I understand the UNUM plan provides me a weekly disability benefit of 60% of my salary, after I have been disabled for 7 days due to either an illness of accident, and that my benefits will be paid for up to 13 weeks per short term disability. I understand that a long term disability claim will extend to a period of 5 years.
I understand that I may enroll during Open Enrollment and that I may be subject to evidence of good health if I do not enroll when I am eligible. I understand I may be subject to a pre-existing limitation if I am a new hire/enrollee. I understand that any salary increase will automatically change my benefit and deduction and I authorize my payroll department to automatically make any necessary deduction changes to reflect any payroll changes. My signature is binding either as a "wet" signature or as a digitial signauture using my private PIN Code.