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OFFICE OF PROCUREMENT SERVICES STATEMENT OF INSURABILITY AND QUOTE SOLICITATION INFORMATION Business Name:I, as the person(s) legally authorized to sign contracts for my company, hereby attest that
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01
To fill out a statement of insurability, follow these steps:
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Start by providing your personal information, such as your full name, address, date of birth, and contact details.
03
Next, specify the insurance policy for which you are filling out the statement of insurability.
04
Answer all the questions honestly and accurately. These questions usually pertain to your medical history, including any pre-existing conditions, past surgeries, and current medications.
05
If required, provide additional supporting documents, such as medical reports or test results.
06
Review the statement of insurability thoroughly before submitting it. Make sure all the information provided is correct and complete.
07
Sign and date the form to certify that the information provided is true to the best of your knowledge.
08
Submit the filled-out statement of insurability to the insurance company or your insurance agent.

Who needs statement of insurability and?

01
A statement of insurability is usually required by individuals who are applying for certain insurance policies, such as life insurance or disability insurance.
02
It is particularly necessary for individuals who have pre-existing medical conditions or engage in high-risk activities.
03
Insurance companies may request a statement of insurability to assess the applicant's overall health and determine the insurance premium or whether to approve the policy.
04
Employers may also require employees to fill out a statement of insurability when enrolling in group insurance plans.
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A statement of insurability is a document that provides information about an individual's health status and medical history, typically required by insurance companies to assess risk and eligibility for coverage.
Individuals applying for life insurance, health insurance, or other types of coverage may be required to file a statement of insurability to provide necessary health-related information.
To fill out a statement of insurability, one should carefully complete the form by accurately answering all health-related questions, providing detailed medical history, and reviewing the information for completeness before submission.
The purpose of a statement of insurability is to help insurance companies evaluate an applicant's health risk and determine eligibility for coverage, as well as to set appropriate premiums.
Information typically includes personal health history, current medications, recent medical treatments or surgeries, family medical history, and any existing medical conditions.
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