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Three Key Principles

Who we help:
Corporations [+]
Institutions
S-Corps
Partnerships
Independent Contractors
Individuals
Self-Employed

Request Information

Use the resources below to get information, forms, and authorizations from our partners.

Allstate Workplace Division
(American Heritage Life)
American Heritage Life Cancer Screening Claim Form
American Heritage Life Cancer Screening Claim Form
AHL Policy & Change Request Form
AHL Policy & Change Request Form
Bank Draft Authorization
Bank Draft Authorization
Beneficiary Change Request
Beneficiary Change Request

TransAmerica Insurance Company
Claim Form
Claim Form
Policy Change Request Form
Policy Change Request Form
Request for Surrender: Policy Cancellation
Request for Surrender: Policy Cancellation

Unum
Unum Critical Illiness Claim Form:VB-378
Unum Critical Illiness Claim Form:VB-378
Unum Provident Life Insurance Claim Form
Unum Provident Life Insurance Claim Form
Unum Life Insurance Policy Change Request
Unum Life Insurance Policy Change Request

Fidelity
Request for Service
Unum Critical Illiness Claim Form:VB-378
Replacement of Life Insurance
Unum Provident Life Insurance Claim Form
Beneficiary Change Request
Unum Life Insurance Policy Change Request

 

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Looking for more information?
For more information, including individual premium pricing, or to enroll, contact a ShandsSelect voluntary benefits specialist by calling toll free (800) 476-3801 or 352-265-0680 ext 85149. You may also complete the Information Request Form and a benefits specialist will contact you.

 

 
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