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Employer and individual disability review

A job change can affect disability coverage even when the employee's occupation stays similar. Start with the arrangement actually in force: an employer plan, association coverage or an individual contract. A deduction taken through payroll does not by itself identify who owns the policy or what happens after employment ends.

Identify the arrangement and administrator

Collect the policy or certificate, benefit summary, accepted enrollment and current contact information. Ask who is the policyholder, who is insured, who pays premiums and who handles claims. Keep an employer benefit estimate separate from an individual policy schedule.

DOL explains that ERISA generally does not cover government-maintained plans. That does not resolve the legal status of every private contract a federal employee may hold. Have the administrator identify the applicable plan and process rather than assigning rules from the employee's job title alone.

Compare the transition terms

Transition question Existing arrangement Proposed arrangement
Coverage ends or continues Exact event and date Exact effective date and conditions
Employment requirement Hours, class or other applicable term Requirement under the new arrangement
Premium responsibility Employer and employee shares Individual or new employer responsibility
Portability or continuation Available route and deadline What the route actually preserves
Conversion Separate right, if offered New contract terms and cost basis
Underwriting Existing accepted status Pending evidence or approval conditions
Claim already underway Applicable administrator instructions Whether a new arrangement affects the existing claim

Do not treat portability, continuation and conversion as interchangeable words. Ask what changes in benefits, premiums, exclusions or administration under the actual option being offered. A right to apply is different from confirmation that coverage is effective.

Match the end and start dates

Put the last day of work, last day of eligible coverage and proposed new effective date on separate lines. Ask whether a move to part-time work, unpaid leave or another employment class changes the answer. Record any gap as unresolved until the responsible administrators confirm the dates.

If an application remains pending, ask what requirements still must be satisfied. Keep quote, application, approval, delivery and in-force status distinct. Do not cancel an existing arrangement on the assumption that a preliminary quote guarantees replacement coverage.

Review a current claim separately

Ask the existing administrator which policy applies to the claimed disability and what ongoing obligations continue after employment changes. Keep claim notices with the original contract version. Do not assume a later policy change rewrites the terms of an earlier claim.

Use the claim-record checklist for evidence and notice tracking. Use the benefit timeline to keep payment timing separate from the transition election.

Confirm the record after the move

Keep submission receipts, accepted elections and first payment statements together. If a deduction stops or a direct bill appears, ask the responsible office to reconcile it. A missing deduction is not enough to establish either continuing free coverage or completed cancellation.

This worksheet does not promise portability, conversion, insurability or continued claim payment. It prepares the exact questions needed to compare the arrangements and identify what remains unconfirmed.

Browse federal benefits, retirement and insurance topics or read how we prepare and check our guides.

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