NYS Disability Benefits and Paid Family Leave
These are two related insurance benefits that New York State requires most private employers to provide for their employees. Disability Benefits offers partial wage replacement when an employee is unable to work due to an injury, illness or pregnancy. Paid Family Leave provides partial wage replacement as well as job and health insurance protection while an employee takes leave to bond with a new child, care for a relative with a serious health condition, or handle family matters when a relative is deployed abroad by the military.
Video Guides to Disability and PFL Claims
These brief videos provide all you need to know to help your employees file Disability Benefits and Paid Family Leave claims with NYSIF.
A Guide for Employers |
Employer Responsibilities |
The Claims Process |
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Employer’s Companion Guide to DB & PFL Claims
Disability Forms
DB-271S Statement of Rights for DB—Provide this to an employee within five days of learning that they are disabled.
DB-450 claim form for DB—The employee completes part A, their healthcare provider completes part B, and you the employer complete part C. This must be submitted to NYSIF within 30 days of the start of leave.
Paid Family Leave Forms
PFL-271S Statement of Rights for PFL—Provide this to any employee who may be eligible for NYS Paid Family Leave.
NYSIF PFL Claim Form for Child Bonding—The employee completes PFL-1 part A and PFL-2 (and submits proof of relationship to the child). The employer completes PFL-1 part B.
NYSIF PFL Claim Form for Family Care—The employee completes PFL-1 part A. The employer completes PFL-1 part B. The care recipient completes PFL-3. The care recipient’s healthcare provider completes PFL-4.
NYSIF PFL Claim Form for Military Exigency—The employee completes PFL-1 part A and PFL-5 (and may submit written documentation supporting the leave request). The employer completes PFL-1 part B.
Claim forms must be submitted to NYSIF within 30 days of the start of the leave, to avoid a late-filing penalty.
See more details on our PFL claimant page.