Unum Long Term Care Claim Cl 1158 2021-2025 Form

What is the Unum Long Term Care Claim Form?

The Unum Long Term Care Claim Form, designated as CL 1158, is a critical document used to initiate claims for long-term care benefits provided by Unum. This form is essential for policyholders seeking financial assistance for long-term care services, which may include in-home care, nursing home care, or assisted living facilities. Completing this form accurately is vital to ensure that claims are processed efficiently and that policyholders receive the benefits they are entitled to.

How to Use the Unum Long Term Care Claim Form

Using the Unum Long Term Care Claim Form requires careful attention to detail. Begin by downloading the form from the Unum website or obtaining a physical copy. Ensure that you have all necessary information on hand, including policy numbers and personal identification details. Fill out the form completely, providing accurate information about the claimant's condition and the type of care being sought. Once completed, the form can be submitted according to the guidelines provided by Unum.

Steps to Complete the Unum Long Term Care Claim Form

Completing the Unum Long Term Care Claim Form involves several key steps:

• Gather necessary documentation, including medical records and proof of care services.
• Fill out the claimant's personal information, including name, address, and policy number.
• Provide detailed information regarding the type of care required and the duration.
• Sign and date the form to validate the information provided.
• Submit the form via the preferred method, either online or by mail.

Required Documents for the Unum Long Term Care Claim Form

When submitting the Unum Long Term Care Claim Form, certain documents are typically required to support the claim. These may include:

• Medical records that confirm the need for long-term care.
• Invoices or statements from care providers.
• Proof of policy coverage and benefits.
• Any additional documentation requested by Unum to process the claim.

Legal Use of the Unum Long Term Care Claim Form

The Unum Long Term Care Claim Form is legally binding once completed and submitted according to the guidelines set forth by Unum. It is essential that all information provided is truthful and accurate to avoid potential legal issues or claim denials. The form must be signed by the claimant or an authorized representative, ensuring that all parties understand the implications of the information submitted.

Form Submission Methods

The Unum Long Term Care Claim Form can be submitted through various methods to accommodate different preferences:

• Online Submission: Policyholders can complete and submit the form electronically through the Unum website.
• Mail Submission: The completed form can be printed and sent via postal mail to the designated Unum claims address.
• In-Person Submission: Some policyholders may choose to deliver the form directly to a Unum office, if available.