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New Contract Change For # Reinstatement For # Group Enrollment Form Fidelity Life Association (the Company) Administrative Office: P.O. Box 506, Keen, N.H. 03431-0506 I. Employee/Mayor Information
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How to fill out fidelity life enrollment form

How to fill out fidelity life enrollment form:
01
Start by gathering all necessary information. This includes personal details such as your full name, address, date of birth, and contact information. You may also need to provide your social security number or other identification numbers.
02
Read through the form carefully to understand the questions and requirements. Pay attention to any instructions or guidelines provided.
03
Begin filling out the form by entering your personal information accurately in the designated fields. Double-check the spelling and accuracy of the information provided.
04
If the form requires you to select options or make choices, carefully consider your selections based on your specific needs. This may include choosing the desired coverage amount or selecting additional policy benefits.
05
If the form requests information about your medical history or any pre-existing conditions, fill out this section truthfully and in detail. Accuracy is crucial in ensuring that your policy is valid and provides appropriate coverage.
06
Provide any additional information or documentation that may be required. This could include supporting documents such as medical records or proof of income if applicable.
07
Review the completed form thoroughly before submitting it. Make sure all fields are filled out accurately and completely.
08
If necessary, seek assistance from a financial advisor or insurance agent to clarify any doubts or concerns you may have.
Who needs fidelity life enrollment form:
01
Individuals seeking life insurance coverage: The fidelity life enrollment form is typically required for those individuals who wish to apply for a life insurance policy with Fidelity Life. This form provides the necessary details for the company to assess your eligibility and offer you appropriate coverage options.
02
Existing policyholders making changes: If you already have a policy with Fidelity Life and need to make changes, such as increasing coverage amount or adding beneficiaries, you may need to fill out an enrollment form. This allows the company to process your request accurately and update your policy accordingly.
03
Employers offering group life insurance: Employers who offer group life insurance plans through Fidelity Life may require their employees to fill out an enrollment form to enroll in the policy. This ensures that employees are provided with the necessary coverage and benefits as part of their employment package.
04
Beneficiaries or legal representatives: In the unfortunate event of the policyholder's death, beneficiaries or legal representatives may be required to fill out an enrollment form to claim the policy benefits. This helps Fidelity Life verify the identity and relationship of the claimant, ensuring that the benefits are appropriately distributed.
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