Get Disability Claim Form 2016 - Csea Insurance

You cannot work due to a medical condition; You cannot do work that you did before; We decide that you cannot adjust to other work because of your medical condition(s); and. Your disability has lasted or is expected to last for at least one year or to result in death.

The current maximum amount for SSDI payments is $3,345 per month. For SSI payments, by contrast, the maximum monthly amount a disabled individual can receive in 2023 is $914 for an eligible individual, and $1371 for an eligible individual with an eligible spouse.

Apply by phone: Call SSA at 1-800-772-1213 from 7 a.m. to 7 p.m. Monday through Friday. Apply in person: Visit your local Social Security office. (Call first to make an appointment.) There is no online SSI Application.

In order to qualify for disability benefits in New York, claimants must prove that their physical or mental conditions will last at least 12 months. The condition or illness does not need to be occupation-related, but it must prevent claimants from performing their normal work duties.

Disability benefits are equal to 50 percent of the employee's average weekly wage for the last eight weeks worked, with a maximum benefit of $170 per week (WCL §204).

Long-Term Disability Insurance After six months of total and continuous disability, members are eligible to receive up to 66 2/3%* of pre-disability salary with a minimum of $150 and a maximum of $5,000 per month.

If you are using this form because you became disabled after having been unemployed for more than four (4) weeks, your completed claim MUST be mailed to: Workers' Compensation Board, Disability Benefits Bureau, PO Box 9029, Endicott, NY 13761-9029.