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BOSTON MUTUAL LIFE INSURANCE COMPANY120 Royal Street18006692668 x700Canton, MA 02021Please refer to your Administration Kit for enrollment and P L E A S E P R I N T O R T Y P Emailing instructionsEMPLOYEE
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To fill out Boston Mutual Group Life Insurance form, follow these steps:
02
Gather all required personal information such as name, address, date of birth, and social security number.
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Provide details about your employment status and income.
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Determine the coverage amount you need and select the type of policy (term, whole life, etc.).
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Fill out the beneficiary information, including their name, relationship to you, and contact details.
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Answer all the health-related questions accurately, as this information can impact the premium and approval process.
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Review the completed form thoroughly for any errors or missing information.
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Sign and date the form as required.
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Submit the filled-out form to Boston Mutual Group Life Insurance either online or through mail, following the instructions provided.

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Boston Mutual Group Life Insurance is suitable for individuals who:
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- Desire to cover funeral and end-of-life expenses without burdening their family
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Boston Mutual Group Life refers to a life insurance policy offered by Boston Mutual Life Insurance Company that provides coverage for a group of individuals.
Employers or organizations who offer Boston Mutual Group Life insurance to their employees or members are required to file.
To fill out Boston Mutual Group Life, employers or organizations need to provide information about the insured individuals, coverage details, beneficiaries, and any additional riders or options.
The purpose of Boston Mutual Group Life is to provide financial protection to a group of individuals in case of death, disability, or critical illness.
Information such as the names of insured individuals, coverage amounts, beneficiary designations, and policy details must be reported on Boston Mutual Group Life.
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