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If your Sun Life employee benefit or stop-loss coverage was effective prior to 2014, and you have a claim for a date prior to May 1, 2014, your claim may now be insured by Delaware Life Insurance Company of New York (formerly known as Sun Life Insurance and Annuity Company of New York) and administered by Sun Life Health and Insurance Company (U.S.), a member of the Sun Life family of companies.

 

Delaware(DLNY)
DGDIFM-3325 (DLNY) Authorization for Disability Contributions (DLNY)
DXNYGR/1144 Delaware Information Request: Training/Education
DGLTDFM-5441 (DLNY) Delaware Personal Profile (DLNY)
DGGFM-3803 (DLNY) Direct Deposit (DLNY)
DGDIFM-3804 (DLNY) Disability Information Update (DLNY)
DGLFM-8175 (NY) DLNY Life Waiver of Premium Personal Profile Summary
DGLFM-3527 (DLNY) Group Death Claim Packet (DLNY)
DGLFM-3527 (MGIS) (DLNY) Group Death Claim Packet - MGIS (DLNY)
DGLFM-3316 (DLNY) Group Life Benefits Claim Packet (DLNY)
DGLFM-3316 MGIS Group Life Benefits Claim Packet - MGIS (DLNY)
DGLTDFM-3558 (DLNY) LTD Claim - Attending Physician's Stmt (DLNY)
DGLTDFM-3557 (DLNY) LTD Claim - Employee's Statement GLTDFM-3557 (DLNY)
DGLTDFM-3556 (DLNY) LTD Claim - Employer's Statement (DLNY)
DGLTDFM-3558 (DLNY) (MGIS) LTD Claim Attending Physician's Statement-(DLNY) (MGIS)
DGLTDFM-3557 (DLNY) (MGIS) LTD Claim Employee's Statement - (DLNY) (MGIS)
DGLTDFM-3556 (DLNY) (MGIS) LTD Claim Employer's Statement (DLNY) (MGIS)
DGSLFM-3814 (DLNY) Stop-Loss Accelerated Reimbursement Form (DLNY)
DGSLFM-3815 (DLNY) Stop-Loss Aggregate Monthly Claims Report (DLNY)
DGSLFM-4270 (DLNY) Stop-Loss Special Risk Questionnaire (DLNY)
DGSLFM-3559 (DLNY) Stop-Loss Specific Claim/50% Notice (DLNY)
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