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You can make sure that your Anthem Life & Disability Insurance Company supplies are always current by using this website to identify or download the materials you need.

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Group Term Life Coverage
When faced with a loss, employees want to know that they can count on prompt, convenient benefit payments. But our life insurance plans provide more than just a benefit check.

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Group Disability Coverage
No one plans on experiencing a disabling illness or injury. But illnesses and accidents do happen, and our disability insurance plans provide more than just income replacement in case of disability. Our plans also provide the kind of support employees need to help them get back to health, back to work and back to life.

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Enrollment Guide

Enrollment is simple at Anthem Life & Disability Insurance Company 
The Guide to Enrollment section is intended to simplify the enrollment process. Understanding eligibility requirements, when and how to enroll for benefits and when benefits will become effective just got easier.   
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Who is Eligible for Coverage

When to Enroll for Coverage

How to Enroll for Coverage

When Evidence of Insurability is Needed

Guidelines for Submitting Employee Applications

Where to Send Employee Applications

Coverage Effective Dates for Employees

Coverage Effective Dates for Dependents other than Newborn Children

Coverage Effective Dates for Newborn Children

Group Participation Requirements

Late Applications

Waiving Coverage

Online Forms

Contact Us

®Registered marks Blue Cross and Blue Shield Association ©2017 Copyright of Anthem Insurance Companies, Inc. Life and Disability products are underwritten by Anthem Life & Disability Insurance Company. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.
Health products are underwritten by Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc., licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans, serving residents and businesses in the 28 eastern and southeastern counties of New York State. All external sites will open in a new browser window. Please view our Website Privacy Policy and Terms of Use for more information.