Child Rider Insurance Form

Most riders will cover the child until they reach the age of maturity which.

Child rider insurance form. Box 7192 indianapolis in 46207 7192 1 800 428 3001 application is hereby made for child rider to be provided by supplementary provision or agreement attached to and made part of. Application for a child protection rider policy number name first middle initial last sex date of birth dd mmm yyyy male female relationship to the insured person child stepchild legally adopted child where was the child born. Generally there is no underwriting required to qualify. This term insurance rider provides coverage for final expenses if the unexpected happens.

Please select the appropriate form print and complete. Policy descriptions provided here are not a statement of contract. Children s life insurance rider form icc16 clir and state variations can provide life insurance coverage on eligible children. 18 722 6 16 pa 1 application for life insurance for child rider united farm family life insurance company 225 s.

The rider form number varies by underlying insurance product and is either vl 145 b4 2016 icc16 vl 145 b4 2016 vl 145 b5 2017 or icc17 vl 145 b5 2017. Child riders are added onto a parent s life insurance policy typically at the time of purchase. Under this rider you typically pay a flat rate fee regardless of the number of children you wish to insure. Our mailing address is po box 1756 des moines ia 50306 1756.

If you ve already purchased a life insurance policy and you re interested in adding a child rider contact your life insurance company or agent to ask if adding one is possible. Adopted after the effective date of this child rider. It can also allow a family. Child riders are generally priced per 1 000 unit 5 per unit per year is a common price but some insurers charge more and some charge less.

Two year contestability and suicide provisions apply. Coverage is available for children beginning at 6 months of age and extending to children up to age 26. The following homesteaders life company insurance service forms are available in pdf format. Vl 145 b 2013 ed 2015 vl 145 b2 2013 ed 2015 or vl145 b3 2014.

Cost of child riders. A child rider allows you to add life insurance for your child onto your basic policy. 10 000 per child level coverage of 10 000 applies to each unmarried dependent child up to their 26th birthday. Please refer to the policy forms for full disclosure of all benefits and limitations.