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THE FAMILY INDEMNITY PLAN CHANGE OF INSURED FORM Insureds Name Certificate No. Membership/Account No. Organization This Change of Insured shall be effective on the first day of the month following

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How to fill out change of insured form

01

To fill out change of insured form, follow these steps:

02

Start by obtaining the change of insured form from the relevant insurance company.

03

Read the instructions and requirements mentioned in the form carefully.

04

Provide your personal information such as name, address, and contact details.

05

Mention the policy number and type of insurance for which the change of insured is requested.

06

Clearly state the reason for the change of insured and provide any supporting documentation if required.

07

If transferring the insurance to a new individual, provide their personal information and contact details.

08

Review the filled form for any mistakes or missing information.

09

Sign and date the form.

10

Submit the completed change of insured form to the insurance company through the prescribed method.

11

Keep a copy of the filled form for your records.

Who needs change of insured form?

01

Anyone who wishes to transfer the insured person on an insurance policy needs to fill out a change of insured form. This could be applicable in cases where ownership of the policy is transferred, the primary insured person is changing, or additional insured persons are being added or removed from the policy.

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What is change of insured form?

Change of insured form is a document that allows for the updating of the insured party on an insurance policy.

Who is required to file change of insured form?

The policyholder or any authorized representative is required to file the change of insured form.

How to fill out change of insured form?

The change of insured form can be filled out by providing the updated information of the new insured party and signing where required.

What is the purpose of change of insured form?

The purpose of change of insured form is to ensure that the correct party is covered under the insurance policy.

What information must be reported on change of insured form?

The change of insured form must include the name, contact information, and any other relevant details of the new insured party.

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