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Get the free Long Term Disability Conversion Application, 6212

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Group Policy Administration 920 SW Sixth Ave. Portland OR 972041203 (800) 3784668 STANDARD INSURANCE COMPANY APPLICATION FOR LONG TERM DISABILITY CONVERSION INSURANCE INSTRUCTIONS PLEASE READ CAREFULLY
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How to fill out long term disability conversion

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How to fill out long term disability conversion

01
First, obtain the long term disability conversion form from your insurance provider.
02
Review the instructions provided with the form to understand the requirements and process.
03
Fill out the form accurately, providing all the necessary personal information such as name, address, social security number, and contact details.
04
Indicate the date on which your long term disability coverage will end and the date you wish the conversion to take effect.
05
Include any additional required documents such as medical records or proof of disability as specified by the insurance provider.
06
Double-check your completed form for any errors or missing information before submitting it.
07
Submit the filled-out form and accompanying documents to your insurance provider either by mail or through their online portal.
08
Wait for confirmation from the insurance provider regarding the acceptance of your conversion request and any further instructions.
09
Review the terms and conditions of the converted long term disability policy once it is issued to ensure it meets your needs and expectations.

Who needs long term disability conversion?

01
Anyone who currently has a long term disability insurance policy and wishes to continue coverage after the policy's expiration or termination.
02
Individuals who have become disabled and are unable to work but want to maintain some form of income protection.
03
Those who want to ensure financial security in case of any future disabilities that might prevent them from earning a living.
04
Employees who are leaving their current job or changing employers and want to convert their group long term disability coverage to an individual policy.
05
Individuals who have previously been covered by a group long term disability policy but no longer qualify for such coverage.
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Long term disability conversion allows employees to continue their disability coverage after leaving an employer. It converts group disability insurance into an individual policy.
Employees who are leaving an employer and wish to maintain their disability coverage are required to file for long term disability conversion.
To fill out long term disability conversion, employees need to contact their insurance provider or HR department for the necessary forms and instructions.
The purpose of long term disability conversion is to ensure that individuals have ongoing disability coverage even after leaving an employer.
Employees must provide personal information, details of their previous disability coverage, and any additional information requested by the insurance provider.
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