Applications
The application forms provided are designed to collect personal health information from an individual to assess their eligibility for group insurance coverage. This includes checking if you’re eligible for coverage amounts that are higher than the plan typically offers, all without requiring medical proof.
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Individual Application for Optional Group Life Insurance 5/2024
Required if an eligible employee wants to add this coverage to their group benefits. As not all Group Insurance Policies offer this benefit, please check your employee booklet for this coverage before submitting an application.