How to File an LTD Claim

1 File your claim as soon as possible We encourage you to submit your claim one to two months prior to the date your LTD benefits would begin. If you’re already receiving short-term disability benefits from Symetra, you do not need to submit an LTD claim. Your LTD filing will be an automatic part of our process. 2 Collect the following information • Your contact information and Social Security number. • Your job title and date of hire. • Your group policy number (listed above). • Your condition—whether your absence from work is due to illness, injury or pregnancy. • Your attending physician’s name, telephone and fax numbers. • Documentation of other sources of income you may be receiving. 3 Contact Symetra to start your claim www.symetra.com/myGO • Click “New user claim.” • Answer the prompted questions. • Add any notes or comments. • Submit form. 1-877-377-6773 Please call between 8 a.m. and 8 p.m. ET, Monday through Friday. A customer service representative will initiate your claim and assign it to a case manager. Shortly after your claim intake is complete—either online or by phone— your case manager will call you to conduct a brief interview and will work with you throughout your period of disability. LDM-6331 5/22 How to file a claim Policy #: Policyholder: Note that the start date for your LTD benefits may be later than the date you begin your leave due to a possible elimination period required by your policy. Contact your benefits representative for more details. Continued > Contact us: LADCLA@symetra.com www.symetra.com/MyGO Call 1-877-377-6773 Monday–Friday 8a.m. to 8 p.m. ET Fax: 1-877-737-3650 Mailing address: P.O. Box 1230 Enfield, CT 06083 Group long-term disability (LTD) insurance Symetra Life Insurance Company Huntington County Community School Corporation 01-020575-00