A Principal Office of Insurance Designers

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Assurity: New life insurance application requirements: questionnaire

Effective immediately, a COVID-19 Questionnaire is a requirement of application for all individual life insurance coverage until further notice. A sample copy of the COVID-19 Questionnaire as approved in the Interstate Insurance Compact is attached here (forms may vary by state).

This COVID-19 Questionnaire is available and is associated with each Assurity life insurance application in the iPipeline forms repository, but is not included as part of the application, so requires separate download.

This questionnaire is not currently incorporated in our e-application flow with iPipeline or our accelerated underwriting process.

Any applications submitted to Assurity electronically through iPipeline will trigger a separate email communication from Assurity to the proposed insured(s) at the email address provided in the application advising them of the need to complete the questionnaire and instructions to do so with signature and return back to Assurity via DocuSign.

If the application includes an Other/Additional proposed insured, please include the email address for Other/Additional proposed insured in agent comments with application submission.

Please advise your clients to look for this email from Assurity and complete promptly to avoid processing delays as all underwriting decisions require its completion.

Proposed insureds not willing to adopt the e-sign process for completion of the questionnaire can, at their request, be mailed a paper form for completion and return.

Applications being completed entirely in paper format should be submitted along with the COVID-19 Questionnaire completed for all proposed insureds to avoid processing delays.

Please call customer connections at 800-276-7619 ext. 4264, if you have any questions.

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