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Lincoln financial group short term disability claim form physician's statement

Lincoln Financial Disability Claim Form 2026

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The document is an 'Attending Physician's Statement' form used for Group Market Disability Claims by Lincoln Life Assurance Company. It requires completion by both the employee/claimant and the attending physician to assess eligibility for disability benefits. The form includes sections for authorization to release medical and employment information, details about the claimant's condition, treatment history, and any restrictions or limitations due to physical or psychiatric impairments. It emphasizes the importance of providing complete information to avoid delays in benefit determination.

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Click ‘Get Form’ to open the Lincoln Financial Disability Claim Form in the editor.
Begin by filling out the Employee/Claimant section, including your name, claim number, and Social Security number. Ensure all information is accurate to avoid delays.
In Part A, provide your authorization for information release. Carefully read the authorization statement and sign it at the bottom of this section.
Proceed to Part B, where your attending physician will complete necessary medical details. Ensure they include diagnosis, treatment dates, and any proposed treatment plans.
Review all sections for completeness. If any fields are left blank, it may delay processing. Use our platform’s features to easily edit or add information as needed.

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Versions	Form popularity	Fillable & printable
2013	4.8 Satisfied (94 Votes)
2009	4.3 Satisfied (125 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the phone number for Lincoln Financial disability claims?

You can initiate an Individual Disability Income or a Life Premium Waiver Benefit claim by calling us at 877-546-3656. For additional Customer Support, call us at 800-487-1485, option 2.

How much does Lincoln Financial pay for long-term disability?

Level 1 protects 50% of your income, up to a maximum of $2,000 a month of tax free benefit. Level 2 protects 60% of your income, up to a maximum of $4,000 a month of tax free benefit. Level 3 protects 60% of your income, up to a maximum of $7,000 a month of tax free benefit.

Does Lincoln Financial offer disability insurance?

Lincoln Financial offers both short- and long-term disability insurance. The short-term disability insurance benefits are available following a seven-day elimination period and provide weekly benefits for a short duration when you are temporarily unable to work.

How long does it take Lincoln Financial to approve long-term disability?

Once Lincoln Financial Group receives all necessary information to make a determination on your claim, a decision to approve or deny your claim will be made within 3 business days.

How to file a disability claim with Lincoln Financial?

Individual disability claims. You can initiate an Individual Disability Income or a Life Premium Waiver Benefit claim by calling us at 877-546-3656. For additional Customer Support, call us at 800-487-1485, option 2.

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How to file a short term disability claim with Lincoln Financial?

Submit a claim online by logging in at LincolnFinancial.com . You can also use the portal to check claim status. To reach us by phone, please call 800-423-2765.