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Enrollment Instructions for Long-Term Disability Insurance

Enrollment Timeframe

New employees must enroll within 60 days of their date of hire to avoid medical underwriting for long-term disability (LTD) insurance.

Please contact the Unitarian Universalist Group Insurance Plan Administrator (groupinsurance @ if you want to apply and have been employed for longer than 60 days.

Enrollment Procedures

Participants should complete an LTD enrollment form (PDF) and return it via fax or mail. Faxing and mailing information can be found on the enrollment form.

Please do NOT send enrollment information via email/attachment because email is not a secure method for transmitting personal information, social security numbers and the like.

Effective Date

The effective date of your coverage is the day after we receive the enrollment form (via fax or maill), as per the terms of our contract with the insurance company.

For more information contact groupinsurance @

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Last updated on Monday, February 10, 2014.

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