Disability Insurance

Disability Insurance Forms
Title
What is this for?
Contact Information
To enroll, change, or terminate employees in Group Term Life and Disability Insurance plans.
Send completed form to: 19 East 34th Street, New York, NY 10016, Attn: Client Services or email to admin-assist@cpg.org
To enroll employees in voluntary disability coverage offered by your institution
Send completed form to: 19 East 34th Street, New York, NY 10016, Attn: Client Services or email to admin-assist@cpg.org
To enroll in certain Long-Term or Short-Term disability plans more than 31 days after starting your job
Send completed form to myzurichadmin@zurichna.com, fax to (800) 206-4063, or mail to Zurich Medical Underwriting, PO Box 1685, Grand Rapids, MI 49501-1685
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