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Welcome John Smith
ABC Company

Please consult the Plan Administration Guide for information about Evidence of Insurability and the use of Medical History Statements.

Access Medical History Statements

State of Residence

If you wish to provide your employees direct access to the Medical History Statements via your intranet or by e-mail, please use the following link.

http://www.standard.com/forms/ebid/mhsonly/index.html

http://www.standard.com/forms/ebid/mhsonly/index.html

http://www.standard-ny.com/mhsforms.html

Medical History Statement - Arizona (SI 11809 CTA VOL)
Medical History Statement - California (SI 8738w CTA VOL)
Medical History Statement - Foreign (SI 11596 CTA VOL)
Medical History Statement - Generic (SI 9340 CTA VOL)
Medical History Statement - Nevada (SI 9344 CTA VOL)