Get Unum 1143-01-ma 2020-2025

This guide provides comprehensive instructions for successfully completing the Unum 1143-01-MA form online. Follow these steps to ensure your application is thoroughly filled out and ready for submission.

Follow the steps to fill out the Unum 1143-01-MA form online.

1. Press the ‘Get Form’ button to access the Unum 1143-01-MA document and open it in your preferred online editor.
2. Begin by filling out the application type, selecting from options such as Initial Request, Late Applicant, Change in Status, or Increase.
3. Provide your personal details, including your name, date of birth, social security number, and contact information. Ensure to also include your employer's information.
4. Complete the health questions under Section 2 for both employee and spouse, ensuring to answer all prompts accurately and honestly.
5. If applying for an amount over $150,000 or for disability coverage, fill out Section 3 with the necessary health questions.
6. Indicate the coverages you are requesting, including Life, Long-Term Disability (LTD), or Short-Term Disability (STD), and the required amounts.
7. Make sure to provide details for any dependent children applying for coverage.
8. Sign and date the authorization section, making sure it's completed for all applicable individuals, including spouse and any dependent children over 18.
9. Review the entire form for accuracy and completeness before saving your changes. You can then download, print, or share the completed form as needed.

Complete your Unum 1143-01-MA application online today!