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Washington Counties Insurance Fund Request for Group Life Conversion Materials Standard Insurance Company Continued Benefits 920 SW Sixth Avenue Portland OR 97204 800.378.4668 ext 6785 Important Information
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How to fill out request for group life

How to fill out a request for group life:
01
Start by obtaining the necessary forms from your insurance provider. This may include a request form specifically for group life insurance.
02
Carefully read through the instructions provided on the form. Make note of any required documents or additional information that needs to be included with the request.
03
Begin filling out the form by providing your personal information. This typically includes your full name, address, contact details, and social security number.
04
If you are filling out the request on behalf of a group, such as an employer or organization, ensure that you include the group's name and contact information as well.
05
Next, indicate the type of coverage you are requesting. This may include options such as term life insurance, whole life insurance, or accidental death and dismemberment coverage. Select the appropriate option based on your needs.
06
Provide the details of the individuals who will be covered under the group life insurance. This typically includes their full names, dates of birth, and relationship to you or the group.
07
Take your time to carefully review the form and ensure that all required fields have been completed accurately. Double-check spellings, dates, and other important details before submitting.
08
If any supporting documents are required, such as proof of employment or age verification, gather them and attach them to your request form.
09
Keep a copy of the completed form and any supporting documents for your records. It's always a good idea to have documentation of your application and any additional information you provided.
Who needs a request for group life?
Group life insurance is typically obtained by employers or organizations on behalf of their employees or members. It is designed to provide financial protection and peace of mind in the event of an employee's death or dismemberment. Therefore, employers or organizations who wish to provide this benefit to their staff or members will need to submit a request for group life insurance.
Additionally, individuals who are part of a group or organization that offers group life insurance may also need to submit a request form if they wish to ensure coverage for themselves or their dependents. It is important to consult with your employer or organization's benefits administrator to understand the process and requirements for requesting group life insurance.
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What is request for group life?
A request for group life is a formal application or form submitted to an insurance company or employer to enroll in a group life insurance policy.
Who is required to file request for group life?
Employees or individuals who are eligible to participate in a group life insurance plan are required to file a request for group life.
How to fill out request for group life?
To fill out a request for group life, individuals typically need to provide personal information such as name, date of birth, contact information, beneficiary details, and any additional required documentation.
What is the purpose of request for group life?
The purpose of a request for group life is to enroll individuals in a group life insurance policy to provide financial protection to their beneficiaries in the event of their death.
What information must be reported on request for group life?
Information such as personal details, beneficiary information, medical history, and coverage amount must be reported on a request for group life.
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