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Filing a Claim - NYSIF

To file a Disability Benefits claim, an employee must complete NYSIF Form db-450 and return it to NYSIF within 30 days of the onset after the start of the off-the-job injury or illness.

https://ww3.nysif.com/Home/Employer/DBpolicyholder/AboutClaims/D...

Policyholder Responsibilities - NYSIF

NYSIF’s support for New York businesses and their employees extends to providing short-term Disability Benefits (db) and Paid Family Leave (PFL). db provides income in case an employee can’t work due to an off-the-job injury or illness, while PFL provides paid time off for an employee to care for a family member.

www.nysif.com/DisabilityBenefits

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/Home.aspx

db-450.pdf - NYSIF

To file a claim: 1. Obtain a Notice and Proof of Claim for Disability Benefits (Form db-450), either from the Board at wcb.ny.gov, or from your employer, or your employer’s insurer. 2. Follow instructions to complete/submit the form, which includes sections your employer and health care provider must complete. 3.

https://ww3.nysif.com/-/media/Files/DISABILITY_BENEFITS/PDF/2024...

About Your Disability Benefits Claim - NYSIF

If so, please complete NYSIF Form db-450 and submit your claim to NYSIF. Use this form if you become sick or disabled while employed or if you become sick or disabled within four weeks after your last day worked.

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

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

Premium Rates - NYSIF

To help you make the best decision, NYSIF provides full transparency on our premium rates. We offer db insurance at a gender-neutral standard rate of $0.14 per $100 of payroll, capped at $0.48 per person per week. Premiums are capped at $24.75 per person annually. Employee Contributions for db

https://ww3.nysif.com/Home/Employer/DBpolicyholder/AboutYourPoli...

Payroll Reporting - NYSIF

db and PFL premiums are initially based on a payroll projection at the beginning of the policy period. However since payroll can change over the period, a payroll report must be submitted within 30 days of the end of the period to align your premium to your actual payroll.

https://ww3.nysif.com/Home/Employer/DBpolicyholder/AboutYourBill...

NYSIF Online Quote - NYSIF

NYSIF db insurance covers employees’ off-the-job injuries and illnesses, while NYSIF PFL coverage provides employees with paid time off from work to care for their families.

https://ww3.nysif.com/en/Employer/LookingForInsurance/InsuranceA...

NYSIF Insurance Plans - NYSIF

Disability Benefits (db) insurance provides partial income replacement to those who are unable to work due to an illness or injury that occurred away from work, including disabilities arising from pregnancies, as required by New York State law.

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