CLAIM INFORMATION LONG TERM DISABILITY
WHEN DO YOU NOTIFY UNUM OF A CLAIM? We encourage you to notify us of your claim as soon as possible, so that a claim decision can be made in a timely manner. Notice of claim should be sent within 30 days after the date your disability begins. In addition, you must send Unum proof of your claim no later than one year after the date your disability begins unless your failure to do so is due to your lack of legal capacity. If it is not possible to give proof within one year, it must be given as soon as reasonably possible. In no event can proof of your claim be submitted after the expiration of the time limit for commencing a legal proceeding as stated in the policy, even if your failure to provide proof of claim is due to a lack of legal capacity or if state law provides an exception to the one year time period. You must notify us immediately when you return to work in any capacity. HOW DO YOU FILE PROOF OF CLAIM? You and your Employer must fill out your own sections of the claim form and then give it to your attending physician. Your physician should fill out his or her section of the form and send it directly to Unum. The form to use to submit your proof of claim is available from your Employer, or you can request the form from us. If you do not receive the form from Unum or your Employer within 15 days of your request, send Unum proof of claim without waiting for the form. WHAT INFORMATION IS NEEDED AS PROOF OF YOUR CLAIM? Proof of your claim, provided at your expense, must show: - the date your disability began; - the existence and cause of your sickness or injury; - that your sickness or injury causes you to have limitations on your functioning and restrictions on your activities preventing you from performing the material and substantial duties of your regular occupation or of any other gainful occupation for which you are reasonably fitted by education, training, or experience; - that you are under the regular care of a physician ; - the name and address of any hospital or institution where you received treatment, including all attending physicians; and - the appropriate documentation of your monthly earnings, any disability earnings, and any deductible sources of income. In some cases, you will be required to give Unum authorization to obtain additional medical information and to provide non-medical information as part of your proof of claim, or proof of continuing disability. We may also require that you send us appropriate financial records, which may include income tax returns, which we believe are necessary to substantiate your income. We may request that you send periodic proof of your claim. This proof, provided at your expense, must be received within 45 days of a request by us. Unum will deny your claim, or stop sending you payments, if the appropriate information is not submitted.
LTD-CLM-1 (1/1/2025)
5
Made with FlippingBook - Online Brochure Maker