Enroll in VSTD or VLTD

To apply for Voluntary Short-Term Disability or Voluntary Long-Term Disability Insurance through the Statement of Health process:

  1. Submit form UPAY 850 to the Benefits Customer Service office.
  2. Follow these instructions to complete the Statement of Health application and submit online to Liberty Mutual for evaluation - approval is based on health assessment and not guaranteed.
  3. Submit the determination letter from Liberty Mutual to the UC Davis Benefits office. If approved, Benefits will complete your enrollment.