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OPTIONAL ACCIDENTAL DE ATH AND DISMEMBERMENT APPLICATIONReturn completed form to:PLEASE PRINTPolicy #OE70011001Mercon Benefit Services 104 13025 St. Albert Trail Edmonton, AB T5L 4H5 780.455.5845
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How to fill out optional accidental de ath

01
Start by gathering all the necessary information for the optional accidental death form.
02
Carefully review the form and instructions provided by the insurance company.
03
Fill out your personal details accurately, including your name, address, phone number, and email.
04
Provide information about the deceased person, such as their name, date of birth, and social security number.
05
Indicate the cause of death and specify whether it was accidental.
06
Include any supporting documents or evidence related to the death, if required.
07
Double-check all the information you have entered to ensure its accuracy.
08
Sign and date the form before submission.
09
Submit the completed form to the designated insurance company or representative.
10
If you have any questions or need assistance, contact the insurance company's customer support.

Who needs optional accidental de ath?

01
Anyone who wants additional financial protection in the event of accidental death can opt for optional accidental death coverage.
02
Individuals who work in hazardous professions or participate in high-risk activities may find this coverage particularly beneficial.
03
People with dependents who rely on their income or financial support may choose optional accidental death coverage to provide for their loved ones in case of an accidental death.
04
Those who already have life insurance but want additional coverage specifically for accidental death scenarios may consider opting for this coverage.
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Optional accidental death is an additional insurance coverage that provides a benefit in the event of death caused by accidental means.
Typically, individuals who have opted for optional accidental death insurance coverage are required to file a claim in the event of the insured's accidental death.
To file a claim for optional accidental death, the beneficiary would need to gather all necessary documentation and submit it to the insurance company for review.
The purpose of optional accidental death insurance is to provide financial assistance to the beneficiary in the event of the insured's accidental death.
The beneficiary would need to report details of the insured's accidental death, provide a copy of the death certificate, and submit any other requested documentation.
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