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Maricopa County Group Shorter Disability Plan DescriptionRevised March, 2018TABLE OF CONTENTS PLAN DESCRIPTION4What is short term disability (STD)?4Who is eligible to purchase STD coverage?4When can

How to fill out short-term diasability

How to fill out short-term disability:

1. Obtain the necessary forms: Contact your employer or insurance provider to obtain the short-term disability forms. These forms may also be available online.
2. Review the instructions: Read through the instructions carefully to understand the information that needs to be provided and any supporting documents required.
3. Fill in personal information: Start by filling in your personal details, such as your name, address, social security number, and contact information.
4. Provide employment information: Include details about your current employer, job title, and any relevant employment dates.
5. Document medical information: Fill in information about your medical condition, including the diagnosis, treatment, and dates of medical appointments or hospitalizations. Attach any medical records or supporting documentation as required.
6. Provide details of leave: Indicate the start and end date of your disability leave. Include any anticipated return dates, if known.
7. Complete the authorization section: Authorize your healthcare provider to release any necessary medical information to support your disability claim.
8. Review and sign: Carefully review all the information provided on the form, ensuring accuracy and completeness. Sign and date the form as required.
9. Submit the form: Send the completed form to the designated party as instructed, whether it's your employer or insurance provider. Keep a copy for your records.

Who needs short-term disability:

1. Employees: Anyone employed, including full-time, part-time, and self-employed individuals, may need short-term disability if they experience a non-work-related illness, injury, or complication that temporarily prevents them from working.
2. Pregnant women: Short-term disability can be beneficial for pregnant women who experience complications or medical conditions that require them to take time off work before or after giving birth.
3. Individuals undergoing medical procedures: Those who require surgery or other medical procedures that necessitate a temporary period of recovery may also require short-term disability.
4. Individuals with acute illnesses or injuries: Short-term disability is essential for individuals facing acute illnesses or injuries that prohibit them from performing their regular job duties for a limited period.
5. Employees with chronic conditions: People with chronic illnesses or medical conditions that relapse or worsen may need short-term disability to manage their condition and allow for recovery periods as needed.

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What is short-term disability?

Short-term disability is a type of insurance that provides partial replacement of income for employees who are unable to work due to a non-work-related injury or illness.

Who is required to file short-term disability?

Employees who are unable to work due to a non-work-related injury or illness are required to file for short-term disability.

How to fill out short-term disability?

To file for short-term disability, employees must complete the necessary forms provided by their employer or insurance carrier, and submit any required medical documentation.

What is the purpose of short-term disability?

The purpose of short-term disability is to provide financial support to employees who are temporarily unable to work due to a disability.

What information must be reported on short-term disability?

Employees must report their medical condition, the expected duration of their disability, and any other relevant information requested by their employer or insurance carrier.