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Help topics Help for businesses Help with paid family and medical leave (PFML) claims

Help with paid family and medical leave (PFML) claims

Help with paid family and medical leave (PFML) claims


How to submit a claim for our PFML private plan.

How should I start a PFML claim for an employee?

To start a PFML claim, complete and .

Or, complete and submit the appropriate PFML claim form:

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When should a PFML claim be filed?

As soon as possible, however, no more than 30 days prior to the date of the leave. 

If we have both short-term disability and PFML coverage from ÑÇÖÞÎÞÂëLife, will we need to file two claims?

In most instances, only one form (PFML) is needed. If we need additional information to process both the PFML and STD claims, we’ll reach out for the needed information.

Are benefits guaranteed once a PFML claim is filed?

No. To be eligible for benefits, an employee must meet all qualifications as defined by the policy. We must receive the specific documentation that is required depending on the type of leave requested. Each claim is reviewed to determine if it meets the contractual requirements for benefit payment.

What’s the expected timeline for a claim decision?

Our goal is to make the PFML claim decision within 14 days after we receive the claim.

How are PFML benefits issued?

We issue benefits on a weekly basis. 

Are the PFML benefits taxable?

It depends how the premiums were paid.

  • For premiums paid with pre-tax dollars, the benefit is taxable. However, we don’t withhold taxes from the paid family and medical leave benefit payment. If the claim is a medical leave for your employee, taxes will be withheld.   
  • For premiums paid with post-tax dollars, the benefit is non-taxable. 
  • For premiums paid with a mix, only the portion paid with pre-tax dollars is taxable.
Is the PFML benefit offset by other income?

PFML benefits will be offset by unemployment, workers’ compensation, and Social Security Disability Insurance (SSDI) benefits.

Are you an employee?
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Don't see the topic you need help with?
Give us a call.

  • Businesses with retirement plans call 877-475-3436
  • Businesses with group insurance products call 800-843-1371
  • Employees who need Spanish assistance call 800-243-1404 or visit this site 

Or send us an email

 

 


This summary is not a complete description of the rights, benefits, limitations, and exclusions of PFML insurance. For cost and coverage details, contact your Principal® representative.

This information is provided with the understanding that Principal® is not rendering legal, accounting or tax advice. Consult with appropriate counsel or other advisors on all matters pertaining to legal, tax, or accounting obligations and requirements.

Insurance issued by ÑÇÖÞÎÞÂëLife Insurance Company®, Des Moines, IA 50392

1951507-122021