Filing a Disability Claim
The University of California Disability Insurance Plans are designed to protect you from lost wages during a period Total or Partial Disability.
If you are going on a disability related leave, there are many publications and resources available to you that discuss the impact of your leave on your health and welfare benefits, retirement, and other important areas for you to consider:
In addition to the above publications, there are publications that address employee concerns when on a specific type of disability:
Maternity Disability
If you are pregnant, the following may help you to understand your options:
Partial Disability
Partial Disability is defined as an injury or illness which prevents you from performing all of the substantial and material duties of your position, or prevents you from working at least 80% of your normal work schedule, even if you can perform all of your duties. Liberty Mutual supplements your part-time salary with disability benefits based on your lost earnings.
Total Disability
Total Disability is defined as an injury or illness which prevents you from performing any and every duty pertaining to your own occupation.
Filing a Claim
If you are disabled and enrolled in the Short-Term and/or the Supplemental Disability plan, you must submit the following three forms to Liberty Mutual:
- Disability Claim Form
- Complete and mail or fax to Liberty Mutual
- Reimbursement Agreement
- Complete and mail or fax to Liberty Mutual
- Attending Physician Statement
- Complete Part A and provide to your physician
- Upon completion, your physician mails or faxes to Liberty Mutual
UC does not participate in the California State Disability Insurance (SDI) program. If you are a new UC employee and become disabled, you may have SDI coverage through a former employer. Any SDI income you are eligible to receive based on past employment will be deducted from you disability benefits payable under the UC's disability plans.
Visit the California SDI webpage for more information or to download the claim form.

