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GROUP INSURANCE
C. P. 3000
Elvis (Quebec) G6V 9×8
desjardinslifeinsurance.com/planmember
18002631810EVIDENCE OF INSURABILITY
DENTAL Reattach a copy of the insurance application when submitting this
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How to fill out evidence of insurability

How to fill out evidence of insurability
01
Contact your insurance provider or employer to request the Evidence of Insurability form.
02
Fill out the form completely and accurately, providing information about your health history, lifestyle habits, and any previous insurance coverage.
03
Submit any required supporting documentation, such as medical records or test results, along with the completed form.
04
Wait for your insurance provider to review your application and determine if you are insurable based on the information provided.
Who needs evidence of insurability?
01
Individuals applying for new life insurance policies.
02
Employees enrolling in employer-sponsored life insurance plans.
03
Individuals requesting an increase in their coverage amount.
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What is evidence of insurability?
Evidence of insurability is documentation or proof provided by an individual to demonstrate their current state of health and eligibility for insurance coverage.
Who is required to file evidence of insurability?
Individuals who are applying for or making changes to their insurance coverage may be required to file evidence of insurability.
How to fill out evidence of insurability?
Evidence of insurability can typically be filled out by completing a form provided by the insurance company and submitting any necessary medical records or information.
What is the purpose of evidence of insurability?
The purpose of evidence of insurability is to assess an individual's current health status and determine their eligibility for insurance coverage, as well as to determine the level of risk they present to the insurance company.
What information must be reported on evidence of insurability?
Information that may be required on evidence of insurability includes medical history, current medications, height, weight, blood pressure, and other relevant health information.
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