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To fill out the Provider Section of the DB-450 for your patient's DBL claim, please
enter the claim number below.
First Rehab Life has been dedicated to excellent service and independent insurance
producers since 1972. We are proud to insure more than 120,000 policyholders. As
a leading carrier of New York State DBL, our product portfolio also includes employee
benefits ranging from Dental and Vision to Long-Term Disability.
First Rehab Life Acquires J.M.I.C.
> Read More..
Dental Claim and Administration Changes
Lower Statutory DBL Rates
By entering our website and accessing its content, you agree to our Terms & Conditions
of Use. Read our Terms & Conditions here.
©The First Rehabilitation Life Insurance Company of America | 600 Northern
Blvd. | Great Neck, NY 11021 | 800-365-4999
Not licensed in all states. Currently licensed in: CO, CT, DE, DC, IL, MA, MD,
MI, MN, NJ, NY, PA, RI, SC, TN.
Rated A- (excellent) by A.M. Best Company
| Online Privacy
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Welcome to the First Rehab Life website! This site is owned and operated by The
First Rehabilitation Life Insurance Company of America. By using this site, you
do not agree to these Terms, please do not use this site.
The information and materials contained on this website are provided for general
information purposes only, as a convenience to producers (agents, brokers and others
who are licensed to sell insurance) and the general public. First Rehab Life assumes
no liability or responsibility for any errors or omissions in the content of this
site. The material in this site could include technical inaccuracies, typographical
errors, or omissions. We reserve the right to correct any errors or omissions and
to change or update information at any time without prior notice.
This site contains general information about First Rehab Life's products and services
only within those states where First Rehab Life is currently licensed. First Rehab
Life products are not available outside the United States and not all products are
available in all states. For a listing of states where First Rehab Life maintains
licenses, see the Corporate section. The materials offered through
this website do not constitute an offer of insurance or guarantee insurability in
any jurisdiction. Licensed producers (agents and brokers) must obtain a First Rehab
Life producer number to register for access to restricted areas of this website.
More information about products and their availability can be accessed in the
Product Portfolio section of this site or requested from
Materials from this website, including text on the pages of this site, downloadable
brochures, forms, videos, or materials in any other format, may not be copied, reproduced,
republished, uploaded, posted, displayed, transmitted, linked to, or distributed
in any way without prior written consent. Producers may download, print, or copy
materials for marketing and informational use only within their own offices and
for client presentations. Individuals (policyholders, employers, insureds, claimants)
may download, print, or copy materials for personal, noncommercial use only. Modification
or use of any First Rehab Life materials for any other purpose is a violation of
First Rehab Life's copyright, service mark, trademark and other proprietary rights.
No right, title, or interest in any content is transferred to you as a result of
any downloading or printing any materials. Further, you may not imitate, modify,
alter, create derivative works from, license, sell or participate in any sale of,
or exploit in any way, in whole or in part, any of the contents without prior written
Permission may be obtained by contacting the Director of Marketing at 516-829-8100
. If any of these Terms are breached your authorization to use this site is automatically
terminated and you must immediately destroy any materials in your possession obtained
from this website.
The entire content of this website is copyright-protected under the laws of the
United States. First Rehab Life is the copyright owner of all text and other materials,
including but not limited to video clips, PDF brochures, and forms contained on
this site. All trademarks, service marks, logos, icons and unique product descriptive
names (including but not limited to First Rehab Life SM, The 100% Solution®,
If you can spell it you can sell it!®) are the property of First
Rehab Life. All rights are reserved. Trademarks, service marks, or any other proprietary
material may not be used, copied, reproduced, republished, uploaded, posted, displayed,
transmitted, linked to, or distributed in any way without prior written permission
from the First Rehab Life Director of Marketing.
All stock images are the copyrights of their respective owners and are licensed
for use. Any other names mentioned on this site (whether in the materials or through
links to other sites) may be the trademarks of their respective owners. You may
only view, download, and print the contents displayed on this site subject to the
By using this site you agree to defend, indemnify, and hold First Rehab Life harmless
from and against any and all claims, damages, costs and expenses, including attorney
fees, arising from or related to your use of the site. First Rehab Life is not liable
for any direct, indirect, incidental, special, consequential or punitive damages
that result or may result from use of or the inability to use material contained
on this website, regardless of whether such alleged damages are or may be caused
in whole or in part by negligence or any other action of First Rehab Life, its employees,
agents, officers or directors. Also, First Rehab Life will not be liable for any
defamatory, offensive or illegal conduct or actions of any user.
First Rehab Life does not represent, warrant or guarantee that this website (or
the server it is located on) is free from viruses, worms, Trojan horses or other
harmful components. Under no circumstances will First Rehab Life be liable for any
direct, indirect, incidental, special, or consequential damages that may result
from the use of the materials on this site or a site that is accessed through this
site. First Rehab Life is not responsible for technical, hardware or software failures
of any kind, lost or unavailable network connections, and/or incomplete or delayed
First Rehab Life does not represent or warrant that any of the information presented
on this website will be free from any errors or that defects will be corrected,
or that links to other web pages will be active. If you disagree with or are not
satisfied with the material on this web site, or with any of First Rehab Life’s
terms and conditions, your sole and exclusive remedy is to discontinue use of this
site. If you find an error or defect in this website, contact the webmaster at email@example.com.
For your convenience, we may provide links to third-party sites that are not maintained
by First Rehab Life. We do not endorse these sites and are not responsible for their
content. Privacy Policies on those linked sites may be different from our Policy,
any personal information. First Rehab Life does not endorse any third-party sites
linked from as well as linking to our Site. We are not liable for
the content, accuracy, relevancy, copyright compliance, regulatory compliance, legality,
or decency of sites connected through outgoing and/or incoming links.
If you decide to access any such third-party sites, you do so at
your own risk.
First Rehab Life understands the importance of protecting your privacy and we are
committed to preventing unauthorized access or misuse of your information. Our website
is secured by VeriSign. Personal information (such as your name, social security
number, federal tax identification number, mailing address, e-mail or policy information)
is not automatically collected from visitors that browse public areas of our website.
In order to access pages involving policyholder or producer transactions, all users
must complete a registration process. We only collect personal information you provide
when filing out an online form or registering for an online account. Personal information
provided during inquiries and/or registration is NOT sold, shared or disclosed to
third parties! However, we may release your personal information if required to
do so by state or federal law, a government agency or a court of competent jurisdiction.
Despite our reasonable efforts to protect your privacy, we cannot guarantee that
unauthorized access will not occur. If your communication includes personal information
that you do not wish to provide electronically, please contact us via postal mail,
fax, or phone at:
All activity on this site is subject to monitoring at any time by First Rehab Life.
Using this site is evidence of your consent to such monitoring and to your agreement
that First Rehab Life may use the results of such monitoring without limitation.
First Rehab Life operates this site from its headquarters in Great Neck, New York,
and makes no representation concerning the appropriateness or availability of these
materials for use in states where we are not licensed to sell insurance. These Terms
of Use will be governed by and be interpreted pursuant to the laws of the State
of New York. If any part of these Terms is found to be unlawful, void, or unenforceable,
that part will be deemed severable and will not affect the validity and enforceability
of any remaining provisions. Any use of this site for illegal purposes or potentially
illegal activities will be provided to law enforcement authorities.
First Rehab Life reserves the right to modify or amend these Terms at any time.
Any changes will be effective immediately and will supersede any prior policies.
We encourage you to review this page periodically for the most recent Terms of Service,
as it may be revised in whole or in part with out notice. Use of this website signifies
your acceptance of its terms at any time. If you do not agree with the terms of
March 27, 2009.
First Rehab Life retains the right to cancel any account or restrict access to this
website in any manner. These Terms are effective until changed or discontinued by
First Rehab Life. You may at any time discontinue use of this site and destroy all
materials obtained from this site and all related documentation and all copies of