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Expression of Interest Electronic Payment System
12/4/2019 10:55:52 PM
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NIB Continues to Seek a Resonable Conclusion to its Industrial Agreement
12/4/2019 10:31:53 PM
On Friday, November 29, 2019 the Union of Public Officers (UPO) staged a demonstration at The Nation...
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Employer Self Service (Coming Soon)
11/28/2019 2:04:33 PM
The National Insurance Board is please to inform the public...READ MORE
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NHI EXPERIENCE
11/17/2019 4:52:28 AM
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Thinking back to your last customer service encounter with the National Insurance Board, please rate the service you received
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Benefit & Assistance
These are the forms used for submission of claims
Short Term Benefits
,
Long Term Benefits
and
Medicare Benefits
.
Select the required form from the list.
Benefit & Assistance
Update
Authorization to Pay a representative
Form to be submitted when sending someone to collect a payment from NIB on your behalf.
08.22.19
B.44 Industrial Accident
Form required for submission of claims for industrial accident/injury benefit.
03.22.2013
B.44 Self Employed
Form required for submission of industrial accident for self-employed persons
03.22.2013
B.46 Employer Contribution Request Form
Form provide the total insurable wages on which contributions have been paid or are due to be paid.
07.21.2015
B.47 Disablement
Form required for submission of claims for disablement benefit.
09.14.2009
B.51 Funeral
Form required for submission of claims for funeral benefit.
09.14.2009
B.58 Form - Retirement
This form needs to be completed to begin the process associated with Retirement Benefit.
05.2017
B.58(b) Form - Retirement
All claims for Retirement Benefit made by individuals younger than 65 years must be accompanied by the Employers Retirement Confirmation (Form B58[b]). This form seeks the employer's verification that the claimant has retired from his employ, or if not retired, confirmation of the wages paid. It is to be duly completed and signed by the employer or his representative.
07.16.2019
B.67 Beneficiary Deceased
Form required for submission of claims for Survivors Benefit or Assistance.
09.14.2009
B.80 Termination of Service
Lay-Off Certificate.
07.21.2015
Med.1 Sickness_Injury
Form required for submission of claims for sickness and injury benefits.
03.12.2013
Med 1 - Incapacity for Work
Form required for submission of claims for sickness and injury benefits when period of incapacity exceeds 26 weeks.
11.10.2016
Med.2 Maternity
Form required for submission of claims for maternity benefit/grant for both before and after confinement.
09.14.2009
Med.3B Maternity Grant (Spouse)
Form required for submission of claims for maternity grant, where the spouse's contributions are being used.
09.14.2009
Med.4 Employer Certificate
Form required for certification or confirmation by the employer of claimants stated period of incapacity.
09.24.2015
B.75a Assistance Verification
Form needed for twice annual verification by pensioners in receipt of long-term Assistance.
09.14.2009
B.75b Benefit Verification
Form needed for twice annual verification by pensioners in receipt of long-term Benefits.
04.30.2012
B.82
Claim For Unemployment Benefit
02.01.2011
Invalidity Benefit Claim Form
Invalidity Benefit Claim Form
06.22.2010
Survivors Student Confirmation
Survivors Student Confirmation amended
10.03.2011
Survivors Benefit Claim Form
Survivors Benefit Claim Form amended
01.04.2011
Direct Deposit of Benefit/ Assistance to Bank Account
Direct Deposit Form for direct banking
06.14.2013
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Bank Pension Payment
from 1/21/2020 9:00:00 AM
to 1/21/2020 11:00:00 PM
Bank Pension Payment...
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Pay-station Pension Payments January 2020
from 1/23/2020 9:00:00 AM
to 1/23/2020 5:00:00 PM
Pay-station Pension Payments...
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Bank Pension Payment
from 2/18/2020 9:00:00 AM
to 2/18/2020 10:00:00 PM
Bank Pension Payment...
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