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All full-time and part-time active employees, retirees, spouses of deceased employees, spouses of deceased retirees and their family members who elected Unlimited Duration prior to January 1, 2020.
Increases to existing coverage are allowed at anytime.
To apply for an increase, follow the steps below. Completed forms will be submitted electronically to Unum with e-signature.
Visit the Apply Now section of this website and follow the instructions to access the enrollment forms.
You must complete both the Benefit Election Form and Long Term Care Insurance Application with HIPAA Authorization.
Decreases to existing coverage are allowed at anytime.
To decrease coverage, complete the Request to Change Coverage Form here: Click Here.
Completed forms will be submitted electronically with e-signature.
Cancellations are allowed at anytime.
To cancel coverage, complete the Request to Change Coverage Form here: Click Here.
Completed forms will be submitted electronically with e-signature.
For use by policyholders who are currently on direct billing via monthly automatic payment with Unum and need to update or change banking account information.
To update or change banking account information with Unum, complete the Authorization and Agreement for Monthly Automatic Payments form: Click here. Completed forms will be submitted electronically with e-signature.