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CS-1157-1-PLCACH Authorization and Agreement for Auto Payments - NY and NJ (Provident Life and Casualty)
CS-1157-1-PLAACH Authorization and Agreement for Auto Payments (Provident Life and Accident)
CS-1157-1ACH Authorization and Agreement for Auto Payments (Unum Life Insurance Company of America)
CS-1181Acknowledgment of Prior Assignment of Group Life Insurance
CS-1181-NYAcknowledgment of Prior Assignment of Group Life Insurance - New York
C-32369-NY-PLCApplication - Business Supplemental - New York (Provident Life)
1143-01-MAApplication - Evidence of Insurability - Massachusetts (FOR LIFE ONLY)
1143-01-NHApplication - Evidence of Insurability - New Hampshire (FOR LIFE AND DISABILITY ONLY)
1143-01-NYApplication - Evidence of Insurability - New York (FOR LIFE ONLY)
A-32388R-CA-PLAApplication - FIO/FAO/GPI - California - Provident Life (675 Policy)
A-32388R-CA-PLA-1Application - FIO/FAO/GPI - California - Provident Life (Other than 675 Policy)
A-32388-LA-PLAApplication - FIO/FAO/GPI - Louisiana - Provident Life
A-32388-LA-UNMApplication - FIO/FAO/GPI - Louisiana - Unum Life
C-32388-NY-PRLApplication - FIO/FAO/GPI - New York - Paul Revere Life
C-32388-NY-PLCApplication - FIO/FAO/GPI - New York - Provident Life
A-32388-NC-PRLApplication - FIO/FAO/GPI - North Carolina - Paul Revere Life
A-32388-NC-PLAApplication - FIO/FAO/GPI - North Carolina - Provident Life
A-32388-NC-UNMApplication - FIO/FAO/GPI - North Carolina - Unum Life
CL-21589-NYApplication - Fortune Voluntary Life - *REQUIRED
AE-1080-NJ-PLCApplication - Group Insurance (Master App) - New Jersey (Provident Life and Casualty)
AE-1080-NY-PLCApplication - Group Insurance (Master App) - New York - Provident Life and Casualty
AE-1080-OHApplication - Group Insurance (Master App) - Ohio (for the NPP Base/Buy Life Product only)
AE-1080-RIApplication - Group Insurance (Master App) - Rhode Island (for the NPP Base/Buy Life Product only)
L-53371Application - Group Term Life Portability (Provident)
A-32366-AR-PLAApplication - Individual Income Protection - Arkansas (Provident Life)
A-32366-LA-PLAApplication - Individual Income Protection - Louisiana (Provident Life)
A-32366-ME-PLAApplication - Individual Income Protection - Maine (Provident Life)
C-32366-NY-PLCApplication - Individual Income Protection - New York (Provident Life)
AE-1067Application - Life Conversion
AE-1067-DCApplication - Life Conversion - District of Columbia
AE-1067-FLApplication - Life Conversion - Florida
AE-1067-IAApplication - Life Conversion - Iowa
AE-1067-KYApplication - Life Conversion - Kentucky
AE-1067-MEApplication - Life Conversion - Maine
AE-1067-MDApplication - Life Conversion - Maryland
AE-1067-MAApplication - Life Conversion - Massachusetts
AE-1067-NHApplication - Life Conversion - New Hampshire
AE-1116-NY-2Application - Life Conversion - New York
AE-1067-NCApplication - Life Conversion - North Carolina
AE-1067-OHApplication - Life Conversion - Ohio
AE-1067-OKApplication - Life Conversion - Oklahoma
AE-1067-PAApplication - Life Conversion - Pennsylvania
AE-1067-VAApplication - Life Conversion - Virginia
AE-1067-WYApplication - Life Conversion - Wyoming
C-32368-NY-PLCApplication - Policy Change - New York (Provident Life)
AE-AMD-CA-PLAAPPLICATION ENDORSEMENT - Provident Life and Accident Insurance Company - California
AE-AMD-CA-UAAPPLICATION ENDORSEMENT - Unum Life Insurance Company of America
LH 10955 MOApplication for Life Insurance - Unum Life Ins. Company of America
LH 10872 RApplication For Life Insurance - Unum Life Of America
LH 11677 MOApplication for Term Life Insurance - Missouri - Unum Life Ins. Company of America
CS-1179Assignment Group Life
CS-1179-NYAssignment Group Life - New York
CS-1179-NY-VBAssignment Group Life - New York
CS-1183Assignment Group Life Release
CS-1183-NYAssignment Group Life Release - New York
CS-1057Assignment Life Under Portable Life
CS-1057-NYAssignment Life Under Portable Life - New York
CS-1179-VBAssignment of Life Insurance - VB
CS-1180Assignment Portable Group Life
CS-1180-NYAssignment Portable Group Life - New York
CL-1294Authorization-Notice of Life Insurance
CL-1294-SPAuthorization-Notice of Life Insurance - Spanish
CS-1123Beneficiary Designation Form - Life Waiver
MP005Booklet Mini Plan - Life/ADD - Evidence of Insurability
MP009Booklet Mini Plan - Life/ADD - New York
MP001Booklet Mini Plan - Life/ADD Regular
MP004Booklet Mini Plan - Life/ADD/STD
CS-1069Census Template - Lifestyle Product
HL 10432Certificate Group Life - PBA - NY State Troopers Life
MK-573404-NYChildren's Whole Life (money purchase) employee education flyer - New York
MK-573404Children's whole life (money purchase) employee education flyer with Chronic Care rider
MK-573456Children's Whole Life (volume purchase) employee education flyer
MK-573456-NYChildren's Whole Life (volume purchase) employee education flyer - New York
CL-1099Claim - Authorization - Accelerated Life or Dismemberment
CL-1129Claim - Continuation of Group Life Insurance for Incapacitated Children
CL-1093Claim - Group Life Accelerated Benefit
CL-1103Claim - Group Life Accelerated Benefit for Life Waiver
CL-1091Claim - Group Life and/or Accidental Death
CL-1091-SPClaim - Group Life and/or Accidental Death - Spanish
CL-1336Claim - Group Whole Life Employer Statement
CL-1020-NYLClaim - IDI Disability - New York Life
CL-1027-NYLClaim - Individual Disability Status Update Form - New York Life
CL-1102Claim - Portability Group Life Accelerated Benefit
CL-1100Claim - Portability Life and/or Accidental Death
CL-1100-BLClaim - Portability Life and/or Accidental Death - Billingual
CL-1061Claim - VB Notice of Life Insurance Form
L-52490-NYCustomer Service Request - Life Voluntary Benefits Division
1075-06Enrollment - AA Life/AD&D 100% DEP
1335-03Enrollment - AA Life/AD&D 50% DEP
1335-03-VAEnrollment - AA Life/AD&D 50% DEP - Virginia
1334-03-NYEnrollment - AA Lifestyle Life - New York
1074-06Enrollment - AA Lifestyle Life 100% DEP
1334-03Enrollment - AA Lifestyle Life 50% DEP
1334-03-VAEnrollment - AA Lifestyle Life 50% DEP - Virginia
1333-03Enrollment - CXC Life/AD&D 50% DEP
1333-03-VAEnrollment - CXC Life/AD&D 50% DEP - Virginia
1333-03-NYEnrollment - CXC Life/ADD - New York
1137-06Enrollment - CXC Lifestyle Life - Hawaii
1332-03-NYEnrollment - CXC Lifestyle Life - New York
1072-06Enrollment - CXC Lifestyle Life 100% DEP
1332-03Enrollment - CXC Lifestyle Life 50% DEP
1332-03-VAEnrollment - CXC Lifestyle Life 50% DEP - Virginia
1138-06Enrollment - CXC Lifestyle Life/AD&D - Hawaii
1073-06Enrollment - CXC Lifestyle Life/AD&D 100% DEP
AE-1213Enrollment - Life Insurance Election of Portability Coverage
AE-1213-NYEnrollment - Life Insurance Election of Portability Coverage - New York
AE-1213-NY-SPEnrollment - Life Insurance Election of Portability Coverage - New York - Spanish
AE-1213-SPEnrollment - Life Insurance Election of Portability Coverage - Spanish
AE-1214Enrollment - Life Insurance Election of Portability Coverage No Sick Life ADD
AE-1214-SPEnrollment - Life Insurance Election of Portability Coverage No Sick Life ADD - Spanish
EB-605-NYEnrollment - Portability Life - New York
AE-1216-FL-UPEvidence of Insurability – Statement of Health - Florida (Life and Disability only)
AE-1174Exclusions and Terminations Flyer - Whole Life
AE-1174-SPExclusions and Terminations Flyer - Whole Life (Spanish)
G-71987Existing Coverage/Replacement Notice - Life Insurance and Annuities - *REQUIRED
CS-1119Fact Sheet - Portabililty - Life AA Series - Unum America
CS-1122-NYFact Sheet - Portability - Life AA Series - New York
CS-1121-NYFact Sheet - Portability - Life CXC Series - New York
CS-1120Fact Sheet - Portability - Life CXC Series - Unum America
HL 10177-AFirst Unum Life Insurance Company - Disability Income Insurance Required Disclosure Statement
TM-045Flex Life Annonated Contract
L-52659Form - Life Replacement
G-71987-ARForm - Life Replacement - Arkansas - *REQUIRED
G-71987-CAForm - Life Replacement - California - *REQUIRED
G-71987-DEForm - Life Replacement - Delaware - *REQUIRED
G-71987-FLForm - Life Replacement - Florida - *REQUIRED
G-71987-GAForm - Life Replacement - Georgia - *REQUIRED
G-71987-IDForm - Life Replacement - Idaho - *REQUIRED
G-71987-ILForm - Life Replacement - Illinois - *REQUIRED
G-71987-INForm - Life Replacement - Indiana - *REQUIRED
G-71987-KSForm - Life Replacement - Kansas - *REQUIRED
G-71987-KYForm - Life Replacement - Kentucky - *REQUIRED
G-71987-MAForm - Life Replacement - Massachusetts - *REQUIRED
G-71987-MIForm - Life Replacement - Michigan - *REQUIRED
G-71987-MNForm - Life Replacement - Minnesota - *REQUIRED
G-71987-NVForm - Life Replacement - Nevada - *REQUIRED
G-71987-OKForm - Life Replacement - Oklahoma - *REQUIRED
G-71987-PAForm - Life Replacement - Pennsylvania - *REQUIRED
G-71987-PRForm - Life Replacement - Puerto Rico - *REQUIRED
G-71987-RIForm - Life Replacement - Rhode Island - *REQUIRED
G-71987-TNForm - Life Replacement - Tennessee - *REQUIRED
G-71987-VAForm - Life Replacement - Virginia - *REQUIRED
G-71987-WAForm - Life Replacement - Washington - *REQUIRED
G-71987-WYForm - Life Replacement - Wyoming - *REQUIRED
CL-1234Group Life - Disability Benefit Claim Form
TM-044Group Life AD&D annotated contract
AE-1259Group 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-ALGroup Life Conversion Form - Alabama
AE-1259-AKGroup Life Conversion Form - Alaska
AE-1259-CAGroup Life Conversion Form - California
AE-1259-LAGroup Life Conversion Form - Louisiana
AE-1259-NHGroup Life Conversion Form - New Hampshire
AE-1259-NJGroup Life Conversion Form - New Jersey
AE-1259.1-SCGroup Life Conversion Form - South Carolina
AE-1258.1Group 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-CAGroup Life Enrollment Form - California
AE-1258.1-FLGroup Life Enrollment Form - Florida
AE-1258.1-LAGroup Life Enrollment Form - Louisiana
AE-1258Group Life Enrollment Form - OR
AE-1258.1-RIGroup Life Enrollment Form - Rhode Island
AE-1258.2-SCGroup Life Enrollment Form - South Carolina
AE-1258.1-TNGroup Life Enrollment Form - Tennessee
AE-1258.1-WAGroup Life Enrollment Form - Washington
SD-1100Group Life Insurance: What's the real cost
AE-1261Group Life Portability Form - AL, AR, DE, IA, ID, IN, KY, ME, MO, MS, MT, NE, NH, NV, OK, OR, TX, WV, WY
AE-1261-CAGroup Life Portability Form - California
AE-1261-CTGroup Life Portability Form - Connecticut
AE-1261-FLGroup Life Portability Form - Florida
AE-1261-LAGroup Life Portability Form - Louisiana
AE-1261-NCGroup Life Portability Form - North Carolina
AE-1261-OHGroup Life Portability Form - Ohio
AE-1261-RIGroup Life Portability Form - Rhode Island
AE-1261.1-SCGroup Life Portability Form - South Carolina
AE-1261-TNGroup Life Portability Form - Tennessee
AE-1261-WAGroup Life Portability Form - Washington
MK-1547Group Life Product Summary Sheet for brokers/employers flyer
AE-1260Group Life Rate Sheet
EN-1144063Group term life Portability and Conversion employee flyer
MK-1143901Group term life Portability and Conversion employer flyer
MK-1411263Group Whole Life cash value accumulation flyer
AE-1269-MNGroup Whole Life Conversion Form - Minnesota
AE-1269-WAGroup Whole Life Conversion Form - Washington
AE-1269Group 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-FLGroup Whole Life Enrollment Form for use with ADB for LTC - Florida
AE-1268-INGroup Whole Life Enrollment Form for use with ADB for LTC - Indiana
AE-1268-KYGroup Whole Life Enrollment Form for use with ADB for LTC - Kentucky
AE-1268-LAGroup Whole Life Enrollment Form for use with ADB for LTC - Louisiana
AE-1268-MDGroup Whole Life Enrollment Form for use with ADB for LTC - Maryland
AE-1268-NCGroup Whole Life Enrollment Form for use with ADB for LTC - North Carolina
AE-1268-OHGroup Whole Life Enrollment Form for use with ADB for LTC - Ohio
AE-1268-ORGroup Whole Life Enrollment Form for use with ADB for LTC - Oregon
AE-1268-SCGroup Whole Life Enrollment Form for use with ADB for LTC - South Carolina
AE-1268-TNGroup Whole Life Enrollment Form for use with ADB for LTC - Tennessee
AE-1268-WAGroup Whole Life Enrollment Form for use with ADB for LTC - Washington
AE-1268Group 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-FLGroup Whole Life Enrollment Form NOT for use with ADB for LTC - Florida
AE-1271-LAGroup Whole Life Enrollment Form NOT for use with ADB for LTC - Louisiana
AE-1271-MDGroup Whole Life Enrollment Form NOT for use with ADB for LTC - Maryland
AE-1271-OHGroup Whole Life Enrollment Form NOT for use with ADB for LTC - Ohio
AE-1271-SCGroup Whole Life Enrollment Form NOT for use with ADB for LTC - South Carolina
AE-1271-TNGroup Whole Life Enrollment Form NOT for use with ADB for LTC - Tennessee
AE-1271-WAGroup Whole Life Enrollment Form NOT for use with ADB for LTC - Washington
AE-1271Group 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-1881255Group Whole Life Port and Convert EE flyer
MK-1882568Group Whole Life Port and Convert ER flyer
AE-1270Group 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-FLGroup Whole Life Portability Form - Florida
AE-1270-MDGroup Whole Life Portability Form - Maryland
AE-1270-MNGroup Whole Life Portability Form - Minnesota
AE-1270-OHGroup Whole Life Portability Form - Ohio
AE-1270-TNGroup Whole Life Portability Form - Tennessee
AE-1270-WAGroup Whole Life Portability Form - Washington
SD-1159Group Whole Life Sample Contract
1012-07Indiana Life and Health Guaranty Notice
MK-571279Individual Whole Life cash value accumulation (Lifetime premiums) Employer flyer
MK-571431Individual Whole Life cash value accumulation (paid up to 70) overview flyer
WS-2314-CLAIRS W-9 Tax Form - Colonial Life & Accident Insurance Company
WS-2314-FULIRS W-9 Tax Form - First Unum Life Insurance Company
WS-2314-PLAIRS W-9 Tax Form - Provident Life & Accident Insurance Company
WS-2314-PLCIRS W-9 Tax Form - Provident Life & Casualty Insurance Company
WS-2314-SMLIRS W-9 Tax Form - Starmount Life Insurance Company
WS-2314-PRLIRS W-9 Tax Form - The Paul Revere Life Insurance Company
WS-2314-UNMIRS W-9 Tax Form - Unum Life Insurance Company of America
1993-91Kansas Life And Health Guaranty Notice
CL-1310Life Accelerated Benefit Claim Form
1049-01Life and Health Guaranty Notice - Alaska
1387-92Life and Health Guaranty Notice - Arkansas
1046-92Life and Health Guaranty Notice - California
1346-92Life and Health Guaranty Notice - Colorado
1350-93Life And Health Guaranty Notice - District of Columbia
1426-95Life and Health Guaranty Notice - Illinois
1776-92Life And Health Guaranty Notice - Louisiana
1183-96Life And Health Guaranty Notice - Maryland
1683-91Life And Health Guaranty Notice - Minnesota
1111-00Life And Health Guaranty Notice - Mississippi
1393-91Life And Health Guaranty Notice - Missouri
1718-94Life and Health Guaranty Notice - Montana
5067-99Life And Health Guaranty Notice - New Hampshire
1832-92Life And Health Guaranty Notice - New Jersey
1320-92Life and Health Guaranty Notice - North Carolina
1712-91Life and Health Guaranty Notice - Oklahoma
GAN-SCLife and Health Guaranty Notice - South Carolina
1355-91Life And Health Guaranty Notice - Tennessee
1509-93Life and Health Guaranty Notice - Texas
GA-UTAHLife And Health Guaranty Notice - Utah
1691-93Life And Health Guaranty Notice - West Virginia
1395-91Life and Health Guaranty Notice - Wyoming
AE-1066Life Conversion Rate Sheet
AE-1066-FLLife Conversion Rate Sheet - Florida
AE-1066-KYLife Conversion Rate Sheet - Kentucky
AE-1066-NYLife Conversion Rate Sheet - New York
AE-1066-OKLife Conversion Rate Sheet - Oklahoma
AE-1066-VALife Conversion Rate Sheet - Virginia
EN-1961Life Planning financial and legal flyer for general audience
1343-92LTC Life and Health Guaranty Notice - Hawaii
SD-1156ME Life Insurance Buyer’s Guide
LH12839MOMissouri Disability Income Plan Information Sheet - Unum Life of America
SD-1158NAIC Life Insurance Buyer’s Guide
EN-1870Need for perm/term life insurance employee flyer
MK-3303Need for perm/term life insurance employer flyer
1307-92Nevada Life And Health Guaranty Association Notice
G-71987-NYNew York Life Insurance Replacement Notice - *REQUIRED
1290-91North Dakota Life and Health Guaranty Notice
6743-05-FULNotice of Cancellation of Non-Payment of Premium - First Unum Life Insurance Company
A-32442-15Notice of Privacy Practices GLB - Great West Life
A-32442-10Notice of Privacy Practices GLB - National Life
A-32442-14-CANotice of Privacy Practices GLB - New York Life - California
A-32442-14Notice of Privacy Practices GLB - New York Life - Generic
A-32442-14-MN-MTNotice of Privacy Practices GLB - New York Life - Minnesota and Montana
SD-1157NY Life Insurance Buyer’s Guide
1396-91Ohio Life and Health Guaranty Association Notice
600-SA-OC-05-TXOutline of Coverage - Income Series - Texas (multi-life setting)
600-OC-05-TXOutline of Coverage - Income Series - Texas (non multi-life setting)
NY 1474-96Portability Group Life/AD&D Claim Form - New York
1612-90Premium Invoice - Merlin Group Life/Health
1182-04Rhode Island Life & Health Guaranty Association Notice
HL 10437Rider AD&D - PBA - NY State Troopers Life
HL 10433Rider Enhanced Benefit - PBA - NY State Troopers Life
1394-91South Dakota Life and Health Guaranty Notice
CS-1114Statement - Group Life Domestic Partner - Six Months
EN-1102-SPTerm Life employee fact sheet-Spanish
G-2268Voluntary Life Continuation Application
SD-1089Whole Life Annotated Contract
MK-571071Whole life employee education flyer with Chronic Care rider
AE-1244Whole Life Paid Up Face Amounts (for policies effective 1/1/2020 through 12/31/2021)
AE-1262Whole Life Paid Up Face Amounts (for policies effective 1/1/2022 and later)
TM-025Whole life quick reference broker guide
AE-1179Whole Life Reduced Paid Up Face Amounts - Money Purchase (for policies effective prior to 1/1/20)
AE-1180Whole Life Reduced Paid Up Face Amounts - Volume Purchase (for policies effective prior to 1/1/20)
MK-1825256Why Buy Whole Life employee flyer
MK-1409079Why Group Whole Life flyer
MK-3178Why Unum whole life broker/employer spec sheet flyer
VB-545WorkPack Online Term Life Employee Proposal