Top Employer FAQs

If the disability begins while the employee is working, or within four weeks of the last day worked, the employee should file a completed DB450 claim form within 30 days.
PART A is the Claimant’s Statement and is for the employee to fully complete and sign.
PART B is the Health Care Provider’s Statement. The employee must have their health care provider fully complete this section which certifies that the employee is unable to work because of a disability.
PART C is the Employer’s Statement. You must fully complete Part C of the claim form providing the employee’s wage and employment information.

Once all sections are complete you or your employee can submit the claim to us by:

If the disability occurs more than four weeks after the employee’s last day worked and the employee is receiving NYS Unemployment Benefits the employee must file a completed DB-300 claim form (http://www.wcb.ny.gov/content/main/forms/db300.pdf) form with the Workers’ Compensation Board. They should mail the completed form to:
Workers' Compensation Board
Disability Benefits Bureau
328 State Street
Schenectady, NY 12305

The current DBL maximum weekly benefit is $170.00. The rate is calculated by averaging the eight weeks gross salary prior to the last day the employee works before going out on disability. If 50% of this gross weekly rate is $340.00 or above, they will make the maximum of $170.00 a week.

Example 1:	Sum of 8 weeks:	$4000.00
	Average weekly wage:	$500.00
	50% of average weekly wage:	$250.00
	Current DBL maximum:	$170.00 The rate will be $170.00

 

Example 2:	Sum of 8 weeks:	$1952.30
	Average weekly wage:	$244.04
	50% of average weekly wage:	$122.02
	Current DBL maximum:	$170.00 The rate will be $122.02

Yes, FICA (which includes Social Security and Medicare) tax is required to be deducted from the DBL check if payable to the employee.

We review all claims within four business days. We will request further information, accept or reject the claim within four business days.

No, the employee cannot perform any kind of work for wage or profit.

The maximum benefit period for a DBL claim is 26 weeks.

Yes. If the disability date is within four weeks of the day the employee quits and the employee asks for a claim to be submitted you must comply. We will determine if the employee is eligible or not depending on the circumstances. Make sure to provide the details surrounding the separation of employment.

Yes. In most cases, the no-fault benefit will be reduced by the DBL benefit.

Yes, part-timers are required to be covered for DBL.

An updated posting notice is available on our website. You can instantly download/print the most current version by clicking here.

This information can be obtained through your broker or you can download/print a copy by registering on our website. If you are already registered you can obtain a copy of the policy now by clicking here.

You can update policy name, address, billing address, policy status etc. by contacting your service representative, or by submitting the change request directly to Standard Security Life Insurance Company of New York at:

This information can be obtained through your broker or you can download/print a copy by registering on our website. If you are already registered you can obtain a copy of your bill now by clicking here.

Yes, you can securely pay your bill by credit card or e-check by logging in to your account on our website. If you have not set up an account, you can do so by clicking here.

Yes, you can receive your premium notices electronically by logging onto your account on our website. If you have not registered yet, click here to create an account.

You can get a 120.1 instantly by clicking here. You can also request one through your broker of record of by contacting our office at 646-509-2100 or policyservices@sslicny.com.