Enrollment Timeframe

New employees must enroll within 60 days of their date of hire to avoid medical underwriting for long-term disability (LTD) insurance.

If you have been employed for longer than 60 days, please contact the Unitarian Universalist Group Insurance Plan Administrator at insuranceplans@uua.org for forms and instructions to apply for medical underwriting approval and we will send you an Evidence of Insurability (EOI) Form.

Enrollment Procedures

• Complete a LTD Insurance Enrollment Form (PDF).
• Submit this form via our Online enrollment form.
• Administrators: keep a copy in the employee's permanent personnel file.
• Do not send enrollment forms to Guardian.
• For enrollments outside of the initial 60 days of hire, the Evidence of Insurability (PDF) applies 
  • Evidence of Insurability (EOI) Form (Group #: 00533436)

Effective Date

In most cases, the effective date of coverage is the date of hire.