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  • Unum Group Life And Disability Enrollment Form

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ENROLLMENT/REFUSAL REQUEST FORM THE PAUL REVERE LIFE INSURANCE COMPANY 18 Chestnut Street, Worcester, MA 01608-1528 NEW EMPLOYEE GROUP NO. PREVIOUSLY INELIGIBLE REINSTATED EMPLOYEE EFF DATE DATE REHIRED.

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Unum will provide coverage for a payable claim which occurs while you are covered under the policy or plan. Questions To apply for coverage, complete your enrollment form within 31 days of your eligibility date. After that date you will be required to provide evidence of insurability in order to qualify for coverage.

You can check your claim status and manage your claim on the web at unum.com/claims. Or you can use our mobile app.

Contact us Do you need to check the status of your claim or leave? Or do you just have questions about your policy? We can help. Call us at 866-679-3054 (8 a.m. to 8 p.m. ET, Monday through Friday) if you have any questions about your Unum coverage.

You can get a claim form at unum.com/claims, or contact your HR department at work. Follow the instructions on the form to mail or fax your completed form. But for fastest results, file online if you can.

Unum will make the initial decision on an individual short term disability claim within 5 business days after receipt of a complete claim which includes: • a completed Employee Statement form • a completed Attending Physician Statement form, and • a signed Medical Authorization form.

When your employee or their beneficiary needs to file a claim, we make the process easy. Claims are managed by knowledgeable professionals who have received bereavement training, and we're committed to making a life claim determination within three to five business days of receiving complete information.

If you're applying for short-term or long-term disability benefits, you've probably heard that UNUM is notoriously difficult to deal with. The company has a reputation for denying valid claims, delaying benefit payments, and violating state and federal insurance laws. However, you can fight back.

6. When will I receive my benefit payments? Short term disability benefit payments are generally made on a weekly basis.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232