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 print additional forms. Each Medical History Statement must reflect that individual's health status, and be signed by the spouse, or member if a child is applying. 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.