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Paramedical Supplement to Life Insurance Application Fidelity & Guaranty Life Insurance Company Home Office: Des Moines, IA Administrative Office: P.O. Box 81497; Lincoln, NE 6850181497 Phone: 888.513.8797Name
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01
To fill out the paramedical supplement to life, follow these steps:
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Start by providing your personal information such as name, address, and contact details.
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Specify the insurance policy or contract number that the supplement is being filed for.
04
Indicate the date when the medical treatment or service was received.
05
Describe in detail the nature of the medical treatment or service.
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Provide any supporting documents or receipts that validate the medical treatment or service.
07
Include the total cost incurred for the medical treatment or service.
08
Sign and date the form to certify the accuracy of the information provided.
09
Submit the filled-out paramedical supplement form to the appropriate party or insurance company.

Who needs paramedical supplement to life?

01
Paramedical supplement to life is typically needed by individuals who have a life insurance policy or contract that includes coverage for paramedical services.
02
Specifically, individuals who have received paramedical treatments or services, such as physiotherapy, chiropractic care, massage therapy, or acupuncture, may need to fill out this supplement to claim reimbursement for the expenses incurred.
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It is recommended to check the terms and conditions of your life insurance policy or contract to determine if it covers paramedical services and if a supplement form is required.
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Paramedical supplement to life is an additional form that includes medical information provided by a physician or healthcare provider to support a life insurance application.
The applicant for a life insurance policy is required to file a paramedical supplement to life.
To fill out the paramedical supplement to life, the applicant needs to provide detailed information about their medical history, current health status, and any treatments or medications they are currently using.
The purpose of the paramedical supplement to life is to provide the insurance company with additional medical information to help them assess the applicant's risk and determine the terms of the policy.
The paramedical supplement to life typically requires information such as the applicant's medical history, current health status, medications, treatments, and any recent medical procedures.
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