An Evidence of Insurability form (proof of good health) may be required in certain situations. If an applicant has properly completed an Anthem Life Medical Application, this form is not required.
An Evidence of Insurability form should be used if an individual has applied for coverage using an application form that did not contain medical questions (Anthem Life Non-Medical Application) and it is later determined that evidence of insurability is needed to approve or deny coverage.
Print and complete the Evidence of Insurability form. The form must be dated and signed. It may be mailed or faxed to us. Our address and fax number are listed on the form.