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GROUP TERM LIFE INSURANCE PERSONAL HEALTH APPLICATION Hartford Life and Accident Insurance Company One Hartford Plaza Hartford, Connecticut 06155Association:American Occupational Therapy Association
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Gather necessary personal information such as your name, address, date of birth, and Social Security number.
02
Decide on the type of life insurance policy you want (term or whole life).
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Determine the amount of coverage you need based on your financial obligations and beneficiaries' needs.
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Complete the application form provided by Hartford Life Insurance Company, ensuring all information is accurate.
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Choose your beneficiary or beneficiaries who will receive the death benefit.
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Review your application to confirm all details are correct before submission.
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Submit the application either online or via mail, depending on the options provided by the company.
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Pay the initial premium as required to activate the policy.

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Individuals seeking financial security for their family in the event of their death.
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Hartford Life Insurance Company is a financial services company that offers a variety of insurance products, including life insurance, disability insurance, and annuities, primarily to individuals and businesses.
Insurance agents and brokers who sell Hartford Life insurance products, as well as the company itself for regulatory compliance, are typically required to file relevant documents with state insurance departments.
To fill out Hartford Life Insurance forms, individuals must provide personal information such as name, address, date of birth, and details regarding beneficiaries and coverage amounts, following the instructions provided on the specific form.
The purpose of Hartford Life Insurance Company is to provide financial security and peace of mind through life insurance coverage, helping policyholders and their beneficiaries in times of need.
Information that must be reported includes premium payments, claims processed, policy lapses, and any changes in the insured's health status or beneficiary designations.
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