Attachment J - LTD Claims Status.pdf
PDF 359 KB Posted
- Solicitation number
- 120084 O5
- Issued by
- Lancaster County, Nebraska
About this file
Attachment J is a Long-Term Disability (LTD) Claims Status Summary report from UnitedHealthcare for the State of Nebraska, covering claims data from July 1, 2019, to October 24, 2024. The document details individual claim statuses for State of Nebraska employees, including claim numbers, genders, dates of birth, enter dates, incurred dates, proof dates, and the latest coverage dates. The report tracks various claim statuses such as Open, Closed, and Suspended, with a focus on Long-Term Disability benefits for state employees under Subgroup 1002.
The claims summary provides a comprehensive overview of disability claims, showing a wide range of claim enter dates from 2019 to 2024, with employees born between 1952 and 2000. The document reveals multiple entries for some claim numbers, indicating potential claim adjustments or multiple status changes. Claim statuses vary, with many transitioning between Open, Closed, and other states, suggesting dynamic claims management. The report is part of the State of Nebraska's group insurance effective from July 1, 2019, and uses the FACETS source system to track and manage Long-Term Disability claims across the state's employee population.
View the file
Other files
Show 40 more
Latest 50 of 146 listed here. See the rest on GovTribe.
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Claim Number Gender Date of Birth Enter Date Proofs Date Latest To Date
200774605 F 04/07/1956 10/23/2019 10/23/2019 01/01/0001
200778068 F 01/22/1972 12/04/2019 12/04/2019 09/14/2024
200778307 F 12/13/1967 12/06/2019 12/06/2019 09/08/2024
200778307 F 12/13/1967 12/06/2019 12/06/2019 01/01/1900
200781720 F 05/04/1960 01/24/2020 01/24/2020 09/05/2023
200782174 M 12/31/1958 01/30/2020 01/30/2020 09/08/2024
200782174 M 12/31/1958 01/30/2020 01/30/2020 01/01/1900
200782331 F 10/27/1964 02/03/2020 02/03/2020 09/26/2021
200783340 M 06/04/1957 02/17/2020 02/24/2020 09/20/2023
200783341 F 04/26/1967 02/17/2020 02/17/2020 09/05/2024
200783576 F 03/03/1958 02/19/2020 02/17/2020 01/01/0001
200784398 F 08/25/1952 02/28/2020 02/28/2020 09/20/2021
200785457 F 09/07/1987 03/13/2020 03/13/2020 01/01/0001
200786171 M 09/22/1957 03/23/2020 03/23/2020 01/01/0001
200786409 F 05/23/1960 03/25/2020 04/07/2020 01/01/0001
200786927 M 02/11/1964 03/30/2020 03/30/2020 09/19/2020
200788928 M 02/21/1961 04/23/2020 04/23/2020 09/01/2024
200788928 M 02/21/1961 04/23/2020 04/23/2020 01/01/1900
200788949 M 09/22/1957 04/23/2020 04/23/2020 09/09/2023
200788996 F 09/22/1972 04/24/2020 04/24/2020 01/01/0001
200793079 F 01/03/1967 06/23/2020 06/23/2020 09/20/2021
202004501 M 09/12/1966 07/27/2020 01/01/0001
11/03/2021
LTD Closed 07/13/2020 01/01/0001 10/19/2020
Long Term Disability Closed 12/19/2019 06/20/2020
04/23/2024
LTD Closed 02/22/2020 01/01/0001 10/02/2020
Long Term Disability Closed 01/09/2020 07/09/2020
LTD Open 03/13/2020 01/01/1900
Long Term Disability Open 03/13/2020 10/01/2020
01/05/2021
Long Term Disability Closed 01/21/2020 07/19/2020 01/04/2021
LTD Closed 03/14/2020 01/01/0001
06/08/2020
LTD Closed 02/14/2020 01/01/0001 03/25/2020
LTD Closed 01/01/2020 01/01/0001
03/03/2020
Long Term Disability Closed 10/23/2019 04/20/2020 10/12/2021
LTD Closed 08/08/2019 01/01/0001
12/27/2023
Long Term Disability Open 12/08/2019 06/05/2020
Long Term Disability Closed 08/24/2019 01/01/2020
Long Term Disability Closed 11/28/2019 01/01/2020 09/28/2022
LTD Open 07/12/2019 01/01/1900
03/11/2024
Long Term Disability Open 07/12/2019 01/08/2020
Long Term Disability Closed 08/08/2019 02/05/2020
01/21/2020
LTD Open 09/10/2019 01/01/1900 01/21/2020
Long Term Disability Open 09/10/2019 03/08/2020
11/20/2019
Long Term Disability Open 11/16/2019 01/01/1900
LTD Closed 09/13/2019 01/01/0001
STATE OF NEBRASKA Group Effective Date: 07/01/2019 Subgroup: 1002 - STATE OF NEBRASKA
Benefit Status * Incurred Date Initial From Date Close Date
Business Segment: LTD LTD
Source System: FACETS
Claim Status Summary by Enter Date Selection Parameters Values on Report
Group/Customer: 306147 00306147 - STATE OF NEBRASKA
Subgroup/Policy ALL 1002
Enter Date Range: 07/01/2019 to 10/24/2024 07/20/2019 to 10/16/2024
Run Date: 10/24/2024 3:16:06 PM
* Claim Status Descriptions:
Incomplete: Started, information collection in process | In Process: Adjudication in process | Open: Payments in process | Suspend:
Attachment J
Business Segment: LTD LTD
Source System: FACETS
Claim Status Summary by Enter Date Selection Parameters Values on Report
Group/Customer: 306147 00306147 - STATE OF NEBRASKA
Subgroup/Policy ALL 1002
Enter Date Range: 07/01/2019 to 10/24/2024 07/20/2019 to 10/16/2024
202004716 M 12/21/1969 07/29/2020 07/24/2020 09/30/2024
202004716 M 12/21/1969 07/29/2020 07/24/2020 01/01/1900
202006051 F 02/11/1961 08/13/2020 08/12/2020 09/07/2021
202010934 F 02/28/1959 10/08/2020 10/08/2020 11/03/2020
202011056 F 03/08/1957 10/12/2020 10/12/2020 01/01/0001
202012903 F 10/20/1957 10/30/2020 10/30/2020 03/11/2021
202018738 F 01/09/1964 12/29/2020 10/29/2020 09/13/2024
202018738 F 01/09/1964 12/29/2020 10/29/2020 01/01/1900
202100993 M 12/18/1981 01/12/2021 02/01/2021 09/10/2024
202102594 F 09/24/1969 01/28/2021 01/28/2021 09/14/2024
202104192 F 07/10/1952 02/10/2021 02/10/2021 05/27/2021
202105317 F 04/20/1952 02/19/2021 02/19/2021 01/01/0001
202105463 F 11/09/1973 02/22/2021 02/22/2021 01/01/0001
202106539 F 10/15/1961 03/01/2021 03/01/2021 09/03/2022
202111764 F 12/20/1993 03/23/2021 03/23/2021 06/15/2021
202112009 F 07/15/1972 03/24/2021 03/24/2021 09/27/2023
202115743 M 03/20/1958 04/16/2021 04/16/2021 09/15/2024
202118903 M 01/07/1969 05/14/2021 05/14/2021 09/15/2024
202125404 M 06/22/1963 06/15/2021 06/15/2021 01/01/0001
202128637 F 01/31/1969 07/02/2021 07/02/2021 09/12/2023
202133629 F 03/01/1958 08/02/2021 08/02/2021 05/27/2021
202140608 F 03/21/1968 08/23/2021 08/23/2021 09/30/2024
202141672 M 09/16/1970 09/01/2021 09/01/2021 10/13/2021
202141693 F 03/09/1977 09/01/2021 09/01/2021 01/01/0001
202142103 M 01/13/1963 09/07/2021 09/07/2021 09/19/2022Long Term Disability Suspend 03/23/2021 09/19/2021
12/20/2021
LTD Closed 07/12/2021 01/01/0001 09/16/2021
Long Term Disability Closed 01/06/2021 07/05/2021
10/26/2021
Long Term Disability Open 02/01/2021 01/01/2021
Long Term Disability Closed 10/07/2020 04/05/2021
09/20/2021
Long Term Disability Open 02/13/2021 01/01/2021
LTD Closed 08/29/2020 01/01/0001
Long Term Disability Open 11/16/2020 01/01/2021
Long Term Disability Open 12/17/2020 01/01/2021
03/22/2022
Long Term Disability Closed 09/28/2020 01/01/2021 02/15/2024
Long Term Disability Closed 10/05/2020 04/03/2021
01/12/2022
Long Term Disability Closed 08/07/2020 01/01/2021 01/23/2023
LTD Closed 04/10/2020 01/01/0001
07/28/2021
LTD Closed 09/09/2020 01/01/0001 03/01/2021
Long Term Disability Closed 06/24/2020 04/27/2021
Long Term Disability Open 08/18/2020 02/14/2021
Long Term Disability Open 09/18/2020 01/01/2021
LTD Open 09/14/2020 01/01/1900
Long Term Disability Open 09/14/2020 01/01/2021
01/08/2021
Long Term Disability Closed 08/01/2020 01/28/2021 03/30/2021
LTD Closed 06/17/2020 01/01/0001
01/26/2022
Long Term Disability Closed 03/07/2020 09/03/2020 03/11/2021
Long Term Disability Closed 07/11/2020 01/01/2021
LTD Open 03/03/2020 01/01/1900
Long Term Disability Open 03/03/2020 08/30/2020
Run Date: 10/24/2024 3:16:06 PM
* Claim Status Descriptions:
Incomplete: Started, information collection in process | In Process: Adjudication in process | Open: Payments in process | Suspend:
Claim Status Summary by Enter Date Selection Parameters Values on Report
Group/Customer: 306147 00306147 - STATE OF NEBRASKA
Subgroup/Policy ALL 1002
Enter Date Range: 07/01/2019 to 10/24/2024 07/20/2019 to 10/16/2024
202147526 F 09/06/1951 10/07/2021 10/07/2021 11/20/2021
202154028 M 11/20/1969 11/09/2021 11/09/2021 03/05/2022
202183924 F 01/05/1991 11/22/2021 01/01/0001
202191984 M 11/16/1967 12/28/2021 12/28/2021 09/07/2023
202210543 M 10/09/1961 01/12/2022 01/18/2022 05/05/2022
202277933 F 01/07/1972 04/18/2022 04/15/2022 01/01/0001
202291786 M 07/25/1992 04/20/2022 01/01/0001
202292619 F 02/06/1972 04/27/2022 04/27/2022 01/01/0001
202331662 M 10/08/1962 06/03/2022 07/05/2022 10/04/2022
202335859 M 04/28/1976 06/06/2022 06/06/2022 09/17/2024
202341483 M 09/13/1963 06/17/2022 06/15/2022 01/01/0001
202345906 F 04/28/1947 06/24/2022 06/23/2022 11/16/2022
202376054 F 01/24/1959 06/30/2022 06/30/2022 01/01/0001
202389855 F 07/27/1960 07/20/2022 07/28/2022 09/22/2023
202410722 M 05/03/1965 08/22/2022 08/22/2022 09/06/2024
202433703 M 02/18/1972 10/07/2022 10/06/2022 09/11/2023
202502003 F 09/07/1972 11/17/2022 11/15/2022 09/14/2024
202509351 M 02/19/1980 11/30/2022 12/12/2022 09/23/2024
202536681 F 02/22/1983 12/24/2022 12/23/2022 09/30/2023
202537124 F 09/16/1982 12/28/2022 12/27/2022 09/08/2024
202542148 M 07/01/1960 01/03/2023 01/01/0001
202561694 F 07/30/1970 01/27/2023 01/26/2023 09/22/2024
202568968 M 01/06/1988 02/01/2023 01/31/2023 01/23/2023
202569193 M 10/22/1967 02/02/2023 02/01/2023 10/08/2023
202569193 M 10/22/1967 02/02/2023 02/01/2023 01/01/1900LTD Open 08/12/2022 01/01/1900
Long Term Disability Open 08/12/2022 02/08/2023
Long Term Disability Closed 06/27/2022 12/24/2022 02/07/2023
Long Term Disability Open 07/26/2022 01/22/2023
LTD Closed 01/01/1900 01/01/0001 06/08/2023
Long Term Disability Open 08/11/2022 02/08/2023
Long Term Disability Open 06/03/2022 11/30/2022
Long Term Disability Open 10/25/2022 01/01/2023
02/01/2024
Long Term Disability Open 05/18/2022 11/14/2022
Long Term Disability Closed 01/12/2022 07/11/2022
Long Term Disability Open 01/07/2022 01/01/2022
Long Term Disability Open 02/23/2022 01/01/2022
04/27/2023
LTD Closed 05/13/2022 01/01/0001 10/31/2022
Long Term Disability Closed 04/19/2022 10/16/2022
LTD Closed 02/26/2022 01/01/0001 08/10/2022
Long Term Disability Open 11/18/2021 01/01/2022
07/22/2022
Long Term Disability Closed 11/05/2020 05/04/2021 08/25/2023
LTD Closed 11/10/2021 01/01/0001
08/10/2022
LTD Closed 01/01/1900 01/01/0001 04/21/2022
LTD Closed 01/01/2022 01/01/0001
12/28/2021
Long Term Disability Closed 07/09/2021 01/05/2022 07/13/2022
Long Term Disability Open 10/09/2021 04/07/2022
04/12/2022
LTD Closed 01/01/1900 01/01/0001 02/17/2022
Long Term Disability Closed 05/18/2021 12/05/2021
Long Term Disability Closed 01/22/2021 08/20/2021 08/15/2022
Run Date: 10/24/2024 3:16:06 PM
Incomplete: Started, information collection in process | In Process: Adjudication in process | Open: Payments in process | Suspend:
Claim Status Summary by Enter Date Selection Parameters Values on Report
Group/Customer: 306147 00306147 - STATE OF NEBRASKA
Subgroup/Policy ALL 1002
Enter Date Range: 07/01/2019 to 10/24/2024 07/20/2019 to 10/16/2024
202641302 M 11/21/1973 04/05/2023 04/04/2023 01/01/0001
202690681 F 05/12/1968 04/26/2023 04/25/2023 05/26/2023
202694332 F 02/12/1968 05/03/2023 05/02/2023 01/01/0001
202712244 F 12/11/1979 05/11/2023 05/10/2023 09/28/2024
202786073 M 02/28/1967 06/28/2023 06/27/2023 11/29/2023
202809181 F 09/08/1960 07/11/2023 07/10/2023 01/01/0001
202814625 M 05/31/1959 07/29/2023 07/26/2023 09/13/2024
202816802 M 06/07/1973 08/04/2023 08/18/2023 10/06/2023
202824545 F 04/28/1970 08/12/2023 08/11/2023 09/26/2024
202856927 M 12/30/1964 09/06/2023 09/05/2023 09/26/2024
202905759 F 01/04/1977 10/30/2023 10/30/2023 10/16/2024
202936804 M 12/04/1973 11/22/2023 11/21/2023 01/08/2024
202936804 M 12/04/1973 11/22/2023 11/21/2023 01/01/1900
202957961 F 05/31/1959 12/08/2023 12/07/2023 01/01/0001
202972032 M 01/17/1961 12/18/2023 12/15/2023 09/06/2024
203026163 M 04/27/1980 02/01/2024 01/25/2024 01/01/0001
203031490 F 01/03/1965 02/09/2024 02/06/2024 01/01/0001
203036393 F 09/29/1978 02/21/2024 02/15/2024 09/10/2024
203041534 M 04/22/1971 03/07/2024 03/01/2024 09/26/2024
203047053 F 08/17/1974 03/16/2024 03/11/2024 01/01/0001
203090978 M 07/12/2000 04/11/2024 04/10/2024 01/01/0001
203382453 F 09/08/1986 07/25/2024 07/23/2024 09/16/2024
203384780 F 02/23/1961 07/28/2024 07/28/2024 01/01/0001
203558298 F 05/12/1968 10/15/2024 10/11/2024 01/01/0001
203564266 M 07/01/1962 10/16/2024 10/14/2024 01/01/0001LTD In Process 03/13/2024 01/01/0001
08/07/2024
LTD In Process 04/17/2024 01/01/0001
LTD Closed 05/08/2024 01/01/0001
08/12/2024
Long Term Disability Closed 01/15/2024 07/13/2024 09/19/2024
LTD Closed 03/06/2024 01/01/0001
LTD Closed 08/02/2022 01/01/0001 05/07/2024
Long Term Disability Open 09/28/2023 03/26/2024
05/28/2024
Long Term Disability Open 09/12/2023 03/10/2024
LTD Closed 12/07/2022 01/01/0001
LTD Closed 11/10/2023 01/01/0001 03/15/2024
Long Term Disability Open 06/09/2023 12/06/2023
05/03/2024
LTD Closed 06/03/2023 01/01/0001 01/31/2024
LTD Closed 03/30/2023 01/01/1900
Long Term Disability Closed 03/30/2023 11/08/2023 05/03/2024
Long Term Disability Open 05/20/2023 11/16/2023
Long Term Disability Open 10/24/2022 04/26/2023
Long Term Disability Open 02/27/2023 08/26/2023
Long Term Disability Closed 12/08/2022 06/06/2023 06/13/2024
Long Term Disability Open 04/16/2023 10/13/2023
05/09/2024
LTD Closed 09/28/2022 01/01/0001 10/19/2023
Long Term Disability Closed 08/02/2022 01/29/2023
05/15/2023
Long Term Disability Open 11/29/2022 01/01/2023
LTD Closed 03/03/2023 01/01/0001
04/11/2023
Long Term Disability Closed 10/28/2022 04/26/2023 09/08/2023
LTD Closed 02/07/2023 01/01/0001
Run Date: 10/24/2024 3:16:06 PM
Incomplete: Started, information collection in process | In Process: Adjudication in process | Open: Payments in process | Suspend:
Claim Number
Gender Date of Birth Enter Date Proofs Date Latest To Date
200774605 F 04/07/1956 10/23/2019 10/23/2019 01/01/0001
200781720 F 05/04/1960 01/24/2020 01/24/2020 09/05/2023
200782331 F 10/27/1964 02/03/2020 02/03/2020 09/26/2021
200783340 M 06/04/1957 02/17/2020 02/24/2020 09/20/2023
200783576 F 03/03/1958 02/19/2020 02/17/2020 01/01/0001
200784398 F 08/25/1952 02/28/2020 02/28/2020 09/20/2021
200785457 F 09/07/1987 03/13/2020 03/13/2020 01/01/0001
200786171 M 09/22/1957 03/23/2020 03/23/2020 01/01/0001
200786409 F 05/23/1960 03/25/2020 04/07/2020 01/01/0001
200786927 M 02/11/1964 03/30/2020 03/30/2020 09/19/2020
200788949 M 09/22/1957 04/23/2020 04/23/2020 09/09/2023
200788996 F 09/22/1972 04/24/2020 04/24/2020 01/01/0001
200793079 F 01/03/1967 06/23/2020 06/23/2020 09/20/2021
202004501 M 09/12/1966 07/27/2020 01/01/0001
202006051 F 02/11/1961 08/13/2020 08/12/2020 09/07/2021
202010934 F 02/28/1959 10/08/2020 10/08/2020 11/03/2020
202011056 F 03/08/1957 10/12/2020 10/12/2020 01/01/0001
202012903 F 10/20/1957 10/30/2020 10/30/2020 03/11/2021
202104192 F 07/10/1952 02/10/2021 02/10/2021 05/27/2021
202105317 F 04/20/1952 02/19/2021 02/19/2021 01/01/0001
202105463 F 11/09/1973 02/22/2021 02/22/2021 01/01/0001
202106539 F 10/15/1961 03/01/2021 03/01/2021 09/03/2022
202111764 F 12/20/1993 03/23/2021 03/23/2021 06/15/2021
202112009 F 07/15/1972 03/24/2021 03/24/2021 09/27/2023
202125404 M 06/22/1963 06/15/2021 06/15/2021 01/01/0001
202133629 F 03/01/1958 08/02/2021 08/02/2021 05/27/2021
202141672 M 09/16/1970 09/01/2021 09/01/2021 10/13/2021
202141693 F 03/09/1977 09/01/2021 09/01/2021 01/01/0001
202142103 M 01/13/1963 09/07/2021 09/07/2021 09/19/2022
202147526 F 09/06/1951 10/07/2021 10/07/2021 11/20/2021
202154028 M 11/20/1969 11/09/2021 11/09/2021 03/05/2022
202183924 F 01/05/1991 11/22/2021 01/01/0001
202210543 M 10/09/1961 01/12/2022 01/18/2022 05/05/2022
202277933 F 01/07/1972 04/18/2022 04/15/2022 01/01/0001
202291786 M 07/25/1992 04/20/2022 01/01/0001
202292619 F 02/06/1972 04/27/2022 04/27/2022 01/01/0001
202331662 M 10/08/1962 06/03/2022 07/05/2022 10/04/2022
202341483 M 09/13/1963 06/17/2022 06/15/2022 01/01/0001
202345906 F 04/28/1947 06/24/2022 06/23/2022 11/16/2022
202376054 F 01/24/1959 06/30/2022 06/30/2022 01/01/0001
202433703 M 02/18/1972 10/07/2022 10/06/2022 09/11/2023
202542148 M 07/01/1960 01/03/2023 01/01/0001
202568968 M 01/06/1988 02/01/2023 01/31/2023 01/23/2023
202641302 M 11/21/1973 04/05/2023 04/04/2023 01/01/0001
202690681 F 05/12/1968 04/26/2023 04/25/2023 05/26/2023
202694332 F 02/12/1968 05/03/2023 05/02/2023 01/01/0001
202786073 M 02/28/1967 06/28/2023 06/27/2023 11/29/2023
202809181 F 09/08/1960 07/11/2023 07/10/2023 01/01/0001
202816802 M 06/07/1973 08/04/2023 08/18/2023 10/06/2023
202936804 M 12/04/1973 11/22/2023 11/21/2023 01/08/2024
202936804 M 12/04/1973 11/22/2023 11/21/2023 01/01/1900
202957961 F 05/31/1959 12/08/2023 12/07/2023 01/01/0001
203026163 M 04/27/1980 02/01/2024 01/25/2024 01/01/0001
203031490 F 01/03/1965 02/09/2024 02/06/2024 01/01/0001
203047053 F 08/17/1974 03/16/2024 03/11/2024 01/01/0001
203090978 M 07/12/2000 04/11/2024 04/10/2024 01/01/0001
203382453 F 09/08/1986 07/25/2024 07/23/2024 09/16/2024
203384780 F 02/23/1961 07/28/2024 07/28/2024 01/01/0001LTD Closed 05/08/2024 01/01/0001 08/07/2024
Long Term Disability Closed 01/15/2024 07/13/2024 09/19/2024
LTD Closed 03/06/2024 01/01/0001 08/12/2024
LTD Closed 08/02/2022 01/01/0001 05/07/2024
LTD Closed 12/07/2022 01/01/0001 05/28/2024
LTD Closed 11/10/2023 01/01/0001 03/15/2024
LTD Closed 06/03/2023 01/01/0001 01/31/2024
LTD Closed 03/30/2023 01/01/1900 05/03/2024
Long Term Disability Closed 03/30/2023 11/08/2023 05/03/2024
Long Term Disability Closed 12/08/2022 06/06/2023 06/13/2024
LTD Closed 09/28/2022 01/01/0001 10/19/2023
Long Term Disability Closed 08/02/2022 01/29/2023 05/09/2024
LTD Closed 03/03/2023 01/01/0001 05/15/2023
Long Term Disability Closed 10/28/2022 04/26/2023 09/08/2023
LTD Closed 02/07/2023 01/01/0001 04/11/2023
Long Term Disability Closed 06/27/2022 12/24/2022 02/07/2023
LTD Closed 01/01/1900 01/01/0001 06/08/2023
Long Term Disability Closed 01/12/2022 07/11/2022 02/01/2024
LTD Closed 05/13/2022 01/01/0001 10/31/2022
Long Term Disability Closed 04/19/2022 10/16/2022 04/27/2023
LTD Closed 02/26/2022 01/01/0001 08/10/2022
Long Term Disability Closed 11/05/2020 05/04/2021 08/25/2023
LTD Closed 11/10/2021 01/01/0001 07/22/2022
LTD Closed 01/01/1900 01/01/0001 04/21/2022
LTD Closed 01/01/2022 01/01/0001 08/10/2022
Long Term Disability Closed 07/09/2021 01/05/2022 07/13/2022
LTD Closed 01/01/1900 01/01/0001 02/17/2022
Long Term Disability Closed 05/18/2021 12/05/2021 04/12/2022
Long Term Disability Closed 01/22/2021 08/20/2021 08/15/2022
Long Term Disability Suspend 03/23/2021 09/19/2021
LTD Closed 07/12/2021 01/01/0001 09/16/2021
Long Term Disability Closed 01/06/2021 07/05/2021 12/20/2021
Long Term Disability Closed 10/07/2020 04/05/2021 10/26/2021
LTD Closed 08/29/2020 01/01/0001 09/20/2021
Long Term Disability Closed 09/28/2020 01/01/2021 02/15/2024
Long Term Disability Closed 10/05/2020 04/03/2021 03/22/2022
Long Term Disability Closed 08/07/2020 01/01/2021 01/23/2023
LTD Closed 04/10/2020 01/01/0001 01/12/2022
LTD Closed 09/09/2020 01/01/0001 03/01/2021
Long Term Disability Closed 06/24/2020 04/27/2021 07/28/2021
Long Term Disability Closed 08/01/2020 01/28/2021 03/30/2021
LTD Closed 06/17/2020 01/01/0001 01/08/2021
Long Term Disability Closed 03/07/2020 09/03/2020 03/11/2021
Long Term Disability Closed 07/11/2020 01/01/2021 01/26/2022
LTD Closed 07/13/2020 01/01/0001 10/19/2020
Long Term Disability Closed 12/19/2019 06/20/2020 11/03/2021
LTD Closed 02/22/2020 01/01/0001 10/02/2020
Long Term Disability Closed 01/09/2020 07/09/2020 04/23/2024
Long Term Disability Closed 01/21/2020 07/19/2020 01/04/2021
LTD Closed 03/14/2020 01/01/0001 01/05/2021
LTD Closed 02/14/2020 01/01/0001 03/25/2020
LTD Closed 01/01/2020 01/01/0001 06/08/2020
Long Term Disability Closed 10/23/2019 04/20/2020 10/12/2021
LTD Closed 08/08/2019 01/01/0001 03/03/2020
Long Term Disability Closed 08/24/2019 01/01/2020 12/27/2023
Long Term Disability Closed 11/28/2019 01/01/2020 09/28/2022
Long Term Disability Closed 08/08/2019 02/05/2020 03/11/2024
Close Date
LTD Closed 09/13/2019 01/01/0001 11/20/2019
Source System: FACETS
STATE OF NEBRASKA Group Effective Date: 07/01/2019 Subgroup: 1002 - STATE OF NEBRASKA
Benefit Status * Incurred Date Initial From Date
Enter Date Range: 07/01/2019 to 10/24/2024 07/20/2019 to 10/16/2024
Business Segment: LTD LTD
Claim Status Summary by Enter Date Selection Parameters Values on Report
Group/Customer: 306147 00306147 - STATE OF NEBRASKA
Subgroup/Policy ALL
Claim Number
Gender Date of Birth Enter Date Proofs Date Latest To Date
200778068 F 01/22/1972 12/04/2019 12/04/2019 09/14/2024
200778307 F 12/13/1967 12/06/2019 12/06/2019 09/08/2024
200778307 F 12/13/1967 12/06/2019 12/06/2019 01/01/1900
200782174 M 12/31/1958 01/30/2020 01/30/2020 09/08/2024
200782174 M 12/31/1958 01/30/2020 01/30/2020 01/01/1900
200783341 F 04/26/1967 02/17/2020 02/17/2020 09/05/2024
200788928 M 02/21/1961 04/23/2020 04/23/2020 09/01/2024
200788928 M 02/21/1961 04/23/2020 04/23/2020 01/01/1900
202004716 M 12/21/1969 07/29/2020 07/24/2020 09/30/2024
202004716 M 12/21/1969 07/29/2020 07/24/2020 01/01/1900
202018738 F 01/09/1964 12/29/2020 10/29/2020 09/13/2024
202018738 F 01/09/1964 12/29/2020 10/29/2020 01/01/1900
202100993 M 12/18/1981 01/12/2021 02/01/2021 09/10/2024
202102594 F 09/24/1969 01/28/2021 01/28/2021 09/14/2024
202115743 M 03/20/1958 04/16/2021 04/16/2021 09/15/2024
202118903 M 01/07/1969 05/14/2021 05/14/2021 09/15/2024
202128637 F 01/31/1969 07/02/2021 07/02/2021 09/12/2023
202140608 F 03/21/1968 08/23/2021 08/23/2021 09/30/2024
202191984 M 11/16/1967 12/28/2021 12/28/2021 09/07/2023
202335859 M 04/28/1976 06/06/2022 06/06/2022 09/17/2024
202389855 F 07/27/1960 07/20/2022 07/28/2022 09/22/2023
202410722 M 05/03/1965 08/22/2022 08/22/2022 09/06/2024
202502003 F 09/07/1972 11/17/2022 11/15/2022 09/14/2024
202509351 M 02/19/1980 11/30/2022 12/12/2022 09/23/2024
202536681 F 02/22/1983 12/24/2022 12/23/2022 09/30/2023
202537124 F 09/16/1982 12/28/2022 12/27/2022 09/08/2024
202561694 F 07/30/1970 01/27/2023 01/26/2023 09/22/2024
202569193 M 10/22/1967 02/02/2023 02/01/2023 10/08/2023
202569193 M 10/22/1967 02/02/2023 02/01/2023 01/01/1900
202712244 F 12/11/1979 05/11/2023 05/10/2023 09/28/2024
202814625 M 05/31/1959 07/29/2023 07/26/2023 09/13/2024
202824545 F 04/28/1970 08/12/2023 08/11/2023 09/26/2024
202856927 M 12/30/1964 09/06/2023 09/05/2023 09/26/2024
202905759 F 01/04/1977 10/30/2023 10/30/2023 10/16/2024
202972032 M 01/17/1961 12/18/2023 12/15/2023 09/06/2024
203036393 F 09/29/1978 02/21/2024 02/15/2024 09/10/2024
203041534 M 04/22/1971 03/07/2024 03/01/2024 09/26/2024
203558298 F 05/12/1968 10/15/2024 10/11/2024 01/01/0001
203564266 M 07/01/1962 10/16/2024 10/14/2024 01/01/0001LTD In Process 03/13/2024 01/01/0001
LTD In Process 04/17/2024 01/01/0001
Long Term Disability Open 09/28/2023 03/26/2024
Long Term Disability Open 09/12/2023 03/10/2024
Long Term Disability Open 06/09/2023 12/06/2023
Long Term Disability Open 05/20/2023 11/16/2023
Long Term Disability Open 10/24/2022 04/26/2023
Long Term Disability Open 02/27/2023 08/26/2023
Long Term Disability Open 04/16/2023 10/13/2023
Long Term Disability Open 11/29/2022 01/01/2023
LTD Open 08/12/2022 01/01/1900
Long Term Disability Open 08/12/2022 02/08/2023
Long Term Disability Open 07/26/2022 01/22/2023
Long Term Disability Open 08/11/2022 02/08/2023
Long Term Disability Open 06/03/2022 11/30/2022
Long Term Disability Open 10/25/2022 01/01/2023
Long Term Disability Open 05/18/2022 11/14/2022
Long Term Disability Open 01/07/2022 01/01/2022
Long Term Disability Open 02/23/2022 01/01/2022
Long Term Disability Open 11/18/2021 01/01/2022
Long Term Disability Open 10/09/2021 04/07/2022 12/28/2021
Long Term Disability Open 02/01/2021 01/01/2021
Long Term Disability Open 02/13/2021 01/01/2021
Long Term Disability Open 11/16/2020 01/01/2021
Long Term Disability Open 12/17/2020 01/01/2021
Long Term Disability Open 08/18/2020 02/14/2021
Long Term Disability Open 09/18/2020 01/01/2021
LTD Open 09/14/2020 01/01/1900
Long Term Disability Open 09/14/2020 01/01/2021
LTD Open 03/03/2020 01/01/1900
Long Term Disability Open 03/03/2020 08/30/2020
LTD Open 03/13/2020 01/01/1900
Long Term Disability Open 03/13/2020 10/01/2020
Long Term Disability Open 12/08/2019 06/05/2020
LTD Open 07/12/2019 01/01/1900
Long Term Disability Open 07/12/2019 01/08/2020
LTD Open 09/10/2019 01/01/1900 01/21/2020
Long Term Disability Open 09/10/2019 03/08/2020 01/21/2020
Close Date
Long Term Disability Open 11/16/2019 01/01/1900
Source System: FACETS
STATE OF NEBRASKA Group Effective Date: 07/01/2019 Subgroup: 1002 - STATE OF NEBRASKA
Benefit Status * Incurred Date Initial From Date
Enter Date Range: 07/01/2019 to 10/24/2024 07/20/2019 to 10/16/2024
Business Segment: LTD LTD
Claim Status Summary by Enter Date Selection Parameters Values on Report
Group/Customer: 306147 00306147 - STATE OF NEBRASKA
Subgroup/Policy ALL
| Sheet1 |
| Sheet4 |
| Sheet5 |
File details come from the government source that posted it. Updated .