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Technology Insurance Company (AbSolve administrator) fax number

(800) 728-7028

Paid Family Leave (PFL) claims processing

Used for: Submit Paid Family Leave claim forms (PFL-1, PFL-3, PFL-4, and supporting documentation) to the insurer via fax 800-728-7028.

Fax destination details

Department
Paid Family Leave (PFL) claims processing
Purpose
Submit Paid Family Leave claim forms (PFL-1, PFL-3, PFL-4, and supporting documentation) to the insurer via fax 800-728-7028.
Form
PFL forms — PFL-1; PFL-3; PFL-4; Request for Paid Family Leave
Address
P.O. Box 1328, Mt. Laurel, NJ 08054
Voice phone
800-401-2691

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Complete the PFL forms per NYS Paid Family Leave guidelines and submit to the insurer along with required documentation.

Review official form instructions

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