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Evidence of Insurability Statement Life and Disability Coverage Aetna Life Insurance Company Read This Instruction Page Carefully. Aetna may contact you directly to request additional information

How to fill out evidence of insurability statement

How to fill out evidence of insurability statement:

1. Contact your insurance provider to request the Evidence of Insurability (EOI) form. They will provide you with the necessary paperwork to complete.
2. Carefully read all the instructions on the form to understand what information is required and how to fill it out correctly.
3. Provide personal details: Start by filling out your name, address, date of birth, and other identifying information as requested on the form.
4. Employment and coverage information: Include details about your current employment status and any existing insurance coverage you may have.
5. Medical history: Be prepared to disclose your medical history, including any pre-existing conditions, surgeries, medications, or recent hospitalizations. Provide accurate and complete information to the best of your knowledge.
6. Authorization and signature: Read the authorization statement carefully and make sure you understand its implications. Then, sign and date the form to confirm that the provided information is true and accurate to the best of your knowledge.
7. Returning the form: Once you have completed the evidence of insurability statement, submit it to your insurance provider by the specified deadline. Follow any additional instructions provided, such as attaching supporting medical documentation if required.

Who needs evidence of insurability statement?

1. Individuals applying for new life insurance policies: When applying for a life insurance policy, the insurance company may request an evidence of insurability statement to assess the applicant's health and determine the premium rates.
2. Existing policyholders increasing coverage: If you already have a life insurance policy and intend to increase the coverage amount, the insurance company may require an evidence of insurability statement to evaluate the additional risk.
3. Policyholders reinstating lapsed policies: If your life insurance policy has lapsed due to non-payment or any other reason, the insurance company may require an evidence of insurability statement before reinstating the coverage.

Overall, an evidence of insurability statement is typically required to evaluate an individual's health and assess the risk involved in providing or extending life insurance coverage.

For pdfFiller’s FAQs

What is evidence of insurability statement?

Evidence of insurability statement is a form or document that provides information about an individual's health and medical history as it relates to obtaining insurance coverage.

Who is required to file evidence of insurability statement?

The individuals who are required to file evidence of insurability statement are typically those who are applying for or making changes to their insurance coverage that requires underwriting.

How to fill out evidence of insurability statement?

To fill out evidence of insurability statement, individuals need to provide accurate information about their health, medical history, and other related details as requested on the form.

What is the purpose of evidence of insurability statement?

The purpose of evidence of insurability statement is for insurance companies to assess the risk of insuring an individual based on their health and medical history, which helps determine coverage options and premiums.

What information must be reported on evidence of insurability statement?

The information that must be reported on evidence of insurability statement typically includes details about an individual's current health status, medical conditions, medications, past treatments, and lifestyle habits.

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