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Step 1 -  Download Claim Forms

ShelterPoint Life Insurance Company (NY, NJ, MA, CO, CT)

NY Disability (DBL) Claim Forms

DB-450 (DBL Claim Form)

NY Paid Famiy Leave (PFL) Claim Forms

Bonding Leave
Family Caregiving Leave
Military Exigency

Self Quarantine Leave (Employee under order of quarantine) and
Minor Child Quarantine (Employee's minor dependent child under
order of quarantine)

Employees under official "Order of Quarantine"
Care for minor dependent under official "Order of Quarantine"
COVID-19 Resource Center
Get COVID-19 specific help.

CO Family and Medical Leave Insurance (FAMLI) Claim Forms

Medical Leave (Self Care)
Bonding Leave
Family Caregiving Leave
Safe Leave
Military Exigency

NJ Temporary Disability Insurance (TDI) Claim Forms

Temporary Disability Benefits

ShelterPoint Insurance Company (OR)

Step 2 - Submit Your Claim

Online Claim Submission:

You can submit your claim documents online to file a new claim:
  • for any of the eligible types of leave
  • in any of the statutory benefit states listed above.

This is the best way to submit your initial claim.
We advise you to go through the checklist section on the left before you upload your files.


When filing your claim, please make sure everything is completed, legible, and submitted together at one time!

Claims are processed in the order they are received, and cannot be reviewed by an examiner unless everything is complete. So, if you are missing a portion in your submission, your claim cannot go into the processing queue until you submit everything that’s needed. This may result in delays processing your claim as we must request the missing information and allow time for the missing information to be returned, prior to issuing a decision.



If you prefer to submit your claim status by email, fax, or mail, you can contact us by the following methods:

    Fax: 516-504-6414

   You can also mail your completed claim package to:

Claim Department
1225 Franklin Ave, Ste., 475
Garden City, NY 11530

Step 3 - Check Your Claim Status

Claim Portal Online or via Mobile App:

Current availability for the following benefits on our Claim Portal:

  New York Statutory Short-Term Disability

  New York Paid Family Leave

 New York Emergency COVID-19 Sick Leave

  New Jersey Temporary Disability Insurance

  Colorado Family and Medical Leave Insurance

  Connecticut Paid Family & Medical Leave

  Massachusetts Paid Family & Medical Leave

  Oregon Paid Leave

Computer, and mobile devises


Manage your claim 24/7 online or via our App!

  • Find out if you are eligible for benefit payments
  • View your current claim status and see if you need to take any action to assure continued processing of your claim
  • Upload additional forms and documents
  • See when your next check will be sent
  • And much more!


Check My Claim Status

For those who have already registered on the Claim Portal.



Register on Claim Portal

For those who have their claim# but haven't registered for the Claim Portal yet.

Registration is fast and easy - we just need your:

  • Claim number
  • Social Security number
  • Valid email address



Claim Mobile App

Upload requested documents or manage my claim on the go.

  • Get the mobile App to snap a picture of your document and upload it. it gets to our claim examiners immediately.
  • Get push notifications on your home screen.

Get Claim Mobile App now!



Once you received your claim number, we encourage you to sign-up on our claimant portal, where you can check the status of your claim 24/7. If you prefer to check your claim status by phone or through email, you can contact us by the following methods:

    Phone: 1-800-365-4999

With decades of experience in helping keep people INSURED,
rest ASSURED: you have found the specialists you can turn to.


Policies for Private Plans of Statutory Benefit Programs are (1) underwritten by ShelterPoint Life Insurance Company (principal office in Garden City, NY) in NY, NJ, CT, MA, and CO; and (2) underwritten by ShelterPoint Insurance Company (a FL-domiciled carrier) in OR.

The ShelterPoint family of companies operates under the “ShelterPoint” name strictly as a marketing name, and no legal significance is expressed or implied. The ShelterPoint family of companies consists of ShelterPoint Life Insurance Company (principal office in Garden City, NY) and its wholly-owned subsidiary ShelterPoint Insurance Company, a FL-domiciled carrier. (see our Geographic & Jurisdictional Notice here). ShelterPoint is a registered service mark.


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