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New York State
DBL
Forms Download - DB450 Claim
HIPAA
Claims - Helpful Hints
Top FAQs
Submit a Policy Question
Submit a Claims Question
New Jersey TDB
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What is DBL?
?
All companies with one or more employees in New York State are required to provide DBL insurance for their employees. The Disability Benefits Law (DBL) provides benefits for disabilities due to non-occupational injury or illness.
New York State
PFL
Current PFL Information
Download PFL Overview
Claims – Helpful Hints
Top FAQs
Policy Forms
PFL STATEMENT OF RIGHTS
PFL WAIVER
PFL-135 Application Voluntary Coverage (No Employee Contribution)
PFL-136 Application Voluntary Coverage (Employee Contribution)
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Claim Forms
BONDING
CLAIM FORM WITH CLAIM FILING REQUIREMENTS CHART AND DETAILED INSTRUCTIONS
FAMILY CARE
CLAIM FORM WITH CLAIM FILING REQUIREMENTS CHART AND DETAILED INSTRUCTIONS
QUALIFYING MILITARY EVENT
CLAIM FORM WITH CLAIM FILING REQUIREMENTS CHART AND DETAILED INSTRUCTIONS
Intermittent Leave Date Certification Form
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Claim Filing
Requirement Charts
SUMMARY
OF CLAIM FILING REQUIREMENTS CHART
BONDING
CLAIM FILING REQUIREMENTS CHART
FAMILY CARE
CLAIM FILING REQUIREMENTS CHART
QUALIFYING MILITARY EVENT
CLAIM FILING REQUIREMENTS CHART
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Submit a Policy Question
Submit a Claims Question
What is PFL?
?
Effective January 1, 2018, covered employers will be required to provide eligible full and part-time employees paid family leave coverage. Bonding with a newborn, a foster child or newly adopted child are eligible events for both parents. Additionally, caring for a close relative with a serious medical condition and relieving family pressures when a family member is called to active military service are covered events under the PFL.
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Claims Department Contacts
Claims@sslicny.com
800-477-0087 / 585-398-2340
585-398-2854
P.O. Box 25339
Farmington, New York 14425
Policyholder Services Contacts
PolicyServices@sslicny.com
646-509-2100
212-644-5786
488 Madison Avenue, Suite 803
New York, NY 10022
Questions about a claim?
Email a Claims Customer Service Representative