1. If an employee needs to file a claim, where do they obtain a form?
Two types of claim forms are available. The initial form to be completed is the Request For Disability Benefits. There are copies of this form found in the back of this guide. The Request for Continuing Benefits is used to file for additional benefits for that specific disability. (This form will always be included with the employee's disability check.) Please click here to download the initial short-term disability claim form.

2. What portions of the claim form should the employee complete?
To avoid a delay in processing the employee's claim, they need to complete all parts of the form that pertain to them. The HR Director needs to complete the employer's statement and the employee's attending physician completes the Attending Physician's Statement.

3. To what address should the form be sent?
All claim forms should be mailed/or faxed to Transamerica.

The mailing address is:
Transamerica Worksite Marketing
PO Box 8043,
Little Rock, AR 72203-8043.

Fax number:501-227-1651

4. How long does it take to process a short-term disability claim?
In 2002, Transamerica created a special claims unit dedicated to servicing claims of HCA employees. This unit maintains a proactive effort in maintaining their turnaround time. We will work overtime, and, when necessary allocate additional resources to processing claims.

5. What is an elimination period, how does it affect the disability payment and what is the duration of benefits?
There is a 14-day elimination period. While an employee is disabled during this time, no benefits will be payable. Total disability benefits will begin on your fifteenth day of being disabled. Your benefit period is the 24 weeks following your elimination period.

6. If disabled for less than a month, what will be the benefit amount?
After meeting the elimination period, any benefits payable for periods less than one month will be paid at a rate of 1/30th of the monthly benefit for each day the employee is disabled.

7. How frequently can the employee anticipate receiving their disability check?
Benefits can be paid bi-weekly or monthly. Employees should note their preference on the claim form. Benefit periods that are paid for less than a month will be calculated as described above.

8. Does the employee need to have their doctor complete a disability claim form each time?
When filing the initial claim form, the doctor needs to complete his portion. Subsequent filings can be completed by the attending physician or HR.

Time Limit on Filing a Claim
Proof of loss:

Proof of loss must be given to the Company within 90 days after the loss.

Late proof may be accepted if:

It was not reasonably possible to give proof in that time; and the proof is given within one year from the date of loss. This one-year limit will not apply in the absence of legal capacity.