We know that filing a claim for a leave of absence can seem intimidating, and often confusing, but we’re here to help!

Review How to file a claim.

Next Steps:

1. Notify your Manager and your local Human Resources Department of your upcoming leave.
2. Within 30 days of your leave date, file your leave of absence claim one of two ways:
   1. Call Broadspire at 1-877-542-2158 and a claims intake specialist will take your information and initiate the disability/leave process.
   2. Register at https://leavetech.my.site.com/connect using the email address that you provided when initiating your claim. Review:
      1. How to Register for Portal Connect
      2. Portal Help Guide for Employee Connect
   3. Please refrain from filing your claim for leave of absence before the 30 days prior to your scheduled leave date. If your claim is filed too far in advance, Broadspire may require you to reapply.
3. Watch for important information from Broadspire, such as a Medical Authorization Form for authorization to contact your providers for medical certification of your claim.
4. A Broadspire Claims Examiner will contact you about your claim status and work with you one on one for the duration of your absence.

Have questions before filing your claim? You can call Broadspire at 1-877-542-2158 and talk to a representative or connect with your local Human Resources Department.

• Review your paid time off benefits.
• Check out the leave and disability benefits to understand your paid and unpaid options.
• Review the How to file a claim.
• Check to see if your state has mandated disability benefits that you may be entitled to receive while out on leave. The claim filing process and disability benefits vary by state. See below..
• Review ZOLL Leaves of Absence Practices and ZOLL Leaves of Absence Summary Grid.
• Check to see if your state has mandated disability benefits that you may be entitled to receive while out on leave. The claim filing process and disability benefits vary by state. See below.

If you reside in a state that requires mandated disability benefits, you will be covered under these state plan. The claim filing process and disability benefits vary by state. Click the links below for more information:
California
Colorado*
Connecticut
District of Columbia
Hawaii*
Massachusetts*
New Jersey
New York*
Oregon*
Puerto Rico
Rhode Island
Washington

* These state plans are administered by Broadspire on behalf of ZOLL. Beginning in 2025, these state benefits will be paid through ZOLL Payroll.

You must apply directly to any state that does not have an asterisk next to it. You may also ask your Broadspire Claims Examiner about the filing process for any of the states listed above.

• Reach out to your local Human Resources Department if you need assistance with finding a doctor and coordinating treatment.
• Contact the Employee Assistance Program if you need personal or emotional support during your leave or disability.

ZOLL helps you take care of your health and your family when they need you most. Have questions before filing your claim? You can call Broadspire at 1-877-542-2158 and talk to a representative or connect with your local Human Resources Department.