First time poster here. Thank you David & the Resolute Legal team for an amazing website & resource.
My LTD insurance provider Sun Life has requested I apply to CPP-D as we are past the 2 year mark. All my LTD applications were approved first time around.
I’ve reviewed the resources on the pages here, but didn’t find the answer to this question.
For the CPP-D medical report, I have been given 2 options:
Consent for LTD insurance provider to share medical info with CPP-D for the application OR
Have my doctor complete & submit the medical report.
#1 is obviously the easy button, but I was wondering which approach is recommended and most likely to yield success?
Is there anything medical that you don’t want them to see for whatever reason? I don’t know what the odds of success are but I figured it was in my LTD insurer’s interests to get me approved so I did give them consent. I also don’t think I could have physically managed the process myself I was too weak.
I didn’t have a choice so my doctor completed my application.
I would let the insurance company submit the medical info UNLESS there have been new tests or diagnoses that happened AFTER the LTD was applied for.
Also, is it the same doctor now as before (rhetorical).
@Caro I’m fine with Service Canada seeing the info that LTD insurance has.
@jammer LTD insurance has required updates every 4 months for the past 2+ years from my support team, so they have the current information from all my doctors (who have not changed). They have also required written updates from me every 4 months for the past 2 years, so they have that info as well.
I have been on LTD for 1 year when the insurer requested I apply for CPPD. They only had a few medical updates on file with the insurer so I got my supportive psychiatrist to fill out the CPPD Medical form and I also got the insurer to send if the medical documents they had on file. I wanted to give it my best chance on my initial application. I applied in late Nov so I am at day 60 and hopeful by day 120 I find out from CPPD one way or another.
Sometimes the insurance company will hire a firm that specializes in filling out the CPP disability forms. You should ask about this as these firms know what to say.
This depends on how strong the information is in your LTD file. How well does the medical information support that you have a “severe and prolonged” disability as defined by CPP disability. It is possible to meet the definition for disability from “any occupation” for LTD but still not meet the definition of a “Severe and Prolonged” disability for purposes of CPP.
This is what we look at when deciding what to do for people when we are preparing their application for CPPD.
You can always start with the LTD information only and get your doctor to do a report if your initial claim gets denied.
David Brannen
Disability Lawyer with Resolute Legal
The response posted above is based on the limited factual information made available and is not intended as a full and complete response to the question. The only reliable manner to obtain complete and adequate legal advice is to consult with a lawyer, fully explain your situation, and allow the lawyer enough time to research the applicable law and facts required to give an adequate opinion. The basic information provided above is intended as a public service only, a full one-on-one discussion with a lawyer should be done before taking any any action. The information posted on this forum is available to the viewing public and is not intended to create a lawyer client relationship with any person. If you want one-on-one advice, please click here to request a free consultation or call toll free 1-877-917-7050 to speak with a member with our disability claim support team.
What is your take if you get the LTD insurer to send in the medical information they have on file and also get your doctor to fill out the CPPD Medical form as your doctor supports your application and will confirm that you are not able to any work in the future as your condition is getting worse and it continuous.
That is often the best way to do it. We will always do that for our own clients unless the medical information from the insurance company is very strong in proving disability as defined by CPP.
This is an old post but the exact same question I have right now.
I have received a notice from my insurer that they will be re-assessing my case soon in order to decide whether they can approve my LTD beyond the 2yr mark. They have acknowledged I have multiple conditions and have only required updates from my doctor every 6 months. So all in all, they have left me alone and I do think they will approve me after the COD (change of definition) as I am still unable to do any kind of work.
So now I am thinking of applying for CPP-D, at least that way I am paying into my CPP contributions if I am approved. I have multiple conditions, most of which are life-long but also some that I can hopefully recover from with treatment. I have so many diagnoses listed on my forms that I’m not even sure exactly which conditions my insurer considers to be the basis for approving my claim. Regardless, I don’t think I would ever be able to sustain a full-time job again or even work part-time consistently as I have too many ups and downs.
Since CPP-D gives me 2 options as mentioned at the top of this thread, to either a) have my insurance company share my case file with CPP-D, or b) to have my medical doctor complete the form, do you think it would raise any red flags with my insurer if I asked them for my case file? I know I have the right to request my file but do you think it would draw unnecessary attention? I am curious to know how strong my case file is. Do you think I should tell them upfront that I would like a copy of my case file as I plan on applying for CPP-D?
