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Guardian Life Insurance Company of America fax number
(610) 807-2953
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State Disability Claims
Used for: Disability benefits claim submission for New York State Disability Benefits using Form DB-450 (Notice and Proof of Claim for Disability Benefits) via Guardian Life State Disability Claims.
Fax destination details
- Department
- State Disability Claims
- Purpose
- Disability benefits claim submission for New York State Disability Benefits using Form DB-450 (Notice and Proof of Claim for Disability Benefits) via Guardian Life State Disability Claims.
- Form
- DB-450 — Notice and Proof of Claim for Disability Benefits
- Address
- Guardian State Disability Claims, PO Box 14332, Lexington, KY 40512
- Voice phone
- 1-800-268-2525
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
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Submit within 30 days of the first day of disability. Complete Part A (employee information); have healthcare provider complete Part B and the employer complete Part C; return to Guardian State Disability Claims or as instructed by the carrier. This form is used to apply for New York State Disability Benefits; see the DB-450 instructions for detailed steps and required documentation.
Official form instructions are published as a downloadable file on the organization's website.
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