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Fill out the Long Term disability claim form. Submit to HR. We have to fill out a section also. We will fax it to the proper people and submit it for you.
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Please follow this link to access Employee Navigator. Note: You must have already signed up for Employee Navigator to be able to access your account.
Please follow this link for frequently asked questions regarding Employee Navigator.
Your pay may change and you will be eligible for benefits including medical, dental, vision, and retirement. See HR for more information.
Your pay may change and you will no longer have the availability of benefits including medical, dental, vision and flexible spending account (FSA). All of your benefits will stop at the end of the month in which you change status. Your FSA will stop immediately, but you may be able to use the funds until the end of the plan year by using a manual claim form or by online submission.
If you have been injured on the job please use the workplace injury packet and follow the instructions in the paperwork. The Workplace Injury packet is located on the employee intranet page.
No, you are only able to keep the plan up to the age of 65.
Yes, dependents can still remain on the plan until the employee turns 65. However, it might be more fiscally advantageous for said dependent to go to Medicare.
Short Term Disability will last up to 6 months from the date you are initially off work. After it stops, if you have LTD it will start where the STD stopped.
Long Term Disability (LTD) will last until the age of 65 as long as the premiums are paid.
Please contact the HR department at 870-933-4640 or at firstname.lastname@example.org for more information.
Refer to pages 4-6 of the Benefit Guide below.
See link below for address change. Fill out the form and submit to Human Resources.
Employee Change Request Form
Fill out the Short-term disability claim form. Submit to HR. We have to fill out a section also. We will fax it to the proper people and submit it for you.