Supplemental Workers’ Comp

Active Member Supplemental Workers’ Compensation Disability Benefit

COBANC provides a supplemental workers’ compensation disability benefit for Active Members. This benefit will be paid according to the schedule listed in the Active Member Supplemental Benefits Plan. To view plan coverage, please go to the Active Member Benefits Main Page.

Claims Processing

COBANC processes claims for this benefit.  If you need to speak to a representative, please call the COBANC Health & Welfare Fund at 516-794-0600

Supplemental Workers’ Compensation Disability Claim Form (It is preferable that you fill out this form electronically, then print, sign and date it before submitting it. If you hand-write, please print legibly.)