2016 UNUM CL-1091-2026

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The document is a Group Life and/or Accidental Death Claim Form provided by Unum Group for beneficiaries to claim life insurance or accidental death benefits. It includes instructions for completing the form, required documentation such as death certificates and beneficiary designations, and details on the claims process. The form also contains fraud warnings specific to various states, emphasizing the legal consequences of submitting false information. Additionally, it outlines the Unum Retained Asset Account for managing benefit payments.

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Click ‘Get Form’ to open the 2016 UNUM CL-1091 in the editor.
Begin with the Employer Statement section. Fill in the employer's name, address, and contact information. Ensure to check all applicable types of coverage and claims being submitted.
Complete the Employee Information section by entering the employee's full name, date of birth, social security number, and employment details. Make sure to provide accurate dates for hire and termination if applicable.
If applicable, fill out the Accidental Death Statement section with details about the accident, including date, time, and description. Attach any necessary reports.
For the Substitute W-9 Form, enter your taxpayer identification number and ensure it matches your name as shown on your tax return.
Finally, review all sections for accuracy before signing and dating the Authorization page. This step is crucial for processing your claim efficiently.

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Versions	Form popularity	Fillable & printable
2020	4.9 Satisfied (60 Votes)
2016	4.4 Satisfied (42 Votes)
2014	4.2 Satisfied (48 Votes)
2010	4.4 Satisfied (134 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Does Unum life insurance have a cash value?

Whole Life Insurance offers longer-term coverage with the ability to build cash value at a guaranteed rate and is tax-deferred and accessible during your lifetime.

Can I borrow money from Unum life insurance?

Withdrawal: In many situations, you can take a cash withdrawal from your permanent life policy, and that money is often not subject to income taxes as long as its not more than the amount youve paid into the policy.

Why is Unum being sued?

In the Unum class action lawsuit thats been called The Unum/Provident Scandal, Unum (known then as Unum/Provident) was alleged to have denied or terminated thousands of legitimate disability claims starting in the 1990s and continuing until 2002.

What is Unum on my paycheck?

unum. Long Term Disability Income Protection.

How do I know if my life insurance has cash value?

Whole Life Insurance also earns interest, or cash value, at a guaranteed rate of 4.5%. * You can borrow from that cash value, or you can buy a smaller, paid-up policy with no more premiums due.