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___GROUP INSURANCE POLICY NONPARTICIPATING ___POLICYHOLDER: Town of Leesburg POLICY NUMBER: 218668 001 POLICY EFFECTIVE DATE: July 1, 2010, POLICY ANNIVERSARY DATE: July 1 GOVERNING JURISDICTION:
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How to fill out group insurance policy non-participating

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To fill out a group insurance policy non-participating, follow these steps:
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Obtain the necessary forms from your insurance provider or employer.
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Read through the forms carefully to understand the requirements and provisions of the policy.
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Fill in the required personal information, such as your name, age, and contact details.
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Provide information about your employer or the group you belong to, including their name, address, and contact information.
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Specify the coverage options you want, such as the amount of insurance and any additional riders.
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Provide details about the beneficiaries, including their names and relationship to you.
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Review the filled-out form to ensure accuracy and completeness.
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Sign and date the form as required.
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Submit the completed form to your insurance provider or employer as instructed.
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Keep a copy of the filled-out form for your records.

Who needs group insurance policy non-participating?

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Group insurance policy non-participating is beneficial for:
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- Social or civic groups that want to provide life insurance as a group benefit.
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- Any individual who wants to obtain life insurance coverage through a group policy rather than an individual policy.

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