How to enroll in supplemental disability
To enroll in supplemental disability or decrease the waiting period, employees must first complete an Evidence of Insurability form and submit it to Liberty Mutual for approval.
How to complete the Evidence of Insurability form ›
Liberty Mutual account login ›
After approval, complete the UPAY850 form to elect supplemental disability coverage. Submit the form and the Liberty Mutual approval letter to the HR department via fax at 855-251-6438 or email at firstname.lastname@example.org within 31 days of the approval date.
How to increase the waiting period
Employees may increase their waiting period at any time. Complete the UPAY850 form electing the desired wait period, then submit it to Human Resources via fax at 855-251-6438 or email at email@example.com, or mail to Route 114.
Understanding your disability benefits video ›
Short-term and supplemental disability plan information ›