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  • Disability Benefits Law-claim Form (db450) - Guardian Life

Get Disability Benefits Law-claim Form (db450) - Guardian Life

NOTICE AND PROOF OF CLAIM FOR DISABILITY BENEFITS State Disability Claims P.O. Box 14332 Lexington, KY 40512 Telephone#1-800-268-2525 Fax# 610-807-2953 Secure E-mail: www.GuardianAnytime.com, click.

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Total long term disability insurance pays you benefits if an illness or injury leaves you unable to work in any capacity, and can pay you benefits up to the time you reach retirement age, depending on the details of your policy.

You can get a paper Claim for Disability Insurance (DI) Benefits (DE 2501) form by: Ordering a form onlineto have it mailed to you. Getting the form from your licensed health professional or employer. Visiting an SDI Office. Calling 1-800-480-3287 and selecting DI Information option 3 to request a paper form by mail.

To submit by US mail, you must first order the form by calling 1-800-480-3287 or 1-866-658-8846 (en español)....To order this form to submit by mail: Visit Online Forms and Publications. Select Keyword(s) or Form Number from the dropdown. Enter DE 2501 for an English form or DE 2501/S for a Spanish form. Select Search.

For Disability Insurance claims, fill out and sign Part B – Physician/Practitioner's Certificate on the Claim for Disability Insurance (DI) Benefits (DE 2501) form. Mail it in within 49 days from the date your patient's disability begins.

How do I view the status of my claim? As a member, you can view your claims in Guardian Anytime by selecting Claims and then Claims status from the menu options. Claims, Explanation of Benefits (EOB) and letters, for the past 30 days will automatically display.

Downloading and Printing The forms are in Portable Document Format (PDF). You may need to download the no-cost Adobe Reader to view and print linked documents.

To submit a claim over the phone, contact our Customer Response Unit at 800-541-7846. For a quicker experience, have the following information ready. Note: Additional information may be needed from you once we start processing your claim. Complete the Group Accident Claim Form.

To file your claim online, follow these steps: Log in to your BPO account. Select SDI Online. Select New Claim. Select Disability Insurance and follow the steps in each section. Submit the completed Part A – Claimant's Statement. Save your receipt number.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232