(1)  The Plan provides benefits for disability, beginning on the fifth consecutive day of disability. Therefore, you and your attending physician should fully complete all parts of the "Notice of Disability" form and send it to Trustmark as soon as you know your disability will last more than four consecutive days. Be sure your attending physician totally completes all items in Section IV of the form. 

(2)  After you have been paid benefits for any disability during the first fourteen days, a green "Proof of Disability " Form I363-18R98 will be sent to you. Use the Instructions provided on the form for completion.

(3)  Address all correspondence to:

The Notice of Disability and Proof of Disability forms may be faxed to Trustmark. The fax number is 847-615-4948.

If you have any questions about filing your claim, please call 1-800-504-9052 WITH THE U.S. RAILROAD RETIREMENT BOARD

(1)  Obtain Forms SI-1a and SI-1b, APPLICATION FOR SICKNESS BENEFITS AND STATEMENT OF SICKNESS from your employer, local Railroad Retirement Board office, or your union representative.

(2)  Have your doctor complete the Form SI-1b, STATEMENT OF SICKNESS. The form then is to be mailed on or before the 7th day following your first day of disability to the Bureau of Unemployment and Sickness Insurance, U.S. Railroad Retirement Board, 844 Rush Street, Chicago, Illinois 60611.

If you do not file within the 7 days, you may lose benefits.

(3)  After you've made proper application to the Railroad Retirement Board, you will be sent a new claim card (Form SI-3) to complete approximately every 14 days.  If you have any questions about filing for your Railroad Unemployment Insurance Act (RUIA) sickness benefits, contact your local Railroad Retirement Board office.