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GROUP LIFE INSURANCE APPLICATION HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY Sims bury, Connecticut 06089 Policyholder Name: Policy No.: American Nurses Association AGT-1755 Section 2 Proposed Insured
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How to fill out group life insurance application

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How to fill out a group life insurance application:

01
Start by gathering all necessary information: Before filling out the application, make sure you have all the required information handy. This may include personal details such as full name, date of birth, address, and contact information.
02
Understand the coverage options: Familiarize yourself with the different coverage options available under the group life insurance policy. This could include options such as basic life insurance, accidental death and dismemberment coverage, and supplemental life insurance.
03
Determine the coverage amount: Decide on the desired coverage amount based on your needs, considering factors such as family size, financial obligations, and future expenses.
04
Complete personal details section: Begin filling out the application by providing accurate personal details, including your name, address, social security number, and contact information.
05
Provide beneficiary information: Indicate who you would like to receive the life insurance benefit in the event of your death. Ensure that you provide accurate and up-to-date contact information for the beneficiaries.
06
Answer medical questions: Group life insurance applications often require disclosure of medical history or may ask specific health-related questions. Answer these questions truthfully and thoroughly to the best of your knowledge.
07
Review and sign the application: Carefully review all the information provided in the application before signing it. Ensure that all details are accurate and complete. If you have any questions or concerns, contact the insurance company for clarification.

Who needs a group life insurance application?

01
Employers: Employers who wish to provide life insurance coverage for their employees often need to fill out group life insurance applications. This allows them to offer a comprehensive benefits package to attract and retain talent.
02
Employees: Individuals who want to enroll in their employer's group life insurance plan will typically need to fill out a group life insurance application to initiate coverage. This provides them with financial protection for their loved ones in the event of their death.
03
Organizations or associations: Certain organizations or associations may offer group life insurance to their members. In such cases, members may need to fill out a group life insurance application to join the plan and access the coverage provided.
In all cases, it is essential to carefully review and accurately complete the group life insurance application to ensure seamless enrollment and coverage under the policy.
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Group life insurance application is a form that an employer, organization, or association fills out to provide life insurance coverage for a group of individuals under a single policy.
Employers, organizations, or associations who wish to provide life insurance coverage for a group of individuals are required to file a group life insurance application.
To fill out a group life insurance application, the employer, organization, or association must provide information about the group to be covered, such as number of individuals, coverage amount, and beneficiaries.
The purpose of a group life insurance application is to provide life insurance coverage for a group of individuals under a single policy, usually at a lower cost than individual plans.
Information such as the name and contact information of the employer or organization, details about the group to be covered, coverage amounts, and beneficiary information must be reported on a group life insurance application.
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