Zero Sum Sisip

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Post  Supremedebater on Thu Jan 03, 2013 6:16 pm

Oct 15, 2012

After further negotiations with the Department of Justice we are pleased to announce that payments to “zero sum” members will commence on October 22, 2012, and will be completed no later than November 9, 2012.

“Zero sum” members are those members of the class who have received nothing from SISIP LTD due to the deduction of their VAC disability payments.

Please read the following information carefully to ensure that you follow all of the steps outlined below. These steps are described as agreed with the Department of Justice.

Starting no later than October 22, 2012, monthly SISIP LTD benefits will be paid to those zero sum claimants identified by Manulife Financial as being entitled to benefits and whose file has been closed for more than two years due to the Pension Act offset. The issuing of the cheques by Manulife Financial will be completed no later than November 9, 2012. The effective date of the payments will be October 1, 2012.

These monthly LTD payments will be made on a without prejudice basis for an initial period of 90 days until February 8, 2013. Without prejudice means that you will be paid benefits pending the processing of your file by Manulife Financial as outlined below. There are no guarantees that the benefits will continue unless you qualify under the terms of the policy as adjudicated by Manulife under this process.

The payments will correspond to the last calculation that was made by Manulife Financial before it was offset to zero due to the Pension Act offset, plus an adjustment based on the cost of living indexed from the date of closure of the claim to the present date. If, after the removal of the Pension Act offset, remaining offsets do not put this claim in a positive pay status, no without prejudice payments will be made.

You will not be required to provide medical or financial information in order to start receiving the LTD payments for the initial 90 days.

On or before February 9, 2013, claimants will be required to fill out and return a Declaration to Manulife Financial providing a status update on their medical condition and financial circumstances for the purpose of continuing the without prejudice payments. The Declaration will be provided to the members by Manulife Financial on or before November 9, 2012.

If the Declaration indicates that the claimant’s medical condition and financial information have not changed since the closure of the file, the claimant will not be required to provide additional information to Manulife Financial.

If the Declaration indicates a change in the medical condition and/or financial information, Manulife Financial will require the claimant to provide additional information.

In the event the Declaration is not supplied by February 9, 2013, the monthly LTD payments would cease.

If the Declaration is submitted by February 9, 2013, Manulife Financial will continue to pay, on a without prejudice basis, the monthly LTD payments until April 30, 2013, for a total of 180 days.

During this time, Manulife Financial will review the files and determine the actual entitlements to LTD benefits based on the information on file and the information submitted by the claimants. Payments will be made accordingly.

At any time that full information is received from the claimants, Manulife Financial will adjudicate their claims and payments will be made on the basis of their adjudication results, which could occur anytime between February 9 and April 30, 2013.
If additional information requested by Manulife Financial has not been provided by the claimant by April 30, 2013, the without prejudice payments would cease. Permanent LTD payments would not be commenced until the information has been provided and Manulife Financial has determined the actual entitlement to LTD benefits.

If the review conducted by Manulife ultimately reveals either overpayments or underpayments during the period of 180 days, Manulife Financial will make the necessary adjustments.

1.In the event of an overpayment, Manulife Financial will make the adjustments, first out of any retroactive payments, and second, out of future payments if there is no retroactive entitlement or such is not sufficient to recover the adjustment. In the event it is later determined that the claimant is not entitled to retroactive and future payments, Manulife Financial will seek to recover the overpayments from the claimants.

2.If an underpayment was made during the period of 180 days, Manulife Financial will pay the difference to the claimant.

Zero sum members who file a Declaration and whose claims are accepted by Manulife Financial on an interim basis, still must provide ongoing proof of disability or continued eligibility to receive SISIP LTD as required under the terms of the Policy in future.

The terms of this interim agreement are subject to any final agreement reached between Counsel for the Class and the Government of Canada, and approved by the Court.
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Post  Wife of a Veteran on Sat Jan 05, 2013 11:00 pm

There is also a second zero sum list with around 250 veterans on it. How does one find out if on it unless they call the 1-855-370-0025 line at SISIP, and if they are on it then what?
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Post  Guest on Sat Jan 05, 2013 11:37 pm

Wife of a Veteran wrote:There is also a second zero sum list with around 250 veterans on it. How does one find out if on it unless they call the 1-855-370-0025 line at SISIP, and if they are on it then what?

WoV, I would suggest one contact Sisip 1-855-370-0025 and/or email kristine.hunter@mcinnescooper.com with that question. I would hope further details will be forthcoming on or around the 9th of January.

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Post  Supremedebater on Sun Jan 06, 2013 12:04 am

Wife of a Veteran wrote:There is also a second zero sum list with around 250 veterans on it. How does one find out if on it unless they call the 1-855-370-0025 line at SISIP, and if they are on it then what?

Yes only Sisip would know this info...unless the firm handling the action has been updated...they may possibly be. Call them and ask as sparrow mentioned.
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