Get the free Unum Benefit Election Form - City of Wichita - wichita
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IMPORTANT INSTRUCTIONS: Prior to submitting this form, all persons requesting coverage must review the important disclosures and information found on www.unuminfo.com/CityOfWichita or in a paper enrollment
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How to fill out unum benefit election form
Who needs unum benefit election form?
01
Employees who are eligible for benefits from Unum, a provider of group and individual employee benefits.
02
Employers who offer Unum benefit plans to their employees as part of their benefits package.
How to fill out unum benefit election form:
01
Start by carefully reading the instructions on the form. Make sure you understand the purpose of the form and the information you need to provide.
02
Fill in your personal information, including your name, address, Social Security number, and contact details. Ensure that all information is accurate and up to date.
03
Provide the necessary details about your current employment, such as your job title, department, and the date you became eligible for Unum benefits.
04
Review the available benefit options and select the ones that best suit your needs. This may include health insurance, disability insurance, life insurance, and other voluntary benefits.
05
For each selected benefit option, indicate whether you want to enroll, decline, or make changes to your existing coverage.
06
If applicable, indicate your dependent's information, such as their names, dates of birth, and relationship to you. This is important for coverage that extends to your family members.
07
Specify the coverage amounts or percentages, if required. For example, if you are selecting life insurance, you may need to indicate the desired amount of coverage.
08
Sign and date the form. Make sure to read any declarations or statements before signing to ensure you agree with the terms and conditions.
09
Submit the completed form to the appropriate party, such as your employer's HR department or Unum representative. Follow any additional instructions for submission, such as attaching supporting documents if necessary.
Remember, it's always a good idea to retain a copy of the filled-out form for your records.
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What is unum benefit election form?
The Unum benefit election form is a document that allows individuals to choose and enroll in various benefits provided by Unum.
Who is required to file unum benefit election form?
Employees or individuals eligible for benefits through Unum are required to file the benefit election form.
How to fill out unum benefit election form?
To fill out the Unum benefit election form, individuals must provide their personal information, select the desired benefits, and sign the form.
What is the purpose of unum benefit election form?
The purpose of the Unum benefit election form is to allow individuals to choose and enroll in benefits offered by Unum.
What information must be reported on unum benefit election form?
The Unum benefit election form typically requires personal information, benefit selections, and signatures.
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