Coronavirus disease (COVID-19) – Guidance for managers: Long Term Disability (LTD) claims under the Public Service Management Insurance Plan (PSMIP)


To: The Public Service Pay Centre, Compensation Managers, Heads of Human Resources, Participating Separate Employers and Deputy Ministers, APEX, The National Managers’ Community

In response to the COVID-19 pandemic, the Government of Canada is providing managers with guidance on supporting employees who are returning to work after a period on Long-Term Disability (LTD), and who are submitting LTD claims. These temporary measures will be in place until further notice.

For additional information, consult the Public Service Management Insurance Plan page on

Current or planned return to work plans should enable employees to work from home

If you have an employee currently on a gradual return to work plan, or an employee who is planning to return to work on a gradual or full-time basis, you should continue to implement these plans by enabling the employee to work remotely, in line with COVID-19 related directions from public health authorities.

If an employee cannot continue an existing gradual return to work plan or start a gradual return to work plan due to COVID-19 related measures, you or an available more senior manager should call the Industrial Alliance (IA) disability claims manager assigned to the file (for continuation of an existing claim) or call IA directly at 1-800-830-1255.

Long-Term Disability claims

To apply for LTD benefits under the PSMIP, 2 forms containing 5 sections must be completed and sent to Industrial Alliance:

  • Member’s Statement 1 (form 5945) containing the Member’s Statement and the Attending Physician’s Statement
  • Member’s Statement 2 (form 5946) containing the Supervisor’s Statement, additional member information, and the Compensation Advisor’s Statement

These forms can be found on the website. They can be downloaded, completed by hand and saved as email attachments and submitted electronically to either of the following email addresses:


The forms can also be sent by fax to IA at 1-877-781-1583 or by regular mail to the following address:

Group Disability Claims
Industrial Alliance Insurance and Financial Services Inc.
522 University Avenue
Toronto, Ontario M5G 1Y7

Temporary acceptance of Supervisor’s Statement from a more senior manager

Although an employee’s direct supervisor or manager is still responsible for completing the Supervisor’s Statement and submitting it to IA, it is possible that during the pandemic an employee’s supervisor or manager may not be available. On a temporary basis, an employee’s more senior manager may instead complete and submit the Supervisor’s Statement form, provided they indicate to IA that they are doing so due to the unavailability of the employee’s direct supervisor or manager. In these cases, the name of the unavailable direct supervisor or manager should be indicated on the form, on a separate sheet of paper, or in the submission email.

If completion by a more senior manager is not an option, the employee is asked to call IA at 1-800-830-1255.

Difficultly obtaining Attending Physician’s Statement

Employees who are having difficulty getting their Attending Physician’s Statement completed should also be instructed to call IA to discuss their situation.

Future Guidance

Since the COVID-19 situation and its impact on those involved in the submission and management of PSMIP LTD claims remains fluid, further guidance may be issued in the future. As always, should you, an employee or their attending physician have any questions or concerns, please contact IA at 1-800-830-1255.

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