In the event that you are injured on or off of the job, in most cases, the same procedures will apply. In most cases, there are two main parts to filing for sickness benefits.  Each part has its own set of deadlines for submitting the forms that are strictly enforced.  Below is an explanation of the deadlines and procedures for filing this paperwork that will hopefully, help streamline this process.

Part 1 - Railroad Retirement Sickness Benefits (Applies to all railroad employees)

The Railroad Retirement Board (RRB) requires you to submit your Railroad Retirement Sickness Benefits forms within 30 days from the date of illness or injury.  This deadline of 30 days is strictly adhered to by the RRB and is imperative that you meet this deadline in order to be able to draw on your supplemental sickness benefits (if applicable by your CBA).  Supplemental sickness benefits will not issue a check until, the RRB issues their portion.  The initial forms must be correctly filled out by you and your treating physician, and sent via US mail, faxed to (312) 751-7185 or emailed to sicknessandunemploymentbenefits@rrb.gov.  Portions of this process after the initial filing have been made available online through the RRB website (RRB.GOV).  It is important that anyone who is filing for sickness benefits contact the RRB with any questions they may have about filing the forms, or how to expedite the process by calling them at 1-877-772-5772.  To view and print the Railroad Retirement Sickness Benefits Forms, please click on the link provided:  RRB Application for Sickness Benefits.  

Part 2 - The Hartford Supplemental Sickness Benefit  (Applies only to employees under the BMWE National Health and Welfare Plan)

The Hartford Supplemental Sickness benefits require you to submit your form(s) within 60 days from the date of injury or illness.  It cannot be emphasized enough how important it is to meet the filing deadlines.  The Hartford Supplemental Sickness Workability Form(s) can be filed in a paper form, or what we find to be the most convenient, by calling their toll free number at 1-800-205-7651.

Notice of Disability Form - After a period of time, the Railroad Retirement Board and/or your insurance provider may need a proof of disability form sent to them to continue your benefits and medical coverage.  In the event that this occurs, please click on the link to the form below.  This form needs to be filled out by you and your treating physician.  The form can be mailed or faxed to the respective locations in the middle of the form.  Call your insurance provider to acquire the appropriate fax number that this form should be sent to.  This number can be found on the back of your insurance card.  There is a link to each of the medical providers located in the home screen of this website.

Notice of Disability Form

If you need further assistance, please contact your Vice Chairman or call the Allied Federation toll free number at 1-800-752-8009.