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Lafayette life insurance forms 2025

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4.2 out of 5

41 votes

The document is an application form for life insurance from The Lafayette Life Insurance Company, detailing the necessary information required from the proposed insured, including personal details, beneficiary information, and medical history. It outlines the insurance plan options, premium payment methods, and conditions for coverage. Additionally, it includes a disclosure statement regarding an accelerated benefit option for terminal illness and information practices related to medical data confidentiality.

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Click ‘Get Form’ to open the Lafayette Life Insurance application in the editor.
Begin with Part 1: Section I, where you will enter the Proposed Insured's details including Name, Address, Birth Date, and Social Security Number. Ensure accuracy as this information is crucial for processing.
Proceed to Section II: Beneficiary. Fill in the Primary Beneficiary's relationship to the insured and their age. If applicable, also provide details for a Contingent Beneficiary.
In Section III: Proposed Owner, specify the Primary Owner’s information. If different from the Proposed Insured, include their relationship to the insured and contact details.
Move on to Section IV: Insurance Plan. Indicate your chosen plan and face amount. Complete premium billing details accurately as this affects payment processing.
Answer all Medical Questions in Part 2 honestly. If any question is answered 'yes', proceed to Part 3 for additional medical inquiries.
Finally, review all sections for completeness before signing at the end of the form. Ensure that all required signatures are included.

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2007	4.2 Satisfied (41 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How much does $100,000 worth of life insurance cost?

Average Cost of a $100,000 Term Life Insurance Policy TermAverage Monthly RateAverage Annual Rate 10 years $11 $131 15 years $14 $167 20 years $18 $206 25 years $23 $2813 more rows

What death is not covered by life insurance?

Typically, life insurance policies exclude from coverage death by suicide within two (or sometimes three) years after buying the policy. Some life insurance policies provide additional exclusions for death during war, the commission of a felony, or certain hazardous occupations or activities.

How much does a $100,000 life insurance policy cost per month?

The Lafayette Life Insurance Company is BBB Accredited. Why choose a BBB Accredited Business?

What documents do I need to claim life insurance?

One of the biggest mistakes applicants make is misrepresenting their health status. Whether its omitting medical conditions, downplaying treatments, or skipping details about medications, insurers have ways of verifying your health history through medical exams and records.

Why does Suze Orman not like whole life insurance?

In her opinion, she feels you would be better off investing the money you save by buying cheaper term life, than by investing in life insurance. Even if you dont invest the entire difference, her claim is that you would do better to spend it elsewhere to avoid what she sees as the high fees of whole life.