SISIP
Home  > Insurance  >  Long Term Disability (LTD)
About SISIP Financial Services
Insurance Services
  Serving Members
Insurance Plans
  Released Members
Insurance Plans
 
 
Financial Counselling
Financial Planning
Financial Education
Canadian Forces Personnel Assistance Fund
CF Group Retirement Savings Plan
Office Locations
Support Our Troops
Tax Deductible
Donations


Insurance

Your Financial Protection for Today...and Tomorrow!



SISIP Long Term Disability (LTD)
Insurance Plan for the Regular Force, the Reserve Force on Class C Service, and Primary Reserve Force on Class A & B Service

The LTD is a disability group insurance plan that provides you with replacement income protection if you are released from the Canadian Forces (CF) for medical reasons, or if you become totally disabled. This plan is also designed to prepare you to obtain gainful civilian employment through participation in the Vocational Rehabilitation Program (VRP).

Frequently Asked Questions:

 

What does "total disability/ totally disabled" mean?

It means that you have been released from the CF and that there is clear and objective medical evidence, which confirms that you are incapacitated by a medically determinable physical or mental impairment, which is preventing you from performing any and every duty of any substantially gainful occupation or employment for which you are qualified by education, training or experience.

FAQ

Who has the governance of the LTD insurance plan?

The Treasury Board of Canada (TBC) has the governance of the plan, SISIP Financial Services (SISIP FS) is the administrator, and Manulife Financial is the insurer.

FAQ

What are the differences between the coverage provided by the LTD plan and by the Pension Act (PA)?

The LTD plan covers you 24/7 and provides an income replacement benefit regardless of whether you are injured in the line of duty or not. This application must be clearly separated from the PA, administered by Veteran Affairs of Canada (VAC), which provides compensation for disabilities attributable to military service.

FAQ

What is my contribution to the LTD?

Regular Force:

The TBC pays 85% of the total premiums and you pay the remaining 15%.

Reserve Force:

The TBC pays 100% of the premiums for an established deemed basic salary of $2,000 per month for Primary Reserve Class A or B service of less than 180 days. You may submit an application form to SISIP FS to increase your coverage from $2,000 to either $3,000 or $4,000 per month, determined by an income test. Once the increase in coverage is approved, you must pay the additional premiums. For Primary Reserve Class B service of more than 180 days or Reserve Force members on Class C service, the TBC pays 100% of the premiums, and you are covered for each period of service.

FAQ

What are the benefits under the LTD?

Regular Force:

The LTD benefits equal 75% of your salary on release, less other relevant sources of income* :

Reserve Force on Class C Service and Primary Reserve Force on Class A and B Service:

  • For Primary reservists on Class A or B service of 180 days or less, the LTD benefits, when added to income from other sources**, equal 75% of a deemed monthly basic salary of $2,000 or 75% of your additional optional coverage if purchased.
  • For reservists on Class C service and Primary reservists on Class B service of more than 180 days, the LTD benefits equal 75% of your monthly salary applicable at the time the injury or illness occurred when added to income from other sources*.

*Other relevant sources of income include:

  • The Canadian Forces Superannuating Act (CFSA) benefits;
  • The primary benefits under the Canada Pension Plan (CPP) or the Quebec Pension Plan (QPP);
  • The monthly PA disability benefits (including the dependent benefits and any retroactive payments); and
  • Any employment income.
  • The lump-sum Disability Award under the New Veterans Charter is not considered a "relevant source of income" and therefore does not offset the LTD benefits.

**For the Primary Reserve Force on Class A or B service, other relevant sources of income include all of the above and, in addition, benefits payable under:

  • A LTD coverage provided through another employer;
  • Other disability employment plans, such as workers compensation;
  • An automobile insurance;
  • An employee pension plan; and
  • The Government Employee Compensation Act (GECA).
Please note that once the Insurer approves your claim, you are paid the full amount of the LTD benefits up front with the understanding that any subsequent awards received under the CPP/QPP or PA, including the dependent benefits for PA and any retroactive payments, will have to be reimbursed to the Insurer and, if applicable, your monthly benefits will be adjusted accordingly .

FAQ

Are the LTD benefits taxable?

Yes. However, during the first year you become a claimant all the LTD premiums paid during your military career can be deducted for tax purposes.

FAQ

How do I know if I have LTD coverage?

Regular Force:

  • If you joined the CF on or after April 1, 1982, coverage is automatic.
  • If you joined the CF prior to April 1, 1982, you had to apply for LTD coverage and, if you are covered, it is indicated on your pay statement.
  • If you wish to apply for coverage, you must submit an application form to a SISIP FS insurance representative or call us at the number indicated at the end of this document. You will also be required to provide evidence of insurability (i.e., answer questions on your health status).

Reserve Force:

  • If you are a primary reservist on Class A or B reserve service of 180 days or less, coverage is automatic for each period for which you are "on duty". "On duty" means that you are authorized and entitled to pay during the performance of primary reserve service.
  • If you are a primary reservist on Class B reserve service of more than 180 days or a reservist on Class C, coverage is automatic for each period of service and is deemed to be twenty-four hours per day, seven days a week.

FAQ

What is the process if I am released medically from the CF?

  • SISIP FS is notified of your medical release;
  • SISIP FS verifies your eligibility and informs Manulife Financial;
  • Your local Case Manager will give you an LTD claim package; and
  • Once all forms are received by Manulife Financial, you are informed of the decision.

FAQ

Can I submit a claim if I select a voluntary or any other type of release?

Yes. However, you must submit your claim within 120 days after your effective date of release and you must qualify as totally disabled.

When do I start receiving LTD benefits?

Once you are approved for benefits, they are paid starting the day following your release from the CF.

FAQ

How long can I receive LTD benefits for?

If you are medically released, your initial benefits terminate 24 months after your effective date of release. Medical reviews will be conducted at 12 and 18 months to determine your eligibility for continued benefits beyond the initial 24-month period. As long as you qualify as totally disabled, you may be eligible for continued benefits up to your 65th birthday.

If you are released for reasons other than medical and you qualify as totally disabled you can receive benefits. Medical reviews are conducted once per year. You may be eligible for continued benefits up to your 65th birthday, as long as you qualify as totally disabled.

FAQ

What are the limitations and exclusions of my LTD plan?

No coverage is provided if total disability results from any of the following:

  • The injury was sustained as a result of participation in the commission of a criminal offence;
  • The injury was intentionally self-inflicted or you attempted self destruction, while sane or insane;
  • The total disability has begun during the first twelve months of coverage from injuries or sickness for which you consulted a physician during the six-month period immediately preceding the date you became insured under this Policy; or
  • If you are a reservist, the condition commenced or the injury occurred prior to December 1, 1999 and, you didn't have LTD coverage up to December 1, 1999;
  • Former members of the Regular Force who are annuitants and serving as Primary Reserve members on Class B service of more than 180 days are not covered during their mandatory 35-day break in service.

FAQ

What is the Vocational Rehabilitation Program (VRP)?

The VRP prepares you to obtain gainful civilian employment by enhancing your existing education, skills, training and experience if needed. Once approved for LTD benefits the VRP department at Manulife Financial will send you an introduction package containing the objectives and procedures of the VRP. A VRP counsellor helps you determine the best training plan and programs. These plans are approved on an individual basis.

Is there an accidental dismemberment clause within LTD?

Yes. Under specific circumstances, you may receive the same benefits as for LTD for up to three years. The length of the benefit is determined depending on the severity of the dismemberment. The accidental dismemberment must be non-attributable to military service, must occur within 365 days of an accident, and you must be released from the CF within three years of the date of the accident. There is no provision for a lump sum payment for accidental dismemberment in the LTD policy.

If you suffer an accidental dismemberment or loss of sight, hearing, or speech, attributable to military service, you may submit a claim under the Accidental Dismemberment Insurance Plan (ADIP).

FAQ

 

In the case of conflict between this document and the insurance contract, Policy #901102, the terms of the contract shall prevail.

LTD | ADIP | SDP
OGTI/RTIP | IRM | CAR | SIB | GOIP | MPRLIP

Top

 

Feature Article
" SISIP FINANCIAL SERVICES Celebrating 40 years as an integral part of the Department of National Defence Team! "
Archives
ArticlesNews
Downloads
CFGroupRSP Access Link

CFGroupRSP Great News
Links
  Important Notices   |   Investor Privacy Notice   |   Website Compliance

Last Updated: 27 Oct. 2009