Application for benefit is necessary. The application requires completion of forms provided by NLTA, and submitted to NLTA. The applicant must be in receipt of workers’ compensation lost time benefits to qualify for the LTD – Workers’ Compensation Top-Up Benefit. The NLTA Group Insurance Managers, as policy holder, in conjunction with the insurance underwriter will determine eligibility for benefit.
If approved, the benefit will commence beginning the first day of reduced regular net income due to a lost time accident injury at work, and the benefit will be paid for a lifetime maximum period of one (1) year (195 worked days in the case of teachers).
PREMIUM
There is no waiver of premium and insured members will continue to pay LTD premium while in receipt of the LTD – Workers’ Compensation Top-Up Benefit.
BENEFIT LEVEL
The amount of benefit payable is equal to the difference between the bi-weekly workers’ compensation benefit as paid in accordance with the WHSCC Act and 85% of the bi-weekly Net Income, where Net Income is defined as gross bi-weekly income less income tax less CPP premium less EI premium. Such income will be pro-rated to the daily rate by dividing the respective bi-weekly net incomes by 10. This benefit is not taxable since the employer does not pay any portion of the premium.
DURATION OF BENEFIT
The maximum lifetime benefit period is one (1) year (195 days in the case of teachers) commencing the first day of a lost time accident injury at work, or the number of work days in receipt of workers’ compensation benefits, whichever is lesser.
CLAIMS PROCEDURES
Claim forms are available from the NLTA. The insured member will be required to complete the application form. It is the member’s responsibility to ensure that all reports are completed and sent to the NLTA. Application must be submitted no later than six (6) months following the first day of a lost time accident injury at work where reasonably practicable.