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  Main >  UNUM Beneficiary Form Instructions MVCCPA Benefits Fund > UNUM Beneficiary Form Instructions


Before proceeding to the Group Insurance Beneficiary Form, PLEASE read the following directions; failure to complete and return the form correctly will delay your sign up. Direct any questions to one of the Benefits Fund Trustees.
    1. Complete the Employee Information Section online.
    2. Complete the Beneficiary Information Section online.
    3. Complete the Alternate Beneficiary Information Section online.
    4. Submit and print the completed form by clicking the "Submit and Print" button on the bottom of the form. When your printer dialogue box appears, select the appropriate printer and click "Print".
    5. Sign and date the form.
    6. Return your completed form to Jason Yager in AB106. Interoffice envelopes should be addressed to: BISS Center - Jason Yager.

Now that you know what to do, click here to complete the form! Thank you on behalf of the PA Benefits Trust Fund Committee.


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