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The Benefits Office has all the necessary forms and can
provide help with claims for Plan benefits. View the section
Applying for and Receiving Disability
Benefits for the steps you should follow in claiming
disability benefits.
When
should I apply for benefits?
You should apply for benefits as soon as it appears you
may be eligible for disability benefits so that rehabilitation
efforts can begin as soon as possible. You will work with Work~Connections staff to determine the appropriate time to apply for LTD benefits. Refer to the section Applying for and Receiving Benefits for steps you should follow. You should also apply
for Social Security disability benefits at the same time
you apply for benefits under this Plan. See When
must I apply for Social Security disability benefits
for more information.
How
do I apply for disability benefits?
Contact the Long-Term Disability Coordinator in the University's
Benefits Office. The Benefits Office is the only office
that is authorized to release and process an application
for Expanded Long-Term Disability.
To
apply for benefits, you will need to complete the following
forms:
- Request
for Participation Form
- Reimbursement
Agreement
- Social
Security Administration Release Authorization
- Medical
Release Authorization
In
addition:
- Your
supervisor will need to complete a Departmental Disability
Claim Form, and
- Your
physician(s) will need to complete a Healthcare Provider Statement of Disability, and
- You
may be required to participate in independent medical
evaluations and/or meetings with vocational rehabilitation
specialists or nurse case managers.
Will
I be required to provide medical evidence or documentation?
Yes. You must provide proof of disability that
is satisfactory to the Claims Administrator. This proof
is referred to as "medical evidence" based on
objective clinical findings. The medical evidence must show
that the disability prevents you from engaging in any occupation
or employment for which you are reasonably suited by education,
training, or experience, and qualifies you for benefits
according to the terms of this Plan.
To
determine the nature and extent of your disability, you
may be required to be examined by physicians, psychologists,
or psychiatrists, and/or be interviewed by vocational rehabilitation
specialists or nurse case managers.
Will
I have to provide medical evidence more than once?
Yes. If your disability continues, you will be required
to submit medical evidence on an ongoing basis. This means
that you may be required to be examined on an ongoing basis
by physicians, psychologists, or psychiatrists, and/or be
interviewed by vocational rehabilitation specialists or
nurse case managers.
To
continue receiving Expanded Long-Term Disability benefits,
your treating physician will be required to complete and
return a Medical Update Form (and any other medical evidence
specified by the Claims Administrator) proving that you
continue to be disabled according to the terms of this Plan.
You must do so at your expense and as often as the Claims
Administrator determines is reasonably necessary.
What
if my claim is denied?
If your claim for benefits from this Plan is denied, either
in full or in part, the Claims Administrator will promptly
send you a written notice indicating the reason(s) for denial.
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