Preszler Injury Lawyers
Preszler Injury Lawyers

Aurora Long Term Disability Lawyer

Find out if you have a case today.

Contact our Aurora long-term disability lawyers for a free consultation if you have legal questions regarding your long-term disability claim.

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A serious illness, injury, or mental health condition can make it impossible to keep working, even in a growing community like Aurora. Whether you commute to downtown Toronto on the Barrie GO line, work in local retail along Yonge Street, or hold a professional role elsewhere in York Region, being unable to work can create financial and emotional strain for you and your family.

Many workers rely on long-term disability (LTD) coverage through a group plan or private policy to replace some of their income while they recover. When an insurance company denies, delays, or cuts off these benefits, the consequences can be devastating.

Our Aurora long-term disability lawyers help local residents challenge unfair LTD decisions. We can explain your rights under your policy, review denial letters, and pursue legal options to seek the benefits you are owed. Consultations are free, and there are no upfront legal fees. Contact us today to find out if we may be able to help you.

How Does LTD Insurance Work in Aurora and Ontario?

Many people choose to purchase private insurance policies that provide coverage for Long-Term disability (LTD) benefits. Others may have access to LTD benefits through their employer’s group insurance plan. In case they are unable to continue working because of a disabling medical condition, they might be eligible to collect monthly income replacement payments.

LTD benefits typically provide recipients with between 60-70% of their normal income when a chronic illness, physical injury, or severe mental health issue makes it impossible for them to carry out the tasks associated with their jobs.

That said, certain insurance policies might also impose payment caps on the amount of benefits qualified policyholders are entitled to receive. Depending on the policyholder’s salary, the amount of benefits payment to which they may be entitled could be significantly lower than 60-70% of their usual wages.

However, even though LTD benefits only provide recipients with a portion of their normal earnings, they can be a vital source of income when a medical condition makes it impossible to continue performing the duties of their jobs. Many disabled insurance policyholders rely on LTD benefits to continue supporting themselves and their families.

To qualify for LTD benefits, policyholders must first exhaust all other benefits available to them, including short-term disability benefits and Employment Insurance (EI) sickness benefits. Claimants are usually also required to provide their insurer with medical evidence proving that:

  • They have received an official diagnosis for a disabling medical condition
  • They have been receiving prolonged, ongoing medical treatment for this condition
  • As a direct result of their medical condition, the claimant is unable to perform the duties of their job
  • And possibly more

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Since 1959, we’ve helped thousands of Canadians get the compensation they deserve with their long-term disability claims. One of Canada’s oldest personal injury law firms, personal injury law is exclusively what we do. Book a free consultation today with our top-rated personal injury lawyers.

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Conditions That May Qualify For LTD Benefits in Aurora, Ontario

LTD policies generally do not focus on a specific diagnosis. Instead, they look at whether your medical condition prevents you from performing the essential duties of your job, and later, any job for which you are reasonably suited. Many types of conditions can meet this standard, including:

  • Chronic pain and debilitating musculoskeletal problems
  • Serious back, neck, or joint injuries from accidents or degeneration
  • Cardiac or respiratory conditions that limit exertion and stamina
  • Autoimmune diseases that cause fatigue, pain, or unpredictable flare-ups
  • Neurological conditions, including some forms of epilepsy or MS
  • Mental health conditions such as major depression, anxiety disorders, bipolar disorder, and PTSD
  • And more

Even if your symptoms fluctuate, they may still prevent you from performing consistent full-time work. Our Aurora long-term disability lawyers can review your medical history, job duties, and policy wording to help determine whether you appear to meet the applicable definition of disability.

If your condition stems from an accident, such as a car crash or a slip and fall in Aurora, we can also coordinate with our Aurora car accident lawyers and Aurora slip and fall lawyers so that your LTD claim aligns with any personal injury claim you may have.

Why Long-Term Disability Benefits Are Denied Or Terminated

Insurance companies often deny LTD claims for reasons that are confusing or feel unfair. Common explanations include saying that you do not meet the “own occupation” or “any occupation” definition of disability, suggesting that medical evidence is insufficient, relying on surveillance or one-time assessments to question your limitations, or alleging non-compliance with treatment.

Many policies shift after about two years from an “own occupation” definition of disability to an “any occupation” standard. Around this “change of definition” point, insurers frequently reassess claims and may attempt to terminate your benefits.

If you live in Aurora and have received an LTD denial or termination letter, you do not have to accept the insurer’s first decision. A consultation with our LTD lawyers at Preszler Injury Lawyers can help you understand whether you may be able to appeal internally, start a lawsuit, or negotiate a fair settlement.

Learn more about applying for LTD benefits and appealing unfair decisions in our free ebooks, Applying for Long-Term Disability Benefits and Denied Long-Term Disability Benefits.

Steps To Take After An LTD Denial In Aurora

After receiving a denial or termination letter, it is important to act quickly and strategically. You should:

  • Read the insurer’s decision carefully and note deadlines.
  • Continue medical care and follow reasonable treatment recommendations.
  • Request a copy of your claim file from the insurer.
  • Gather medical records, employer correspondence, and notes about your limitations.

Before deciding whether to file an internal appeal or start a lawsuit, consider speaking with a lawyer. Our Aurora personal injury lawyers can review your file, explain the pros and cons of different options, and discuss limitation periods that may apply.

How Our Aurora Long-Term Disability Lawyers Can Help LTD Claimants

When you contact Preszler Injury Lawyers about an LTD denial, delay, or termination in Aurora, we can:

  • Review your policy wording, application, and denial letter
  • Explain the differences between internal appeals and lawsuits
  • Work with your healthcare providers to strengthen your medical evidence
  • Coordinate vocational or functional assessments where appropriate
  • Navigate important limitation periods and notice deadlines

If your LTD denial stems from a serious accident in Aurora, such as a crash on Highway 404 or a fall at a local business, we can coordinate your LTD case with any Aurora car accident claim or slip and fall claim you may have.

We offer completely free, no-obligation consultations for all injured clients in Aurora and throughout Ontario. At Preszler Injury Lawyers, our legal team works on a contingency fee basis, meaning you won’t pay any upfront fees to retain our services unless we successfully recover compensation for you.

Contact Our Aurora Long-Term Disability Lawyers Today for a Free Consultation

If your long-term disability benefits were denied or cut off and you live in Aurora or York Region, you do not have to face the insurance company alone. To learn how an Aurora long-term disability lawyer may be able to help, call 1-888-608-2111 or contact us online today.

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Award Winning Personal Injury Law Firm

We are proud to be one of Canada’s oldest and long-standing personal injury law firms. Since 1959, we have been providing exceptional legal services and have established ourselves as leading personal injury lawyers in the Canadian legal community. It’s not just the awards that recognize our achievements, but also the wins we’ve achieved for thousands of Canadians with their long-term disability claims.

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Case Results

long-term disability Settlements

Please note that past results are not indicative of future results as each scenario presents itself with its unique set of circumstances. But here are some long-term disability related wins we’ve had for our clients.

Settlement

Long-Term Disability

$2,200,000

Our client was denied LTD payments after struggling with mental health problems. We settled for more than $500,000 over the policy value due to the insurance company’s bad conduct.

Settlement

Long-Term Disability

$995,000

The individual was a trader who had a nervous breakdown during the 2008 financial crisis. His insurer initially denied his LTD claim but we were able to challenge that successfully.

Settlement

Long-Term Disability

$900,000

We successfully obtained a settlement for an employer who was denied LTD benefits after being fired by his employer.

Settlement

Long-Term Disability

$750,000

Client unable to work relating to health issues.

Settlement

Long-Term Disability

$750,000

We successfully obtained a settlement for an individual denied benefits due to a pre-existing condition, when they had an “own occupation” disability benefit policy.

Settlement

Long-Term Disability

$713,000

We successfully achieved a settlement for a client with CRPS who had their benefits cut-off after attempting to return to part-time work. Inclusive of $130,000 in punitive damages.

Settlement

Long-Term Disability

$440,000

We successfully negotiated a larger settlement for our client, including $100,000 in punitive damages, after an insurer claimed their partial paralysis did not qualify for benefits due to wrongful surveillance.

Settlement

Long-Term Disability

$420,000

We sucessfully obtained a settlement for a client whose benefits were denied due to their insurer’s misinterpretation of their own medical reports. This included $100,000 in punitive damages.

View More Results

Download Our "Long-Term Disability Appeals" E-Book

Here’s an e-book you might find useful if you’re interested in learning more about how long-term disability claims work.

Long-Term Disability Appeals

In this ebook, you’ll learn:

  • The difference between an internal appeal and a lawsuit
  • How the LTD appeals process typically works in Ontario
  • What evidence you can gather to strengthen your appeal
  • How to respond to insurance company requests and other tactics they might use
  • What deadlines may apply to your appeal
  • The benefits of working with an LTD lawyer when you need to appeal your denied claim
  • And more

 

Download Our E-Book

Download Our "I’m Approaching Change of Definition" E-Book

Here’s an e-book you might find useful if you’re interested in learning more about how long-term disability claims work.

I’m Approaching Change of Definition

This ebook will help you:

  • Understand what “change of definition” means when it comes to LTD policies
  • Learn when this shift typically occurs and how it might affect your eligibility
  • Know what evidence you can collect to support your continued claim
  • Identify warning signs that a denial or termination might be coming
  • Explore your legal options when your insurer cuts off your benefits
  • Discover how a long-term disability lawyer can advocate for your rights
  • And more
Download Our E-Book

Download Our "Denied Long-Term Disability Benefits" E-Book

Here’s an e-book you might find useful if you’re interested in learning more about how long-term disability claims work.

Denied Long-Term Disability Benefits

In this ebook, you’ll learn:

  • Common reasons why long-term disability claims are denied in Ontario
  • What to do immediately after receiving an LTD denial
  • The difference between appealing a denial and filing a lawsuit against your insurer
  • How to gather strong medical and occupational evidence to support your claim
  • What deadlines apply to LTD claim disputes
  • How our long-term disability lawyers can help you build a strong case
  • What compensation you may be entitled to
  • And more
Download Our E-Book

Download Our "Applying for Long-Term Disability Benefits" E-Book

Here’s an e-book you might find useful if you’re interested in learning more about how long-term disability claims work.

Applying for Long-Term Disability Benefits

In this ebook, you can read about:

  • Who qualifies for LTD benefits in Ontario
  • How to effectively complete your LTD application package
  • What medical and employment documentation you need to collect
  • How insurance companies evaluate LTD claims
  • Tips to avoid common errors that may lead to delays or denials
  • What to do if your claim is denied
  • How our long-term disability lawyers can support your application
  • And more
Download Our E-Book
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More long-term disability Video Resources

We also have some videos on the topic of long-term disability claims

Long-Term Disability"}],"useQueryEditor":true,"signature":"71d4d83b838403839175fddd84717e99","user_id":36,"time":1754061597,"meta_query":[{"key":"associated_region","value":1027,"compare":"LIKE"}],"tax_query":[{"taxonomy":"category","field":"term_id","terms":28,"operator":"IN","include_children":true}],"paged":1}" data-original-query-vars="[]" data-page="1" data-max-pages="2" data-start="1" data-end="9">
View More in Our Video Library

long-term disability FAQs

Here are some commonly asked questions for long-term disability claims

Yes, CPP denials can be appealed through the Social Security Tribunal, which reviews applications and medical evidence.

You may seek a second opinion from another qualified physician to provide additional evidence.

Insurers may stop benefits if they believe you no longer meet the disability definition, but they must provide reasons.

Employers usually only know that you’re receiving LTD benefits, not the details of your medical condition.

Your LTD insurer may deduct CPP benefits from your LTD payments. Approval for CPP Disability may strengthen your LTD case.

Sometimes, policies allow partial benefits if you can work reduced hours. The rules depend on your policy language.

Taxation depends on whether your premiums were paid with pre-tax or after-tax income. If your employer paid the premiums, your benefits may be taxable.

Employment termination doesn’t automatically cancel your LTD benefits. Your coverage may continue as long as you were covered when you became disabled.

Read More FAQs

LONG-TERM DISABILITY BENEFITS DENIED OR CUT-OFF IN AURORA?

Call Our LTD Lawyers for FREE Now

We take on insurance companies for you

Learn how we can challenge your denial or termination and help you secure the benefits you’re entitled to.

1-888-494-7191