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ResetStandard Insurance CompanyUniversity of Arkansas Long Term Disability Conversion Insurance Application InstructionsContinued Benefits 800.378.4668 Tel800.331.3397 Fax 900 SW Fifth Avenue Portland
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How to fill out long term disability conversion
How to fill out long term disability conversion
01
Contact your HR department or benefits administrator to request a long term disability conversion form.
02
Fill out the form with your personal information including name, address, social security number, and contact information.
03
Provide details about your previous long term disability coverage including the policy number and dates of coverage.
04
Submit any required documents such as medical records or proof of disability to support your conversion request.
05
Review the form for accuracy and completeness before submitting it to the insurance company for processing.
Who needs long term disability conversion?
01
Individuals who are currently covered under a group long term disability insurance plan offered by their employer.
02
Those who are transitioning out of their current job or retirement and want to maintain coverage through a conversion option.
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What is long term disability conversion?
Long term disability conversion is the process of converting a group long term disability insurance policy to an individual policy when the insured individual is no longer covered under the group policy.
Who is required to file long term disability conversion?
Any individual who is no longer covered under a group long term disability insurance policy may be required to file for long term disability conversion.
How to fill out long term disability conversion?
To fill out long term disability conversion, the insured individual will need to contact their insurance provider and follow the specific instructions provided by the provider.
What is the purpose of long term disability conversion?
The purpose of long term disability conversion is to ensure that individuals who are no longer covered under a group policy have the option to continue their disability insurance coverage on an individual basis.
What information must be reported on long term disability conversion?
The insured individual may need to provide personal information, details about their disability, and any other relevant information requested by the insurance provider.
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