How to File a Claim and Eligibility

Are you Eligible

A. Unemployed,

B. Physically and mentally able to perform suitable work,

C. Available for suitable work,

D. Making a reasonable effort to find work,

E. Free of participation or direct interest in a labor dispute, and

F. Free of disqualification

A waiting period of one (1) week must be served before benefits are payable to you. A week to be used as a valid waiting period must be a valid week of unemployment. A valid week of unemployment must be a week you have claimed subsequent to filing your Initial Claim, in which you did not have any earnings or had earnings of less than 140% of your Weekly Benefit Amount, met all Eligibility Requirements, and week for which you are not disqualified.

How to File claim

  • File claim for benefits with person designated by plan to receive claims. Check your benefits with your plan administrator.
  • Benefits approved. Payment will be made. Or;
  • File claim for benefits with person designated by plan to receive claims. Check your benefits with your plan administrator.
  • Wait for reasonable time, usually 90 days, for outcome of claim. If no decision, and the plan did not extend the period based on special circumstances, you may consider claim denied.
  • Request review of your claim. Explanation is required for a denied claim.
  • You may file claim for full and fair review. Be sure and include all related information, especially new evidence or information.
  • If appeal review will take longer than 60 days you must be notified. Generally, a decision must be made within 120 days of your appeal.
  • If you have not received notice within time set, you can assume appeal denied. You may seek legal assistance or you may wish to get in touch with the nearest EBSA office concerning your rights under ERISA.

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