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Claim Help - NY Statutory Insurance

New Claimants: I am filing a claim because...

Disability Benefits (DBL)

I have an off-the-job injury/illness, or pregnancy (DBL).

NY Disability (DBL) Claim
This is the type of claim you would file for your own illness/injury not caused by your job (such as recuperating from surgery, cancer treatments, etc.) or recovering after the birth of a baby.

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Paid Family Leave (PFL)

I am bonding with or caring for someone else (PFL).

NY Paid Family Leave (PFL) Claim
This is the type of claim you would file to bond with your new child, to care for a family member with a serious health condition, or to take care of things due to a military exigency.

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COVID-19 Related

I (or my minor child) have an official COVID-19 Order of Quarantine.

NY Emergency COVID-19 Paid Sick Leave
This is the type of claim you would file for special emergency DBL/PFL benefits if you (or your minor child) are under Order of Quarantine due to COVID-19.

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Existing Claimants: I want to check my claim status and...

Check My Claim Status

I already registered on the claim portal.

Login here

Or consider getting the mobile App for easy access.

Register on Claim Portal

I have my claim# but I haven't registered for the claim portal yet.

Great, the best way to check your claim around the clock is on our claim portal.

Go here to register now!

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!

  

I need help and support...

Contact Us

customerservice@shelterpoint.com

  Phone: 1-800-365-4999

  Fax: 516-504-6414

Once you receive your claim number, we encourage you to sign-up on our claimant portal, where you can check the status of your claim 24/7.

 

Download Claim Forms

DBL Claim Forms
DB-450 (DBL Claim Form)
Enhanced In-Hospital Rider
Accidental Death & Dismemberment Rider

PFL Claim Forms
Bonding Leave
Caregiver Leave (Providing Care)
Military Exigency

NY Emergency COVID-19 Sick Leave
Employees under official "Order of Quarantine"
Care for minor dependent under official "Order of Quarantine"

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ShelterPoint Life Insurance Company, formerly The First Rehabilitation Life Insurance Company of America.

All policies are administered by ShelterPoint Life and underwritten by either ShelterPoint Life, a NY-domiciled carrier, or ShelterPoint Insurance, a FL-domiciled carrier depending on the state. Contact Underwriting for details.
Not all products are available in all states and from each entity in the family of ShelterPoint companies. Click here to view availability by state.
For information about which company is licensed in your state, please visit our Geographic & Jurisdictional Notice.

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