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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 1-800-759-0101.
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How to fill out evidence of insurability form
How to fill out an evidence of insurability form?
01
Start by carefully reading the instructions: Before you begin filling out the evidence of insurability form, take the time to thoroughly read the instructions provided. Familiarize yourself with the required information and any specific guidelines mentioned.
02
Provide personal details: Begin filling out the form by entering your personal information accurately. This typically includes your full name, date of birth, contact information, and social security or identification number.
03
Answer health-related questions: The evidence of insurability form often includes a section where you need to answer health-related questions. Be truthful and provide complete details about any pre-existing medical conditions, past surgeries or hospitalizations, and current medications or treatments.
04
Provide details of existing insurance coverage: The form may inquire about any existing life or health insurance policies you have. Include relevant information about the coverage amount, policy number, and the insurance company's contact details.
05
Consent and authorization: Some forms may require your consent and authorization to release medical records or conduct additional medical exams if necessary. Read this section carefully and sign where required.
06
Seek professional assistance if needed: If you have any doubts or concerns while filling out the evidence of insurability form, consider reaching out to a licensed insurance professional or the human resources department of your employer. They can provide valuable guidance and ensure all necessary information is accurately provided.
Who needs evidence of insurability form?
01
Individuals applying for new insurance policies: When applying for certain types of insurance, such as life insurance or additional health coverage, the insurance provider may require you to fill out an evidence of insurability form. This form helps the insurer evaluate the risks associated with insuring you and determine premium rates.
02
Existing policyholders seeking increased coverage: If you already hold an insurance policy and wish to increase the coverage amount, the insurance company may require you to prove your insurability again. This ensures that any increased risk is appropriately assessed before extending your coverage.
03
Employees enrolling in employer-sponsored insurance plans: Many employers offer group insurance plans to their employees, which may include life, health, or disability insurance. To enroll in these plans or make changes to existing coverage, employees may need to complete an evidence of insurability form.
It is important to note that the requirement for an evidence of insurability form may vary depending on the insurance provider, type of coverage, and individual circumstances. Always follow the specific instructions provided by your insurance company when filling out this form.
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