Unum Provident
Group Number Number 138483
Unum Life Insurance Company of America
LTC Department
2211 Congress Street
Portland, Maine 04122-2295
800-227-4165
Benefit Election Forms
Plan Number 1 - Employer Paid
- Facility Monthly Benefit: $3,000
- Home Monthly Benefit: $1,500
- Facility Benefit Duration: 3 years
- Home Benefit: 50%
- Lifetime Maximum: $36,000
- Elimination Period: 90 Days
- Home Care Level: Home and Community Based Care
Buy Up Options
Employees have the option of selecting another plan with more benefits - the employee is responsible for the additional premium costs.
- Plan Number 2: Add Immediate Family Member Care
- Plan Number 3: Add Compound Inflation
- Plan Number 4: Add Immediate Family Member Care and Compound Inflation
Additional Facility Monthly Benefit Amount:
- $4,000 (select 3 or 6 years)
- $5,000 (select 3 or 6 years)
- $6,000 (select 3 or 6 years)
- $7,000 unlimited duration
- $8,000 unlimited duration
Employees: Your premium for the buy-up options will be paid through payroll deduction from your paycheck