National r 868 2 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Part 1, Section A. Enter the primary insured's full name, address, and policy number. Ensure accuracy as this information is crucial for processing.
3. In Section B, indicate any additional benefits you wish to add or delete. Check the appropriate boxes and provide details for each benefit requested.
4. Proceed to Section C to list beneficiaries. Include their relationship to the primary insured and ensure all names are spelled correctly.
5. In Section D, select your preferred method of payment for the new policy. Fill in the requested effective date and payroll deduction frequency.
6. Complete Part 2 if additional insurance is desired. Provide details for each proposed insured including their personal information and health history.
7. Finally, review all sections for completeness and accuracy before submitting your application through our platform.

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