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PO Box 2465 Birmingham AL 352012465 Phone: 8662570707 | Fax: 3032625462 Email: adaclaims@protective.comSUPPLEMENTAL ATTENDING PHYSICIANS STATEMENT NOTE:Protective Life & Annuity Insurance Company

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How to fill out waiver of premium disability

01

Obtain a waiver of premium disability form from your insurance provider.

02

Fill out the form with your personal information, policy details, and medical history.

03

Provide any necessary documents such as medical records or disability statements to support your claim.

04

Double-check all information and make sure it is accurate before submitting the form to your insurance provider.

05

Follow up with your insurance provider to ensure that your waiver of premium disability request is being processed.

Who needs waiver of premium disability?

01

Individuals who have a disability that prevents them from working and earning an income may need a waiver of premium disability.

02

This waiver allows the policyholder to have their insurance premiums waived while they are unable to work due to a qualifying disability.

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What is waiver of premium disability?

The waiver of premium disability is a provision in an insurance policy that allows the insured to not pay premiums if they become disabled and unable to work.

Who is required to file waiver of premium disability?

The insured individual who becomes disabled and unable to work is required to file a waiver of premium disability.

How to fill out waiver of premium disability?

To fill out a waiver of premium disability, the insured must provide documentation of their disability from a medical professional and submit it to the insurance company.

What is the purpose of waiver of premium disability?

The purpose of waiver of premium disability is to provide financial relief to the insured individual who is unable to work due to a disability.

What information must be reported on waiver of premium disability?

The waiver of premium disability must include documentation of the insured's disability, medical records, and any other relevant information requested by the insurance company.

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