What is required when voluntary coverage is requested?
When a carrier wishes to cover an employer or a class of employees that is not required to be covered under the Disability Benefits Law, forms DB 135 or DB 136, as appropriate, should be completed and sent to: Disability Benefits Bureau Plans Acceptance Unit 100 Broadway Albany, NY 12241 The DB 135 and DB 136 forms are available online from the “Common Forms ” page. The Board must approve the application for voluntary coverage prior to the filing of a DB 820/829. The Board will send the employer a DB 140 acknowledging the effective date of approval for voluntary coverage. This date must be indicated on any subsequent DB 820/829 filings affected by such voluntary coverage approval.
