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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