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Disability Claims Management

BEFORE COMPLETING A COVID-19 CLAIM FORM,
REVIEW BELOW TO SEE IF YOU QUALIFY FOR NY OR NJ BENEFITS
.

Arch Insurance Company adjudicates disability claims in four business days or less. Arch Insurance Company adheres to a proactive claims handling program in order to achieve cost efficient, superior results. Our claims professionals have extensive experience handling short term Disability losses and are dedicated to providing customized, responsive customer service to each insured. Partnership with our insured is the cornerstone of the Arch claim handling philosophy.

Arch adheres to strict durational guidelines when adjudicating clams. When claims exceed normal durations, Arch works with the treating physician to determine the medical justification for extension of disability. Our objective is to manage claims to promote return to work when a physician recommends that action.

Report a disability claim


New York

PLEASE READ TO SEE IF YOU QUALIFY FOR COVID-19 NY BENEFITS
I DO NOT QUALIFY FOR A NEW YORK COVID-19 CLAIM if;
  • My employer has 100 or more employees
  • I do not have an official Order of Quarantine for myself, dependent child or a family member issued by the state of NY, Dept of Health, a local Board of Health or any other governmental entity.
  • My business temporarily closed, I was Laid off/Furloughed, school closed for preventive social distancing.

If any above apply, you may be eligible for Unemployment Insurance.

I MAY QUALIFY FOR A NEW YORK COVID-19 CLAIM if;
  • Myself or a family member was diagnosed with COVID-19, AND
  • My Employer has less than 100 employees, AND
  • I have an official Order of Quarantine for myself, dependent child or a family member that I am taking care of, issued by the state of NY, Dept of Health, a local Board of Health or any other governmental entity (shelter in place order issued by the NY governor is not an order of quarantine). How do I obtain an Order of Quarantine.
>> Submit a NY COVID19 Claim Online <<
NY COVID19 Online Claim Instructions

CCOVID19 (Child) New York Claim Form SCOVID19 (Self) New York Claim Form
PFL Caring for Family Member Claim Form COVID-19 NY Fact Sheet

 


To report a New York Disability claim, download and compelte the DB-450 claim form. To report a Paid Family Leave claim, download and complete the appropriate forms that corresponds to your request (Bonding, Caring for a Family Member, Military). These forms need to be completed by the employee (claimant), employer and for disability claims, the physician that is declaring the disability. Mail, fax or email the completed forms to:

Disability Claims

Arch Insurance Company c/o Administrative Concepts, Inc
PO Box #C1024
Southeastern, PA 19398-1024
Phone: 877-369-0979 fax: 610-977-3216
Email: archdbl@visit-aci.com

New Jersey

PLEASE READ TO SEE IF YOU QUALIFY FOR COVID-19 NJ BENEFITS
I DO NOT QUALIFY FOR A NEW JERSEY COVID-19 CLAIM if;
  • My company closed or I have less hours available due to business slow down. You may be eligible for Unemployment Insurance.
  • You contracted the virus because you waited on or worked with someone who had the virus, or contracted the virus for any other work related reason. You could be eligible for Workers Compensation.
I MAY QUALIFY FOR NEW JERSEY COVID-19 CLAIM if;
  • I was diagnosed with COVID-19 or a healthcare provider has certified I am a greater risk due to pre-existing conditions after March 25, 2020, AND
  • I have an official Order of Quarantine for myself issued by a health care provider, the state of NJ, Dept of Health, a local Board of Health or any other governmental entity.
COVID-19 NJ Fact Sheet

To report a New Jersey Disability claim, download and complete the NJ-TDB claim form. This form is completed by the employee (claimant), employer and the physician that is declaring the disability. Mail, fax or email the completed form to:

Disability Claims

Arch Insurance Company c/o Administrative Concepts, Inc
PO Box #C1024
Southeastern, PA 19398-1024
Phone: 877-369-0979 fax: 610-977-3216

Email: archdbl@visit-aci.com


Short Term Disability

To report a Short Term Disability Claim, download and complete the STD claim form. This form is completed by the employee (claimant), employer and the physician that is declaring the disability. Mail, fax or email the completed form to:

Disability Claims

Arch Insurance Company c/o Administrative Concepts, Inc
PO Box #C1024
Southeastern, PA 19398-1024
Phone: 877-369-0979 fax: 610-977-3216

Email: archdbl@visit-aci.com