Get the free Evidence of Insurability Form

This document provides detailed instructions on how to complete the Evidence of Insurability Form required by First Unum Life Insurance Company for individuals applying for insurance coverage. It outlines the necessary personal information, health questions, and submission guidelines to ensure efficient processing of the application.

How to fill out evidence of insurability form

How to fill out evidence of insurability form

1. Obtain the evidence of insurability form from your insurance provider.
2. Read the instructions carefully to understand the requirements.
3. Fill in your personal information, including your name, address, date of birth, and social security number.
4. Provide details about your current health status, including any pre-existing conditions.
5. Complete sections regarding your medical history, including any medications you are currently taking.
6. Answer all questions honestly and accurately to avoid delays.
7. Review the form for any missing information or errors.
8. Sign and date the form to certify that the information is correct.
9. Submit the completed form to your insurance provider as instructed.

Who needs evidence of insurability form?

1. Individuals applying for life insurance or health insurance policies may need to provide evidence of insurability.
2. Employees seeking additional coverage through employer-sponsored insurance plans may need to complete this form.
3. Those with certain pre-existing medical conditions may be required to submit evidence of insurability for coverage approval.

For pdfFiller’s FAQs

Can I create an electronic signature for the evidence of insurability form in Chrome?

Yes. By adding the solution to your Chrome browser, you may use pdfFiller to eSign documents while also enjoying all of the PDF editor's capabilities in one spot. Create a legally enforceable eSignature by sketching, typing, or uploading a photo of your handwritten signature using the extension. Whatever option you select, you'll be able to eSign your evidence of insurability form in seconds.

Can I create an electronic signature for signing my evidence of insurability form in Gmail?

When you use pdfFiller's add-on for Gmail, you can add or type a signature. You can also draw a signature. pdfFiller lets you eSign your evidence of insurability form and other documents right from your email. In order to keep signed documents and your own signatures, you need to sign up for an account.

Can I edit evidence of insurability form on an Android device?

You can make any changes to PDF files, like evidence of insurability form, with the help of the pdfFiller Android app. Edit, sign, and send documents right from your phone or tablet. You can use the app to make document management easier wherever you are.

What is evidence of insurability form?

An evidence of insurability form is a document required by insurance providers to assess the health status and risk of an individual applying for life or health insurance coverage, particularly when the applicant is seeking coverage beyond the guaranteed amounts.

Who is required to file evidence of insurability form?

Typically, individuals who wish to increase their insurance coverage, individuals adding coverage after an initial enrollment period, or those who have experienced a qualifying life event need to file the evidence of insurability form.

How to fill out evidence of insurability form?

To fill out an evidence of insurability form, you should provide your personal information, medical history, details of any current or past health conditions, medications, and lifestyle choices. It may also require signatures to consent to the release of medical information.

What is the purpose of evidence of insurability form?

The purpose of the evidence of insurability form is to enable insurance companies to evaluate the risk associated with insuring an individual and to determine the appropriate premiums based on their health status.

What information must be reported on evidence of insurability form?

The form typically requires information such as age, sex, height, weight, details of past and current medical conditions, surgeries, hospitalizations, medications, and lifestyle choices such as smoking or alcohol consumption.