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Disability Benefits Brochures
Title
What is this for?
Pages
Short-Term and Long-Term Disability Benefits Brochure
What you need to know about your income protection benefits administered by Aflac
4
Aflac Short-Term Disability Brochure
An overview of the short-term disability (STD) insurance plan available through your workplace administered by Aflac
2
Aflac Short-Term Disability Brochure (Espanol)
Una descripción general del plan de seguro de discapacidad a corto plazo (STD) disponible a través de su lugar de trabajo administrado por Aflac
2
Aflac Long-Term Disability Brochure
Commonly-asked questions about long-term disability (LTD) insurance plans administered by Aflac
6
Aflac Long-Term Disability Brochure (Espanol)
Preguntas frecuentes sobre largo plazo Planes de seguro de discapacidad (LTD) administrados por Aflac
6
Short-Term Disability Summaries of Benefits
Title
What is this for?
Pages
Mail It
Short-Term Disability Benefit Summary-13 Weeks 60% Employee Paid
Additional details about short-term disability - To verify what plan you have, call Client Services (866) 802-6333 or Zurich (800) 206-8826
2
Short-Term Disability Benefit Summary-13 Weeks 66.67% Employee Paid
Additional details about short-term disability - To verify what plan you have, call Client Services (866) 802-6333 or Zurich (800) 206-8826
2
Short-Term Disability Benefit Summary-26 Weeks 60% Employee Paid
Additional details about short-term disability - To verify what plan you have, call Client Services (866) 802-6333 or Zurich (800) 206-8826
2
Short-Term-Disability Benefit Summary-26 Weeks 66.67% Employee Paid
Additional details about short-term disability - To verify what plan you have, call Client Services (866) 802-6333 or Zurich (800) 206-8826
2
Short-Term Disability Benefit Summary-13 Weeks 60% Employer Paid
Additional details about short-term disability - To verify what plan you have, call Client Services (866) 802-6333 or Zurich (800) 206-8826
2
Short-Term Disability Benefit Summary-13 Weeks 66.67% Employer Paid
Additional details about short-term disability - To verify what plan you have, call Client Services (866) 802-6333 or Zurich (800) 206-8826
2
Short-Term Disability Benefit Summary-26 Weeks 60% Employer Paid
Additional details about short-term disability - To verify what plan you have, call Client Services (866) 802-6333 or Zurich (800) 206-8826
2
Short-Term Disability Benefit Summary-26 Weeks 66.67% Employer Paid
Additional details about short-term disability - To verify what plan you have, call Client Services (866) 802-6333 or Zurich (800) 206-8826
2
Long-Term Disability Summaries of Benefits
Title
What is this for?
Pages
Mail It
Long-Term Disability Benefit Summary-90 days 50% Employee Paid
Additional details about long-term disability - To verify what plan you have, call Client Services (866) 802-6333 or Zurich (800) 206-8826
2
Long-Term Disability Benefit Summary-180 days 50% Employee Paid
Additional details about long-term disability - To verify what plan you have, call Client Services (866) 802-6333 or Zurich (800) 206-8826
2
Long-Term Disability Benefit Summary-90 days 40% Employer Paid
Additional details about long-term disability - To verify what plan you have, call Client Services (866) 802-6333 or Zurich (800) 206-8826
2
Long-Term Disability Benefit Summary-90 days 60% Employer Paid
Additional details about long-term disability - To verify what plan you have, call Client Services (866) 802-6333 or Zurich (800) 206-8826
3
Long-Term Disability Benefit Summary-90 days 66.67% Employer Paid
Additional details about long-term disability - To verify what plan you have, call Client Services (866) 802-6333 or Zurich (800) 206-8826
2
Long-Term Disability Benefit Summary-180 days 40% Employer Paid
Additional details about long-term disability - To verify what plan you have, call Client Services (866) 802-6333 or Zurich (800) 206-8826
2
Long-Term Disability Benefit Summary-180 days 60% Employer Paid
Additional details about long-term disability - To verify what plan you have, call Client Services (866) 802-6333 or Zurich (800) 206-8826
2
Long-Term Disability Benefit Summary-180 days 66.67% Employer Paid
Additional details about long-term disability - To verify what plan you have, call Client Services (866) 802-6333 or Zurich (800) 206-8826
2
Disability Insurance Forms
Title
What is this for?
Pages
Enrollment or Termination Form - Employer Paid STD and LTD
For enrollment or termination from Zurich Employer Paid Short-Term and Long-Term Disability
4
Enrollment or Termination Form - Employee Paid STD and LTD
For enrollment or termination from Zurich Employee Paid Short-Term and Long-Term Disability
4
Short-Term and Long-Term Disability Selection Form
Selecting coverage options for employer groups electing to offer short-term and/or long-term disability
2
Evidence of Insurability (EOI) Form
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
Employee Paid Disability Insurance Certificates
Title
What is this for?
Pages
Mail It
Certificate of Coverage - Short-Term Disability Income Insurance Plan
For Employee Paid (Contributory) Short-Term Disability Plans. If you would like to receive a copy of the complete policy please contact us at call (888) 735-7114, Monday – Friday, 8:30AM – 8:00PM ET.
37
Certificate of Coverage - Long-Term Disability Income Insurance Plan
For Employee Paid (Contributory) Long-Term Disability Plans. If you would like to receive a copy of the complete policy please contact us at call (888) 735-7114, Monday – Friday, 8:30AM – 8:00PM ET.
40
Employer Paid Disability Insurance Certificates
Title
What is this for?
Pages
Mail It
Certificate of Coverage - Short-Term Disability Income Insurance Plan
For Employer Paid (Non-Contributory) Short-Term Disability Plans. If you would like to receive a copy of the complete policy please contact us at call (888) 735-7114, Monday – Friday, 8:30AM – 8:00PM ET.
36
Certificate of Coverage - Long-Term Disability Income Insurance Plan
For Employer Paid (Non-Contributory) Long-Term Disability Plans. If you would like to receive a copy of the complete policy please contact us at call (888) 735-7114, Monday – Friday, 8:30AM – 8:00PM ET.
51
Short-Term Disability Benefit Certificates
Title
What is this for?
Pages
Mail It
Benefit Certificate - Short-Term Disability 13 Weeks 60% Employee-Paid
Certificate of Coverage. If you would like to receive a copy of the complete policy, please contact us at (888) 735-7114, Monday - Friday, 8:30AM-8:00PM ET.
28
Benefit Certificate - Short-Term Disability 13 Weeks 60% Employer-Paid
Certificate of Coverage. If you would like to receive a copy of the complete policy, please contact us at (888) 735-7114, Monday - Friday, 8:30AM-8:00PM ET.
27
Benefit Certificate - Short-Term Disability 13 Weeks 66.67% Employer-Paid
Certificate of Coverage. If you would like to receive a copy of the complete policy, please contact us at (888) 735-7114, Monday - Friday, 8:30AM-8:00PM ET.
27
Benefit Certificate - Short-Term Disability 26 Weeks 60% Employee-Paid
Certificate of Coverage. If you would like to receive a copy of the complete policy, please contact us at (888) 735-7114, Monday - Friday, 8:30AM-8:00PM ET.
28
Benefit Certificate - Short-Term Disability 26 Weeks 60% Employer-Paid
Certificate of Coverage. If you would like to receive a copy of the complete policy, please contact us at (888) 735-7114, Monday - Friday, 8:30AM-8:00PM ET.
24
Benefit Certificate - Short-Term Disability 26 Weeks 66.67% Employee-Paid
Certificate of Coverage. If you would like to receive a copy of the complete policy, please contact us at (888) 735-7114, Monday - Friday, 8:30AM-8:00PM ET.
28
Benefit Certificate - Short-Term Disability 26 Weeks 66.67% Employer-Paid
Certificate of Coverage. If you would like to receive a copy of the complete policy, please contact us at (888) 735-7114, Monday - Friday, 8:30AM-8:00PM ET.
27
Long-Term Disability Benefit Certificates
Title
What is this for?
Pages
Mail It
Benefit Certificate - Long-Term Disability 180 Days 40% Employer-Paid
Certificate of Coverage. If you would like to receive a copy of the complete policy, please contact us at (888) 735-7114, Monday - Friday, 8:30AM-8:00PM ET.
36
Benefit Certificate - Long-Term Disability 180 Days 50% Employee-Paid
Certificate of Coverage. If you would like to receive a copy of the complete policy, please contact us at (888) 735-7114, Monday - Friday, 8:30AM-8:00PM ET.
37
Benefit Certificate - Long-Term Disability 180 Days 60% Employer-Paid
Certificate of Coverage. If you would like to receive a copy of the complete policy, please contact us at (888) 735-7114, Monday - Friday, 8:30AM-8:00PM ET.
38
Benefit Certificate - Long-Term Disability 180 Days 66.67% Employer-Paid
Certificate of Coverage. If you would like to receive a copy of the complete policy, please contact us at (888) 735-7114, Monday - Friday, 8:30AM-8:00PM ET.
37
Benefit Certificate - Long-Term Disability 90 Days 40% Employer-Paid
Certificate of Coverage. If you would like to receive a copy of the complete policy, please contact us at (888) 735-7114, Monday - Friday, 8:30AM-8:00PM ET.
37
Benefit Certificate - Long-Term Disability 90 Days 50% Employee-Paid
Certificate of Coverage. If you would like to receive a copy of the complete policy, please contact us at (888) 735-7114, Monday - Friday, 8:30AM-8:00PM ET.
38
Benefit Certificate - Long-Term Disability 90 Days 60% Employer-Paid
Certificate of Coverage. If you would like to receive a copy of the complete policy, please contact us at (888) 735-7114, Monday - Friday, 8:30AM-8:00PM ET.
33
Benefit Certificate - Long-Term Disability 90 Days 66.67% Employer-Paid
Certificate of Coverage. If you would like to receive a copy of the complete policy, please contact us at (888) 735-7114, Monday - Friday, 8:30AM-8:00PM ET.
36
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Policy Number: CNYEX01112
Disability Insurance Disclaimer

 

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