Get Usable Life- Long-term Disability Claim Form - Marc Jessup Insurance

Filling out the USAble Life Long-term Disability Claim Form is an important step in accessing your disability benefits. This guide offers clear and supportive instructions to help users navigate the form efficiently and accurately in an online format.

Follow the steps to complete your claim form properly.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editing environment.
2. Complete Section I - Employer's Statement. This section must be filled out by your employer's authorized representative. They need to provide information such as the company name, group policy number, and employment details of the employee, including dates of hire and termination if applicable.
3. Complete Section II - Employee's Statement. As the applicant, you must fill in your personal details, employment history, and medical conditions affecting your ability to work. Be sure to include your Social Security Number and attach a copy of your driver's license.
4. Sign Section III - Authorization to Obtain Information. This section allows USAble Life to collect necessary information about your medical conditions and work history. Your signature confirms that you authorize this release.
5. Have your physician complete Section IV - Attending Physician's Statement. This statement provides details about your medical condition from your healthcare provider. It should include diagnosis, treatment history, and any impairments affecting your work capabilities.
6. Ensure all sections are completed thoroughly, and required attachments are included as noted in Section K. This includes job descriptions, medical records, and other supporting documents.
7. Once the form is complete, save your changes. You may also choose to download, print, or share the document as needed before submitting it.

Begin filling out your USAble Life Long-term Disability Claim Form online today to ensure timely access to your benefits.