How Do I File for Long Term Disability?

Steps for Filing a Request

  1. Submit a request for medical leave along with medical certification to the DMO
  2. Exhaust your sick leave credits
  3. When within two weeks of exhausting sick leave, Contact York Risk Services Group at 800-324-9901 to initiate a LTD claim.

General Information
Enrolled and eligible employees may file a claim for Long Term Disability to cover wage loss as a result of medical leave. LTD claims are filed directly with the State of Michigan's Third Party Administrator, York Risk Services Group.

Related Documents
LTD Plan Booklet
LTD Brochure
CS-1838 Application for Leave of Absence
CS-1837 Medical Certification of Employee's Serious Health Condition
CS-1835 Non-FMLA Medical Certification by Physician