TDB Claims are for accident or illness unrelated to the job
New Jersey Temporary Disability Benefits ("TDB") is a state disability insurance program designed to provide employees with some level of income replacement in case of disability caused off-the-job.
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Steps to take to determine employer's cost:
- Download an AC174 request form from here
- Place on letterhead, complete the detail in red, and scan back to us at TDB@TotalBen.com
- We will contact the state with your letter
- We will market the results (see a sample) and present a quote from a private carrier
- Upon your approval of the quote, you will obtain 51% of your employees signatures on a consent form (see a sample) and submit that to us
- We will prepare a DP-1 (Application For Approval or Modification Of Insured Private Plan), signature ready (see a sample)
- You will sign 3 copies and mail them back (originals required)
- We will file the DP-1 with the state on your behalf
- Upon approval we will notify you and you will inform your payroll service provider to convert you to Private Plan
- We can talk to your PSP if you request it, to explain the change required
- Your payroll service provider should provide you with quarterly SUTA-base reporting to use in reconciling your premium bill
- You will be billed quarterly in arrears by the private carrier
- Failure to make timely payments may result in plan termination, state fines or other penalties
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For more information, contact us at:
(718) 535-7070 or info@totalben.com |
