Get the free Evidence of Insurability Form (EOI)

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.

How to fill out evidence of insurability form

How to fill out evidence of insurability form:

1. Start by reading the instructions carefully. The evidence of insurability form may require certain documentation or medical information, so it is important to understand the requirements before proceeding.
2. Provide personal information such as your name, date of birth, and contact details. This information is necessary for the insurance company to identify you accurately.
3. Indicate the type of insurance coverage for which you need evidence of insurability. This could include life insurance, health insurance, or disability insurance, among others.
4. Fill out any medical history sections, if applicable. This may involve disclosing past or current health conditions, medications, treatments, surgeries, or hospitalizations. Be honest and thorough when providing this information.
5. If the form requires it, include information about your lifestyle habits such as smoking, alcohol consumption, or engagement in hazardous activities. These factors may affect the insurability assessment.
6. If there are any specific medical tests or exams required, such as bloodwork or physical examinations, make sure to schedule them and provide the results alongside the form.
7. Attach any supporting documents if requested. This could include medical records, test results, or statements from healthcare professionals.
8. Review the form for accuracy and completeness before submitting it. Double-check that all sections have been filled out properly and that there are no errors or omissions.
9. Sign and date the form where required to indicate that the information provided is true and accurate to the best of your knowledge.
10. Keep a copy of the filled-out form for your records before sending it to the appropriate recipient.

Who needs evidence of insurability form:

1. Individuals applying for new insurance policies generally need to provide evidence of insurability. This helps the insurance company assess the level of risk and determine the premiums to be charged.
2. Employees enrolling in employer-sponsored insurance plans that require evidence of insurability may need to fill out this form. This allows the insurance company to evaluate whether additional coverage should be offered.
3. Those seeking to increase coverage on an existing insurance policy may be required to submit evidence of insurability. This ensures that the individual still meets the necessary criteria for the increased coverage.
4. If a policyholder wants to reinstate a lapsed insurance policy, they may need to provide evidence of insurability. This helps the insurance company verify the policyholder's health status before resuming coverage.
5. Individuals experiencing qualifying life events, such as marriage, birth of a child, or divorce, and seeking to make changes to their insurance coverage may also be asked to provide evidence of insurability. This is often required to add or remove dependents from the policy.

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