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Get the free SUPPLEMENTAL SPECIFIED CRITICAL ILLNESS INSURANCE

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COLONIAL LIFE & ACCIDENT INSURANCE COMPANY1200 Colonial Life Boulevard, P.O. Box 1365, Columbia, South Carolina 29202 1.800.325.4368 www.coloniallife.com A Stock CompanySUPPLEMENTAL SPECIFIED CRITICAL
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How to fill out supplemental specified critical illness

01
To fill out the supplemental specified critical illness form, follow these steps:
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Start by entering your personal information, including your name, date of birth, and contact details.
03
Provide details about your primary health insurance coverage, including the name of the insurance company, policy number, and effective dates.
04
Specify the critical illness for which you are seeking supplemental coverage. This may include conditions such as cancer, heart attack, stroke, kidney failure, or organ transplant.
05
If you have any pre-existing conditions related to the critical illness, make sure to disclose them accurately.
06
Outline the desired face amount and duration of the supplemental specified critical illness coverage.
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If you have any additional riders or benefits you wish to add to the policy, indicate them accordingly.
08
Review the completed form to ensure all information is accurate and complete.
09
Sign and date the form to authorize the application for supplemental specified critical illness coverage.

Who needs supplemental specified critical illness?

01
Supplemental specified critical illness coverage is recommended for individuals who:
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- Have a primary health insurance policy but require additional financial protection specifically for critical illnesses.
03
- Have a family history of critical illnesses, making them more susceptible to such conditions.
04
- Work in high-risk occupations that expose them to a greater likelihood of developing critical illnesses, such as firefighters or construction workers.
05
- Have a high level of financial responsibility and want to ensure they are adequately covered in the event of a critical illness.
06
- Want peace of mind knowing that they have additional financial support to cover medical expenses and other costs associated with critical illnesses.
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Supplemental specified critical illness is a type of insurance coverage that provides additional financial protection in the event of a serious illness.
Individuals who want additional financial protection in case of a critical illness may choose to purchase supplemental specified critical illness.
To fill out supplemental specified critical illness, individuals must provide information about their health history, desired coverage amount, and beneficiaries.
The purpose of supplemental specified critical illness is to provide additional financial support to individuals and their families in the event of a serious illness.
Information such as the type of critical illness covered, coverage amount, policy details, and beneficiary information must be reported on supplemental specified critical illness.
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