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APPLICATION FOR PARTICIPATION IN THE SELECT GROUP INSURANCE TRUST UNM Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 To: The Trustees of The Select Group Insurance Trust
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How to fill out the Unum CT Trust application:

01
Start by gathering all the necessary information and documents required to complete the application. This may include personal identification, medical records, and any relevant financial documents.
02
Carefully read and review the application form before filling it out. Make sure you understand all the questions and sections.
03
Begin filling out the application form by providing your personal information, such as your full name, address, phone number, and social security number.
04
Provide details about your current employment status and any previous employment history. Include information about your job title, employer's name, and the dates of employment.
05
Answer any questions related to your medical history honestly and accurately. Provide information about any previous medical conditions, treatments, or surgeries you have undergone.
06
If applicable, include details about any disability benefits you are already receiving. This may include information about the source of the benefits and the amount you receive.
07
Include any additional supporting documents, such as medical reports or letters from healthcare professionals, that may strengthen your application.
08
Review your completed application form thoroughly to ensure all the information provided is correct and complete. Make any necessary corrections or additions before submitting it.

Who needs the Unum CT Trust application?

01
Individuals who are seeking disability benefits through the Unum CT Trust may need to fill out the application form. This includes employees who have become disabled and are unable to work.
02
The Unum CT Trust application is necessary for individuals who have coverage under the trust and are looking to receive disability benefits.
03
Employers who offer disability benefits through the Unum CT Trust may also need to provide their employees with the application form to initiate the claims process.
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The Unum CT Trust application is a form used to apply for trust benefits from Unum.
Any individual who meets the eligibility requirements for trust benefits from Unum is required to file the Unum CT Trust application.
The Unum CT Trust application can be filled out online or by mail. The applicant must provide detailed information about their medical condition, financial situation, and other relevant details.
The purpose of the Unum CT Trust application is to determine eligibility for trust benefits from Unum based on the applicant's medical and financial circumstances.
The Unum CT Trust application requires detailed information about the applicant's medical condition, financial situation, employment history, and any other relevant details.
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