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AUTHORIZATION FOR RELEASE OF HEALTHRELATED INFORMATION TO PEKING LIFE INSURANCE COMPANY This authorization complies with the HIPAA Privacy Rule Name of proposed insured/patient (please print)/ / Date
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Pekin Life Insurance offers life insurance policies to individuals seeking financial protection for their loved ones in the event of their death.
Anyone who is interested in obtaining life insurance coverage from Pekin Life Insurance may be required to file an application.
To fill out a life insurance application with Pekin Life Insurance, individuals can contact a licensed insurance agent or visit the company's website to complete an online application form.
The purpose of Pekin Life Insurance is to provide financial security and peace of mind to policyholders and their beneficiaries by providing a death benefit in the event of the insured's passing.
When applying for life insurance with Pekin Life Insurance, individuals must provide personal information such as their name, age, medical history, occupation, and beneficiary details.
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