LTD Form

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Long-Term Disability Form


Postdocs who missed enrolling in the LTD plan during their Period of Initial Eligibility can complete, print, sign, date and email the attached Medical History Statement (EOI) form to musc@standard.com or can complete their request online (www.standard.com/MHS). Please note the postdoc will need to include the policy number: 643383.

Note: Voluntary Long-Term Disability cannot be added during Open Enrollment.

OPEN THE LTD FORM