CS-1157-1-PLC | ACH Authorization and Agreement for Auto Payments - NY and NJ (Provident Life and Casualty) |
CS-1157-1-PLA | ACH Authorization and Agreement for Auto Payments (Provident Life and Accident) |
CS-1157-1 | ACH Authorization and Agreement for Auto Payments (Unum Life Insurance Company of America) |
CS-1181 | Acknowledgment of Prior Assignment of Group Life Insurance |
CS-1181-NY | Acknowledgment of Prior Assignment of Group Life Insurance - New York |
C-32369-NY-PLC | Application - Business Supplemental - New York (Provident Life) |
1143-01-MA | Application - Evidence of Insurability - Massachusetts (FOR LIFE ONLY) |
1143-01-NH | Application - Evidence of Insurability - New Hampshire (FOR LIFE AND DISABILITY ONLY) |
1143-01-NY | Application - Evidence of Insurability - New York (FOR LIFE ONLY) |
A-32388R-CA-PLA | Application - FIO/FAO/GPI - California - Provident Life (675 Policy) |
A-32388R-CA-PLA-1 | Application - FIO/FAO/GPI - California - Provident Life (Other than 675 Policy) |
A-32388-LA-PLA | Application - FIO/FAO/GPI - Louisiana - Provident Life |
A-32388-LA-UNM | Application - FIO/FAO/GPI - Louisiana - Unum Life |
C-32388-NY-PRL | Application - FIO/FAO/GPI - New York - Paul Revere Life |
C-32388-NY-PLC | Application - FIO/FAO/GPI - New York - Provident Life |
A-32388-NC-PRL | Application - FIO/FAO/GPI - North Carolina - Paul Revere Life |
A-32388-NC-PLA | Application - FIO/FAO/GPI - North Carolina - Provident Life |
A-32388-NC-UNM | Application - FIO/FAO/GPI - North Carolina - Unum Life |
CL-21589-NY | Application - Fortune Voluntary Life - *REQUIRED |
AE-1080-NJ-PLC | Application - Group Insurance (Master App) - New Jersey (Provident Life and Casualty) |
AE-1080-NY-PLC | Application - Group Insurance (Master App) - New York - Provident Life and Casualty |
AE-1080-OH | Application - Group Insurance (Master App) - Ohio (for the NPP Base/Buy Life Product only) |
AE-1080-RI | Application - Group Insurance (Master App) - Rhode Island (for the NPP Base/Buy Life Product only) |
L-53371 | Application - Group Term Life Portability (Provident) |
A-32366-AR-PLA | Application - Individual Income Protection - Arkansas (Provident Life) |
A-32366-LA-PLA | Application - Individual Income Protection - Louisiana (Provident Life) |
A-32366-ME-PLA | Application - Individual Income Protection - Maine (Provident Life) |
C-32366-NY-PLC | Application - Individual Income Protection - New York (Provident Life) |
AE-1067 | Application - Life Conversion |
AE-1067-DC | Application - Life Conversion - District of Columbia |
AE-1067-FL | Application - Life Conversion - Florida |
AE-1067-IA | Application - Life Conversion - Iowa |
AE-1067-KY | Application - Life Conversion - Kentucky |
AE-1067-ME | Application - Life Conversion - Maine |
AE-1067-MD | Application - Life Conversion - Maryland |
AE-1067-MA | Application - Life Conversion - Massachusetts |
AE-1067-NH | Application - Life Conversion - New Hampshire |
AE-1116-NY-2 | Application - Life Conversion - New York |
AE-1067-NC | Application - Life Conversion - North Carolina |
AE-1067-OH | Application - Life Conversion - Ohio |
AE-1067-OK | Application - Life Conversion - Oklahoma |
AE-1067-PA | Application - Life Conversion - Pennsylvania |
AE-1067-VA | Application - Life Conversion - Virginia |
AE-1067-WY | Application - Life Conversion - Wyoming |
C-32368-NY-PLC | Application - Policy Change - New York (Provident Life) |
AE-AMD-CA-PLA | APPLICATION ENDORSEMENT - Provident Life and Accident Insurance Company - California |
AE-AMD-CA-UA | APPLICATION ENDORSEMENT - Unum Life Insurance Company of America |
LH 10955 MO | Application for Life Insurance - Unum Life Ins. Company of America |
LH 10872 R | Application For Life Insurance - Unum Life Of America |
LH 11677 MO | Application for Term Life Insurance - Missouri - Unum Life Ins. Company of America |
CS-1179 | Assignment Group Life |
CS-1179-NY | Assignment Group Life - New York |
CS-1179-NY-VB | Assignment Group Life - New York |
CS-1183 | Assignment Group Life Release |
CS-1183-NY | Assignment Group Life Release - New York |
CS-1057 | Assignment Life Under Portable Life |
CS-1057-NY | Assignment Life Under Portable Life - New York |
CS-1179-VB | Assignment of Life Insurance - VB |
CS-1180 | Assignment Portable Group Life |
CS-1180-NY | Assignment Portable Group Life - New York |
CL-1294 | Authorization-Notice of Life Insurance |
CL-1294-SP | Authorization-Notice of Life Insurance - Spanish |
CS-1123 | Beneficiary Designation Form - Life Waiver |
MP005 | Booklet Mini Plan - Life/ADD - Evidence of Insurability |
MP009 | Booklet Mini Plan - Life/ADD - New York |
MP001 | Booklet Mini Plan - Life/ADD Regular |
MP004 | Booklet Mini Plan - Life/ADD/STD |
CS-1069 | Census Template - Lifestyle Product |
HL 10432 | Certificate Group Life - PBA - NY State Troopers Life |
MK-573404-NY | Children's Whole Life (money purchase) employee education flyer - New York |
MK-573404 | Children's whole life (money purchase) employee education flyer with Chronic Care rider |
MK-573456 | Children's Whole Life (volume purchase) employee education flyer |
MK-573456-NY | Children's Whole Life (volume purchase) employee education flyer - New York |
CL-1099 | Claim - Authorization - Accelerated Life or Dismemberment |
CL-1129 | Claim - Continuation of Group Life Insurance for Incapacitated Children |
CL-1093 | Claim - Group Life Accelerated Benefit |
CL-1103 | Claim - Group Life Accelerated Benefit for Life Waiver |
CL-1091 | Claim - Group Life and/or Accidental Death |
CL-1091-SP | Claim - Group Life and/or Accidental Death - Spanish |
CL-1336 | Claim - Group Whole Life Employer Statement |
CL-1020-NYL | Claim - IDI Disability - New York Life |
CL-1027-NYL | Claim - Individual Disability Status Update Form - New York Life |
CL-1102 | Claim - Portability Group Life Accelerated Benefit |
CL-1100 | Claim - Portability Life and/or Accidental Death |
CL-1100-BL | Claim - Portability Life and/or Accidental Death - Billingual |
CL-1061 | Claim - VB Notice of Life Insurance Form |
L-52490-NY | Customer Service Request - Life Voluntary Benefits Division |
1075-06 | Enrollment - AA Life/AD&D 100% DEP |
1335-03 | Enrollment - AA Life/AD&D 50% DEP |
1335-03-VA | Enrollment - AA Life/AD&D 50% DEP - Virginia |
1334-03-NY | Enrollment - AA Lifestyle Life - New York |
1074-06 | Enrollment - AA Lifestyle Life 100% DEP |
1334-03 | Enrollment - AA Lifestyle Life 50% DEP |
1334-03-VA | Enrollment - AA Lifestyle Life 50% DEP - Virginia |
1333-03 | Enrollment - CXC Life/AD&D 50% DEP |
1333-03-VA | Enrollment - CXC Life/AD&D 50% DEP - Virginia |
1333-03-NY | Enrollment - CXC Life/ADD - New York |
1137-06 | Enrollment - CXC Lifestyle Life - Hawaii |
1332-03-NY | Enrollment - CXC Lifestyle Life - New York |
1072-06 | Enrollment - CXC Lifestyle Life 100% DEP |
1332-03 | Enrollment - CXC Lifestyle Life 50% DEP |
1332-03-VA | Enrollment - CXC Lifestyle Life 50% DEP - Virginia |
1138-06 | Enrollment - CXC Lifestyle Life/AD&D - Hawaii |
1073-06 | Enrollment - CXC Lifestyle Life/AD&D 100% DEP |
AE-1213 | Enrollment - Life Insurance Election of Portability Coverage |
AE-1213-NY | Enrollment - Life Insurance Election of Portability Coverage - New York |
AE-1213-NY-SP | Enrollment - Life Insurance Election of Portability Coverage - New York - Spanish |
AE-1213-SP | Enrollment - Life Insurance Election of Portability Coverage - Spanish |
AE-1214 | Enrollment - Life Insurance Election of Portability Coverage No Sick Life ADD |
AE-1214-SP | Enrollment - Life Insurance Election of Portability Coverage No Sick Life ADD - Spanish |
EB-605-NY | Enrollment - Portability Life - New York |
AE-1216-FL-UP | Evidence of Insurability – Statement of Health - Florida (Life and Disability only) |
AE-1174 | Exclusions and Terminations Flyer - Whole Life |
AE-1174-SP | Exclusions and Terminations Flyer - Whole Life (Spanish) |
G-71987 | Existing Coverage/Replacement Notice - Life Insurance and Annuities - *REQUIRED |
CS-1119 | Fact Sheet - Portabililty - Life AA Series - Unum America |
CS-1122-NY | Fact Sheet - Portability - Life AA Series - New York |
CS-1121-NY | Fact Sheet - Portability - Life CXC Series - New York |
CS-1120 | Fact Sheet - Portability - Life CXC Series - Unum America |
HL 10177-A | First Unum Life Insurance Company - Disability Income Insurance Required Disclosure Statement |
TM-045 | Flex Life Annonated Contract |
L-52659 | Form - Life Replacement |
G-71987-AR | Form - Life Replacement - Arkansas - *REQUIRED |
G-71987-CA | Form - Life Replacement - California - *REQUIRED |
G-71987-DE | Form - Life Replacement - Delaware - *REQUIRED |
G-71987-FL | Form - Life Replacement - Florida - *REQUIRED |
G-71987-GA | Form - Life Replacement - Georgia - *REQUIRED |
G-71987-ID | Form - Life Replacement - Idaho - *REQUIRED |
G-71987-IL | Form - Life Replacement - Illinois - *REQUIRED |
G-71987-IN | Form - Life Replacement - Indiana - *REQUIRED |
G-71987-KS | Form - Life Replacement - Kansas - *REQUIRED |
G-71987-KY | Form - Life Replacement - Kentucky - *REQUIRED |
G-71987-MA | Form - Life Replacement - Massachusetts - *REQUIRED |
G-71987-MI | Form - Life Replacement - Michigan - *REQUIRED |
G-71987-MN | Form - Life Replacement - Minnesota - *REQUIRED |
G-71987-NV | Form - Life Replacement - Nevada - *REQUIRED |
G-71987-OK | Form - Life Replacement - Oklahoma - *REQUIRED |
G-71987-PA | Form - Life Replacement - Pennsylvania - *REQUIRED |
G-71987-PR | Form - Life Replacement - Puerto Rico - *REQUIRED |
G-71987-RI | Form - Life Replacement - Rhode Island - *REQUIRED |
G-71987-TN | Form - Life Replacement - Tennessee - *REQUIRED |
G-71987-VA | Form - Life Replacement - Virginia - *REQUIRED |
G-71987-WA | Form - Life Replacement - Washington - *REQUIRED |
G-71987-WY | Form - Life Replacement - Wyoming - *REQUIRED |
CL-1234 | Group Life - Disability Benefit Claim Form |
TM-044 | Group Life AD&D annotated contract |
AE-1259 | Group Life Conversion Form - AR, CT, DE, FL, GA, IA, ID, IN, KY, ME, MO, MS, MT, NE, NV, OH, OK, OR, RI, TN, TX, WV, WY |
AE-1259-AL | Group Life Conversion Form - Alabama |
AE-1259-AK | Group Life Conversion Form - Alaska |
AE-1259-CA | Group Life Conversion Form - California |
AE-1259-LA | Group Life Conversion Form - Louisiana |
AE-1259-NH | Group Life Conversion Form - New Hampshire |
AE-1259-NJ | Group Life Conversion Form - New Jersey |
AE-1259.1-SC | Group Life Conversion Form - South Carolina |
AE-1258.1 | Group Life Enrollment Form - AL, AR, AZ, CO, CT, DC, DE, GA, HI, IA, ID, IL, IN, KY, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NV, OK, PA, SD, TX, VT, WI, WV, WY |
AE-1258.1-CA | Group Life Enrollment Form - California |
AE-1258.1-FL | Group Life Enrollment Form - Florida |
AE-1258.1-LA | Group Life Enrollment Form - Louisiana |
AE-1258 | Group Life Enrollment Form - OR |
AE-1258.1-RI | Group Life Enrollment Form - Rhode Island |
AE-1258.2-SC | Group Life Enrollment Form - South Carolina |
AE-1258.1-TN | Group Life Enrollment Form - Tennessee |
AE-1258.1-WA | Group Life Enrollment Form - Washington |
SD-1100 | Group Life Insurance: What's the real cost |
AE-1261 | Group Life Portability Form - AL, AR, DE, IA, ID, IN, KY, ME, MO, MS, MT, NE, NH, NV, OK, OR, TX, WV, WY |
AE-1261-CA | Group Life Portability Form - California |
AE-1261-CT | Group Life Portability Form - Connecticut
|
AE-1261-FL | Group Life Portability Form - Florida |
AE-1261-LA | Group Life Portability Form - Louisiana |
AE-1261-NC | Group Life Portability Form - North Carolina |
AE-1261-OH | Group Life Portability Form - Ohio |
AE-1261-RI | Group Life Portability Form - Rhode Island |
AE-1261.1-SC | Group Life Portability Form - South Carolina |
AE-1261-TN | Group Life Portability Form - Tennessee |
AE-1261-WA | Group Life Portability Form - Washington |
MK-1547 | Group Life Product Summary Sheet for brokers/employers flyer |
AE-1260 | Group Life Rate Sheet |
EN-1144063 | Group term life Portability and Conversion employee flyer |
MK-1143901 | Group term life Portability and Conversion employer flyer |
MK-1411263 | Group Whole Life cash value accumulation flyer |
AE-1269-MN | Group Whole Life Conversion Form - Minnesota |
AE-1269-WA | Group Whole Life Conversion Form - Washington |
AE-1269 | Group Whole Life Conversion Form (for use in all states except CA, IN, KS, MA, MD, MI, MN, NJ, NY, OR, UT, VA, VT, WA) |
AE-1268-FL | Group Whole Life Enrollment Form for use with ADB for LTC - Florida |
AE-1268-IN | Group Whole Life Enrollment Form for use with ADB for LTC - Indiana |
AE-1268-KY | Group Whole Life Enrollment Form for use with ADB for LTC - Kentucky |
AE-1268-LA | Group Whole Life Enrollment Form for use with ADB for LTC - Louisiana |
AE-1268-MD | Group Whole Life Enrollment Form for use with ADB for LTC - Maryland |
AE-1268-NC | Group Whole Life Enrollment Form for use with ADB for LTC - North Carolina |
AE-1268-OH | Group Whole Life Enrollment Form for use with ADB for LTC - Ohio |
AE-1268-OR | Group Whole Life Enrollment Form for use with ADB for LTC - Oregon |
AE-1268-SC | Group Whole Life Enrollment Form for use with ADB for LTC - South Carolina |
AE-1268-TN | Group Whole Life Enrollment Form for use with ADB for LTC - Tennessee |
AE-1268-WA | Group Whole Life Enrollment Form for use with ADB for LTC - Washington |
AE-1268 | Group Whole Life Enrollment Form for use with ADB for LTC (for use in the following states: AL, AR, AZ, CO, CT, DE, GA, HI, IA, ID, IL, ME, MO, MS, MT, ND, NE, NH, NM, NV, OK, PA, RI, SD, WI, WV, WY) |
AE-1271-FL | Group Whole Life Enrollment Form NOT for use with ADB for LTC - Florida |
AE-1271-LA | Group Whole Life Enrollment Form NOT for use with ADB for LTC - Louisiana |
AE-1271-MD | Group Whole Life Enrollment Form NOT for use with ADB for LTC - Maryland |
AE-1271-OH | Group Whole Life Enrollment Form NOT for use with ADB for LTC - Ohio |
AE-1271-SC | Group Whole Life Enrollment Form NOT for use with ADB for LTC - South Carolina |
AE-1271-TN | Group Whole Life Enrollment Form NOT for use with ADB for LTC - Tennessee |
AE-1271-WA | Group Whole Life Enrollment Form NOT for use with ADB for LTC - Washington |
AE-1271 | Group Whole Life Enrollment Form NOT for use with ADB for LTC (for use in the following states: AL, AR, AZ, CO, CT, DE, GA, HI, IA, ID, IL, ME, MO, MS, MT, ND, NE, NH, NM, NV, OK, PA, RI, SD, WI, WV, WY) |
EN-1881255 | Group Whole Life Port and Convert EE flyer |
MK-1882568 | Group Whole Life Port and Convert ER flyer |
AE-1270 | Group Whole Life Portability Form - AL, AK, AZ, AR, CO, CT, DE, DC, GA, HI, ID, IL, IA, KY, LA, ME, MN, MS, MO, MT, NE, NV, NH, NM, NC, ND, OK, PA, RI, SC, SD, WI, WV, WY |
AE-1270-FL | Group Whole Life Portability Form - Florida |
AE-1270-MD | Group Whole Life Portability Form - Maryland |
AE-1270-MN | Group Whole Life Portability Form - Minnesota |
AE-1270-OH | Group Whole Life Portability Form - Ohio |
AE-1270-TN | Group Whole Life Portability Form - Tennessee |
AE-1270-WA | Group Whole Life Portability Form - Washington |
SD-1159 | Group Whole Life Sample Contract |
1012-07 | Indiana Life and Health Guaranty Notice |
MK-571279 | Individual Whole Life cash value accumulation (Lifetime premiums) Employer flyer |
MK-571431 | Individual Whole Life cash value accumulation (paid up to 70) overview flyer |
WS-2314-CLA | IRS W-9 Tax Form - Colonial Life & Accident Insurance Company |
WS-2314-FUL | IRS W-9 Tax Form - First Unum Life Insurance Company |
WS-2314-PLA | IRS W-9 Tax Form - Provident Life & Accident Insurance Company |
WS-2314-PLC | IRS W-9 Tax Form - Provident Life & Casualty Insurance Company |
WS-2314-SML | IRS W-9 Tax Form - Starmount Life Insurance Company |
WS-2314-PRL | IRS W-9 Tax Form - The Paul Revere Life Insurance Company |
WS-2314-UNM | IRS W-9 Tax Form - Unum Life Insurance Company of America |
1993-91 | Kansas Life And Health Guaranty Notice |
CL-1310 | Life Accelerated Benefit Claim Form |
1049-01 | Life and Health Guaranty Notice - Alaska |
1387-92 | Life and Health Guaranty Notice - Arkansas |
1046-92 | Life and Health Guaranty Notice - California |
1346-92 | Life and Health Guaranty Notice - Colorado |
1350-93 | Life And Health Guaranty Notice - District of Columbia |
1426-95 | Life and Health Guaranty Notice - Illinois |
1776-92 | Life And Health Guaranty Notice - Louisiana |
1183-96 | Life And Health Guaranty Notice - Maryland |
1683-91 | Life And Health Guaranty Notice - Minnesota |
1111-00 | Life And Health Guaranty Notice - Mississippi |
1393-91 | Life And Health Guaranty Notice - Missouri |
1718-94 | Life and Health Guaranty Notice - Montana |
5067-99 | Life And Health Guaranty Notice - New Hampshire |
1832-92 | Life And Health Guaranty Notice - New Jersey |
1320-92 | Life and Health Guaranty Notice - North Carolina |
1712-91 | Life and Health Guaranty Notice - Oklahoma |
GAN-SC | Life and Health Guaranty Notice - South Carolina |
1355-91 | Life And Health Guaranty Notice - Tennessee |
1509-93 | Life and Health Guaranty Notice - Texas |
GA-UTAH | Life And Health Guaranty Notice - Utah |
1691-93 | Life And Health Guaranty Notice - West Virginia |
1395-91 | Life and Health Guaranty Notice - Wyoming |
AE-1066 | Life Conversion Rate Sheet |
AE-1066-FL | Life Conversion Rate Sheet - Florida |
AE-1066-KY | Life Conversion Rate Sheet - Kentucky |
AE-1066-NY | Life Conversion Rate Sheet - New York |
AE-1066-OK | Life Conversion Rate Sheet - Oklahoma |
AE-1066-VA | Life Conversion Rate Sheet - Virginia |
EN-1961 | Life Planning financial and legal flyer for general audience |
1343-92 | LTC Life and Health Guaranty Notice - Hawaii |
SD-1156 | ME Life Insurance Buyer’s Guide |
LH12839MO | Missouri Disability Income Plan Information Sheet - Unum Life of America |
SD-1158 | NAIC Life Insurance Buyer’s Guide |
EN-1870 | Need for perm/term life insurance employee flyer |
MK-3303 | Need for perm/term life insurance employer flyer |
1307-92 | Nevada Life And Health Guaranty Association Notice |
G-71987-NY | New York Life Insurance Replacement Notice - *REQUIRED |
1290-91 | North Dakota Life and Health Guaranty Notice |
6743-05-FUL | Notice of Cancellation of Non-Payment of Premium - First Unum Life Insurance Company |
A-32442-15 | Notice of Privacy Practices GLB - Great West Life |
A-32442-10 | Notice of Privacy Practices GLB - National Life |
A-32442-14-CA | Notice of Privacy Practices GLB - New York Life - California |
A-32442-14 | Notice of Privacy Practices GLB - New York Life - Generic |
A-32442-14-MN-MT | Notice of Privacy Practices GLB - New York Life - Minnesota and Montana |
SD-1157 | NY Life Insurance Buyer’s Guide |
1396-91 | Ohio Life and Health Guaranty Association Notice |
600-SA-OC-05-TX | Outline of Coverage - Income Series - Texas (multi-life setting) |
600-OC-05-TX | Outline of Coverage - Income Series - Texas (non multi-life setting) |
NY 1474-96 | Portability Group Life/AD&D Claim Form - New York |
1612-90 | Premium Invoice - Merlin Group Life/Health |
1182-04 | Rhode Island Life & Health Guaranty Association Notice |
HL 10437 | Rider AD&D - PBA - NY State Troopers Life |
HL 10433 | Rider Enhanced Benefit - PBA - NY State Troopers Life |
1394-91 | South Dakota Life and Health Guaranty Notice |
CS-1114 | Statement - Group Life Domestic Partner - Six Months |
EN-1102-SP | Term Life employee fact sheet-Spanish |
G-2268 | Voluntary Life Continuation Application |
SD-1089 | Whole Life Annotated Contract |
MK-571071 | Whole life employee education flyer with Chronic Care rider |
AE-1244 | Whole Life Paid Up Face Amounts (for policies effective 1/1/2020 through 12/31/2021) |
AE-1262 | Whole Life Paid Up Face Amounts (for policies effective 1/1/2022 and later) |
TM-025 | Whole life quick reference broker guide |
AE-1179 | Whole Life Reduced Paid Up Face Amounts - Money Purchase (for policies effective prior to 1/1/20) |
AE-1180 | Whole Life Reduced Paid Up Face Amounts - Volume Purchase (for policies effective prior to 1/1/20) |
MK-1825256 | Why Buy Whole Life employee flyer |
MK-1409079 | Why Group Whole Life flyer |
MK-3178 | Why Unum whole life broker/employer spec sheet flyer |
VB-545 | WorkPack Online Term Life Employee Proposal |