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Non-Underwritten Change Application Individual Underwriting Department P.O. Box 2417 Omaha, NE 68103-2417 nebraskablue.com Telephone (402) 398-3730 Toll free (800) 622-2763 Please Print. Section I

How to fill out non-underwritten change application

How to fill out a non-underwritten change application:

1. Begin by reviewing the instructions: Before filling out the non-underwritten change application, carefully read the provided instructions. This will ensure that you understand the requirements and can provide accurate information.
2. Gather necessary documents: Collect all the relevant documents that may be required for the application. This could include identification proof, previous policy details, or any other supporting documents mentioned in the instructions.
3. Provide personal information: Start by entering your personal information accurately. This may include your full name, contact details, date of birth, and social security number. Double-check the information to avoid any errors.
4. Fill in policy details: Next, provide the necessary details related to the policy for which you are seeking a change. This may include the policy number, effective date, and any other information specific to your insurance policy.
5. Specify the change requested: Clearly indicate the specific change you are requesting on the application form. This could be a change in beneficiary, coverage amount, or any other relevant modification.
6. Include supporting information: If the change you are requesting requires additional supporting information, ensure that you include it with the application. This may include documents such as a marriage certificate, updated medical records, or any other relevant proof.
7. Review and sign the application: Once you have filled in all the required information, carefully review the application form to ensure its accuracy. Then, sign and date the form as instructed.

Who needs a non-underwritten change application?

1. Individuals with existing insurance policies: If you already have an insurance policy and need to make changes to it, such as updating beneficiaries or increasing coverage, you may need to complete a non-underwritten change application.
2. Policyholders seeking modifications: Anyone who holds an insurance policy and wishes to make specific modifications to the policy, without going through the underwriting process, may require a non-underwritten change application.
3. Those looking for a hassle-free process: The non-underwritten change application is typically designed to provide a simpler and quicker method for policyholders to make specific changes to their policies. If you prefer a streamlined process and do not want to go through the full underwriting process again, this type of application may be suitable for you.

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What is non-underwritten change application?

A non-underwritten change application is a request to make changes to an insurance policy without going through the underwriting process.

Who is required to file non-underwritten change application?

Policyholders who wish to make changes to their insurance policy without underwriting approval are required to file a non-underwritten change application.

How to fill out non-underwritten change application?

To fill out a non-underwritten change application, policyholders must provide details of the requested changes and any relevant personal information.

What is the purpose of non-underwritten change application?

The purpose of a non-underwritten change application is to allow policyholders to make changes to their policy quickly and easily without the need for underwriting approval.

What information must be reported on non-underwritten change application?

Policyholders must report the requested changes to their insurance policy and provide any necessary personal information on a non-underwritten change application.