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ShelterPoint Life Insurance Company / ShelterPoint Insurance Company (ShelterPoint family) fax number

(516) 504-6414

Claims

Used for: Submitting claim forms to ShelterPoint Claims Department (e.g., NYS Short-Term Disability DB-450; NYS Paid Family Leave forms PFL-1/2/3/4/5). Primary fax for claims is 516-504-6414; claim forms may also be submitted via email to claimforms@shelterpoint.com.

Fax destination details

Department
Claims
Purpose
Submitting claim forms to ShelterPoint Claims Department (e.g., NYS Short-Term Disability DB-450; NYS Paid Family Leave forms PFL-1/2/3/4/5). Primary fax for claims is 516-504-6414; claim forms may also be submitted via email to claimforms@shelterpoint.com.
Form
DB-450; PFL-1; PFL-2; PFL-3; PFL-4; PFL-5 — Disability Benefits: DB-450; Paid Family Leave forms: PFL-1, PFL-2, PFL-3, PFL-4, PFL-5
Address
1225 Franklin Avenue, Ste 475, Garden City, NY 11530, USA
Voice phone
1-800-365-4999

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DB-450: Employee completes Part A, healthcare provider completes Part B, employer completes Part C; submit to NYSIF within 30 days of the start of leave. PFL: Employee completes Part A of Form PFL-1; employer completes Part B; care recipient may complete PFL-3; healthcare provider completes PFL-4; for military exigency use PFL-5. See NYS guidance for full instructions.

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