Short-Term Disability Benefits for City of Mesa Employees


Short Term Disability (STD) is voluntary insurance for City of Mesa active employees who enroll in the program during open enrollment.  Coverage for short-term disability covers non-work related disabilities, and pays 66 2/3% of an employee's base pay at the time of disability (after waiting period) for a maximum of six months. Please be aware during the first six months of STD coverage, pre-existing conditions may not be covered under this plan.


STD Policy Certificates

The City of Mesa's Voluntary Short Term Disability (STD) plan is a group policy that is administered by Mutual of Omaha. Active Employees who are enrolled in STD through the City can review the policy and payment of claims provision in the certificates below. The certificates are based on the elimination period (waiting period) that the member enrolled in.

How to Apply for Short Term Disability (STD)
  1. Call (800) 877-5176 to file your claim with a Disability Customer Service Representative.
  2. The Customer Service Representative will complete the telephonic claim form. You will need to provide your personal information as well as your injury/illness and employment information.
  3. Once the call is complete, Customer Service will mail you an Authorization to Disclose Personal Information form.  Please complete, sign and fax or mail the form directly to Mutual of Omaha (fax 402-997-1865). It is best to write on the top of the form your claim number that will be given to you when you call in your disability. Mutual of Omaha will send the authorization form to your attending physician(s) as necessary to obtain medical records.
  4. The claim will then be submitted for processing.

Follow Up On a Claim

Mutual of Omaha will contact your employer and physician to request additional information. There may be a delay in processing your STD claim due to missing information (i.e. medical records, Attending Physician Statement, Authorization to Disclose Personal Information, verification of information, etc.).

Mutual of Omaha will follow up on missing physician information until it is received. If Mutual of Omaha does not receive a timely response form the physician's office, Mutual of Omaha may recommend that you contact your physician's office in order to expedite the request.

For questions

Claim Status:  Mutual of Omaha - Disability Customer Service at 1-800-877-5176

Program Information:  Employee Benefits  at (480) 644-2299 Option 7 or email Benefits at




Employee Benefits
20 E Main Street, Suite 600
Mesa, AZ 85201
Office hours:
Mon -Thurs 7am-6pm
(480) 644-2299 - Phone
(480) 644-4548 - Fax

Option 1: Medical Plan


-Verification & Coverage

-Claim Status


-Disease & Case Management

-Medical Appeals

-Request Medical/Prescription Card

Option 2: Prescription Plan

CVS Caremark

 -Prescription Coverage



Option 3: Dental Plan

Delta Dental

-Verification & Coverage



-Request Dental Card

Option 4: 2015 FSA



-FSA Balance

-Request FSA Card


Option 5: Eligibility - Active Employees 

-New Hires


-Qualifying Events

Option 6: Eligibility - Retired Employees

-Premium Information

-Qualifying Events


 Option 7: General Questions

Option 9: 2014 FSA- Benefits Office

E-mail (password resets cannot be done via email)


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