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DECLARATION OF INSURABILITY DENTAL CARE INSURANCE PLAN GROUP INSURANCE La Capital Insurance and Financial Services Inc. 625 Saint-Amable St., P.O. Box 1500, Quebec QC G1K 8 9 418 644-4200ofu 1 800

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How to fill out declaration of insurability

How to fill out a declaration of insurability:

01

Start by reviewing the form: Take the time to carefully read through the declaration of insurability form. Understand what information is being asked and any additional documents or medical records that may need to be attached.

02

Personal details: Begin by entering your personal information such as your full name, date of birth, address, and contact details. Ensure that all the information is accurate and up to date.

03

Employment details: Provide your current employment information, including your job title, employer's name, and any other relevant details requested. This is important as the insurance company needs to evaluate your eligibility for coverage based on your employment status.

04

Health history: Fill out the health history section truthfully and to the best of your knowledge. Provide details about any pre-existing medical conditions, surgeries, hospitalizations, and any ongoing treatments or medications you are currently taking. It is crucial to be honest and transparent in this section, as any misrepresentation can lead to issues with your coverage later on.

05

Lifestyle habits: Some declaration of insurability forms may ask about your lifestyle habits, such as smoking, alcohol consumption, or participation in any hazardous activities. If applicable, provide accurate information regarding these habits as it can influence the terms of your coverage.

06

Additional documents: Some insurance companies may require additional documents along with the declaration of insurability form. These may include medical records, test results, or other supporting documents related to your health history. Ensure that you attach these documents as specified.

07

Signature: Once you have filled out all the necessary sections and attached any required documents, review the form one final time for accuracy. Then, sign and date the declaration. By doing so, you are confirming that the information provided is true and accurate to the best of your knowledge.

Who needs a declaration of insurability?

A declaration of insurability is typically required for individuals who are applying for or making changes to their life insurance policies. It is commonly requested when applying for additional coverage, increasing the coverage amount, or adding optional riders to an existing policy. The insurance company uses the information provided in the declaration of insurability to assess the applicant's health status and determine their eligibility for the desired coverage.

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What is declaration of insurability?

Declaration of insurability is a form completed by an individual to provide information about their health and lifestyle for insurance purposes.

Who is required to file declaration of insurability?

Insurance applicants who are required to provide additional information about their health and lifestyle may need to file a declaration of insurability.

How to fill out declaration of insurability?

To fill out a declaration of insurability, the individual needs to provide accurate information about their medical history, current health status, and lifestyle habits as required by the insurance company.

What is the purpose of declaration of insurability?

The purpose of declaration of insurability is to help insurance companies assess the risk associated with insuring an individual based on their health and lifestyle information.

What information must be reported on declaration of insurability?

Information such as medical history, current health conditions, lifestyle habits (e.g. smoking, alcohol consumption), and any pre-existing conditions must be reported on the declaration of insurability.

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