Group Billing Request Form

Summary

If applying for DI discounts or consolidated employer billing for DI only, complete form F6749. Eligibility for Life: (1) Individual policies that are part of a Qualified Plan; (2) a minimum of three policies; or (3) an annual premium of at least $10,000.

Body

If applying for DI discounts or consolidated employer billing for DI only, complete form F6749. Eligibility for Life: (1) Individual policies that are part of a Qualified Plan; (2) a minimum of three policies; or (3) an annual premium of at least $10,000. See here for printable PDF form.

Details

Details

Article ID: 20498
Created
Wed 7/17/24 8:19 AM
Modified
Mon 8/5/24 11:18 AM

Attachments

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