Group Tax Credit Qualified Plans

Maine Bureau of Insurance
Maine Tax Credit Qualified STD and LTD Group Disability Plans
Pursuant to: 24-A MRSA § 2804-B; 36 MRSA § 191, § 5122, § 5219-OO and Bureau of Insurance Bulletin 425

INSURANCE COMPANY

GROUP POLICY NUMBER

STD/LTD or BOTH

APPROVAL DATE

The Guardian Life Insurance Company of America

GC-STD-18-QP-ME

STD

1/2/2019

Unum Life Insurance Company of America

C.FP-1-TC

Both

3/8/2019