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Submit Evidence of Insurability

This application process allows you to complete a medical history statement online, when evidence of insurability is required under a group insurance policy issued by The Standard. The information you provide will be used to evaluate your application. Submission of this application does not guarantee approval of coverage requiring evidence of insurability.

This process generally takes between 10 and 20 minutes if you have all required information. Please be aware you will not have an opportunity to save a draft during this time. For your protection, this submission session will time out after 30 minutes of inactivity.

Required Information

You must be prepared with the following information before you can proceed. If you do not have this information ready to reference, please print this page and return here when you have all of these listed items.

1. Member's employment details… Date of hire Earnings

2. Coverage details… Amounts currently in force Amounts requested (as appropriate under the group policy)

3. Personal identification… Date of birth Place of birth Mailing address

4. Medical conditions… Diagnoses Types of treatment Dates for treatment

5. Physicians or clinics… Names Locations Phone numbers

Note for Spouse Applicant
If this evidence of insurability submission is for a spouse applicant, he or she must complete the medical history statement and electronically sign this submission.


If you prefer, you may choose a printable PDF form to submit evidence of insurability by mail.

Si lo prefiere, puede optar por un formulario PDF que se puede imprimir para presentar la evidencia de asegurabilidad por correo postal.

Contact Us

Medical Underwriting

  • P: 800.843.7979

  • FAQ About Evidence of Insurability