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Health Questionnaires

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The health questionnaires provided are designed to collect personal health information from an individual to assess their eligibility for group insurance coverage. This includes situations such as late applicant requests.

  • Application for Excess Coverage and Late Applicants The file was published on 10/2024

    For all Choice groups and Essential groups with an effective date on or after October 1, 2024. Required when an eligible employee does not join the group plan within 31 days of first becoming eligible, or when a group member is eligible for insurance that is greater than the non-evidence limit.

  • Essentials Basic and Enhanced Health Statement The file was published on 3/2022

    For Essential Basic and Enhanced groups with an effective date before October 1, 2024. Required when an eligible employee does not join the group plan within 31 days of first becoming eligible, or when a group member is eligible for insurance that is greater than the non-evidence limit.

  • Tobacco Usage Questionnaire The file was published on 5/2024

    Required if an insured member and or spouse wishes to change their smoker status currently on file with Wawanesa Life. This change is only applicable to those persons with Optional Life Insurance under the group policy.