Get the free Request For Optional Life Insurance - HealthSource Plus

Request For Optional Life Insurance Complete this form using ink. Forms with pencil will not be accepted. 1. Plan Sponsor×Employer Information Employers Name: Group Policy #: Division #: Unit #:

How to fill out request for optional life

How to fill out a request for optional life:

1. Obtain the necessary forms from your employer or insurance provider.
2. Fill in your personal information accurately, including your full name, address, and contact information.
3. Indicate the desired coverage amount and any additional riders or beneficiaries.
4. Provide details about your current health status, including any pre-existing medical conditions or medications you may be taking.
5. Review the terms and conditions of the optional life insurance policy to ensure you understand the coverage and any exclusions.
6. Sign and date the request form, acknowledging that the information provided is true and accurate to the best of your knowledge.
7. Submit the completed request form to your employer or insurance provider according to their instructions.

Who needs a request for optional life?

1. Individuals who want to supplement their existing life insurance coverage.
2. Employees who have the option to participate in an employer-sponsored optional life insurance program.
3. Individuals who want to protect their loved ones financially in the event of their untimely death.
4. Those who may have dependents or financial obligations that would be impacted by their loss.

Note: It is important to consult with a financial advisor or insurance professional to determine if optional life insurance is the right choice for your specific situation and needs.

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What is request for optional life?

Request for optional life is a form submitted by an individual to sign up for additional life insurance coverage beyond the basic policy.

Who is required to file request for optional life?

Any employee who wishes to enroll in additional life insurance coverage is required to file a request for optional life.

How to fill out request for optional life?

The request for optional life form can usually be filled out online through the insurance provider's website or by requesting a paper form from the HR department.

What is the purpose of request for optional life?

The purpose of the request for optional life is to give employees the opportunity to increase their life insurance coverage beyond what is provided by their employer.

What information must be reported on request for optional life?

Information such as the amount of coverage desired, beneficiary information, and any relevant medical history may need to be reported on the request for optional life form.