Instructions for filing a claim as a Designated Representative:
You can file on behalf of a family member if they're medically incapacitated, and/or you can file as a Designated Representative if you can prove with documentation that you are in fact a Designated Representative for the individual.
- You will be asked if you are a Designated Representative.
- You will be asked if you are filing the claim on behalf of someone you legally represent or someone who is medically incapacitated. Select Yes.
- As a Designated Representative, select the situation that applies to you. You may need to upload additional documents.
- Select the checkbox to confirm.
- You must also enter the reason why you are filing a claim on their behalf.
- Enter the details of the person you are representing.
- Select the Next button.
- If you selected the option, “I’m a family member filing on behalf of a medically incapacitated individual”, you must upload the claimant's state or government-issued photo ID.
- Once the documents are uploaded, select Next. The rest of the process is similar to that of the claimant.
Instructions for editing your claim details:
- Navigate to your dashboard and select the Claims tab.
- From the list, select the My Claims option. The Claim Details page will display.
- Select the Edit Claim button.
- On the Edit Claim page, you can modify your claim end date. Fill in the new end date in the provided field. You must also state the reason for changing the end date.
- Select the Save button to save your changes.
- A message will confirm that the claim was successfully updated.
- You can cancel your pending claim if you have filed the claim in error. To begin, select the checkbox under the Cancel Claim section. If you want to cancel an active claim that has already been approved and is paying out benefits, you must call the CDLE FAMLI staff at 1-866-CO-FAMLI (1-866-263-2654) for assistance.
- You must state the reason for canceling the claim.
- Select the Save button.
- A dialog box will appear asking you to confirm if you want to proceed with canceling the claim. Select the Cancel Claim button.
Once you’ve started the application process, you can log in to My FAMLI+ to check your eligibility for benefits and review the status of your claim(s). Instructions for viewing your eligibility information:
- Navigate to your dashboard and select the Claims tab.
- From the list, select the My Claims option. The Claim Details page will be displayed.
- Select the Eligibility Information tab.
- Select the claim you want to review.
- You will be able to see your claim details along with the eligibility history.
The My FAMLI+ portal allows claimants to file an appeal if they disagree with the determination of their claim(s). Claimants can provide additional information and upload documents.
Instructions to submit an appeal:
- Navigate to your dashboard and select the Claims tab.
- From the list, select the My Claim option. The Claim Details page will display.
- Select the Eligibility Details section.
- You will see the status of your claim. Select the Appeal button.
- On the Submit an Appeal page, you must state the reason for your appeal.
- Next, upload documents that support your appeal. The documents you have uploaded are listed at the bottom of the page.
- Once you have uploaded the documents, select the Submit button.
You must submit an appeal within 49 days of the initial determination of your claim. In case of a delay, you must provide a valid reason for the delay.
Instructions for viewing your payment history:
- Navigate to your dashboard and select the Payments tab. The Payments page will display.
- Here, you can view all the payments that were made to you. You’ll also see other details such as the claim nickname, the start and end date of the claim, payment date, and the amount paid to you.
- As a Designated Representative, you can view the claims you have filed on behalf of someone else in the Managed Claims tab. You can review your personal claims in the My Claims tab.
- You can also filter the payments using the provided fields.
Instructions for viewing your overpayments:
- Navigate to your Dashboard, and under the Payments tab, select the Overpayments option. The Overpayments page will display.
- Here, you can view all the overpayments made to you.
- You also see a summarized view of the amount you were overpaid, the amount repaid, and the balance amount you owe. To view Repayment History, select View Repayments.
- If you are not able to make the repayments, you can submit a waiver request. Select the Submit Waiver Request button.
- Provide the details of your hardship.
- You must also upload any supporting documents. You won’t be able to submit your waiver request without uploading at least one supporting document.
- Select the Submit button. If your waiver request is accepted, the FAMLI Division may waive all or part of or your overpayment balance.
As a claimant or Designated Representative, you can update the Payment Type in the My FAMLI+ portal. You may be prompted to re-verify your identity prior to making a Payment Type update.
Instructions for updating payment type:
- Select the Update Payment Type option from the dropdown menu on the Payments tab on top of the Dashboard. The following screen will display.
- Upon selecting the Next button, you will be prompted to re-verify your identity. Complete all the steps following the directions that display.
- When your identity is verified, you will be directed to the Update Payment Type screen where you can make any necessary changes and then select Submit.
To update your Payment Type to Direct Deposit you will need to enter Account type, Routing number, and Account number details for the account you wish to use for the deposits, and then select Submit. If you select the Debit Card Payment Type, a message will display requiring you to open and read the ReliaCard Pre-Disposition Disclosures document. You must then select the "I have read and understand the ReliaCard Pre-Acquisition Disclosures" checkbox and select Confirm. You are then returned to the Update Payment Type screen, where you must select Submit. Your Payment Type will be updated and the Success Message “Your payment information was updated successfully” will display on the top of the screen.
NOTE: If you have a pending identity verification task, the system will remind you with a pop-up message as soon as you select the Update Payment Type option on the Payments tab. You must complete the ID Verification task by uploading a notarized Identity Attestation Form OR wait for FAMLI staff to complete processing that identity verification task if you have already uploaded the required form.
Instructions for updating phone number or address:
- Select the Account Information option from the dropdown menu when you hover over your name on top right of the dashboard in the My FAMLI+ portal.
The My Account Information page will display.
- Select the Edit Contact Information button to update your phone number. Enter your new phone number and select Save.
- Select the Edit Mailing Address button to make changes to your address. Enter your new address by selecting the Enter Address button and then selecting Save.
- Next, you may be directed to the ID proofing steps. Complete all the steps following the directions that display.
NOTE: You may be prompted to enter a one-time verification code that will be sent to your new phone number and/or email. To get a new code select Resend Code button. If you select the I Didn’t Receive a Code button, the system won’t send another code and will direct you to the Complete Identity Form page.
- Upon completion of the identity verification process, the Success Message “You completed identity verification. Your account information is updated.” will display on top of the My Account Information page.
The system will save the updated phone number or address information.
NOTE: If you have a pending identity verification task, the system will display the pop-up message Your Identity Verification is Pending after you enter a new phone number or new address and select Save. You must complete the ID Verification task by uploading a notarized Identity Attestation Form OR wait for FAMLI staff to complete the identity verification process if you have already uploaded the required form.
You can view and complete a pending Identity Verification task by selecting My Tasks from the dropdown menu on the Tasks tab, or by selecting the Start Task button on the bottom right of the Dashboard in the My Tasks field. This task is due within 30 days of the date it was assigned to you.
Upload your notarized form by selecting the Choose file button on the Complete Identity Form page that will display when you select the Start Task button.
If the task is not completed by the due date, you will receive a communication indicating that you cannot make changes to your account and must re-verify your identity in order to update your phone number or mailing address. Your current claims won’t be impacted.