Get the free Non-Smoker Certification

This document certifies the non-smoking status of an applicant or subscriber for discounted subscription charges under Premera Blue Cross Individual Plans.

How to fill out non-smoker certification

How to fill out Non-Smoker Certification

1. Obtain the Non-Smoker Certification form from the relevant authority or website.
2. Read the instructions carefully to understand the requirements.
3. Fill in your personal information, including your name, address, and date of birth.
4. Indicate your smoking status by selecting the appropriate checkbox or writing 'Non-Smoker'.
5. Complete any additional sections that may require information or verification.
6. Sign and date the form to certify that the information provided is accurate.
7. Submit the completed form according to the instructions provided, whether online or via mail.

Who needs Non-Smoker Certification?

1. Individuals seeking health insurance coverage that rewards non-smokers with lower premiums.
2. Applicants for certain jobs that require a Non-Smoker Certification as part of their health assessment.
3. Participants in wellness programs offered by employers or health organizations.
4. Individuals applying for mortgages or loans that might offer benefits to non-smokers.

People Also Ask about

When can I class myself as a non-smoker?

A non-smoker is someone who last smoked cigarettes or cigars, used a pipe or any other form of tobacco or nicotine products, including e-cigarettes or nicotine replacement products more than 5 years ago.

When can you class yourself as a non-smoker?

If you gave up one to five years ago, we can consider different rates, and if you haven't used tobacco or nicotine related products for five years, we'll class you as a non-smoker for life insurance. Different insurers may have different guidelines, so make sure you check with them.

How long until I can call myself a non-smoker?

As soon as you have had your last cigarette, call yourself a non-smoker.

When can I consider myself a non-smoker?

Think of yourself as a non-smoker from the moment that you quit.

What is considered a non-smoker?

Former smoker: An adult who has smoked at least 100 cigarettes in his or her lifetime but who had quit smoking at the time of interview. Never smoker: An adult who has never smoked, or who has smoked less than 100 cigarettes in his or her lifetime.

When can I say I'm a non-smoker?

You should not have used any tobacco or nicotine products for 12 months to be considered a non-smoker. This includes tobacco, vaping and even nicotine patches.

For pdfFiller’s FAQs

What is Non-Smoker Certification?

Non-Smoker Certification is a formal declaration or documentation that verifies an individual has not engaged in smoking tobacco products for a specified period.

Who is required to file Non-Smoker Certification?

Individuals applying for certain health insurance policies, life insurance, or loans may be required to file Non-Smoker Certification to prove their non-smoking status.

How to fill out Non-Smoker Certification?

To fill out Non-Smoker Certification, individuals typically need to provide personal details, affirm their non-smoking status, and sometimes specify the duration since they last smoked.

What is the purpose of Non-Smoker Certification?

The purpose of Non-Smoker Certification is to assess risk and offer potentially lower premiums or rates to individuals who do not smoke, as they generally have lower health risks.

What information must be reported on Non-Smoker Certification?

The information that must be reported includes the individual's name, date of birth, smoking history, duration of non-smoking, and possibly a signature affirming the truthfulness of the information.