Evidence of Insurability Instructions for Life Insurance
This document provides essential instructions for completing the Evidence of Insurability form. It guides users through the process of applying for additional life insurance coverage. Ensure your application is accurate to facilitate a successful review.
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How do I fill this out?
Filling out the Evidence of Insurability form requires careful attention to detail. Ensure all relevant sections are completed accurately to avoid delayed processing. Review your information thoroughly before submission.

How to fill out the Evidence of Insurability Instructions for Life Insurance?
1
Gather necessary information, including current and desired insurance amounts.
2
Complete the EOI form, filling in all applicable sections.
3
Provide your signature and the date, along with spouse's signature if required.
4
Choose your submission method: fax or mail to the specified address.
5
Keep a copy of your completed form for your records.
Who needs the Evidence of Insurability Instructions for Life Insurance?
1
Employees seeking additional life insurance coverage need this form to apply for enhanced benefits.
2
Spouses of employees seeking coverage under their partner's plan must complete this form.
3
Individuals wishing to increase their coverage during open enrollment are required to submit this paperwork.
4
Anyone interested in understanding their Guaranteed Issue amount must utilize this form for clarity.
5
HR departments may need this document to process life insurance applications for employees.
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What are the instructions for submitting this form?
To submit your Evidence of Insurability form, you can fax it directly to Voya at 1-612-467-8721 for efficient processing. Alternatively, you may mail the completed form to ReliaStar Life Insurance Company, PO Box 20, Mail Stop 5-E, Minneapolis, MN 55440. For any questions regarding your submission, contact your Benefits Department or call Medical Underwriting at 1-800-537-5024, Option 4.
What are the important dates for this form in 2024 and 2025?
For the years 2024 and 2025, please keep an eye on the submission deadlines and annual enrollment periods as they may affect your eligibility for additional coverage. Check with your employer for specific dates.

What is the purpose of this form?
The purpose of this form is to collect information necessary for assessing an individual's eligibility for additional life insurance coverage. By completing this form, applicants provide insights into their current health and insurance needs. Employers use this information to determine the appropriate coverage options available to their employees.

Tell me about this form and its components and fields line-by-line.

- 1. Total Amount Desired: The amount of insurance protection you wish to obtain.
- 2. Current Amount: The insurance coverage you already have.
- 3. Guaranteed Issue Amount: The maximum insurance amount you can apply for without additional underwriting.
What happens if I fail to submit this form?
Failing to submit the Evidence of Insurability form may result in delays or rejection of your life insurance request. It is crucial to adhere to deadlines and ensure proper completion to avoid complications.
- Coverage Delays: Submission failures might lead to delays in securing your necessary life insurance.
- Ineligibility: Incomplete or late submissions can result in ineligibility for guaranteed issue amounts.
- Lack of Documentation: Failure to submit could leave you without necessary documentation for insurance claims.
How do I know when to use this form?

- 1. Applying for More Coverage: When seeking additional life insurance beyond your current plan.
- 2. Spouse Coverage: For applying for life insurance coverage for your spouse.
- 3. Annual Enrollment: During the specified enrollment periods to make changes to your coverage.
Frequently Asked Questions
What is the Evidence of Insurability form?
It is a form that allows employees to request additional life insurance coverage.
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