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STANDARD INSURANCE COMPANY A Stock Life Insurance Company 900 SW Fifth Avenue Portland, Oregon 972041282 (503) 3217000 CERTIFICATE AND SUMMARY PLAN DESCRIPTION GROUP DENTAL INSURANCE The PolicyholderWILLAMETTE
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How to fill out pebb long term disability

01
Obtain a copy of the PEBB Long Term Disability claim form from your HR department or the PEBB website.
02
Fill out the claimant information section completely, including your name, address, phone number, and Social Security number.
03
Provide detailed information about your medical condition, including the date of onset, symptoms, and treatments received.
04
Include any supporting documentation, such as medical records, test results, and notes from your healthcare providers.
05
Submit the completed claim form and supporting documentation to the PEBB Long Term Disability claims department.

Who needs pebb long term disability?

01
Employees who are enrolled in the PEBB Long Term Disability insurance program.
02
Employees who are unable to work due to a qualifying medical condition for an extended period of time.
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PEBB Long Term Disability (LTD) is a benefit that provides income replacement in case an employee is unable to work due to a long-term disability.
Employees who are eligible for PEBB benefits are required to file for PEBB Long Term Disability if they have a long-term disability that prevents them from working.
To fill out PEBB Long Term Disability, employees need to complete the necessary forms provided by their employer or PEBB administrator and submit any required medical documentation.
The purpose of PEBB Long Term Disability is to provide financial support to employees who are unable to work due to a long-term disability.
Employees must report their personal information, details of their disability, medical documentation, and any other relevant information required by the PEBB Long Term Disability program.
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