2022 information, including the impact of the CDC’s reduction of quarantine days on special DBL/PFL benefits under
NY’s Emergency Paid Sick Leave, will be available here soon.
In the meantime, please refer to NY’s website: https://paidfamilyleave.ny.gov/COVID19

Claim Information - A claimant with claim forms by the desk with a computer

 

Statutory Benefits Claim Information

Step 1 -  Download Claim Forms

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"

New Jersey Temporary Disability Insurance (TDI) Claim Forms

Temporary Disability Benefits
 

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.

 


Email/fax/mail:

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

   claimforms@shelterpoint.com

    Fax: 516-504-6414

   You can also mail your completed claim package to:

Claim Department
ShelterPoint Life
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

  Connecticut Paid Family & Medical Leave

  Massachusetts Paid Family & Medical 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!

  


Email/Phone:

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:

   customerservice@shelterpoint.com

    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.

 

*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, a NY-domiciled carrier, and its wholly-owned subsidiary ShelterPoint Insurance Company, a FL-domiciled carrier, depending on the state (see our Geographic & Jurisdictional Notice here). ShelterPoint is a registered service mark.

**Underwritten by: ShelterPoint Life Insurance Company (principal office in Garden City, NY).

 

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