2022 Short-Term Disability
Employees scheduled to work 30 hours or more are automatically provided Short-Term Disability coverage at no cost. This benefit provides income protection if you become unable to work due to non-work-related illness or injury, if your disability claim is approved.
- You are eligible for Short-Term Disability the 1st of the month following 60 days of employment.
- Disability benefits begin on the first day of an injury or the eighth day of the illness and last up to 90 days.
- For accidents or injury, there is no waiting period before benefits are payable.
75% of base earnings*
Salaried - Non-Exempt
80% of weekly earnings
Salaried - Exempt
100% of weekly earnings
New Leave of Absence Portal
The Benefits Service Center’s new leave of absence portal offers employee access. Through the portal, you will have access to all your leave of absence information. You can view your absences, any claims created in the last year, forms, request a leave and upload documents. You must have an email, either business or personal, listed in Employee Central. The portal is user-friendly and works on mobile devices, tablets and computers.
To get started, review the Employee User Guide here on how to set up your account, review your information or request a leave. Visit https://bsc.force.com/eep to access the portal. First time users much click Activate Login to access the system.
If you have any questions, please contact the BSC at 866-481-4922.
YOUR STATE’S MANDATORY DISABILITY BENEFITS STATUTE WILL APPLY TO YOU. MOHAWK WILL OFFSET THE DIFFERENCE TO MAKE YOU WHOLE BASED UPON THE COMPANY’S DISABILITY BENEFITS*. To figure the amount, if Mohawk provides you with a benefit of 75% of your base earnings, and the state provides you with 50% of your base earnings, you will receive the full state benefit and Mohawk will pay you the difference or 25% so you will receive the full 75% benefit between the two plans. In some cases, Mohawk may not offset your state disability if your state disability benefit is equal to or greater than the company’s disability benefit. The benefit payable to you will never be less than the minimum benefit shown in the policy.
To file a claim, please call Mohawk’s Benefits Service Center and then contact your corresponding state entity.
Mohawk’s Benefits Service Center: 1-866-481-4922
*For state plan information or to file a claim, please refer to the links provided below:
States of CA, NJ, RI, PR, WA, D.C., MA, and CT Short-Term Disability
- Disability Insurance - 800-480-3287 (English) / 866-658-8846 (Spanish)
- Paid FML - 877-238-4373 (English) / 877-379-3819 (Spanish)
- Phone: (877) 499-8606
- Email Address:
New Jersey: lwd.dol.state.nj.us
- Customer Service Information Center - 609-292-7060 (English and Spanish)
- Toll Free number provided only for deaf, hard of hearing, or speech impaired individuals - 800-852-7899
Rhode Island: www.dlt.ri.gov
- Customer Service Unit - 401-462-8420
Puerto Rico: www.trabajo.pr.gov
- 787-754-5353 (Website and info in Spanish only)
Washington State: https://paidleave.wa.gov
- Customer Care Team - 833-717-2273
- E-mail -
District of Columbia (D.C.): https://dcpaidfamilyleave.dc.gov/
- Customer Service - (202)-899-3700
- Email -
- Customer Service - (833) 344-7365
State of New York Short-Term Disability
This information only applies to employees working in New York state. The Hartford will now accept new Short-Term Disability claims for New York employees via telephonic submission. Simply contact Hartford’s designated toll-free claim line at 866-945-4558 to initiate and expedite the process. Paper claim forms are acceptable.
Changes in New York state law required all private-sector employers like Mohawk with employees working in the state of New York to provide Paid Family Leave (PFL). All employees working in the state of New York will automatically be covered on Jan. 1, 2018. As with all leaves, the employee should report their leave to the Benefits Service Center at 866-481-4922. Click here for more details about New York state Paid Family Leave.
State of New York Short-Term Disability Instructions
State of New York State Short-Term Disability Claim Form
State of Hawaii Short-Term Disability
This information only applies to employees working in the state of Hawaii. Please complete the paper application located below and refer to the attached instructions. For any questions, please contact The Hartford at (888) 236-4918 Tel / (855) 819-8915 Fax.
State of Hawaii Short-Term Disability Instructions
State of Hawaii Short-Term Disability Claim Form
In the Event of a Short-Term Disability Claim or Workers Compensation Claim:
Your pay type prior to your STD determines if deductions for medical, dental/vision, 401(k) contributions, critical illness and/or life insurance benefits are taken from your pay.
If you are an hourly or salaried non-exempt associate on an STD leave of absence, you will not have deductions taken from your pay for the benefits mentioned above.
For salaried exempt associates on an STD leave of absence, deductions will be taken from your pay for the benefits mentioned above.
For all pay types, deductions will continue to be taken for 401(k) loan payments, Health Savings Account and any Health Care or Dependent Care Flexible Spending Account contributions.
- If at any time you anticipate that your disability may extend beyond 90 days, you should begin the process of filing a Long-Term Disability (LTD) claim close to your 45th day (approximately 6 weeks) of disability.
- If you experience the same or similar disability within a rolling 12-month period, the combined maximum period for which the Short Term Disability benefit is payable is 90 days. This 12-month period begins when the first Short Term Disability period started.
- If the combined Short-Term Disability and Long-Term Disability leaves of absence will extend beyond 12 months, your HR representative will contact you regarding your continued employment status. LTD benefits will not be adversely affected by termination of employment.
- For Workers Compensation leaves, all benefits are handled in the same manner.
To Request a Leave, Contact The Benefits Service Center at 1-866-481-4922
Representatives are available from 8:00 am - 6:00 pm EST, Monday - Thursday and 8:00 am - 5:00 pm Friday EST. Please make your request 30 days prior to the start of your leave (or as soon as practical under your circumstances). You will also need to advise your supervisor of any request being made for a leave. Leaves must be requested within 15 days of the initial date of absence, or the leave may be denied.
Continuation of Coverage through COBRA
- Please note that on the 90th day of your Short-Term Disability personal medical leave of absence (including Short-Term Disability and Worker's Compensation), your Medical, Dental and Vision benefits will cancel, however you will be eligible to continue your benefits through COBRA.
- If you elect COBRA coverage, you will pay the current active monthly COBRA rate for the first 9 months of your COBRA coverage.
- Once you have been out of work for one year, if you wish to continue COBRA coverage, the standard COBRA rate of 102% of premium will apply.
Benefits Continuation Notification
Short-Term Disability Claim Process Checklist
Attending Physician's Statement
Authorization to Obtain Information
Short-Term Disability Contacts
Benefits Service Center (BSC) | Phone: 866-481-4922 | Fax: 866-597-2187
New York State Only - The Hartford - 866-945-4558
Hawaii Only - The Hartford - 888-236-4918
Note that this website is for educational purposes only and is not intended to replace the Mohawk Benefits Plan Documentation. Where this information conflicts with the Plan Documentation, the Plan Documentation will prevail. The contained content is for informational purposes only. The terms and conditions are in accordance with each individual state policy and are subject to change.