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Lincoln Life & Annuity Company of New York fax number

(877) 843-3950

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Disability Claims

Used for: Submitting group disability claims (STD/LTD). The employer completes the employer's portion and returns or faxes the form to the number 877-843-3950; after that, the claimant completes the form for disability benefits and sends attachments (enrollment copies, medical evidence) as directed.

Fax destination details

Department
Disability Claims
Purpose
Submitting group disability claims (STD/LTD). The employer completes the employer's portion and returns or faxes the form to the number 877-843-3950; after that, the claimant completes the form for disability benefits and sends attachments (enrollment copies, medical evidence) as directed.
Form
GLC-01252NY CLMFRM 9/15 — Group Long-Term Disability Claim
Address
Service Office Address: PO Box 2609, Omaha, NE 68103-2609

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Employer completes the required sections and faxes the completed employer portion to the provided fax number (877-843-3950); include enrollment copies and medical evidence if required; then give the remaining form to the claimant to complete; follow the on-form instructions for submission.

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