RIGHT TO FILE A COMPLAINT KEEP THIS NOTICE WITH YOUR INSURANCE PAPERS. PROBLEMS WITH YOUR INSURANCE? Your satisfaction is very important to us. If you are having problems with your insurance, do not hesitate to contact the insurance company to resolve your problem. GBS Consumer Advocacy Attn: Lisa Koller 2000 Park Lane Drive Pittsburgh, PA 15275 Email: GBSConsumerAdvocacy@newyorklife.com Phone: (888) 842-4462 Fax: (646) 706-4296 You can also contact the Indiana Department of Insurance and file a complaint. You can contact the Indiana Department of Insurance by contacting: Indiana Department of Insurance Consumer Service Division 311 West Washington Street, Suite 300 Indianapolis, IN 46204-2787 Tel: (317) 232-2385 In-State WATSLine: 1-800-622-4461 TL-005693
Long Term Disability Certificate - Class 3 Non Certified Page 4 Page 6