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Unigroup Inc.^® Master Application

• Unigroup Master Application (enhanced version)
• Employee Application for Group Coverage Form
• Unigroup Lifestyle Adjustment Change Form
• Unigroup Lifestyle Coverage Change Form
• Declaration of Insurability Form
• Declaration of Insurability Form - French

Short Term Claim Forms

• STD Attending Physician Statement
• STD Attending Physician Statement - French
• Employer Statement of Absence for STD Benefit
• Employer Statement of Absence for STD Benefit - French

Long Term Claim Forms

• Employer's Statement Claim for LTD Benefits
• Employer's Statement Claim for LTD Benefits - French
• Notice of LTD Claim Forms
• Notice of LTD Claim Forms - French

Notice of Claim Form

• Notice of Claim Form*
• Notice of Claim Form - French*

*(to be completed when making a claim for the following benefits):
Critical Illness
Life Waiver of Premium
Basic Life
Basic AD&D
Dependent Life