380 Westminster Mall (1-866-487-9243), U.S. Department of Labor Auto customers of The Hartford can view or print their Auto ID policy cards online. - the hartford fmla forms, If you believe that this page should be taken down, please follow our DMCA take down process, This site uses cookies to enhance site navigation and personalize your experience. Human Resources Share Service Center (HRSSC) Contact Information . Wage and Hour Division 395 W Spruce Ave For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. 150 Royall St., Suite 101 1835 Assembly St Manage my personal policy, bills and claims. 140 Grand St 721 19th Street, Suite 114 2016 CT.gov | Connecticut's Official State Website, CTDOL also handles appeals for the CT Paid Leave program. The employee must complete the forms and return to their employer. Disability & Leave Claims call 888-277-4767 Life & Accident (AD&D) Claims call 888-563-1124 For Critical Illness, Accident & Hospital Indemnity Log in Here or call 866-547-4205 Looking for Something Else? Interested parties may communicate with The Hartford's non-management directors through our third party service provider, EthicsPoint. Indianapolis, IN 46204, (317) 226-6801 .usa-footer .grid-container {padding-left: 30px!important;} In this catalog, we arranged 150 000 most popular fillable documents into 20 categories. 331 Second Avenue South (1-866-487-9243), U.S. Department of Labor An official website of the United States government. Text {#maskedTwoFactorSMS} 1387 S. Vinnell Way For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Estimates vary for the percentage of covered employees who use FMLA every year, but the most widely cited number is 14.5%. Corpus Christi, TX 78401, 361-888-3152 Also serving American Samoa, Guam, and the Commonwealth of the Northern Mariana Islands (including Saipan). Lilita Hom (Asst. 1-866-4-USWAGE (1-866-487-9243), U.S. Department of Labor Use of these forms is optional. 5700 Crooks Road Other NON-time-sensitive mail from The Hartford have date of post mark. 1-866-4-USWAGE Although the Department of Labor makes every effort to provide quality information, it makes no claims, promises or guarantees about the accuracy or completeness of the information contained herein. Hartford will provide employees with any paperwork required and confirm the next steps. Federal Employees Compensation Act (FECA) 202-693-0040 Medical, Dental, Vision Phone Number 1 (800) 244-6224 24 hours a day, 365 days a year Medical Claims Cigna PO Box 182223 Chattanooga, TN 37422-7223 Dental Claims Cigna Wage and Hour Division Charlotte, NC 28273, (704) 749-3360 Suite 41-130 Abilityadvantage.thehartford.com Login The Hartford; The Hartford's Ability Advantage SM helps manage claims, Leave and benefits administration in a single portal; Our new My Benefits employee claims portal was designed with customer insights; 95% of respondents found their experience clear and easy to understand.4 preview Phone Number: 860-713-5100 Fax: 860-730-8405 . https://www-us.computershare.com/investor/Contact. An employee who is caring for a family member who is more than 3 years of age at the time of certification may request Family and Medical Leave for the other family member(s) who is less than three (3) years of age. 10127 Morocco St It also requires that their group health benefits be maintained during the leave. Suite 1780 Walnut Creek, CA 94596, 415-625-7720 The Hartford's Absence Management solutions offer your employees digital tools and on-call advocates to manage Leave and Disability claims with care and helpful resources. If you believe that your CT Family and Medical Leave rights have been violated, you caneitherfile a complaintdirectlyin Superior Court or with the Connecticut Department of Labor. Honolulu, HI 96850, (808) 541-1361 Wage and Hour Division */, Some offices may have limited hours for in-person visits, please contact your local office to learn more. Computershare Economic Empowerment. Guaynabo, PR 00968, 787-775-1947 (1-866-487-9243), 710 Locust St You will receive a 1099-G form indicating that income in Box 1. CareerBuilder TIP. The employee must have worked for their covered employer for at least one year to be eligible to apply for FMLA. Wage and Hour Division 1101 E Hackberry Ave The maximum number of family members for which a request can be made is 4. Toll Free: 877-272-7740 @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} If you work in Wyoming, please see the Salt Lake City District Office. Wage and Hour Division .manual-search-block #edit-actions--2 {order:2;} (1-866-487-9243), U.S. Department of Labor [CDATA[/* >