This packet contains the forms necessary to apply for Hospital Indemnity Benefits. Every space on these forms should be filled in to avoid delay in processing your application. If a section does not apply, or information is not available, write "NA" in the space so that we know you did not overlook that particular question. If a form is received incomplete, it may be returned for completion. For specific information about your Hospital Indemnity insurance coverage, refer to your group insurance certificate. The group policy and certificate are the ultimate authority for Hospital Indemnity Benefit claim decisions.