Submitting Claims Online
Watch this video to get started or click the links below to submit a claim.
- Submit a claim for Short Term Disability, Long Term Disability, Term Life, Accidental Death & Dismemberment, Dental, Vision, Supplemental Health (Critical Illness, Hospital Indemnity, Accident, Cancer and Wellness Benefits).
- Access New York Paid Family Leave online form that can be submitted via our secure channel
Enrolling in Direct Pay
- Complete the Direct Pay enrollment form to set up electronic payments for disability benefits:
- Short Term Disability
- Long Term Disability
- New Jersey and New York State Mandated Disability
- New York Paid Family Leave
- Submit your completed form through our secure channel.