Medical History Statements are available for members who wish to obtain or enhance insurance coverage. Follow the simple steps below in order to apply.
If Evidence of Insurability is required for Dependents coverage, please complete online or print additional forms for each person applying. Each Medical History Statement must reflect that individual's health status. Spouse/domestic partner application must be signed by the spouse/domestic partner. Child applications should be signed by the member. Keep a copy for your records and mail the original to The Standard.
Please contact your Human Resources department with questions about coverage options, Dependent eligibility and Evidence of Insurability requirements.