4. Answer all the questions truthfully and to the best of your knowledge. It is important to be transparent as any misrepresentation or omission of information can lead to denial of coverage or cancellation of your policy.
5. If the statement of insurability requires additional documentation, gather all necessary medical records or reports beforehand. This might include recent lab results, diagnostic imaging, or statements from your healthcare providers.
6. Review your completed form for any errors or missing information. Ensure that all sections are filled out accurately and legibly.
7. Sign and date the form, confirming that the information provided is true and accurate to the best of your knowledge. This validates your consent for the insurance company to use your personal and medical information for underwriting purposes.

Who needs a statement of insurability?

A statement of insurability is typically required when individuals apply for certain insurance policies, such as life insurance or long-term disability insurance. The insurance company may request a statement of insurability to assess the applicant's health status and determine the risk associated with providing coverage. It helps insurers evaluate the individual's eligibility, premium rates, and coverage limits based on their health history and overall insurability.

Applicants who are older or have a significant medical history may be required to provide a statement of insurability to determine their eligibility for insurance and to set appropriate premiums. Some employers may also request a statement of insurability when offering group insurance coverage to their employees.

For pdfFiller’s FAQs

What is statement of insurability?

The statement of insurability is a form that is used to provide information about an individual's health and other factors that may affect their insurability for insurance coverage.

Who is required to file statement of insurability?

Individuals who are applying for certain types of insurance coverage are usually required to file a statement of insurability.

How to fill out statement of insurability?

The statement of insurability is typically filled out by providing detailed information about one's health history, lifestyle habits, and other factors that may impact insurability.

What is the purpose of statement of insurability?

The purpose of the statement of insurability is to assess an individual's risk level and determine their eligibility for insurance coverage.

What information must be reported on statement of insurability?

Information that is typically reported on a statement of insurability includes details about one's medical history, current health status, and lifestyle choices.

How do I complete statement of insurability online?

pdfFiller has made filling out and eSigning statement of insurability easy. The solution is equipped with a set of features that enable you to edit and rearrange PDF content, add fillable fields, and eSign the document. Start a free trial to explore all the capabilities of pdfFiller, the ultimate document editing solution.

Can I create an electronic signature for the statement of insurability in Chrome?

As a PDF editor and form builder, pdfFiller has a lot of features. It also has a powerful e-signature tool that you can add to your Chrome browser. With our extension, you can type, draw, or take a picture of your signature with your webcam to make your legally-binding eSignature. Choose how you want to sign your statement of insurability and you'll be done in minutes.

How do I edit statement of insurability on an iOS device?

You can. Using the pdfFiller iOS app, you can edit, distribute, and sign statement of insurability. Install it in seconds at the Apple Store. The app is free, but you must register to buy a subscription or start a free trial.