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Unum Insurance (denied disability claims)

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Defendant:

Unum Insurance (denial of long-term disability claims)

*Describe your complaint:
(briefly describe the damages you have suffered)

Occupation:

Disability Insurance Company:

Monthly Benefit Amount:

Disability Plan Purchased

(1) through employer or group;

Yes No

(2) individually;

Yes No

Date of Denial Letter:

Reason for Denial:

Additional Comments:

*First name:

*Last name:

*Email address:

*Confirm email address:

*Phone number(s):

*Zip/Postal Code:

Best time & way to contact you:

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