Instructions for Members for Submission of a Long-Term Disability Claim Application
Plan Members who are absent 41 consecutive weeks, because of Total Disability due to illness or injury, should submit a Long-Term Disability claim to the Plan Administrator’s office at:
Canadian Benefits Consulting Group
2300 Yonge Street, Suite 3000
Toronto, ON M4P 1E4
LTD benefits are payable following an uninterrupted period of disability of 41 weeks which is the “Weekly Indemnity Benefit Elimination Period”. If you remain Totally Disabled from your occupation, you should apply for Long-Term Disability (LTD) benefits at least 8 weeks before the end of the elimination period. The Plan will not be liable for claims that are submitted more than six (6) months after the 41 weeks of Weekly Indemnity Elimination Period.
Following 30 weeks of disability, you will be automatically sent the LTD Application forms from the Plan Administrator. Should you not receive the LTD Application forms by 35 weeks of disability, you should contact the Plan Administrator immediately at 1-800-268-0285.
There are 3 parts to the LTD Application:
- Employee Statement – to be completed by the Member
- Physician Statement – to be completed by your Attending Physician/Specialist
- Employer Statement – the first page to be completed by CP Staff Records in Calgary; the second page to be completed by your immediate supervisor
Medical Information
You are responsible for providing medical proof that you are Totally Disabled. This medical information must be from your Medical Doctor (MD) who may charge you a fee for providing this and you are responsible for paying such fees.
It is the Member’s responsibility to forward all completed forms, correspondence, etc. directly to the Plan Administrator and the original forms must be submitted.
