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NYL Group Benefit Solutions Medical Request Form 618136 Interactive PDF

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The document is a Medical Request Form from New York Life Group Benefit Solutions, used to evaluate a patient's disability claim. It requests detailed medical information from the physician, including diagnoses, treatment history, and current medications, while emphasizing compliance with the Genetic Information Nondiscrimination Act (GINA) by prohibiting the submission of genetic information. The form also inquires about the patient's ability to return to work under specific restrictions.

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Got questions?

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

How to check NYS disability claim?

Registered disability benefits policyholders can access claims payment information at any time through their NYSIF online account. Once youve logged in, simply choose Claims Payment Report from your home page.

What is the fax number for NYL GBS?

Fax Number: 866.472.3221 What are the specific restrictions that you have placed on your patient?

How do I check the status of my disability claim in New York Life?

Once your claim is submitted, you can review the status of your disability claim at myNYLGBS.com. In addition to viewing the status of your claim, you can also view payment information, upload documents, etc.

How do I contact New York Life Group benefit solutions?

Speak with a representative about your employee benefit goals. Please provide contact and company information below. call 888-842-4462 or 866-562-8241 (espaol). Please submit questions or comments in the field below.

How long does NY disability take to process?

Once you have submitted your application for disability benefits, it generally takes 6 to 8 months for an initial decision.

Is the life insurance company of North America the same as New York Life?

New York Life Group Benefit Solutions products and services are provided by Life Insurance Company of North America, New York Life Group Insurance Company of NY and New York Life Insurance and Annuity Corporation, subsidiaries of New York Life Insurance Company.

How long does New York Life take to process a claim?

How long will it take before I receive a check? If the claim is incontestable, payments are usually mailed 7-10 business days after New York Life receives a completed claim form and death certificate.

Get the up-to-date NYL Group Benefit Solutions Medical Request Form 618136 Interactive PDF 2025 now

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