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EVIDENCE OF INSURABILITY FORM FOR DISABILITY INSURANCE Life Insurance Company of North America (LINA) Please forward your form to: Cagney Group Insurance

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What is evidence of insurability form?

Evidence of insurability form is a document that provides information about an individual's health and/or financial status to determine their eligibility for insurance coverage.

Who is required to file evidence of insurability form?

Anyone applying for insurance coverage or making changes to their existing coverage may be required to file evidence of insurability form.

How to fill out evidence of insurability form?

The form typically requires information such as medical history, current health status, lifestyle habits, and other relevant details. It is important to provide accurate and complete information.

What is the purpose of evidence of insurability form?

The purpose of evidence of insurability form is to assess the risk associated with insuring an individual, based on their health and financial status.

What information must be reported on evidence of insurability form?

Information such as medical history, current health conditions, medications, lifestyle habits, and family medical history may need to be reported on evidence of insurability form.

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