Unum 1344-96 2007-2025 free printable template
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EDUCATOR SALARY PROTECTION PLAN DISABILITY CLAIM FORM Claim Questions: 800-527-4572? Tax Questions: 800-845-2290 For use with policies issued by the following UNM subsidiaries: UNM Life Insurance
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How to fill out form 96 salary plan disability search
How to fill out Unum 1344-96
01
Start by downloading the Unum 1344-96 form from the Unum website or obtaining a physical copy.
02
Fill in your personal information at the top of the form, including your name, address, and social security number.
03
Provide details about your employment, including your job title and the name of your employer.
04
Indicate the type of claim you are filing by checking the appropriate box.
05
Include the dates of your disability and any relevant medical information.
06
Attach supporting documents such as medical records or treatment notes as required.
07
Review the completed form for accuracy and completeness.
08
Sign and date the form at the designated areas.
09
Submit the form according to the instructions provided, either by mail or electronically.
Who needs Unum 1344-96?
01
Individuals who are applying for long-term disability benefits through Unum.
02
Employees who have been disabled and are seeking financial assistance.
03
Claimants who need to report changes in their medical condition related to an existing claim.
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What is Unum 1344-96?
Unum 1344-96 is a specific form used by Unum, an insurance company, typically related to claims for short-term disability benefits.
Who is required to file Unum 1344-96?
Individuals who are filing a claim for short-term disability benefits through Unum are required to complete and submit the Unum 1344-96 form.
How to fill out Unum 1344-96?
To fill out Unum 1344-96, individuals must provide personal information, details about the medical condition, the dates of disability, and physician information, ensuring all required fields are accurately completed.
What is the purpose of Unum 1344-96?
The purpose of Unum 1344-96 is to collect necessary information to process disability claims and determine eligibility for benefits.
What information must be reported on Unum 1344-96?
The Unum 1344-96 form must report personal identification details, medical history relevant to the disability, the duration of the condition, and any treatments received.
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