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INSTRUCTIONS THE STATEMENT OF HEALTH FORM AND THE AUTHORIZATION FORM THAT FOLLOW THIS SECTION INSTRUCTIONS TO THE SCOREKEEPER (The Record keeper may be the Group Customer, a Third Party Administrator
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01
Start by writing the full name of the proposed insured person in the designated field.
02
Provide the date of birth of the proposed insured person.
03
Fill in the current residential address of the proposed insured person.
04
Mention the contact details including phone number and email address of the proposed insured person.
05
Specify the occupation and employment details of the proposed insured person.
06
Indicate the desired coverage amount and policy term for the proposed insured person.
07
Provide any additional information or details requested in the form that are applicable to the proposed insured person.
08
Review the filled out form for accuracy and completeness before submitting it.

Who needs you form proposed insured?

01
Anyone who is applying for insurance and wants to nominate a specific person as the proposed insured should fill out this form. It is commonly used in life insurance applications where individuals want to name a beneficiary or insure someone other than themselves.
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The form proposed insured is a document that identifies the person or entity that is seeking insurance coverage.
The person or entity seeking insurance coverage is required to file the form proposed insured.
The form proposed insured can be filled out by providing the required information such as personal or business details, insurance needs, and any relevant documentation.
The purpose of the form proposed insured is to provide the insurance company with the necessary information to assess the risk and determine the appropriate coverage and premium.
The form proposed insured typically requires information such as name, address, contact details, insurance requirements, and any relevant background information.
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