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I’ve been off work for more than 2 years here in Ontario. I work with Public Health in the Communicable Infectious Diseases department. After September 16, 2026, my leave changes to “Change of Definition” also my employer would be able to post my position. In March 2026 an updated medical report was requested by the insurance case manager to my family physician.
The insurance company approved my LTD (beyond the change of definition date of September 16th) where I would continue to receive a portion of my pay (70/75 %) until the age of 65.
My case would be transferred to another department within the same insurance company, and my claim would be managed by my employer in terms of monthly payout until the age of 65. My claim is currently being managed by the insurance company. This also came with a request for me to complete the CPP form and other forms.
Although I was approved for extended LTD, I want to return to work for various reasons. I want to return to my current position gradually with accommodation like working from home at least initially. Prior to my injury I was working from home 100% of the time due to COVID. Since I’ve been off it is now 50% work from home and 50% in office.

I belong to a union, but I don’t feel like the new union rep knows much about the process. The union rep was saying that if I got the okay to return to work, I wouldn’t be able to work from home 100% of the time, and I had asked her about LOU-Letter of Understanding titled "Grievance Process for Long-Term Disability Disputes," two weeks ago and she doesn’t know much about it.

I have just over a month before the change of definition date and now the claims manager wants me to contact my physician regarding obtaining medical clearance before I could go and be medically assessed by the insurance company’s own practitioner. I’m feeling frustrated and stressed right now and not sure what to do at this point.

Since you're unionized, your main recourse is through the union. A narrow exception may apply to your LTD matter and the duty to accommodate but the situation you are describing is complex and cannot be answered on the website. Please contact us at the number below should you wish to book a consultation with one of our lawyers.
The Lawyers at Samfiru Tumarkin LLP
Direct Tel (Toll Free): 1-855-821-5900     Email: webquestions@stlawyers.ca     Web: www.stlawyers.ca
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