
Principal Life Insurance Company GP60360-01 2017-2025 free printable template
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Principal Life
Insurance Company210
Mailing Address:
Des Moines, IA
503920002Employer Application
for Group Insurance PLEASE USE BLACK INK
To avoid processing delays, please make sure you answer all
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How to fill out critical illness claim form

How to fill out critical illness claim form
01
Start by gathering all necessary documents and information, such as medical reports, diagnosis information, and policy details.
02
Carefully read through the critical illness claim form to understand the required information and sections.
03
Begin filling out the form by providing your personal details, including your name, address, contact information, and policy number.
04
Follow the instructions provided for each section, providing accurate and honest information.
05
Provide detailed information about the critical illness you are claiming for, including the date of diagnosis and medical reports supporting the diagnosis.
06
Include any additional documentation or evidence required to support your claim, such as laboratory results or specialist statements.
07
Double-check all the information you have provided to ensure accuracy and completeness.
08
Sign and date the form where indicated.
09
Submit the completed claim form along with all necessary documents to the appropriate insurance company or claims department.
10
Keep copies of the filled-out form and all submitted documents for your records.
11
Follow up with the insurance company to ensure the status of your claim and provide any additional information if requested.
Who needs critical illness claim form?
01
Anyone who holds a critical illness insurance policy and has been diagnosed with a covered critical illness may need to fill out a critical illness claim form. This includes individuals who want to seek financial compensation or benefits from their insurance policy due to a critical illness diagnosis.
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