• Disability Benefit Information

     

    The information below references disability benefits for our POB employees.

     

    Form Name Form/Flyer Information
    • Understanding what disability is –
      Frequently Asked Questions and Answers Flyer

      (This flyer will give a summary to everyone of what disability is, when to file and what to expect).
    Download
    • Form DB-120 Notice of Compliance is posted in a visible location in each building.
    Download
    • Form DB-271 – Statement of Rights for disability insurance.
    Download
    • Form DB-450 – the actual claim form that the employee is responsible for completing.  As an employer, you will need to complete part C of this form.
    Download