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Instruction Sheet for Completion of the Customer Service Request Voluntary Benefits REQUIRED INFORMATION This Instruction Sheet is a guide to assist you with the completion of the attached Customer

How to fill out unum std extension form

How to fill out unum std extension form?

1. Start by obtaining a copy of the unum std extension form. This form can usually be found on the website of UNUM or requested from their customer service department.
2. Read through the form carefully to understand the information and documentation required. This may include personal details, policy information, and reasons for the extension.
3. Begin filling out the form by providing your personal information, such as your name, address, and contact details. Make sure to double-check the accuracy of this information.
4. Fill in the policy information section, including your policy number and any other relevant policy details. If you are unsure about any of the policy information, contact UNUM for assistance.
5. Clearly state the reason for the extension in the designated section of the form. Be specific and provide any necessary supporting documentation, such as medical reports or invoices.
6. Review the completed form to ensure that all required fields have been filled out accurately and completely.
7. Sign and date the form in the appropriate section.
8. Make a copy of the completed form for your records.
9. Submit the form to UNUM through the specified channels, which may include mail, fax, or an online submission portal.

Who needs unum std extension form?

1. Individuals who have a UNUM short-term disability (STD) policy and require an extension beyond the initial coverage period may need to fill out the UNUM STD extension form.
2. This form is typically required to provide necessary information for the extension request and to ensure proper communication between the policyholder and UNUM.
3. It is important to check the terms of your specific UNUM STD policy to determine whether the extension form is required and what the criteria for extension eligibility are.

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What is unum std extension form?

The Unum STD extension form is a document used to request an extension for short-term disability benefits provided by Unum, typically used by employees who are unable to work due to medical conditions.

Who is required to file unum std extension form?

Employees currently receiving short-term disability benefits from Unum who wish to extend their benefits beyond the initial approval period are required to file the Unum STD extension form.

How to fill out unum std extension form?

To fill out the Unum STD extension form, individuals should provide their personal information, the details of their medical condition, any supporting documentation from their healthcare provider, and specify the duration of the requested extension.

What is the purpose of unum std extension form?

The purpose of the Unum STD extension form is to formally request additional time for short-term disability benefits for employees who are still unable to work due to ongoing medical issues.

What information must be reported on unum std extension form?

The Unum STD extension form must report the employee’s personal details, the nature of the disability, medical provider information, current treatment or recovery plans, and any relevant dates pertaining to the original claim and requested extension.