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Disability & PFL

Reporting Disability & Paid Family Leave (PFL) Claims With ShelterPoint

New York State Disability Insurance (DBL) provides temporary cash benefits for wage earners who are unable to work due to off-the-job illnesses, injuries, or pregnancy-related disabilities.

Report a Disability Claim:

To report a disability claim, email Claims@ShelterPoint.com.

Report Via Email

Click below to submit your Disability claims via email

Email Claim

Disability Claim Forms

Stay safe and compliant by using these resources to ensure your construction site meets all current safety and legal requirements.

DB-450 - Notice and Proof of Claim for Disability Benefits

This form is used by employees to notify and provide proof of a disability claim, ensuring they receive temporary cash benefits.

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DB-271 - Statement of Rights - Disability Benefits Law

This form outlines the rights of employees under the New York Disability Benefits Law, detailing the benefits they are entitled to while on disability.

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Paid Family Leave (PFL)

Paid Family Leave (PFL) allows employees to bond with a new child, care for a family member with a serious health condition, or manage family duties related to military service. PFL is an employee-paid benefit that ensures job security and health insurance continuation during leave.

Effective 01/01/18 employers with one or more employees will be required to offer Paid Family Leave to their employees. Paid Family Leave insurance will be a rider added on to your NYS Disability insurance policy.

Paid Family Leave can be utilized by any eligible employee for the following reasons:

  • Bonding with a newborn, foster or adopted child within 1 year from date of birth or placement. Can be used by father and mother, spouse, domestic partner or legal guardian.
  • Caring for a family member with a serious health condition (certified by a physician). Family members include spouse, domestic partner, child, parent (including step parents and in-laws), grandparents and grandchildren.
  • Attend to family matters when a family member is on active duty or being called to active duty. Family members include spouse, domestic partner, child or parent.
  • Employees are eligible once they work full-time (more than 20 hours/week) for 26 consecutive weeks or part-time (less than 20 hours/week) for 175 days.
Year Maximum Leave Maximum Benefit Payout
2018
8 Weeks
50% of AWW*
2019
10 Weeks
55% of AWW*
2020
10 Weeks
60% of AWW*
2021
12 Weeks
67% of AWW*
*based on the employee’s average weekly wage (AWW) up to a maximum of the annual NYS average weekly wage.

PFL is an employee paid benefit.

  • The insurance carrier will be paying the employee while out on leave, not the employer.
  • Employers are required to maintain the employee’s position and health insurance benefits while they are out on paid family leave.
  • Leave can be taken intermittently (in one day increments or more) or as a continuous leave.

Paid Family Leave Claim Forms

PFL-1 & PFL-2 - Bonding Leave

Used to apply for Paid Family Leave to bond with a newborn, adopted, or foster child.

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PFL-3 & PFL-4 - Caregiving Leave

For employees seeking Paid Family Leave to care for a family member with a serious health condition.

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PFL-5 - Military Leave

This form is for employees requesting leave due to a family member’s active military duty or call to duty

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