Steps for filing an ERISA benefits claim

On Behalf of | Jan 18, 2022 | ERISA

The Employee Retirement Income Security Act of 1974, or ERISA, sets the rules for how companies and employers should design retirement and health plans. The overall purpose is to protect every employee who needs to receive fair and accurate insurance benefits. There are several steps to follow as you file a claim for benefits in New Jersey.

Determine your eligibility

Make sure that you are eligible to receive disability benefits by reviewing your Summary Plan Description. Each plan has specific requirements for filing a claim. Learn the types of documents to file, where to submit the documents and who to contact for an update.

File the claim

File the claim yourself or have an authorized representative do the work on your behalf. Keep a copy of your filing for your records.

Estimate the wait period

Wait the appropriate length of time for a response to your ERISA or private disability claim. The general period is within 45 days after submitting a claim. Review your Summary Plan Description to decide when your benefits will be paid.

The ERISA agency may require additional time to review your case. A representative is required to tell you why there is a delay, the type of information needed and when your decision will be made. It may take another 30 days to reach a final decision.

Filing your ERISA claim

The Employee Retirement Income Security Act is designed to protect employees who need financial help, but it requires that you understand certain federal and state insurance laws. Once you understand the basic requirements of your plan, you can file a claim for benefits.