Waiver premium form 2026

1. Click ‘Get Form’ to open the waiver premium form in the editor.
2. Begin by completing the Employer Section. Ensure you sign and date this section, as it is essential for processing the claim.
3. If applicable, attach a copy of the enrollment history for all benefit elections related to Group Life coverage.
4. Provide your employee with the remaining sections of the form, instructing them to complete their respective Employee Sections and return it to The Hartford.
5. Ensure that your employee detaches the Attending Physician's Statement and forwards it to their physician for completion.
6. Submit the completed Employer's Statement along with any attachments directly to The Hartford before the specified submission period.
7. Follow up to confirm that all parts of the claim form are received by The Hartford within the required timeframe.

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