Get Aetna Long Term Fillable Disability Forms

Filling out the Aetna Long Term Fillable Disability Forms online can seem daunting, but this guide is designed to help you navigate each section with ease and confidence. Whether you are a new or returning user, these instructions will walk you through the process step by step.

Follow the steps to complete your Aetna Long Term Fillable Disability Forms effectively.

1. Click the ‘Get Form’ button to obtain the form and open it for editing.
2. Provide employer information in Section A. Fill in the employer's full name, control number, and indicate whether you are an employee of Homeland Security by checking 'Yes' or 'No'.
3. In Section B, enter your personal information. Include your Social Security number, full name (last, first, middle initial), mother's maiden name, birth date, email address, home address, telephone numbers, new hire date, and office address. Be sure to double-check for accuracy.
4. Lastly, specify your annual base salary and job title in the designated fields within Section B.
5. Proceed to Section C to provide coverage information. Indicate if you are a law enforcement officer and select your desired coverage option (Option 30, 60, or 90). Note the salary percentage and maximum monthly benefits for each option.
6. Read and understand the certification statement regarding the truthfulness of the information provided. Your signature and date are necessary in this section to confirm your agreement.
7. Upon completing the form, you will have the options to save the changes, download, print, or share the form. Make sure to keep a copy for your records.

Ready to start? Fill out your Aetna Long Term Fillable Disability Forms online today!