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Application for Cancer Indemnity Insurance (A78000 Series) Application to: American Family Life Assurance Company of Columbus (herein referred to as Flag) Worldwide Headquarters Columbus, Georgia
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01
To fill out convert ci rider only, follow these steps:
02
Obtain the convert ci rider only form from your insurance provider.
03
Fill in your personal information such as your name, address, and contact details.
04
Provide details about your current insurance policy, including the policy number and coverage details.
05
Specify the desired changes you want to make to your policy, particularly the conversion to CI (Critical Illness) rider only.
06
Review the completed form for accuracy and completeness.
07
Submit the form to your insurance provider via mail, fax, or online submission as instructed.
08
Wait for confirmation from your insurance provider regarding the successful conversion of your policy.

Who needs convert ci rider only?

01
People who already have an existing insurance policy and want to add a Critical Illness (CI) rider without any other additional riders or coverage may need a convert CI rider only. This option allows individuals to enhance their existing policy specifically for critical illness coverage without any other changes to their current coverage.
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Convert CI rider only is a supplemental insurance rider that allows the policyholder to convert their existing term life insurance policy to a permanent policy without having to provide proof of insurability.
Policyholders who have a term life insurance policy and wish to convert it to a permanent policy are required to file convert CI rider only.
To fill out a convert CI rider only, the policyholder needs to contact their insurance company and request the conversion form. The form will require information about the existing policy and the desired permanent policy.
The purpose of the convert CI rider only is to provide policyholders with the flexibility to convert their term life insurance policy to a permanent policy without undergoing additional underwriting.
The convert CI rider only form typically requires information about the existing term life insurance policy, the desired permanent policy coverage amount, and the policyholder's personal information.
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