Group Elite Long Term Disability
Administration Manual and Forms



Group Elite Long Term Disability Insurance Administration Manual

This manual has been prepared to assist firm administrators in handling the details of your Group Elite Long Term Disability Insurance Plan. The manual covers:

  • Eligibility
  • Procedures for enrollment
  • Termination of individual insurance
  • Adjustments in amounts coverage
  • Lost certificates, supplies and records
  • Roster

Change of Name: If you have a name change, complete an on-line Change of Name Form or download and print a blank Change of Name Form as a PDF file. Note: When completing this form, you will need to have the Name, Social Security Number and Account Number of the Insured.

Request To Transfer Group Insurance Form

Use this form to transfer your group life insurance through the Elite Life Plan to another company's group plan.


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