long-TERM DISABILITY
CLAIMS PROCESS- grant pud (only)
All other PUDs should refer to the LTD transition portion of the short-term disability claims process page.
There are three parts to filing a claim:
(1) employer portion (2) employee portion (3) physician portion
Step 1: Employer Portion
Start the process 90 days prior to exhausting the short-term disability program if medical evidence and current state of employee based on last interaction lends you to believe that the employee will not recover prior to the short-term disability maximum leave duration or as soon as possible. You may complete the employer portion online or prepare a printed/emailed packet.
online
File a Long Term Disability Claim by completing the employer portion online. You will need:
LTD Policy Number: 134069
Provide your employee with “How to file a Long Term Disability Claim” .
Tips when completing the employer portion online:
You cannot upload the job description. Send job description via email to ClaimsIntake@rsli.com. Include employer name (Central Washington Public Utilities), policy number (134069) and employee name in the subject line.
Once you complete your employer portion online, an email will be sent to your employee for information needed and next steps.
If the employee chooses to file their claim via email, fax, or mail, they will need you to complete the employer portion of their long-term disability application.
printed/emailed packet
Complete the employer portion of the long-term disability claim form. Required information include:
Proof of earnings (example: payroll records, W-2,1099 etc.)
If employee was covered under a prior plan, include Symetra’s long-term disability policy.
Employee LTD enrollment form or screenshot from your HRMS.
Forward any medical information relating to employee’s disability you may have on file.
If a workers compensation claim is filed, send initial report of injury or illness and award notice.
Provide your employee with:
Partially completed form
Any attachments (see above)
You may complete the claim online AND provide a printed/emailed packet to your employee.
Step 2: Employee Portion
Employees are encouraged to complete the employee portion as soon as possible. Employees can submit their application and authorization online, via mail, email, or fax. They can also call claims intake at 855-RSL-CLAIM (855-775-2524). Note that the employee will be connected with Matrix for claims intake. Employees will be asked for their employer’s name, which is Central Washington Public Utilities (PUDs are not listed under the individual PUD name), policy number, and other personal and claims related questions, including preferred contact method. Please encourage your employees to use email for preferred communication for speeder and more effective communication. For future claims questions, the employee should call Customer Care at 800-351-7500. Take a look at “How to file a Long Term Disability Claim” for employee instructions on how to complete and submit their claim.
Tips when employees complete the form online:
Once the form is submitted, the employee cannot later access to review or update the form or attach files.
Step 3: Physician’s portion
Employees are encouraged to provide their medical provider with the Attending Physician’s Statement as soon as possible. Either the provider or employee can send the Physician’s Statement directly to Reliance Standard via email ClaimsIntake@rsli.com or fax 267-256-4262. In addition, employees may also download medical information through their patient portal and submit to Reliance directly.
Claim Review & Notification
Once Reliance Standard receives all three portions of the claim, a claims examiner will review the information, request additional information, if necessary, and will make a claims determination. Communication is sent to employee and employer indicating claim determination of approval or denial. If claim is denied, employee may appeal the decision and provide additional information.