Masthead 2026

1. Click ‘Get Form’ to open the Masthead in the editor.
2. Begin by completing the 'Employee Information' section. Fill in the employer name, group policy number, employee's full name, division/location, billing code, and social security number.
3. Indicate the requested effective date for each coverage subject to Evidence of Insurability (EOI). Ensure all fields are filled accurately.
4. In the 'Coverage(s) subject to EOI' section, select all applicable coverages and enter the current coverage amounts. If no coverage exists, indicate '$0'.
5. Complete the 'Health and Personal History' section for all individuals applying for coverage. Provide accurate responses to ensure a smooth underwriting process.
6. Finally, review your entries for accuracy and completeness before submitting. Sign and date where required.

Start using our platform today to streamline your document editing and submission process!