Looking for information about Sun Life and our affiliated companies in your area? Select your country below to travel to a website for information specific to your region.
If you’re covered for group life, disability, or dental insurance, or if you administer group benefits, you can access a variety of frequently used forms.
I’d like a form for:
Form Number | Description |
Accident Insurance and Accident Disability Insurance
|
|
GVACFM-3700 (NY) | Accident Claim Statement (NY) |
GCIFM-7398 (NY) | Supplemental Claim Statement (NY) (H2) |
GVACFM-7259 (NY) (H2) | Accident Claim Statement (NY) (H2) |
GVACPK-3542 | Accident Portability Kit |
GCIFM-2939 SLHIC NY | Wellness Benefit Reimbursement - SLHIC NY |
GVACFM-4165 | Accident Portability Claim Statement |
GVACPK-4179 | Accident Continuation Kit |
GMPFM-2690 | Voluntary Portability Notice |
GMPAP-3430 (NY) | Voluntary Portability Application (NY) |
Back to top | |
Critical Illness
|
|
GCIFM-2831 (NY) | Critical Illness Employee Statement (NY) |
GCIFM-7398 (NY) | Supplemental Claim Statement (NY) (H2) |
GCIFM-2830 (NY) | Critical Illness Attending Physician Statement (NY) |
GCIFM-2939 SLHIC NY | Wellness Benefit Reimbursement - SLHIC NY |
GMPAP-3430 (NY) | Voluntary Portability Application (NY) |
GCIFM-7258 (NY) (H2) | Critical Illness Claim Statement (NY) (H2) |
GCIFM-7261 (NY) | SLHIC-NY Wellness / Cancer Screening (NY) (H2) |
Back to top | |
Dental and Vision
|
|
GDFM-7325 (NY) | Dental Claim Statement (NY) |
GDFM-7326 | Dental Claim Statement (Prepaid) (NY and non-NY) |
XGR/2262 | Dental Claim Form - Legacy SLHIC |
VISION_VSP_REIMBURSE | Vision Request for Reimbursement - VSP |
HIPAA-Notice-Privacy | HIPAA Notice of Privacy Practices |
Back to top | |
Enrollment
|
|
GGFM-3799 (SLHIC NY) | Refusal of Non-Contributory Coverage GGFM-3799 (SLHIC NY) |
GLFM-3702 (SLHIC NY) | Beneficiary Designation (SLHIC NY) |
GLFM-3702-SP (SLHIC NY) | Beneficiary Designation (SLHIC NY) Spanish |
Back to top | |
Evidence of Insurability
|
|
XNYGR/1480 | EOI Application (NY) |
GVFM-3637(SLHIC NY) | EOI Application - CI (NY) |
GLFM-2247 SLHIC (NY) | HIPAA Authorization for Medical Underwriting - SLHIC NY |
GLFM-2055 (NY) | EOI Cover Page Instructions (NY) |
Back to top | |
Long Term Disability
|
|
GDIFM-8643 (NY) | Disability Claim Statement (NY) - Employer |
GDIFM-8644 (NY) | Disability Claim Statement (NY) - Employee |
GDIFM-8645 (NY) | Disability Claim Statement (NY) - APS |
GDIFM-8705 (NY) | Disability Transition Claim (NY) |
GGFM-3803 (SLHIC NY) | Disability Direct Deposit Authorization (SLHIC NY) |
GDIFM-8649 (NY) | Reimbursement Agreement (NY) |
GDIFM-8650 (NY) | Third Party Authorization (NY) |
GLTDFM-3085 | Social Security / Retirement Status |
XNYGR/1144 (SLHIC NY) | Info Request: Training/Education (NY) |
GLTDFM-4275 | LTD Conversion Notice |
GLTDAP-3475 SLHIC NY | LTD Conversion Application SLHIC (NY) |
GLTDFM-5418 SLHIC NY | Look-Back Percentage Form (NY) |
GDIFM-8916 NY | NY W-2 Tax Reporting & ER FICA Match with W-2 Reporting |
GDIFM-9683 NY | Dis Claim - Behavioral Health Treating Provider Stmt (NY) |
Back to top | |
Life and AD&D
|
|
GLFM-9073 | Life Conversion Notice (NY and non-NY) |
GLFM-7791 SLHIC (NY) | SLHIC NY Group Life Benefits Claim Packet - Employer |
GLFM-9018 | Life Conversion and Portability Notice (NY and non-NY) |
GLFM-7792 (SLHIC NY) | SLHIC NY Group Life Benefits Claim Packet - Employee |
GLFM-7793 (SLHIC NY) | SLHICNY Group Life Benefits Claim Packet-Attending Physician |
GLFM-9084 | Life Conversion for Waiver of Premium/Portability Transition |
GLFM-7551 (SLHIC NY) | SLHIC NY Death Benefit Packet: Claimant Statement |
GLFL-9066 | Life Conversion Flyer |
GLFM-7552 (SLHIC NY) | SLHIC NY Group Death Benefit Claim Packet:Employer Statement |
GLFM-3702 (SLHIC NY) | Beneficiary Designation (SLHIC NY) |
GLFM-3702-SP (SLHIC NY) | Beneficiary Designation (SLHIC NY) Spanish |
GLFM-6846 SLHIC (NY) | SLHIC NY Group Life Claims ADL & Cognitive Impairment Form |
GLFM-2247 SLHIC (NY) | HIPAA Authorization for Medical Underwriting - SLHIC NY |
GLFM-2055 (NY) | EOI Cover Page Instructions (NY) |
GLPK-EE-6411 - LF15 | LIFE2015: Life Insurance Portability Kit |
GMPFM-2690 (NY) | Voluntary Portability Notice (NY) |
GLFM-9596 NY | Death Benefit Claim Authorization (NY) |
GLFM-9297 (NY) | Life Direct Deposit Authorization (NY) |
Back to top | |
Short Term Disability
|
|
GDIFM-8643 (NY) | Disability Claim Statement (NY) - Employer |
GDIFM-8644 (NY) | Disability Claim Statement (NY) - Employee |
GDIFM-8645 (NY) | Disability Claim Statement (NY) - APS |
GDIFM-8705 (NY) | Disability Transition Claim (NY) |
GGFM-3803 (SLHIC NY) | Disability Direct Deposit Authorization (SLHIC NY) |
GDIFM-8649 (NY) | Reimbursement Agreement (NY) |
GDIFM-8650 (NY) | Third Party Authorization (NY) |
DB 450 | DBL Claim Form - NY |
HCPS DB 450 | Stand Alone DBL Part B Health Care Provider's Statement - NY |
GSTDFM-7265 (NY) | PFL Claim - Care for a family member packet |
GSTDFM-7266 (NY) | PFL Claim - Bonding with child packet |
GLTDFM-5418 SLHIC NY | Look-Back Percentage Form (NY) |
GSTDFM-7267 (NY) | PFL Claim - Military Duty packet |
GGFM-3803 (NY) (PFL) | NY PFL - Direct Deposit Authorization |
GDIFM-8916 NY | NY W-2 Tax Reporting & ER FICA Match with W-2 Reporting |
GSTDFM-2718 (NY) | STD Telephonic Claim HIPAA Authorization (NY) |
GVSTDFM-3368 (NY) | Portable Voluntary STD Claim Statement (SLHIC NY) |
GMPFM-2690 (NY) | Voluntary Portability Notice (NY) |
GMPAP-3430 (NY) | Voluntary Portability Application (NY) |
GDIFM-9683 NY | Dis Claim - Behavioral Health Treating Provider Stmt (NY) |
Back to top | |
SunAdvisor®
|
|
GDIFM-8643 (NY) | Disability Claim Statement (NY) - Employer |
GDIFM-8645 (NY) | Disability Claim Statement (NY) - APS |
GSTDFM-6185 (SLHIC NY) | SunAdvisor® Claim Packet - HIPAA and Privacy (SLHIC NY) |
GSTDFM-6371 (NY) | Service Agmt-Full Service Advice to Pay w/Benefit Calc (NY) |
GDIFM-9683 NY | Dis Claim - Behavioral Health Treating Provider Stmt (NY) |
Back to top | |
Stop-Loss
|
|
GSLFM-4785 (SLHIC NY) | Specific Stop-Loss Claim/50% Notice (SLHIC NY) |
GSLFM-3815 (SLHIC NY) | Aggregate Monthly Claims Report (SLHIC NY) |
GSLFM-4786 (SLHIC NY) | Stop-Loss Direct Deposit Authorization (SLHIC NY) |
GSLFM-3813 (SLHIC NY) | Stop-Loss Summary Statement (SLHIC NY) |
Back to top | |
Miscellaneous
|
|
GGFM-9095 | Consumer Access Request for CA |
GCIFM-7398 (NY) | Supplemental Claim Statement (NY) (H2) |
GLGLFM-7903 (NY) | Authorization (Complies with HIPAA) GLGLFM-7903 (SLHIC NY) |
GGFM-9096 | Consumer Deletion Request for CA |
Back to top | |
Premium/Billing
|
|
GLFM-5149 (NY) | Premium Statement for Step-Rates (NY) |
GVFM-3798 (SLHIC NY) | Summary Statement (SLHIC NY) |
GGFM-3818 (SLHIC NY) | List Billing Change Form (SLHIC NY) |
GSLFM-3813 (SLHIC NY) | Stop-Loss Summary Statement (SLHIC NY) |
Back to top |