Disability claim online submission or disability claim form (PDF)Īttn: Individual Disability Claims Department.If your claim is psychiatric and/or substance abuse related, we’ll need these forms:.Disability claim online submission or disability claim form (PDF).Complete the online submission of your disability claim or if you prefer to send via fax, mail or email, complete the PDF form:.Simply download and complete the form(s) you need: Option 2 – You purchased your own individual disability coverage. Pregnancy disability claim form, employer and employee statements (PDF). ![]() Disability claim form instructions, employer and employee statements (PDF).Īttn: Group Life & Disability Claims Department.Option 1 – You have short- or long-term disability coverage through work.įor group disability insurance policies, claims can be submitted via: Choose the option below that best describes your situation. ![]() ![]() Where your coverage comes from makes a difference when it comes to the forms you fill out.
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