HOW TO REPORT A LONG-TERM DISABILITY CLAIM

How do I report a long-term disability

(LTD) claim?

Simply do one of the following:

›

Call toll-free 800.36.Cigna (24462) or 866.562.8421

(Español) between 7:00 am and 7:00 pm CST. A

representative will walkyou through the process.

›

Fill out a claim form online at Cigna.com/

customer-forms using the following steps:

– Click “Select Disability/Accident/Life/Critical

Illness Forms”

– Click “Submit a Disability Claim”

– This will bring you to the disclosure notice page

– Review and click “Continue” at the bottom of

thepage

– A pop up box will appear that says “Hit the

continue button if you have read the above fraud

language and wish to continue to ﬁle a claim”

– Click “Continue”

– Click “Submit a Disability Claim Online” to begin

When do I report a claim?

At least 30 days before the start of your LTD.

What information do I need?

Before you call or go online, please have this

information handy:

›

Your name, address, phone number, birth date, Social

Security number and email address

›

Employment information, such as date hired and

jobtitle

›

The reason for your claim – illness, injury

orpregnancy

›

Description of your illness, symptoms and/or

diagnosis. Include the date your symptoms ﬁrst

appeared and if you’ve had these symptoms before

HOW TO REPORT

A LONG-TERM DISABILITY CLAIM

If you need immediate medical attention, please call 911

Cut and carry for easy reference

Please have this information handy:

›

Your name, address, phone number, birth date,

Social Security number and your date of hire,

employer’s name, address and phone number

›

Date of your claim and when you plan to return

to work. If you’re pregnant, give your expected

delivery date

›

Name, address and phone number of each

doctor you are seeing for this absence

›

Workers’ compensation claims you’ve ﬁled or

plantoﬁle

›

Details about doctor, hospital or clinic visits,

including dates and contact information

What happens next?

During the call, we’ll ask for your permission to get

your medical information. Here’s how it works:

›

After you give us your claim information, you’ll be

transferred to a recorded message

›

Listen to the recording and answer “Yes” or “No” to

the questions

›

At the end of the recording, say “Yes” if you give

permission or “No” if you do not

›

You can cancel your permission at any time by calling

your Cigna claim manager

How to report a disability claim: 800.36.Cigna

(24462) or 866.562.8421 (Español)

Visit: Cigna.com/customer-forms

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Under Columbia University's group insurance plan

After the call, Cigna will send you a letter. It’ll include a

copy of the recorded message for your records. It’ll also

include a form that gives us permission to get other

information we may need to ﬁnish processing your claim.

Please sign and return that form. Check with your doctor

to see if there are any other forms you need to sign.

A Cigna claim manager will call you and your employer

for a list of your job requirements. The claim manager

will also call your doctor for your medical records.

Thisinformation will help us ﬁgure out how long you

may be out of work, and the beneﬁts you may be able

to receive.

What happens if my claim is approved?

›

Cigna will send you an approval letter that gives you

an explanation of your beneﬁts.

›

Cigna will tell your employer that we approved your

claim, and the date you plan to return to work.

What happens if my claim is denied?

›

Cigna will send you a letter that explains why.

Theletter will also tell you how you can appeal

thedecision.

›

Cigna will let your employer know the claim

isdenied.

›

You should call your employer when you get the

letter to discuss your return-to-work date.

What can I expect while I’m out?

Your Cigna claim manager will stay in touch to help

you return to work quickly and safely. We may work

with you, your doctor and your employer to talk about

dierent work options. This may include an adjustment

to your job or work schedule. Your employer may also

call you to check on your progress and oer support.

What if I plan to return to work when my

long-term disability beneﬁts end?

Your Cigna claim manager may work with your

employer on any return-to-work plans. Your beneﬁt

payments will be calculated by the exact date you

return to work, and whether or not you return to work

part-time or full-time. This will also help determine if

youqualify for continued payments.

What if I need more information?

Cigna has a website that provides useful information

for you and your family members – from submitting a

disability claim and what comes next, to information

that can help you manage a speciﬁc condition at work,

andeven how to access valuable programs oered

with your plan at no additional cost to you. Please visit

the website at Cigna.com/workwellness.

Questions?

Call 800.36.Cigna (24462) or 866.562.8421 (Español).

A Cigna representative isavailable to help you

between 8:00 am and 5:00pm CST.

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Life Insurance Company of North America and Cigna Life Insurance

Company of New York. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.