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ACGL $32.56 -0.06 (-0.18%)

Disability download center

Application Forms

New York Disability Application
Application for voluntary coverage (DB-135 for non-contributory groups)

Application for voluntary coverage (DB-136 for contributory groups)

Claim Forms

New York Disability Claim Form (DB-450)

New Jersey TDB Disability Claim Form

Supplemental Forms

Return to Work Notification
Statement of Rights
Arch Privacy Policy
Helpful Hints Regarding Claims

Helpful Hints Regarding Policy and Premium


Disability Product Sheet
Accident and Health Product Sheet
Short Term Disability Product Sheet


Insurance coverage is underwritten by a member company of Arch Insurance Group Inc. This is only a brief description of the insurance coverage(s) available under the policy. The policy contains reductions, limitations, exclusions and termination provisions. Full details of the coverage are contained in the policy. If there are any conflicts between this document and the policy, the policy shall govern. Not all coverages are available in all jurisdictions.