Filing Short Term Disability Claims with The Standard
This document provides essential information on filing a Short Term Disability claim with The Standard Insurance Company. It includes FAQs, claims submission instructions, and important details for employees of Asante Health System. Understand how to navigate the claims process efficiently to ensure timely benefits.
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How do I fill this out?
To fill out this form, begin by gathering the necessary information such as your employer details and medical information. Follow the prompts provided in the online filing system or in the claim packet to ensure all areas are completed correctly. This organized approach will facilitate a smooth filing process and help you receive your benefits sooner.

How to fill out the Filing Short Term Disability Claims with The Standard?
1
Gather necessary documents, including Employee's Statement and Physician’s Statement.
2
Choose a filing method: online, by phone, or via mail.
3
Complete all sections of the claim form accurately.
4
Submit the claim along with any required supplementary information.
5
Keep track of claim status and follow up as needed.
Who needs the Filing Short Term Disability Claims with The Standard?
1
Employees who need to report a work absence due to medical reasons.
2
HR managers requiring guidance for claims processing.
3
Supervisors needing to understand their employee's rights and benefits.
4
Individuals who are expecting childbirth and need to file claims in advance.
5
Employees interested in knowing the intersection of paid leave and STD benefits.
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What are the instructions for submitting this form?
To submit this form, you may choose to file online by visiting the Standard's website and following the prompts for filing a claim. Alternatively, you can call the Claim Intake Service Center at 833.760.7012 to report your claim over the phone. If you prefer to submit a paper claim, download the form from the Standard's website and send it via mail or fax to the contact information provided in the claim packet.
What are the important dates for this form in 2024 and 2025?
Important claim dates may vary, but typically you can file claims for upcoming planned absences like scheduled surgeries up to four weeks in advance. Additionally, be aware of the Benefit Waiting Period which can last between 14 to 60 days depending on your specific policy. Ensure timely applications to prevent potential disruptions in benefits.

What is the purpose of this form?
This form serves to guide employees through the process of applying for Short Term Disability benefits when they are unable to work due to medical reasons. It outlines the required documentation and facilitates a smooth submission process to help expedite claims for eligible individuals. Understanding its purpose aids in ensuring compliance with employer policies and securing timely financial assistance.

Tell me about this form and its components and fields line-by-line.

- 1. Employee's Statement: A personal declaration regarding the nature and duration of the disability.
- 2. Employer's Statement: Information provided by the employer regarding the employee's work status.
- 3. Attending Physician's Statement: Medical assessment provided by a physician to validate the claim.
- 4. Authorization to Obtain and Release Information: A consent form allowing the exchange of necessary medical information.
What happens if I fail to submit this form?
Failure to submit this form may result in delays or denial of your Short Term Disability benefits. Without timely submission, you might also miss critical deadlines that could affect your claims process.
- Delay in Benefits: Not submitting your claim on time can lead to a delay in receiving your benefits.
- Loss of Coverage: Your coverage may be affected if you do not follow proper filing procedures.
- Ineligibility: Failure to provide necessary information could render you ineligible for benefits.
How do I know when to use this form?

- 1. Medical Absence: To report a claim for absence due to illness or injury.
- 2. Surgical Leave: To file a claim ahead of time if you're scheduled for surgery.
- 3. Childbirth: To ensure you have the necessary documentation for maternity leave.
- 4. Extended Leave: For any medical condition that extends beyond the standard waiting period.
- 5. Paid Leave Interaction: Use when claiming benefits that involve interaction with other paid leave programs.
Frequently Asked Questions
How do I file a Short Term Disability claim?
You can file a claim online, by telephone at 833.760.7012, or via mail using the claim forms.
What information do I need to provide?
Essential information includes your employer's name, policy number, your SSN, and medical details.
How will I be notified about my claim status?
You will receive detailed communication by mail and can opt for text alerts.
How long will it take to receive a decision?
Typically, it takes about one week to receive a decision after submitting all required paperwork.
What should I do if additional medical information is needed?
The Standard will directly contact your physician for any necessary medical documentation.
How can I sign up for text message alerts?
You can sign up either by calling during your claim inquiry or texting STATUS to 53284.
When can I expect my first benefit check after approval?
Benefits are typically paid weekly following the Benefit Waiting Period.
What happens if my claim is denied?
You may lose eligibility for benefits unless you appeal the decision.
Who do I contact for questions about my claim?
For questions, contact The Standard's Disability Benefits at 833.760.7012.
Can I file my claim ahead of time for planned absences?
Yes, you can report your claim up to four weeks in advance.
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