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TIMESENSITIVE DOCUMENTPlease complete ALL forms and submit to: Fax: 603.415.3096 or Email: stdclaims@healthtrustnh.org For questions, please call 1.800.527.5001DISABILITY INCOME BENEFITS Claim and

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How to fill out how-to-file-short-term-disability-claim

01

Obtain the short-term disability claim form from your employer or insurance provider.

02

Complete all necessary personal information, including your name, address, social security number, and contact information.

03

Provide details about your medical condition that is preventing you from working.

04

Obtain any necessary medical documentation from your healthcare provider to support your claim.

05

Submit the completed form and supporting documentation to the appropriate party (employer or insurance provider).

Who needs how-to-file-short-term-disability-claim?

01

Employees who are unable to work due to a temporary medical condition and have short-term disability insurance coverage.

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What is how-to-file-short-term-disability-claim?

A how-to-guide or procedure for filing a short-term disability claim.

Who is required to file how-to-file-short-term-disability-claim?

Individuals who are seeking short-term disability benefits.

How to fill out how-to-file-short-term-disability-claim?

Follow the step-by-step instructions provided in the document.

What is the purpose of how-to-file-short-term-disability-claim?

To initiate the process of applying for short-term disability benefits.

What information must be reported on how-to-file-short-term-disability-claim?

Personal information, medical documentation, and details of the disability.

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