Unum Disability, Life and Long Term Care Insurance

Thank you for contacting Unum. Please answer the following questions so we can review our records, determine eligibility for the service you have requested, and respond to your request in the most efficient and timely manner.

Note: Unum respects the privacy and confidentiality of the information our customers entrust to us. We will only forward requests for documents containing personal or confidential information to individuals who are authorized to receive that information according to our most recent records. Unum will notify you if we are not able to fulfill your request due to an authorization discrepancy.

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Should we need additional information or experience a delay in completing your request, we want to contact you. Please provide us with the following information:

First and last name *

Phone number (123-456-7890 format) *

E-mail address *

Policy-division number (0123456-001 format) *

Company name *

Does your company have an employee website (intranet) that employees use to access company information, e.g., forms, etc.? *

YesNo

Do you have a website for online employee enrollments? *

YesNo

Please indicate any additional information that will assist us in reviewing your request: