GBA Contact Info:

OFFICE HOURS:

Mon. through Fri.

9am-5pm CST

PHONE:

800-450-1271

773-427-6875 fax

EMAIL:

CustomerService

POSTAL ADDRESS:

1701 E. Lake Avenue

Suite 400

Glenview, IL 60025

  • Overview
  • Coverage
  • How To File A Claim

The Voluntary Disability Plan was cancelled as of 06/01/2018. If you would like to file a claim for a disability incident that occurred prior to 06/01/2018, please select the "How To File A Claim" tab.

MetLife is the insurance carrier for the policy and processes all claims. This policy DOES NOT cover work related accidents, illness or injury.

Short Term Disability (STD)

  • Benefit Begins: 15 day non-occupational accidental injury, 15 day non-occupational sickness, or pregnancy
  • Benefit Amount: 50% of monthly covered earnings
  • Maximum Benefit: $400 per week.
  • Benefit Period: 24 weeks

Long Term Disability (LTD)

  • Benefit Begins: 180 days following non-occupational accidental injury, sickness, or pregnancy
  • Benefit Amount: 50% of monthly covered earnings
  • Maximum Benefit: $5,000 per month
  • Benefit Period: 2 year maximum
  • Limited Pay Periods: Disabilities due to mental illness and disabilities primarily based on self-reported symptoms are limited to 24 months of benefits during your lifetime.

 

Pre-Existing Condition Information:

You are considered disabled when you are unable to perform the major duties of your own occupation or any gainful work due to a non-occupational sickness, injury, or pregnancy and the claim is approved by the insurance company.

During the first 12 months of coverage, benefits will not be paid for a disability that is due to a pre-existing condition. A pre-existing condition is an injury, sickness, or pregnancy for which you received medical treatment, consultation, diagnostic measures, prescribed drugs or medicines, or for which you followed treatment recommendations, during the Six months prior to your effective date of coverage. Once you are covered under the plan for 12 months and you are actively at work at the end of the 12th month, all Pre-Existing Exclusions are waived.

Download and complete the following claim form:

 

The form has three separate sections that need to be completed by you, your physician and your employer.

  • Employee Section: Please be sure to complete this part clearly and sign where indicated.
  • Physician Section: Please have the physician that disabled you complete this part. If you have seen additional physicians, please also include their names, addresses, phone numbers and fax numbers on a separate sheet of paper.
  • Employer Section: Even though your policy is purchased through the union, your benefit is based on the income you receive from your particular employer. Your employer assumes no liability or responsibility for your claim by completing this form for you.

Failure to provide proper information and documentation will delay your claim so it is very important the claim form is complete and clear. Once complete, forward the forms to MetLife by mail or fax.

 

How Your Claim Will Be Handled:

The processing of your claim will be handled by MetLife and therefore you may inquire with them regarding the status of your claim. Please note that Group Benefit Associates does not have access to information regarding claims determination or benefit payments.

MetLife Claims Customer Support:

PO Box 14590

Lexington, KY 40512

Telephone: 888-444-1433 or 866-729-9200

Fax: 800-230-9531