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I recently had my long-term disability (LTD) claim terminated retroactively after the insurer concluded I no longer met the policy’s disability definition. They cited an investigation that found I was enrolled in a graduate program and working part-time as a teaching assistant, which they claim contradicts my reported functional limitations (severe depression, cognitive impairments). I dispute this, as my academic/work activities are accommodated and unrelated to my prior occupation’s demands.

The insurer is demanding repayment of over $9,000 for benefits paid during the contested period. I cannot afford this. Has anyone successfully challenged a retroactive termination or overpayment demand in similar circumstances? Are there options to dispute without legal fees, or negotiate a payment plan? My mental health condition complicates navigating this alone. Any advice on next steps would be appreciated.

This situation is highly dependent on the terms of your specific LTD policy, and the facts regarding what you were doing in your graduate program. It may be something we could assist you with though, so I'll email you directly for more information. (Actually, I keep getting bounce-backs when I try to email you, so please contact our intake team directly so they can assist: intake@stlawyers.ca).
The Disability Lawyers at Samfiru Tumarkin LLP
Direct Tel (Toll Free): 1-888-990-9646     Email: help@disabilityrights.ca     Web: www.stlawyers.ca
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