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LIFE INSURANCE ELECTION OF PORTABILITY COVERAGE Unum Life Insurance Company of America Unum Portability Unit 2211 Congress Street Portland ME 04122 1-800-421-0344 You may be eligible to continue your Life and AD D coverage. Any coverage chosen on this election form will be issued in accordance with the portability provision contained in the employer s Unum group term life coverage and/or accidental death and dismemberment insurance coverage under...
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How to fill out unum portability form

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How to fill out unum portability form?

01
Gather the necessary information: Before starting, make sure you have all the required details, such as your personal information, employment history, and any previous insurance coverage.
02
Review the form instructions: Take the time to carefully read and understand the instructions provided with the unum portability form. This will ensure that you fill out the form accurately and completely.
03
Complete the personal details section: Begin by filling in your personal information, including your full name, address, contact information, and social security number. Double-check the accuracy of these details before proceeding.
04
Provide employment history: The unum portability form typically requires you to provide information about your previous employment, such as the names of employers, job titles, and dates of employment. Fill in this section accurately, providing all the necessary details.
05
Declare any previous insurance coverage: Indicate whether you have had any previous insurance coverage, such as group life or disability insurance. If applicable, provide details about the coverage, including the policy numbers and the names of the insurance companies.
06
Sign and date the form: Once you have completed all the required sections of the unum portability form, carefully review the information you provided. Sign and date the form at the designated area to certify its accuracy.

Who needs unum portability form?

01
Employees changing jobs: Individuals who are switching jobs and have existing unum insurance coverage might need to fill out the unum portability form to maintain their insurance benefits.
02
Employees leaving an organization: When leaving a company, employees may want to continue their insurance coverage provided by unum. In such cases, they would need to complete the unum portability form.
03
Individuals seeking to maintain coverage: If someone wishes to continue their unum insurance coverage independently, such as when no longer covered by a group policy, they may need to fill out the unum portability form.

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The Unum portability form allows an employee to transfer their existing group life insurance coverage provided by Unum to a new employer's group life insurance plan.
Employees who wish to transfer their existing group life insurance coverage from Unum to a new employer's group life insurance plan are required to file the Unum portability form.
To fill out the Unum portability form, the employee needs to provide personal information, the details of existing coverage, the name of the new employer, and any additional information required by Unum.
The purpose of the Unum portability form is to allow employees to maintain their existing group life insurance coverage when they change employers.
The Unum portability form requires the employee to report personal information, details of existing coverage, and the name of the new employer.
The deadline to file the Unum portability form in 2023 depends on the specific policy and employer requirements. It is recommended to consult with Unum or the employer for the exact deadline.
The penalty for the late filing of the Unum portability form may vary depending on the specific policy and employer. It is advisable to consult with Unum or the employer to understand the consequences of late filing.
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