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TDI Portal Enrollment Form

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Introducing Pacific Guardian Life’s (PGL) online Temporary Disability Insurance (TDI) billing feature available on Pono ‘Oe, our Employee Benefits portal.

TDI Portal Enrollment Form

You will be able to:

  • View your TDI premium statements
  • Complete the census information and have Pono ‘Oe automatically calculate your premium amount for you
  • Make payments online

Download & Print

Complete

Using a blue or black ink pen

Submit in 1 of 2 Ways

Email: [email protected]

Mail:
Pacific Guardian Life
1440 Kapiolani Blvd.,
Suite 1700
Honolulu, HI 96814