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Great-West G R O U P Short Term Disability Income Benefits Employee s Statement The Great-West Life Assurance Company (Great-West Life), all rights reserved. Any modification of this document without
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How to fill out short term disability income

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01
Begin by obtaining the necessary forms for filing a short term disability income claim. These forms can usually be obtained from your employer or the insurance provider that handles your disability benefits.
02
Carefully read through the instructions provided with the forms to ensure that you understand what information is required and how to properly fill out the paperwork.
03
Start by providing your personal information, such as your name, address, phone number, and social security number. This information is crucial for identifying and processing your claim.
04
Next, you will need to provide details about your employment, including your job title, start date, and the name and contact information for your employer. This information helps the insurance provider verify your employment status and eligibility for disability benefits.
05
Fill out the section that requires you to describe your medical condition or disability. Be as specific and detailed as possible, including information about when the condition began, any medical treatments or procedures you have undergone, and any ongoing symptoms or limitations you are experiencing.
06
If required, provide information about any other sources of income you are currently receiving, such as sick leave or workers' compensation benefits. This helps the insurance provider determine the amount of disability income you are eligible to receive.
07
Attach any supporting documentation, such as medical records, lab results, or physician statements, that can help substantiate your claim and provide further evidence of your disability.
08
Review the completed forms thoroughly to ensure that all the necessary information has been provided and that there are no errors or missing sections.
09
Once you are satisfied with the accuracy and completeness of your application, make copies of all the documents for your own records.
10
Submit the completed forms and supporting documentation to the appropriate entity, such as your employer's human resources department or the designated disability benefits provider. Be sure to follow any specific submission instructions provided with the forms.

Who needs short term disability income?

01
Employees who do not have sufficient sick leave or paid time off to cover a temporary disability or illness may need short term disability income. This helps provide financial support during the period they are unable to work.
02
Individuals who work in physically demanding or high-risk occupations may also benefit from short term disability income. These jobs may have a higher likelihood of injury or illness that could result in temporary disability.
03
Self-employed individuals or those who are not covered under an employer-sponsored disability insurance plan may need short term disability income as a means of replacing their lost income during a temporary disability.
04
Individuals with pre-existing medical conditions or disabilities may benefit from short term disability income coverage, as it can provide financial protection in case their existing condition worsens or if they experience a separate temporary disability.
05
Short term disability income can also be helpful for individuals who are the primary breadwinners in their households, as the loss of income due to a temporary disability can have a significant impact on their family's financial stability.
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Short term disability income provides temporary financial assistance to individuals who are unable to work due to a non-work-related illness or injury.
Employees who have purchased short term disability insurance or who are covered under a group policy provided by their employer may be required to file for short term disability income.
To fill out short term disability income, individuals typically need to complete a claim form provided by their insurance provider or employer, and submit supporting documentation such as medical records.
The purpose of short term disability income is to replace a portion of an individual's income while they are unable to work due to a short-term disability.
Information that must be reported on short term disability income typically includes the individual's personal information, details of the disability, and supporting documentation from a healthcare provider.
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