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Claims Forms

Group Life, SIB and STD claim forms are available from the Plan Administration Office.

Death Claims

Your beneficiary should provide a completed claim form, together with proof of death (generally the Death Certificate), to the Plan Administration Office. This should be done as soon after the date of death as possible.

Disability Claims

If you are Receiving Company Sick Leave or Workers' Compensation Benefits - you must complete an Application for Short Term Disability Benefits; no additional medical certificate is required on initial application.

If you are Not Receiving Company Sick Leave or Workers' Compensation Benefits - you must complete a special Application for Short Term Disability Benefits plus provide a medical certificate supporting disability.

Note: At any time during disability you may be required to provide medical proof of continuing disability.

If your STD Claim is Denied

If your claim for STD benefits is denied, you may appeal the decision by making a written request to the Trustees for their special consideration.