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 email@example.com for forms and instructions to apply for medical underwriting approval if you have been employed for longer than 60 days.
Participants should complete an LTD enrollment form (PDF) and return it via fax or mail or secure email. Faxing and mailing information can be found on the enrollment form.
Please do NOT send enrollment information via email/attachment without first emailing firstname.lastname@example.org to request a secure email link.
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.