Claim Forms


Please use these forms for Short Term Disability Applications only. See "Notice of Claim Form" below for other applications.

Short Term Disability Claim Forms

Long Term Disability Claim Forms

Notice of LTD Claim Form

Critical Illness

Notice of Claim

Life Waiver of Premium

Notice of Claim

Basic Life, AD&D, Dependent Life Notice of Claim Form

Notice of Claim

Administrative Forms

Unistar Master Application

Trustee Appointment

Lifestyle Coverage Change

Declaration of Insurability Form

Pre-Authorized Business Debit (PAC)

Employee Application for Group Coverage

Lifestyle Adjustment/Change

Waiver of Excess Coverage Notice

Consent to Change of Irrevocable Beneficiary

Medical Underwriting Application

Declaration of Insurability

I am easily satisfied with the very best.

               - Winston Churchill


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