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Effective Date Life and Disability Enrollment/Change Request Employee Hire Date Employee Social Security Number Aetna Life Insurance Company A. Transaction Information 1. Enrollment New Employee Retiree
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How to fill out Aetna Life & DI:

01
Gather necessary information: Before starting the application, gather all relevant personal and medical information such as social security number, date of birth, employment details, and any pre-existing medical conditions.
02
Access the application: Visit the official Aetna website or contact their customer service to obtain the Life & DI application form. You may also have the option to fill it out online or download a printable version.
03
Read instructions carefully: Before proceeding with filling out the form, carefully read all the instructions and requirements provided. Make sure to understand the terms and conditions, as well as any supporting documents that may be required.
04
Provide personal details: Begin filling out the application by entering your personal information such as your full name, address, contact number, and email address. Double-check the accuracy of the entered information to avoid any processing delays.
05
Employment details: Provide details about your current employment status, including the name of your employer, job title, and any additional income sources. This information helps determine your eligibility and coverage options.
06
Medical history: Answer all medical history-related questions honestly and thoroughly. Provide details regarding any existing medical conditions, medication usage, previous surgeries, or hospitalizations. Failing to disclose accurate information may result in claim denial later on.
07
Beneficiary information: Indicate the person(s) you want to designate as the beneficiary(ies) of your Aetna Life & DI policy. Include their full names, relationship to you, and their contact information. You may need to provide supporting documentation, such as legal proof of relationship, for certain cases.
08
Review and submit: Once you have completed all sections of the application, double-check for any errors or missing information. Review the entire form to ensure its accuracy. Make copies of your completed application and any supporting documents for your records. Submit the application as per the instructions provided, either electronically or by mail.

Who needs Aetna Life & DI?

01
Individuals seeking financial protection: Aetna Life & DI is beneficial for those who wish to protect themselves financially in case of an unexpected disability or loss of income due to injury, illness, or accident. It provides income replacement, which can be vital for individuals and their families during difficult times.
02
Employees without sufficient coverage: Many employers offer disability insurance, but the coverage may not always be adequate. In such cases, individuals can opt for Aetna Life & DI to supplement their employer-provided coverage and ensure comprehensive protection.
03
Self-employed individuals: For self-employed individuals who do not receive disability coverage through their employer, Aetna Life & DI can provide them with the necessary financial security in case of disability or income loss.
04
Professionals with physically demanding jobs: Occupations that involve physical labor or higher risks of injury may benefit greatly from Aetna Life & DI. It offers them protection and peace of mind knowing that their income will be safeguarded, even if they suffer a disability that prevents them from working.
Remember, it is essential to consult with insurance professionals or Aetna representatives to fully understand the terms, coverage options, and eligibility criteria before making a decision.
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Aetna Life & Disability Insurance (Aetna Life amp di) offers a range of insurance products including life insurance and disability insurance.
Employers who provide Aetna Life & Disability Insurance to their employees are required to file Aetna life amp di.
Aetna Life & Disability Insurance forms can typically be filled out online or submitted through a designated portal provided by Aetna.
The purpose of Aetna Life & Disability Insurance is to provide financial protection to individuals and their families in case of death or disability.
Information such as policy details, insured individuals, beneficiaries, and coverage amounts must be reported on Aetna Life & Disability Insurance forms.
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