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The Prudential Insurance Company of AmericaGROUP CRITICAL ILLNESS CONTINUATION FORMPrudential Voluntary Benefit Services, PO Box 696035 San Antonio, TX 78269 Phone: 18444551002 Fax: 18004756021 Please
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How to fill out group critical illness continuation
How to fill out group critical illness continuation
01
Gather necessary information such as policy number, group details, and claimant's information.
02
Fill out the claim form accurately and completely.
03
Attach any required documentation such as medical records or diagnosis from healthcare provider.
04
Submit the completed form and documents to the insurance company.
Who needs group critical illness continuation?
01
Employers offering group critical illness insurance to their employees
02
Employees who want financial protection in case of critical illnesses
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What is group critical illness continuation?
Group critical illness continuation is a process where an individual can continue their critical illness coverage under a group plan after leaving the group.
Who is required to file group critical illness continuation?
The individual who is leaving the group and wants to continue their critical illness coverage.
How to fill out group critical illness continuation?
The individual can typically fill out a form provided by the insurance company or employer with their personal information and details of the continuation request.
What is the purpose of group critical illness continuation?
The purpose is to allow individuals who are leaving a group plan to continue their critical illness coverage without a gap in protection.
What information must be reported on group critical illness continuation?
The individual's personal information, details of the group plan, and the request for continuation of critical illness coverage.
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