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Forms & Publications

 

Disability Insurance Forms

Title What is This For? Contact Information
Employer Initial Enrollment Form - Employer Paid Plans Initial application form for employers to enroll in a non-contributory (employer-paid) disability plan

Church Pension Group
19 East 34th Street
New York, NY 10016
Attn: Angelica Merola

Employer Initial Enrollment Form - Voluntary Plans Initial application form for employers to enroll in a voluntary (employee-paid) disability plan

Church Pension Group
19 East 34th Street
New York, NY 10016
Attn: Angelica Merola

Employee Enrollment Form for Group Life, LTD, & STD To enroll, change, or terminate employees in Group Term Life and Disability Insurance plans.

Please fax the completed form to: (212) 251-8969
or mail to: The Church Pension Fund, 19 East 34th Street, New York, NY 10016, Attn: Client Services

Liberty Mutual - Evidence of Insurability Form for Disability Coverage Form to complete when applying for disability insurance

Liberty Life Assurance Company of Boston
Attn: Group Underwriting Department
P.O. Box 1525
Dover, NH 03821-1525

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Disability Benefit - Clergy

Title What is This For? Pgs
Liberty Mutual - Reporting Your Disability Claim Instructions Instructions for reporting a disability claim to Liberty Mutual

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Long Term Disability Benefit Publications - Clergy

Title What is This For? Pgs
Liberty Mutual LTD Benefit Summary Clergy - Employee Paid Summary of Benefits Liberty Mutual Long-Term Disability Insurance - Clergy Employee Paid

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Liberty Mutual LTD Benefit Summary Clergy - Employer Paid Benefit Summary Liberty Mutual Long-Term Disability Insurance - Clergy Employer Paid

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Short Term Disability Benefit Publications - Lay

Title What is This For? Pgs
Liberty Mutual STD Benefit Summary Lay Employees - Employee Paid Benefit Summary, Liberty Mutual Short-Term Disability Insurance - Lay Employee Paid

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Liberty Mutual STD Benefit Summary Lay Employees - Employer Paid Benefit Summary, Liberty Mutual Short-Term Disability Insurance - Lay Employer Paid

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Liberty Mutual - Reporting Your Disability Claim Instructions Instructions for reporting a disability claim to Liberty Mutual

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Long Term Disability Benefit Publications - Lay

Title What is This For? Pgs
Liberty Mutual LTD Benefit Summary Lay Employees - Employer Paid Benefit Summary Liberty Mutual Long-Term Disability Insurance - Lay Employer Paid

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Liberty Mutual LTD Benefit Summary Lay Employees - Employee Paid Summary of Benefits Liberty Mutual Long-Term Disability Insurance - Lay Employee Paid

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