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Class 001: Closed Class as of 01/01/2020
(Funded rate structure) Individuals who have active coverage without Unlimited Duration prior to 01-01-2020
Class 002: Closed Class as of 01/01/2020
(Funded rate structure) Class for those who elected coverage on or after 01-01-2020 and prior to 01-01-2021 (without Unlimited)
Class 003: (Active) All full time and part time employees working at least 20 hours per week and their family members and domestic partners.
Individuals who are not covered and are applying as a new enrollee on or after 01-01-2021
Class 004: Closed Class as of 01/01/2021
(Funded rate structure) Class for those who had elected unlimited duration prior to 01-01-2021
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.