Page 10 - Utility Bill Pay Operational Flow6.23.20
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Claims Process
DISABILITY CLAIM:
• Proof that disability resulted from injury or sickness after coverage under the plan is effective.
o No coverage is provided and no periodic benefit payments will not be made for any pre-existing conditions that the customer received treatment for during the 3 month period prior to the effective date of coverage and which caused or substantially contributed to disability within 3 months following the effective date.
• Proof that the customer is under the care of a physician, or proof customer is to receive benefits from disability insurance for this same claim
INVOLUNTARY LOSS OF EMPLOYMENT CLAIM:
• Proof of customer’s acceptance for State unemployment benefits for this same claim and date of employment termination
• Proof that customer was employed full-time by the same employer (not self employed) for at least 6 months prior to the effective date of coverage.
Please note that if the customer does not provide required documentation in a timely manner, it is possible that payment of their monthly utility bill may be delayed. Regular notifications will be sent to customer if documentation is not received.
HIGHLY CONFIDENTIAL