Form gg 011096 2025

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You must report as income any amount you receive for your disability through an accident or health insurance plan paid for by your employer: If both you and your employer have paid the premiums for the plan, only the amount you receive for your disability thats due to your employers payments is reported as income.
You and your employer must complete forms that provide details about your illness or injury and why you cannot work. You will also need your healthcare professional to fill out part of the form and sign it.
To qualify for short-term disability benefits, an employee must be unable to do their job, as deemed by a medical professional. Medical conditions that prevent an employee from working for several weeks to months, such as pregnancy, surgery rehabilitation, or severe illness, can qualify to receive benefits.
How do I ask my doctor for short-term disability? Employees who plan to apply for short-term disability should notify their attending physicians so they can gather the necessary forms and supporting records.
Attending Physicians Statement (APS). This form provides us with specific medical information about your condition and expected recovery. Employers Statement. This form provides us with information on your claim and on your employment, salary, benefits, and other sources of income.
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What conditions qualify for short term disability? Pregnancy, mental health issues, injuries, and musculoskeletal issues are among the top reasons for disability claims. Coverage varies by policy, but your plan should outline if there are any conditions that would be exempt from coverage under your policy.
Whether you are applying for short-term disability (STD), long-term disability (LTD), or individual disability insurance (IDI) benefits, it is critical that your doctor(s) complete specific paperwork to support your claim.

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