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Part III reports the name, SSN (or TIN for covered individuals other than the employee listed in Part I), and coverage information about each individual (including any full-time employee and non-full-time employee, and any employee's family members) covered under the employer's health plan, if the plan is “self-insured ...

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A life insurance policy has two main components—a death benefit and a premium. Term life insurance has these two components, but permanent or whole life insurance policies also have a cash value component. Premium. Premiums are the money the policyholder pays for insurance.

The application is defined as a "form supplied by the insurance company, usually filled in by the agent and medical examiner (if applicable) on the basis of information received from the applicant. It is signed by the applicant and is part of the insurance policy if it is issued.

The insurance application asks all the questions the underwriter needs to assess your risk. It usually takes between 30 minutes to an hour to complete the application. Underwriting could take a few weeks, during which time you may have to undergo a medical exam.

A life insurance application will ask you for your personal information, such as your name and address, date of birth, Social Security number, net worth, and even how much money you make each year. It will also include questions about how much coverage is needed and if you wish to add any policy riders.

Part II contains medical information, provided by an examining physician and/or laboratories if the applicant is required to have a physical examination, and self-reported (as in use of alcohol, tobacco, etc.)

PART I is the front or initial part of the application which contains personal information about both the applicant and the proposed insured - general information such as the type of policy, amount of insurance, name, address, birth date, gender, marital status, smoker or nonsmoker, occupation, and income.