Insurance

Disability Benefit

Description Summary: 
Information regarding benefits for members that are disabled.

Applying for Disability Benefits

If it appears you will be disabled for more than 60 days and that your disability will extend beyond the period you are eligible for sick pay, you should request a Disability Application from your personnel office. Your application must be on file with SURS within one calendar year after the date on which you disability occurred.

Insurance Claim Appeal Process

Description Summary: 
Information about appealing an insurance claim.

Overview

The following are the appeal procedures to follow when dissatisfied with a claim determination.

Initial Review of Claim Determination

A plan participant who believes an error has been made in the benefit amount allowed or disallowed must contact the appropriate managed care plan or plan administrator within 180 days of the date of the initial claim determination.

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