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Policyholder Responsibilities - NYSIF

DB claimants are eligible for a statutory rate of 50% of their weekly wages up to a maximum benefit of $170 per week for up to 26 weeks. Employers can elect to provide enriched benefits, which provide greater maximum benefits at marginally higher premium costs.

www.nysif.com/DisabilityBenefits

Forms - NYSIF

If you are a prospective or current policyholder and received an eSignature form request from NYSIF, please note it will appear in your inbox as "Electronic Form via DocuSign," with the name of the form as the subject line. Access frequently-used workers' compensation and disability benefits forms below. Many of the forms link directly to the Workers' Compensation Board website.

https://ww3.nysif.com/en/FooterPages/Column1/Forms

NYSIF

NYSIF EXPANDS CLIMATE ACTION PREMIUM CREDIT PROGRAM “NYSIF’s Climate Action Program provides a strong incentive for organizations to commit to reducing their greenhouse gas emissions and expand their ability to withstand and recover from climate-related disasters,” said Gaurav Vasisht, NYSIF’s Executive Director and CEO. Current eligibility includes: • Hospitals • Nursing homes ...

https://ww3.nysif.com/en

PFL Form - Request for Family Care Leave - NYSIF

Elegibilidad Las madres y los padres, incluyendo los padres del mismo sexo, pueden tomar tiempo libre remunerado y con protección laboral para vincularse con su nuevo hijo dentro de las primeras 52 semanas después del nacimiento, adopción o colocación de crianza del niño. La tasa de beneficio es del 67 % de su salario semanal promedio hasta el 67 % del salario semanal promedio del estado ...

https://ww3.nysif.com/-/media/Files/DISABILITY_BENEFITS/PDF/NYSI...

Payroll Reporting - NYSIF

Failure to submit a timely payroll report will result in a 50% payroll adjustment, which increases the estimated premium (subject to revision when payroll is reported).

https://ww3.nysif.com/en/Employer/DBpolicyholder/AboutYourBill/P...

PFL Form - Request for Family Care Leave

Elegibilidad Puede tomar tiempo libre remunerado y protegido por su empleo para ayudar a su cónyuge, pareja de hecho, hijo/a, padre/madre o suegro/a que esté desplegado en el extranjero en servicio militar activo. El PFL está disponible por las mismas razones que la licencia relacionada con el ejército según la FMLA, que incluye despliegue con poca antelación, eventos militares, descanso ...

https://ww3.nysif.com/-/media/Files/DISABILITY_BENEFITS/PDF/NYSI...

PFL Form - Request for Family Care Leave - NYSIF

Las madres y los padres, incluyendo los padres del mismo sexo, pueden tomar tiempo libre remunerado y con protección laboral para vincularse con su nuevo hijo dentro de las primeras 52 semanas después del nacimiento, adopción o colocación de crianza del niño. La tasa de beneficio es del 67 % de su salario semanal promedio hasta el 67 % del salario semanal promedio del estado de Nueva York.

https://ww3.nysif.com/-/media/Files/DISABILITY_BENEFITS/PDF/NYSI...

NYSIF Insurance Products - NYSIF

DB claimants are eligible for a statutory rate of 50% of their weekly wages up to a maximum benefit of $170 per week for up to 26 weeks. Employers can elect to provide enriched benefits, which provide greater maximum benefits at higher premium costs.

https://ww3.nysif.com/Home/Employer/LookingForInsurance/NYSIFIns...

Claims Resolution - NYSIF

Serious workers' compensation claims may be resolved as follows: Scheduled vs. Nonscheduled Injuries The WCB places a value on the loss of use of certain body parts resulting from work-related injury or illness, referred to as scheduled award. All other claims are non-scheduled injuries. Schedule Loss of Use Award If there is a loss of use of an eye, arm, hand, finger, leg, foot or toe, NYSIF ...

https://ww3.nysif.com/Home/Employer/WCpolicyholder/AboutClaims/C...

About Your Disability Benefits Claim - NYSIF

The statutory benefit is 50% of the employee’s average gross wages for the last eight weeks, up to a maximum of $170 per week. (Learn about NYSIF Enriched Disability Benefits.)

https://ww3.nysif.com/Claimant/DBClaimant/FilingAClaim