Dearborn National

Individuals

Evidence of Insurability Submissions

Our secure Evidence of Insurability (EOI) online form allows employees to complete and submit their EOI application online, eliminating incomplete and illegible submissions.

Have a specific question regarding the EOI submission process? Visit our FAQ.

What is Evidence of Insurability (EOI)?

A process in which you provide information on the condition of your health or your dependent’s health in order to be considered for certain types of insurance coverage.

  • Required if you apply for an amount of insurance coverage higher than the guaranteed issue amount
  • You are currently enrolled and want to increase coverage
  • Or you were declined coverage during your initial eligibility period and then want coverage at a later date.

The completed EOI application requires review and approval before coverage becomes effective. After review, additional information may be needed from you or your physician for further processing. Some coverage amounts may require a brief exam, a blood test, urinalysis and/or EKG.

Online EOI Submission

Our EOI application can be fully completed online and electronically submitted. Step by step instructions will lead you through the process, which can take about 15-30 minutes. Privacy and security features have been built into our Web site to assure protection of personal information. Your answers to the health questions are kept strictly confidential and are not shared with your employer.

Apply for EOI