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.
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.
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Delaware(DLNY)
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| Authorization for Disability Contributions (DLNY) | DGDIFM-3325 (DLNY) |
| Delaware Information Request: Training/Education | DXNYGR/1144 |
| Delaware Life LTD Attorney Questionnaire | DGLTDFM-8496 NY |
| Delaware Life LTD Headache Log | DGLTDFM-8495 NY |
| Delaware Life LTD Nurse Questionnaire | DGLTDFM-8497 NY |
| Delaware Life LTD Physician Questionnaire | DGLTDFM-8498 NY |
| Delaware Personal Profile (DLNY) | DGLTDFM-5441 (DLNY) |
| Direct Deposit (DLNY) | DGGFM-3803 (DLNY) |
| Disability Information Update (DLNY) | DGDIFM-3804 (DLNY) |
| DLNY Life Waiver of Premium Personal Profile Summary | DGLFM-8175 (NY) |
| Group Death Claim Packet (DLNY) | DGLFM-3527 (DLNY) |
| Group Life Benefits Claim Packet (DLNY) | DGLFM-3316 (DLNY) |
| Group Life Benefits Claim Packet - MGIS (DLNY) | DGLFM-3316 MGIS |
| LTD Claim - Attending Physician's Stmt (DLNY) | DGLTDFM-3558 (DLNY) |
| LTD Claim - Employee's Statement GLTDFM-3557 (DLNY) | DGLTDFM-3557 (DLNY) |
| LTD Claim - Employer's Statement (DLNY) | DGLTDFM-3556 (DLNY) |
| LTD Claim Attending Physician's Statement-(DLNY) (MGIS) | DGLTDFM-3558 (DLNY) (MGIS) |
| LTD Claim Employee's Statement - (DLNY) (MGIS) | DGLTDFM-3557 (DLNY) (MGIS) |
| LTD Claim Employer's Statement (DLNY) (MGIS) | DGLTDFM-3556 (DLNY) (MGIS) |
| Stop-Loss Accelerated Reimbursement Form (DLNY) | DGSLFM-3814 (DLNY) |
| Stop-Loss Aggregate Monthly Claims Report (DLNY) | DGSLFM-3815 (DLNY) |
| Stop-Loss Special Risk Questionnaire (DLNY) | DGSLFM-4270 (DLNY) |
| Stop-Loss Specific Claim/50% Notice (DLNY) | DGSLFM-3559 (DLNY) |
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