Employee Claim Process Overview for
The State and University of Minnesota
FILING A SHORT TERM DISABILITY (STD) CLAIM
When filing a claim for short-term disability (STD) benefits, there are a few steps that
you can take to help expedite your claim service. When you’re disabled and become
eligible for STD benefits, you should request a STD claim form from your employer.
Your employer will complete the Employer Statement of a STD claim form and give you
the form.
First, fill out the Employee Statement of the claim form completely and
accurately, and sign the form.
Complete and sign Section III, Informed Consent. This statement gives your
Human Resources office your permission to release the private data which is
requested on the Employer’s Statement. Please contact your Human
Resources office immediately if you have questions or concerns regarding the
private data that was provided by your employer on the Employer Statement
of the claim form.
Complete and sign Section IV, Authorization to Obtain Information.
Next, ask your medical provider to complete the Attending Physician’s
Statement, noting the limitations that prevent you from working, and
supporting why these limitations exist. Hartford cannot process your claim
without this information.
Then, either you or your provider should send the entire completed claim form
to Hartford Life as soon as possible.
Once the form is received, Hartford Life will evaluate your claim in
accordance with Hartford’s established clinical guidelines. If more
information is needed, a Hartford Life Claim Examiner will contact you
and/or your doctor.
If your STD claim is approved, your first check and subsequent checks will be mailed to
you each week along with an Explanation of Benefits form (EOB). It is essential that you
review each EOB form you receive, as it contains important information relating to your
claim; information such as the approved benefit, the duration of payments, and any
ongoing updates relating to yo