Get Unum Group Life And Disability Enrollment Form

Completing the UNUM Group Life And Disability Enrollment Form online is a straightforward process that ensures you receive the benefits you are entitled to. This guide provides step-by-step instructions to assist you in accurately filling out each section of the form.

Follow the steps to complete the enrollment form accurately.

1. Click the ‘Get Form’ button to obtain the UNUM Group Life And Disability Enrollment Form and access it in your preferred editor.
2. Begin by entering your basic information, such as your name, social security number, employment date, and date of birth. Make sure to provide clear and accurate information.
3. Indicate your employment status by selecting the appropriate checkbox for new employee, reinstated employee, or a change of status.
4. Fill in your employer's name and address, along with the group number assigned to your employer.
5. Specify your earnings type (hourly, monthly, salaried, etc.) and provide the total earnings amount by accumulating base earnings, commissions, and bonuses.
6. Review the coverage options available and select 'Request' or 'Refuse' for each coverage type as applicable to you. Ensure you only choose options included in your employer’s policy.
7. Designate your beneficiaries by providing their names, relationships, dates of birth, and clear addresses, ensuring to fill in information required for specific states.
8. If applicable, use the request for change section to add dependent benefits or change beneficiaries as necessary.
9. Review all provided information for completeness and accuracy. Confirm your understanding of the insurance terms by acknowledging that all information provided is true.
10. Once all sections are completed, sign and date the form. Save your changes and either download, print, or share the completed form as needed.

Start filling out your UNUM Group Life And Disability Enrollment Form online today to ensure your coverage is activated swiftly.