To start a short-term or long-term disability claim for sickness, injury, pregnancy, or a mental health condition, the employer and employee should sign in to your principal.com account, then complete and submit the .
- If you wish to file a paper claim, click the link below to open the form, click options and Download PDF to print a blank claim form.
The doctor can also submit the or the employee can provide them the to complete.
Submit printed forms via:
- Email: SBDClaims@principal.com
- Fax: 800-255-6609
Additional information: (PDF)
If your employee also purchased individual disability insurance through a financial professional, that process is handled differently. Get the (PDF).
and go to the 鈥渞eports鈥 section. If the claim isn鈥檛 listed, it means we haven鈥檛 received it yet. You can find out claim status, the analyst name and contact information. If a short-term disability (STD) claim is approved, the payment information is shown on the STD payment report.
As the employer, you should:
- Provide the or your telephonic claim submission number, if applicable. The employee should sign in and submit the employee section of the claim form.
- Sign in to submit the employer section of the . If the employee completes the online or telephonic claim form first and we haven't received the employer section, we'll contact the employer for their information.
- Emphasize the importance to your employee of providing the claim form to his/her physician as soon as possible. Medical information is needed to evaluate the claim.
- Keep communication lines open with employees while they鈥檙e out. This helps them feel that they will be welcomed back after recovery.
- Be open to temporary or flexible work arrangements while employees are recovering. A gradual (or part-time) return to work allows employees to return to their job more quickly while easing back into their normal duties. Our work incentive benefit helps this work for everyone.
- Show concern and compassion while respecting the employee鈥檚 privacy. Avoid asking about specific private health matters. Feel free to ask when they鈥檙e coming back to work and if there are any schedule accommodations or special equipment needed for their return.
- Discuss appropriate actions with our claim analyst.
Short-term disability
The short answer鈥攁s soon as possible, however, no more than 30 days prior to the date of disability. When the employee is aware they鈥檒l be off work longer than the time before benefits kick in, known as the elimination period, they should begin the filing process.
Long-term disability
For employees who have LTD coverage only, we recommend the LTD claim be filed no later than halfway through the LTD elimination period.
Filing a claim early has its advantages. Early notification helps us:
- Be proactive in getting additional information that may be needed to make the initial claim decision.
- Make timely decisions.
No, a separate claim form isn鈥檛 required. Our integrated claim process includes: single notification of claim, 1 claim form, transition from STD to LTD upon receipt of forms returned from the claimant, early intervention, and case management.
If the group has life coverage with us, we will also automatically review for waiver of life insurance premium benefit.
Yes, occasionally we鈥檒l request more information鈥攗sually additional medical documentation we鈥檙e missing. If the employee completes the online claim form or the telephonic claim form, we鈥檒l contact you for additional information.
- If your company benefits are based on W-2 earnings for the prior 1 or 2 years, you鈥檒l need to provide copies of W-2s from those years. For those employed less than 1 or 2 calendar years, we鈥檒l need earnings from date of hire through the last day worked.
- If you are a business owner, please specify this on the form. We鈥檒l be in contact to get more information in these cases.
- Contributory coverage and self-accounting groups, we request a copy of the enrollment form. This helps us verify that an employee enrolled for coverage on a timely basis. It also shows us what coverages are elected.
No. To be eligible for benefits, an employee must meet all qualifications as defined by the policy. Medical information submitted must support the definition of disability and isn鈥檛 based simply on a physician鈥檚 opinion. Each claim is reviewed to determine if it meets the contractual requirements for benefit payment.
- Short-term disability鈥擮ur goal is to make the STD claim decision 10 days after we receive the claim, but it鈥檚 usually sooner. If we need more information after the claim is submitted, that can affect the timing for the decision. Quick feedback helps keep the claim process moving.
- Long-term disability鈥擫TD decisions are made 45 days from the receipt of the claim or by the completion of the elimination period, whichever is later.
Short-term disability
We issue benefits on a weekly basis. For routine maternities and some routine surgeries, we offer a lump-sum payout for the approved duration period.
Long-term disability
We offer 2 monthly payment options:
- Check鈥擶e鈥檒l mail a check to the employee鈥檚 address. LTD payments are made on the 10th of the month.
- Electronic Funds Transfer (EFT)鈥擡mployees can elect to transfer their LTD benefit funds to a bank account they designate.
It depends on whether the 鈥渟alary continuance offset鈥 is included in the 鈥渙ther income source鈥 definition of the policy or not.
- Policy includes salary continuance offset鈥擳he disability benefit is directly reduced by any salary continuance paid. This doesn鈥檛 allow the employer to supplement income with salary continuance.
- Policy doesn鈥檛 include salary continuance offset鈥擳he employer can supplement the claimant鈥檚 income. However, the weekly payment limit will prevent the claimant from receiving more than 100% of pre-disability earnings.
- Insured businesses鈥揥e don鈥檛 withhold state or federal taxes. However, these can be withheld at the claimant鈥檚 request. FICA tax is withheld for 6 months from the date last worked.
- ASO business-applicable states鈥揊ederal, state and FICA tax are automatically withheld.
Short-term disability
Premiums are not waived, so premium should be continued while a person is receiving STD unless employment is terminated or LTD is approved.
Long-term disability
Premiums are waived when the LTD claim is approved, based on the date LTD benefits begin.
and go to the 鈥渢ax services鈥 section. This will show you which tax services were elected and what your responsibilities are. If you need additional assistance, contact our accounting department at 866-309-1625, ext. 84742.
When you hear "accommodations," you may think of permanent job changes, but that鈥檚 not necessarily the case. An accommodation can mean several things and isn鈥檛 always permanent. Restrictions that need accommodations can include limited sitting/standing, limited walking or no repetitive hand use.
- Reduced work schedule鈥揂llows the employee to return to work part-time, gradually increasing to full-time over a specific time period.
- Flexible work schedules鈥揂llows the employee to come in earlier or later, or to take longer breaks. This can give an employee time for medical or therapy appointments, or simply a resting period.
- Equipment/worksite modifications鈥揗ay include items such as scooters, walkers or wheelchairs to assist with walking. Or, desks, chairs, keyboards or foot stools to help with sitting restrictions. In addition, adaptive computer software phone headsets, or an increase in email or texting processes, may help with a variety of restrictions.
- Remote work site鈥揂llows an employee to work from home or an office closer to home, reducing lengthy commutes that may cause stress on an employee鈥檚 recovery.
- Job duty changes鈥揂dapts specific tasks, such as separating heavier items to be lifted into smaller, more manageable weights. Or, perhaps job duties that the returning employee can鈥檛 handle could be temporarily assigned to another employee.
This full-service program encourages employees to get back on their feet and back to work by focusing on appropriate treatment and rehabilitation.
We review each case early to identify options and assist in developing return-to-work programs. Some resources used to promote high-quality, cost-effective results:
- Job analysis and modification鈥揥e get a clear understanding of the job and evaluate possible modifications so the employee can return to work.
- Skills assessment鈥揙ur vocational resources evaluate the activities employees are able to proficiently perform. This helps us determine if it鈥檚 possible to transfer the employee to another job or occupation. We also identify barriers the employee may need to overcome and help them find resources in their area.
- Job placement/outplacement services鈥揑f the employee isn't able to return to work in the same capacity, we provide a career transition coach to assist them in returning to work. Services provided to help them return to the workforce include: resume writing, interview skills, application assistance and more.
A claim is potentially payable if it incurs after the effective date of coverage. However, if the employee has had coverage for 6 months or less at the time of disability or death, we may need to request additional documentation showing the employee was actively working at the time they were eligible for coverage.
Additional documentation could include, but is not limited to:
- Emails
- Purchase orders
- Driving logs
- Signed and dated work documents
- Other documents may vary dependent on an employee鈥檚 job/occupation
No, if someone is donating an organ to a transplant patient, this condition is not considered an elective procedure.
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