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  • Disability Claim Form - Dc 37

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DISTRICT COUNCIL 37 HEALTH & SECURITY PLAN HS:DIS 013 125 BARCLAY STREET, NEW YORK, N.Y. 10007 Please Type or Print SHORTTERM DISABILITY BENEFIT CLAIM Phone: (212) 8151234 JOB INFORMATION EMPLOYEE.

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The District Council 37 AFSCME Annuity Fund Plan is a defined contribution employees' pension plan. It is funded by Employer contributions made pursuant to collective bargaining agreements between District Council 37 and agencies and subdivisions of the City of New York and other government entities.

ABOUT DISTRICT COUNCIL 37 DC 37 is New York City's largest public employee union, represents about 150,000 members and 89,000 retirees. Our members help make New York run by working in over 1,000 titles – everything from Accountants to Zookeepers.

The DC37 Med-Team plan gives you the freedom to choose in-network or out-of-network doctors. You can see any network doctor without a referral. In most cases, when you see a network doctor, your cost will just be a copay.

If an active employee covered by the Plan dies, a Death Benefit of $10,000 for a full-timer or $6,000 for a part-timer will be paid to his/her beneficiaries.

Six locals join forces with DC 37 As a result, the six local unions that made up DC 1707 – Locals 95, 107, 205, 215, 253, and 389 – will comprise a new, private-sector division within DC 37, bringing the total membership of our union up to approximately 150,000.

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.

DC 37 HEALTH AND SECURITY PLAN SHORT TERM DISABILITY The weekly disability benefit available through H&S for Full Time workers is 66.2/3 of their salary, up to a maximum of $200 per week for a maximum period of 26 weeks, but no longer than a member remains totally disabled.

For information concerning your eligibility for DC 37 Health & Security Plan benefits, call the Inquiry Unit at (212) 815-1234. The current hours of operation are Monday through Friday, from 8am to 5:30pm.

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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
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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