Why do they need the denial letter

Hi again. Why does my insurance need my denial letter from cppd and my appeal letter ?
They are very annoying. Plus they want my rheumatologist to fill out a back to work questionnaire. Why???!

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The insurance company will reduce their payment to you once you are approved for CPPD payments. They are just asking you to provide proof you were denied by requesting a copy of the denial letter. I suspect they want the copy of the appeals letter as proof you are appealing the decision.

The want ongoing documented medical reports supporting your inability to work hence the report from your rheumatologist (and perhaps any other doctors or specialists supporting your inability to work)

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Probably for reporting purposes. They need all this information to continue to manage your case. That’s all.

This is something individual to your case. It can be just to help them decide if you are ready to go back to work or not. Probably nothing super scary unless you gave them a reason to think you are doing well. It all can be just routine evaluation for reporting purposes.

They need proof you are prusing the CPP benefits and appeals or otherwise they will start estimating and deducing what you “could get” from CPP. With many insurers they will hold off on estimating and deducing CPPD from your LTD payments as long as you can prove you are pursuing the appeals against CPPD.


David Brannen

Disability Lawyer with Resolute Legal

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That would have been nice.
My insurance company was quick to estimate and deduct but thankfully I had applied for CPPD before they asked.

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