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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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How to Enroll for Coverage

How to enroll eligible employees
To enroll an employee, use the application forms we provided in the group administration kit, or go to Online Forms from the Answers@AnthemLife menu and select Employee Application.  
Please remember to complete all appropriate sections of the application.   
The employee should complete the Employee sections of the application, including the employee’s signature and beneficiary designation.
The employer should complete the Employer section of the application. Please include the group number, division number if applicable, class number and effective date to help us process the application promptly.
The employer should keep copies of all employee applications for their records and for future reference of beneficiary designations.
Mail or fax applications to the office handling membership and billing for your plan.

Anthem Life & Disability Insurance Company Home Office
Anthem Life & Disability Insurance Company
Attn: NY Service Team
P.O. Box 182361
Columbus, OH 43218-2361  
FAX: 614-433-8880 
®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.