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Sun Life Insurance and Annuity Company of New York Evidence of Insurability Cover Page Employer Instructions Complete this cover page and provide it to the employee. The employee may complete the

How to fill out evidence of insurability statement

How to fill out evidence of insurability statement:

1. Start by carefully reading the instructions provided by your insurance company regarding the evidence of insurability statement. Make sure you understand the purpose and requirements of this statement.
2. Gather all the necessary documents and information that may be required to complete the statement. This typically includes personal and medical information, such as your name, date of birth, address, occupation, and any pre-existing medical conditions or treatments.
3. Fill in your personal details accurately. Double-check the information you provide to ensure there are no errors or discrepancies.
4. Provide a detailed medical history, including any previous surgeries, hospitalizations, or ongoing treatments. Be honest and thorough in describing your medical conditions, as any falsifications can lead to complications or denial of coverage.
5. If you have undergone any medical tests or examinations recently, include the relevant results and details in the statement. This may include lab reports, X-ray records, or any other medical reports that support your insurability.
6. If required, attach any additional supporting documents, such as medical certificates or specialist opinions, to strengthen your case for insurability.
7. Review and proofread your statement before submission to ensure clarity and accuracy. Make sure all sections are completed, and there are no missing or incomplete answers.
8. Sign and date the evidence of insurability statement as required. This validates your declaration and confirms that the information provided is true and complete to the best of your knowledge.
9. Submit the fully completed and signed statement to your insurance company as instructed. Keep a copy of the statement for your records.

Who needs evidence of insurability statement?

1. Individuals applying for new life insurance policies or increasing their coverage may be required to provide an evidence of insurability statement.
2. Employees enrolling in employer-sponsored group insurance plans that require proof of insurability may need to submit this statement.
3. Anyone seeking to make changes to their existing insurance policy, such as adding a new beneficiary or removing exclusions, may need to complete an evidence of insurability statement.
4. If you have previously declined coverage or allowed your policy to lapse, but wish to reinstate or re-enroll, you may be asked to provide an evidence of insurability statement to assess your current health status.

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What is evidence of insurability statement?

The evidence of insurability statement is a form or document that provides details about an individual's health and medical history to determine their eligibility for insurance coverage.

Who is required to file evidence of insurability statement?

Those individuals who are applying for insurance coverage or making changes to their existing coverage may be required to file an evidence of insurability statement.

How to fill out evidence of insurability statement?

You can fill out the evidence of insurability statement by providing accurate and detailed information about your health and medical history as requested on the form.

What is the purpose of evidence of insurability statement?

The purpose of the evidence of insurability statement is to help insurance companies assess the risk associated with providing coverage to an individual based on their health status.

What information must be reported on evidence of insurability statement?

The information that must be reported on the evidence of insurability statement typically includes details about the individual's medical history, current health status, any pre-existing conditions, and lifestyle habits.