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ASSURING LIFE INSURANCE COMPANYPAYROLL DEDUCTION AUTHORIZATION Post Office Box 82533, Lincoln, NE 685012533 (402) 4766500 (800) 8690355 FAX (402) 4373852Complete this form, submit the white copy to
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To fill out Assurity Life Insurance Company, follow these steps:
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Contact Assurity Life Insurance Company or visit their website to obtain the application form.
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Review the application form carefully and make sure you understand all the terms and conditions.
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Provide the required personal information such as name, address, contact details, and social security number.
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Fill out the section that requires information about your health history honestly and accurately.
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Choose the type of life insurance coverage you want and indicate the desired policy amount.
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If you have any beneficiaries, provide their details and specify the percentage of the death benefit each beneficiary should receive.
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Read and sign the necessary disclosures, authorizations, and consents.
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Review the completed application form to ensure all the information provided is correct and complete.
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Submit the filled-out application form along with any required documents as specified by Assurity Life Insurance Company.
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Wait for the application to be processed and follow up with Assurity Life Insurance Company if necessary.

Who needs assurity life insurance company?

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Assurity Life Insurance Company is beneficial for individuals who:
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- Want to protect their loved ones financially in case of their untimely death.
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- Have dependents who rely on their income for their daily needs and future expenses.
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- Want to leave a legacy or inheritance for their family or loved ones.
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- Have outstanding debts that they don't want to pass on to their family.
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- Want to cover final expenses, such as funeral costs and medical bills.
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- Have a mortgage or other loans that they want to protect their family from having to repay.
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- Have a business and want to ensure its continuity in case of their death.
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- Want to take advantage of the cash value component of certain life insurance policies for financial planning purposes.
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- Have specific financial goals, such as funding their child's education or saving for retirement, that they want to achieve through life insurance.
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Assurity Life Insurance Company is a life insurance company that provides financial protection and peace of mind to individuals and families.
Policyholders and beneficiaries of Assurity Life Insurance policies are required to file claims with the company.
To fill out Assurity Life Insurance forms, policyholders and beneficiaries must provide personal information, policy details, and any supporting documents required.
The purpose of Assurity Life Insurance Company is to provide life insurance coverage to help individuals and families financially in the event of death or disability.
Information such as policy number, policyholder's name, beneficiary's name, date of claim, cause of claim, and any other relevant details must be reported on Assurity Life Insurance forms.
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