18473me 2025

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4.8 out of 5

31 votes

The document outlines the information practices of Standard Insurance Company regarding individual disability insurance underwriting. It details how personal information is collected, used, and disclosed, emphasizing confidentiality and the rights of the insured to access and correct their information. The document also includes authorizations for obtaining and disclosing personal health information, particularly concerning HIV testing, and explains the implications of test results on insurance eligibility. Additionally, it addresses potential offsets in benefits due to other income sources while disabled.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out your personal information in the designated fields, including your name, date of birth, and contact details. Ensure accuracy as this information is crucial for processing your application.
Proceed to the sections regarding medical history and personal characteristics. Provide detailed responses as required, ensuring that all necessary authorizations are signed where indicated.
Review the consent forms carefully. Make sure to authorize the release of any required medical information by signing in the appropriate areas.
Once all fields are completed, double-check for any missing information or errors before submitting your form through our platform.

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2016	4.8 Satisfied (31 Votes)

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