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Request for Continuation of Coverage for Disabled Child Employee instructions: Complete sections 1 through 8 on this form. Please print the information requested, and sign the form. Ask your physician
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How to fill out request for continuation ofcoverage

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How to fill out request for continuation ofcoverage

01
To fill out a request for continuation of coverage, follow these steps:
02
Obtain the request form from your insurance provider or download it from their website.
03
Fill in your personal information, including your name, address, and contact details.
04
Provide details about your current insurance policy, such as the policy number and the name of your insurance company.
05
Indicate the reason for the continuation of coverage request, whether it's due to a change in employment, loss of coverage, or other circumstances.
06
If applicable, include any supporting documentation, such as termination letter from previous employer or proof of loss of coverage.
07
Review the completed form to ensure all information is accurate and complete.
08
Submit the request form to your insurance provider through the designated method, such as mailing it or submitting it online.
09
Keep a copy of the request form for your records.
10
Follow up with your insurance provider to confirm receipt of the request and to inquire about the status of the continuation of coverage.

Who needs request for continuation ofcoverage?

01
A request for continuation of coverage is needed by individuals who want to extend their current insurance policy beyond its expiration date.
02
Typically, this request is made when someone experiences a change in employment or loss of coverage and wants to ensure uninterrupted insurance protection.
03
It is also relevant for those who have specific circumstances that require the continuation of their existing insurance, such as ongoing medical treatments or pre-existing conditions.
04
Ultimately, anyone who wishes to continue with their current insurance coverage can submit a request for continuation of coverage.
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Request for continuation of coverage is a formal request to maintain or extend an existing insurance policy.
The policyholder or the insured individual is typically required to file a request for continuation of coverage.
Request for continuation of coverage can usually be filled out online through the insurance company's website or by contacting their customer service.
The purpose of request for continuation of coverage is to ensure that the existing insurance policy remains in effect without any gaps in coverage.
The request for continuation of coverage may require information such as policy number, personal details of the insured individual, and payment details.
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