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EVIDENCE OF INSURABILITY FORM FOR DISABILITY INSURANCE Life Insurance Company of North America (LINA) a CHINA Company (herein called the Insurance Company) For info and customer service call 18007590101.
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How to fill out evidence of insurability form

01
Read the instructions carefully before starting to fill out the form.
02
Provide accurate and complete information in each section of the form.
03
Fill out personal information such as name, address, date of birth, and contact details.
04
Answer the health-related questions honestly and thoroughly.
05
Attach any supporting documents required, such as medical reports or test results.
06
Review all the information provided and make sure it is accurate and complete.
07
Sign and date the form.
08
Submit the filled-out form to the relevant insurance provider.

Who needs evidence of insurability form?

01
Individuals applying for certain types of life insurance policies may need to fill out an evidence of insurability form.
02
Employers may require their employees to fill out this form when applying for additional life or health insurance coverage.
03
Individuals who want to increase their coverage under an existing insurance policy may need to provide evidence of insurability.
04
People who have experienced significant life events such as marriage, having children, or buying a new home may need to fill out this form to update their insurance coverage.
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The evidence of insurability form is a document that provides information about an individual's health status and medical history as it relates to obtaining insurance coverage.
Individuals who are applying for certain types of insurance coverage, such as life insurance or disability insurance, may be required to file evidence of insurability form.
The form must be completed with accurate and detailed information about the individual's medical history, current health status, and any relevant medical treatments they have received.
The purpose of the evidence of insurability form is to provide the insurance company with information needed to assess the risk of insuring an individual and determine the appropriate premiums.
Information such as medical conditions, medications, past surgeries, and family medical history must be reported on the evidence of insurability form.
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