Airdrie Long-Term Disability Lawyers
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Published: July 16, 2024 | Last Reviewed: September 10, 2026
Living with an illness or injury that prevents you from working can affect nearly every part of your life. For people in Airdrie, being unable to earn an income can make it difficult to keep up with housing costs, household expenses, medical appointments, and everyday responsibilities.
Long-term disability, or LTD, insurance may provide income replacement when a medical condition prevents you from working. However, claims can be denied or benefits can be terminated even after an insurer initially approves them.
If you live in Airdrie and your LTD benefits have been denied or stopped, Preszler Injury Lawyers can review your policy, medical evidence, and the insurer’s decision. Our long-term disability lawyers serving Airdrie can explain the options that may be available based on your circumstances.
Get in touch with our team today by filling out our online contact form or calling us at 1-888-494-7191. Available 24/7.
Key Takeaways For Long-Term Disability Claims In Airdrie
- Long-term disability insurance may replace a portion of your employment income when an illness or injury prevents you from working, subject to the terms of your policy.
- A medical diagnosis alone may not establish entitlement to benefits. Evidence explaining how your symptoms affect your ability to perform your job duties can be important.
- LTD insurers may deny or terminate claims because they believe there is insufficient medical evidence, question a claimant’s restrictions, or conclude that the claimant is capable of returning to work.
- Many policies change from an “own occupation” definition of disability to an “any occupation” definition after a specified period, which can affect continued eligibility.
- A denied claim does not necessarily mean there are no further options. Depending on the policy and circumstances, a claimant may be able to challenge the insurer’s decision.
- Deadlines can apply to insurance disputes and lawsuits. An insurer’s internal appeal deadline should not automatically be treated as the only deadline that matters.
- Our Airdrie long-term disability lawyers can review your insurance policy, denial letter, medical documentation, employment information, and communications with the insurer.
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Long-Term Disability Claims For People Living And Working In Airdrie
Airdrie has grown into a major employment and residential community immediately north of Calgary. Many residents work within Airdrie while others commute south on the QEII Highway or travel through surrounding communities for work.
Daily routines can involve travelling along heavily used routes such as Yankee Valley Boulevard, Veterans Boulevard, Main Street, 8 Street, Kingsview Boulevard, and East Lake Boulevard. Yankee Valley Boulevard in particular is identified by the City as a primary east-west arterial and a critical connection to the QEII Highway.
When a physical or psychological condition makes it impossible to continue working, the consequences can reach well beyond the workplace. A person may have difficulty driving to work, completing physically demanding duties, sitting through a commute, concentrating for an entire shift, or maintaining predictable attendance.
These practical limitations are often important in an LTD claim because the insurer is generally assessing whether the claimant satisfies the definition of disability in the insurance policy, not simply whether the claimant has received a particular diagnosis.
People in Airdrie may receive LTD coverage through an employer-sponsored group benefits plan or through an individually purchased policy. The wording of those policies can vary considerably, so reviewing the actual insurance contract is an important part of assessing a denied or terminated claim.
For more information about what to look for in disability coverage, our Alberta guide explains important provisions in long-term disability insurance policies.
What Evidence Can Strengthen An Airdrie Long-Term Disability Claim?
A successful LTD claim may depend heavily on medical and functional evidence.
An insurer will often want more than confirmation that you have been diagnosed with an illness or injury. The evidence may need to explain how your condition affects the duties you are expected to perform at work.
Relevant medical records can include reports or clinical notes from family doctors, specialists, psychologists, psychiatrists, physiotherapists, occupational therapists, and other health professionals involved in your treatment.
Depending on the condition, useful evidence may also include:
- Diagnostic imaging and test results
- Prescription and medication histories
- Specialist referrals and consultation reports
- Treatment plans and records of attempted therapies
- Descriptions of physical or cognitive restrictions
- Documentation of unsuccessful attempts to return to work
- Information about workplace accommodations or reduced hours
- And more
Functional evidence can be particularly important.
For example, an Airdrie resident whose job requires driving between worksites may experience chronic pain that makes prolonged sitting or driving difficult. Someone working in an industrial, construction, warehouse, retail, or service position may be unable to stand, lift, bend, carry, or perform repetitive movements safely and reliably.
Office-based employees can also experience disabling limitations. Depression, anxiety, PTSD, migraines, chronic fatigue, neurological conditions, or medication side effects may interfere with concentration, memory, decision-making, communication, stress tolerance, and consistent attendance.
Our article about chronic pain and Alberta long-term disability claims explains why conditions that do not always appear clearly on diagnostic imaging can still significantly affect a person’s ability to work.
Can Mental Health Conditions Qualify For LTD Benefits In Airdrie?
Long-term disability claims are not limited to physical injuries or illnesses.
Depending on the terms of the insurance policy and the supporting evidence, psychological conditions such as depression, anxiety disorders, PTSD, bipolar disorder, and other mental health conditions may prevent someone from performing the duties of their occupation.
For an employee who regularly drives from Airdrie to Calgary, for example, severe anxiety or panic symptoms may interfere with commuting and attendance. For someone working locally near Main Street, Kingsview Boulevard, East Lake Boulevard, or another employment area, symptoms may interfere with concentration, customer interaction, decision-making, productivity, or maintaining a predictable schedule.
The focus is generally on the effect of the condition on the claimant’s ability to work.
Why The Definition Of Disability In Your Policy Matters
One of the most important provisions in an LTD insurance policy is the definition of “disability.”
Many policies initially use an own occupation test. Under this type of wording, the insurer generally assesses whether your medical condition prevents you from performing the essential duties of the occupation you held before becoming disabled.
After a specified period, some policies change to an any occupation definition.
This change can result in a more demanding assessment. The insurer may consider whether you are capable of performing another occupation that satisfies the requirements set out in the policy.
That does not necessarily mean that the insurer can simply identify any job whatsoever.
The wording of the individual policy matters. Factors such as education, training, work experience, restrictions, limitations, and potential earning capacity may become relevant depending on the contract.
Our Alberta LTD lawyers discuss these distinctions in greater detail in our article about the difference between own occupation and any occupation disability claims. Claimants who are approaching this transition can also learn more about the change of definition in Alberta LTD claims.
What If Your Airdrie LTD Insurer Requests A Functional Capacity Evaluation?
Insurance companies sometimes request additional medical or functional assessments while evaluating an LTD claim or reviewing ongoing eligibility.
One example is a Functional Capacity Evaluation, often called an FCE.
An FCE may assess a person’s ability to perform activities such as:
- Sitting and standing
- Walking
- Lifting and carrying
- Bending and reaching
- Repetitive movements
- Gripping and handling objects
- Performing tasks over a specified period
An insurer may consider these results alongside medical records, employment information, and other evidence.
However, a short assessment may not necessarily capture how someone functions during a full workday or an entire workweek. Certain conditions fluctuate, while others may result in increased pain, fatigue, cognitive symptoms, or other difficulties after sustained activity.
This can be particularly relevant for someone whose occupation involves a commute from Airdrie along the QEII Highway before and after a full workday. The ability to complete a particular activity once may not answer whether the person can perform employment duties reliably and repeatedly.
Long-Term Disability Claims Involving Progressive Conditions
Some disabling conditions appear suddenly. Others develop gradually over months or years.
Progressive medical conditions can include neurological disorders, autoimmune diseases, degenerative conditions, multiple sclerosis, some forms of arthritis, chronic pain disorders, and other illnesses.
An Airdrie resident may continue working for a considerable period by reducing hours, changing responsibilities, relying on workplace accommodations, or pushing through worsening symptoms.
Eventually, the condition may make consistent work impossible.
In these circumstances, the history of the illness can become important. Medical records showing a gradual deterioration, escalating treatment, increasing absences, reduced working hours, or unsuccessful accommodations may help demonstrate how a person’s ability to work changed over time. Our long-term disability lawyers in Airdrie can review this evidence alongside the terms of the insurance policy when assessing a denied or terminated LTD claim.
Partial And Total Disability Benefits In Airdrie
Some LTD policies distinguish between partial and total disability.
A claimant may be unable to perform all of their previous duties but still capable of performing some work. Depending on the policy, this may raise questions about partial disability benefits, reduced working hours, rehabilitation programs, or attempts to return to work.
The distinction is policy-specific.
If your insurer argues that you are capable of working part-time or returning with modified duties, the medical evidence and the actual requirements of your occupation may become particularly important.
What Should You Do If Your LTD Claim Is Denied In Airdrie?
An LTD denial can be especially stressful when you are already dealing with a health condition and loss of income.
The first step is generally to read the insurer’s denial letter carefully.
The insurer may say that:
- There is insufficient medical evidence
- Your medical records do not establish the required restrictions
- Your condition does not meet the policy’s definition of disability
- You can perform your own occupation
- You are capable of performing another occupation
- You have not complied with treatment requirements
- Additional medical or functional information is required
- And more
Keep copies of relevant documents, including your insurance policy or benefits booklet, denial letter, application forms, medical reports, employment information, and correspondence with the insurer.
Alberta’s Insurance Act governs important aspects of insurance law in the province. Limitation periods and other deadlines can depend on the particular circumstances, so an insurer’s internal appeal deadline should not automatically be treated as the only date that matters.
If your benefits have been denied or terminated, our Airdrie long-term disability lawyers can review the policy and circumstances before you decide how to proceed.
Local Considerations For Airdrie Residents With Disabilities
A disability can affect daily life differently depending on a person’s work, treatment requirements, and mobility.
For someone with significant pain, fatigue, balance problems, cognitive difficulties, or psychological symptoms, getting to work or attending frequent medical appointments may itself become difficult.
Airdrie residents may also need to travel into Calgary for employment, specialists, diagnostic testing, rehabilitation, or other treatment. The ability to make a trip occasionally does not necessarily establish an ability to commute and perform full-time employment consistently.
There may also be public disability programs that operate separately from private LTD insurance. The Government of Alberta provides information about programs such as Assured Income for the Severely Handicapped and other provincial disability supports.
Eligibility for a government program is determined under that program’s own rules and is separate from whether an insurer must pay benefits under an LTD policy.
Frequently Asked Questions About Long-Term Disability Claims In Airdrie
What Should I Bring To A Consultation With An Airdrie Long-Term Disability Lawyer?
Bring whatever documentation you have available.
This may include your insurance policy or employee benefits booklet, denial or termination letter, emails or letters from the insurer, medical reports, employment information, and documents showing when you stopped working or when your benefits changed.
You do not necessarily need to have every document before speaking with a lawyer.
Can My Long-Term Disability Benefits Be Cut Off After They Were Approved?
Yes. LTD insurers may periodically review ongoing claims.
An insurer may request updated medical evidence, ask about treatment, arrange an assessment, investigate work activity, or reassess the claim when the definition of disability changes.
If your benefits are terminated, the reasons given by the insurer and the wording of your insurance policy should be reviewed carefully.
Can I Qualify For LTD If My Condition Does Not Show Up On An MRI Or X-Ray?
Potentially.
Conditions such as chronic pain, fibromyalgia, migraines, certain neurological disorders, and psychological illnesses do not always produce a single objective test that fully demonstrates their severity.
The insurer may consider medical evidence, treatment history, reported symptoms, functional limitations, and other information when assessing the claim.
Does Depression Or Anxiety Qualify For LTD Benefits?
It can, depending on the policy and the evidence.
Depression, anxiety disorders, PTSD, and other mental health conditions may cause significant cognitive, emotional, and functional limitations that prevent someone from performing their occupation.
The relevant question is generally not simply whether a diagnosis exists, but how the condition affects the person’s ability to work.
What If I Live In Airdrie But Work In Calgary?
Living in Airdrie and working in Calgary does not generally prevent you from making an LTD claim under an applicable insurance policy.
Many Airdrie residents commute south using the QEII Highway. If your illness or injury affects your ability to commute as well as perform your job duties, those limitations may form part of the overall factual picture.
Eligibility still depends on the specific terms of your LTD policy and the supporting evidence.
What If My Insurer Says I Can Work In A Different Job?
This issue commonly arises when a policy changes from an own occupation definition to an any occupation definition.
Whether another occupation satisfies your policy depends on its wording. Your education, training, work history, medical restrictions, functional limitations, and other factors may be relevant.
An insurer’s decision can be reviewed to determine whether its interpretation is consistent with the insurance contract and available evidence.
Should I Appeal An LTD Denial Myself?
An insurer may provide an internal appeal process, but that does not automatically mean an internal appeal is the best approach in every case.
An appeal may involve obtaining additional medical or vocational evidence. In other cases, different legal options may need to be considered.
It is also important not to assume that participating in an internal appeal suspends all other applicable deadlines.
How Long Do I Have To Challenge An LTD Denial In Alberta?
Legal deadlines can apply to disability insurance disputes in Alberta, and determining when a limitation period begins can depend on the specific facts and policy.
Because waiting too long may affect your rights, consider obtaining legal advice promptly after receiving a denial or termination letter rather than relying solely on an insurer’s internal deadline.
How Can Long-Term Disability Lawyers Serving Airdrie Help?
A lawyer can review your LTD insurance policy, insurer correspondence, medical documentation, employment duties, denial letter, and relevant timelines.
Depending on the circumstances, a lawyer may identify issues with the insurer’s interpretation of the policy, determine whether additional evidence may be useful, communicate with the insurance company, and explain whether an appeal or legal proceeding may be available.
Contact Our Long-Term Disability Lawyers Serving Airdrie
If an illness or injury has prevented you from working, losing long-term disability benefits can create serious financial uncertainty.
Whether you live near Main Street, Yankee Valley Boulevard, Kings Heights, Reunion, or another part of Airdrie, you can speak with Preszler Injury Lawyers about a denied or terminated LTD claim.
Our long-term disability lawyers serving Airdrie can review the insurance policy, the reasons for the insurer’s decision, and the evidence relating to your inability to work.
Call 1-888-494-7191 or contact Preszler Injury Lawyers to schedule a free initial consultation.
Authored by Preszler Injury Lawyers
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Preszler Injury Lawyers represents injured people across Ontario in personal injury matters, including motor vehicle accident claims, slip and fall claims, long-term disability claims, and institutional abuse claims.
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Commonly Asked long-term disability Questions
Here are our most asked questions on long-term disability claims.
What is long-term disability?
Long-term disability claims arise when you have disability insurance, either through your work or privately, that denies your claim after you have become disabled.
Is there a time limit on when I can sue for long-term disability?
Yes. The Insurance Act, RSA 2000, sets a two-year limitation period that commences two years after the claims arise.
How much is my long-term disability case worth?
Long-term disability cases are several heads of damage that are assessed independently. First, there is the arrears or the past benefits that have not been paid. Next, there are potential future benefits. Finally, if a denial was made in bad faith, there may be extracontractual damages that can include aggravated damages or even punitive damages against the insurance company.
What types of compensation can I claim in a long-term disability case?
You can claim contractual damages for past benefits that should have been paid. In a settlement discussion, you can claim for future benefits that will be paid, but in a trial, you cannot make this claim. Finally, if the denial was in bad faith, you can make an extracontractual claim for aggravated damages and/or punitive damages.
What are the common causes of disability?
The most common causes of disability are related to chronic pain and psychiatric disorders like anxiety or depression. However, there are many causes of disability, including:
- Chronic pain;
- Depression;
- Anxiety;
- Brain injury;
- Stroke;
- Heart attack;
- Cancer;
- Injury;
- COVID;
- Stroke;
- Orthopaedic injury;
- Paralysis;
- And more.
What are my options if my long-term disability claim is denied?
The insurance company will provide you with options to appeal their decision. Keep in mind these appeal processes are usually created by the insurance company and adjudicated by the insurance company. And they do not stop the limitation period from running. Our lawyers will file a lawsuit instead and put the claim into the impartial realm of the court system.
What information is needed to support a long-term disability claim?
Copies of your policy, the denial letter, and your medical records are generally needed to support your long-term disability claim. Our lawyers can work with you to determine what documents exist and how to collect them to make sure nothing is missing.
When should a long-term disability lawyer be contacted?
If you have been denied long-term disability benefits, it is time to contact a lawyer to discuss next steps. Our consultations are always free, and there is no obligation to sign up.
Can a mental illness be considered a long-term disability?
Yes. Mental illness is increasingly being recognized as a real and problematic cause of disability for a substantial percentage of the population. In addition, these ailments are often invisible. Because of that, insurance companies will suggest that you have not met your burden to prove your mental illness exists and is disabling to deny your claim.
How is the Canada Pension Plan Disability different than a long-term disability?
The long-term disability claims we handle are from private long-term disability companies. Canada Pension Plan Disability is a statutory pension plan run by the Federal Government that you may or may not qualify for depending on your contributions to CPP and your injuries.
How is short-term disability different than long-term disability?
Short-term disability is similar to long-term disability but has a shorter waiting period to kick in and a shorter duration. Sometimes, the insurer or entity that pays short-term disability is different than the insurer that pays long-term disability. Since it is a different benefit, there is often some difference in the compensation formula between the two.
Do pre-existing conditions impact long-term disability claims?
Sometimes yes. Long-term disability contracts are often set up to have an exclusion for pre-existing conditions. These exclusion clauses typically only apply if you become disabled within the first year of coverage on most group policies. However, it is very important to read the specific language of your insurance policy if you have become disabled from a long-standing or pre-existing ailment.
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