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    The Upper New York Conference of The United Methodist Church


    news article

    Updated New York State short-term disability forms

    November 29, 2022 / By Tracy Rickett, Human Resources Generalist

    New York State recently updated the short-term disability claim forms. There are now two separate disability claim forms that need to be completed and submitted together to Guardian within 30 days of the start date of disability. 

    Form #1 – Employee and Health Care Provider form

    Form #2 – Employer Form

    There are several options to submit the completed disability claim forms to Guardian.

    Mail to: Guardian State Disability Claims P.O. Box 14332, Lexington, KY 40512

    Fax to:  Guardian at 610-807-2953

    Submit electronically:  Go to www.GuardianAnytime.com. Click on “Secure Channel” on the Guardian Anytime home page.  This is the quickest option to submit claim forms to Guardian.

    Important:  Please indicate the policy number and division number on the claim form.  This information can be obtained from the Certificate of Insurance document mailed to each church by Guardian every January. 

    Additional information regarding short-term disability benefits can be located here

    If you have any questions on this topic, please contact Tracy Rickett, Human Resources Generalist, at 315-898-2017 or TracyRickett@unyumc.org.

    TAGGED / Benefits and Administrative Services


    With more than 134,000 members, the Upper New York Annual (Regional) Conference of The United Methodist Church comprises 865 local churches and 85 new faith communities in 12 districts, covering 48,000 square miles in 49 of the 62 counties in New York state. Our mission is to “live the Gospel of Jesus Christ and to be God’s love with our neighbors in all places."