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How to File a Disability Claim

If you are a current New York Life Group Benefit Solutions customer and need to file a claim, please print and complete the appropriate disability form listed below:

Short-term disability claim form
Long-term disability claim form

Mail or fax the completed and signed forms to: 

New York Life Group Benefit Solutions
Paper Intake Team
P.O. Box 709015
Dallas, TX 75370-9015
Fax: 800-642-8553

New York Life Group Benefit Solutions products and services are provided by Life Insurance Company of North America, New York Life Group Insurance Company of NY and New York Life Insurance and Annuity Corporation, subsidiaries of New York Life Insurance Company.

Life Insurance Company of North America is not licensed in New York and does not conduct insurance business in New York.