aetna short term disability paperwork



You should file a short-term disability claim as soon as you or your doctor thinks that your disability will last at least as long as the elimination period. You don't have to wait until the elimination period has passed to file a claim. You can ask your benefits administrator to provide instructions for filing a claim with us.
Short-term disability insurance plans help if you are temporarily unable to work because of a medical condition. Learn more about ... The amount you receive is usually based on your annual salary, commissions, or other forms of income from your employer, depending upon your disability plan. Your plan summary explains
Disability and Health Insurance? GC-1457 AI (1-13). Page 1 of 2. Yes No. Aetna Disability Control. Number. Disability. Suffix. Disability Account STD. LTD. Disability Plan. Complete all applicable information. Aetna Health Plan Control Number. Health Plan Suffix Health Plan Account Health Plan Summary Code. Employee's
STD Disability. Employee Request. Mail this completed form to: Aetna Voluntary Plans. PO Box 14079. Lexington, KY 40512-4079. Fax: 1-859-455-8650. Phone: 1-888-772-9682. Internal Use. Category Code. LSTD. Office Key Code. 039. • Complete this form when your disability absence goes beyond your plans waiting
insured by Aetna for health care, you will be asked to provide your consent, which will allow Aetna to integrate your medical and disability claim management in order to coordinate care. 6. File your claim by calling the toll-free number below: Disability Service Center. STD claims: 1-866-326-1380. Fax: 1-866-667-1987.
Benefits of WorkAbility. Get the status of a claim or leave; Electronically sign and submit forms; Upload documents from your computer or phone; Read letters, print forms, report a return to work
III Short Term Disability. 'KAetna'. II! Long Term Disability. This notice should be completed by Employer and Employee, usi. Company in order to initiate a disability claim. construed as an admission. EMPLOYEE REQUEST FOR INFORMATION. Mail this completed form to: Aetna Life Insurance Company. PO Box 14560.
Page 1. Aetna DBL Claim Forms should be mailed to: Aetna Life Insurance Company. Short Term Disability Claims. PO Box 14560. Lexington, Kentucky 40512-4560. Fax: (866) 667-1987. Phone: (866) 326-1380. Page 2. Page 3.
Reporting a short-term disability and leave of absence claim by telephone or online. When to ... To submit a claim online, visit www.aetnadisability.com. Information needed to submit a claim. The following information may be required when you make your claim request. Filing your new claim should take about. 15 minutes.
g\g\f\f\STD\STD Claim Form 1 – Initial Report of Disability.doc – 20161212. HW8AA. ATTN UPS EMPLOYEES: In addition to completing and returning this form to TeamCare, UPS employees must also call Aetna at 866-825-0186 to initiate your leave with UPS. SHORT-TERM DISABILITY CLAIM FORM - INITIAL REPORT OF

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