Filing for Temporary Disability Insurance (TDI)
Applies to employees who need (TDI) for disability- related medical care.
Step 1: Create Your New Jersey State Portal Account
Go to the New Jersey Department of Labor and Workforce Development website.
Click “Create Account.”
Set up your login credentials.
Step 2: Submit a Temporary Disability Insurance Claim (DS-1 Form)
Log in to your account.
Click “Submit Application.”
Select “Disability Insurance.”
Complete the DS-1 form online.
You will be asked to provide information regarding:
Claimant details
Medical information
Employment information
Once complete, click Submit to officially file your claim.
After submitting your information in the NJ state portal, please return to your Cocoon task list to mark the submission as complete so your employer is notified.
🎬This step-by-step video guides you through the process of applying for Temporary Disability Insurance in NJ.
Step 3: Notify your medical provider
Your provider must certify the claim before New Jersey can process it. Please provide them with:
Your Claim ID / Form ID
Your provider will login to the NJ site and certify your claim. They have 14 days from your submission to complete the certification.
⚠️ Important: Your claim will not proceed until your medical provider completes the certification. Follow up with your provider to confirm completion of certification.
Step 4: Processing Your Claim
After your provider certifies your claim, it will be reviewed and processed:
Processing typically takes 5–6 weeks, but timing can vary.
Wait for a confirmation email indicating your claim has been approved.
Once approved, payments will be issued.
Step 5: Receiving Payments
Payments are usually issued by check
Direct deposit optional
You must contact the state
Verifying Payments: As you begin to receive benefits, you can upload check stubs to Cocoon’s benefit verification tool for us to audit
FAQ:Important Forms You May Receive
Q: What forms might I receive from New Jersey?
C-10 (Claimant Information) – return within 10 days
E-10 (Employer Wage Verification) – sent to employer, return within 2 weeks
M-10 (Medical Information – TDI only) – return within 10 days
P30 (Request to Claimant for Continued Claim Information) -return if extending or ending a claim.
Q: What happens if I don’t return a form on time?
The claim may be automatically denied. It will remain denied until the form is received. Re-review can take 9-10 weeks, and online status will show “Denied” until a new decision is made.
Q: How can I avoid delays?
Respond promptly to all forms as soon as you receive them.
Be sure to file your claims on time
Q: What happens if my claim is denied?
Depending on the reason for denial, you may be able to appeal the decision. Please contact support@cocoon.com and send us your denial notice, we will walk you through the next steps for filing the appeal process.
Q: Who all can certify my medical forms?
Chiropractor
Dentist
Osteopath
Podiatrist
Medical Doctor
Optometrist
Psychologist
Advanced Practice Nurse
Advanced Practice Registered Nurse
Certified Nurse Practitioner
Clinical Nurse Specialist
Certified Nurse Midwife
Acceptable when under the supervision of a licensed physician:
Physician Assistant
Certified Professional Midwife
For Temporary Disability Insurance, medical information cannot be submitted by a:
Professional counselor
Social worker (LCSW)
Faith healer
Q: Can I submit my claim early?
If planning ahead, you may start your online application up to 60 days in advance. To avoid deletion of your draft application: (1) within 14 days of starting the application, provide all information and confirm your claim; then (2) within 14 days after the start of your leave, certify and file your claim.
Q: What is the deadline to submit claims?
If applying after your leave begins, you have 30 days' from your first day of leave to file your application.