Electronic Medical Questionnaire Ready for Clients

Your clients have a new option for completing the Full Underwriting Application Supplement.

Our Electronic Medical Questionnaire lets your clients report information needed for policy underwriting online. This includes medical, employment and other information. The questionnaire is the online version of the Full Underwriting Application Supplement for Individual Disability Insurance coverage in the eApp system.

Convenient, Easy-to-Use Platform

Since the Electronic Medical Questionnaire is online, your clients can input their medical and other information at their convenience. And it should take less than 40 minutes to complete.

The questionnaire is convenient for you too. If you have access to eApp, then you already have access to the questionnaire. If you don’t have access, reach out to your General Agent.

The Electronic Medical Questionnaire is currently available for clients residing in most states. It is not available in California, Florida, Montana, New York, North Dakota, South Carolina, South Dakota and Wyoming.

Helpful Guides for You and Your Clients

We’ve got some useful guides to help get you started. Use the following materials to learn how to prepare your client and how to start the questionnaire.

Starting Guide for Electronic Medical Questionnaire
This flyer gives an overview of the questionnaire to help you prepare clients for reporting employment, medical and other information.

Producer Launch Flyer
Walk through the steps to start the questionnaire and send a unique link to your client.

Getting Started interactive brochure
Share with your clients to help prepare them to use the Electronic Medical Questionnaire. This brochure includes an overview of the questionnaire, and how to review their responses and sign online.

If you have any questions, please contact your General Agent.

For Producers Only