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Heart Disease, Stroke, and Long-term Disability Claims

heart disease, stroke and long-term disability

Heart Disease, Stroke, and Long-term Disability Claims in British Columbia: Your Rights and how - lawyer Tim Louis can help

Heart Disease, Stroke, and Long-Term Disability Claims in British Columbia

Heart disease and stroke are major causes of serious illness and disability in Canada and in British Columbia.

If you cannot work because of a heart condition or the after effects of a stroke, long-term disability (LTD) benefits are meant to protect your income. In practice, insurers often dispute these claims, minimize the impact of your symptoms, or cut off benefits when test results improve on paper even though your day to day functioning has not.

At Tim Louis & Company, we help people across British Columbia who are off work because of heart disease or stroke and whose LTD benefits have been denied, reduced, or cut off. Our goal is to protect your rights so you can focus on your health.

If This Sounds Like You, Reach Out Today

  • Your LTD claim has been denied, reduced, or cut off after a heart attack or stroke.
  • You feel too exhausted, short of breath, or mentally drained to keep working safely.
  • You are worried about money, timelines, and how to deal with the insurance company.

Free consultation: Call (604) 732 7678, email timlouis@timlouislaw.com, or use our contact form. We can review your denial letter and LTD policy with you and explain your options.

Quick Answers: Heart Disease, Stroke, and LTD in BC

Can heart disease qualify for long-term disability in BC?

Yes. Heart disease can qualify for LTD if your condition and treatment prevent you from doing the essential duties of your job on a regular and predictable basis and you were covered by an LTD policy when you became disabled.

What if my LTD claim is denied after a heart attack or stroke?

A denial letter is not the end of your claim. A BC lawyer can review the letter, your policy, and your medical evidence to see whether the decision should be challenged.

How long do I have to sue my LTD insurer in BC?

In many cases, you may have up to two years from when you knew or reasonably should have known that your LTD claim was denied or your benefits were stopped, but timelines can be complex so it is important to get legal advice promptly.

Do I need a lawyer for a heart disease or stroke LTD claim?

You are not required to have a lawyer, but experienced legal help can make a real difference when dealing with insurers, medical evidence, and limitation periods.

How Heart Disease and Stroke Affect Your Ability to Work

Heart and brain conditions can be unpredictable. You may look “fine” at a glance yet find that even basic tasks leave you exhausted, short of breath, or mentally drained. Stroke survivors may also live with weakness, problems with balance, speech changes, or trouble with memory and concentration.

Common work related limits after heart disease or stroke include:

  • Fatigue that builds through the day and does not improve with short breaks
  • Shortness of breath or chest discomfort with walking, lifting, or climbing stairs
  • Stress or time pressure that worsens symptoms or puts your heart at risk
  • Reduced stamina for physical jobs, even at a slower pace
  • Cognitive changes after stroke, such as slower processing or difficulty multitasking
  • Medication side effects like dizziness, low blood pressure, or brain fog

LTD policies usually ask whether you can do the essential duties of your job on a regular and predictable basis. If your heart condition or stroke symptoms prevent that, you may be disabled under the policy even if you can still manage some activities at home.

Long-Term Disability Claims for Heart Disease and Stroke in British Columbia

Most people are covered by a group LTD policy through their employer. Some also have a private LTD policy they purchased themselves. The wording of each policy is different, but common features include:

  • Own occupation period: For the first part of a claim, the question is often whether you can perform the essential duties of the job you had when you became disabled.
  • Any occupation change: After about 24 months, many policies change the test to whether you can do any occupation that is reasonable for your education, training, and experience.
  • Proof of loss and ongoing forms: You must show that a doctor supports your disability and provide updates when the insurer asks.
  • Offsets and coordination: If you receive Canada Pension Plan Disability (CPPD) or other benefits, your LTD insurer may deduct those amounts from what they pay you.

LTD claims for heart disease and stroke are not automatic. The insurer will look at your job duties, your medical evidence, and your recovery and may require you to attend independent assessments. The way your story is documented and presented has a real impact on the outcome.

Why Insurers Deny Heart Disease and Stroke LTD Claims

Denials and cut offs for heart disease and stroke LTD claims are often based on patterns that we see again and again. Common reasons include:

  • “Not disabled enough” arguments based on the fact that you can still drive short distances, perform some household chores, or walk for a few minutes at a time.
  • Over reliance on test results such as an improved ejection fraction or stable imaging, without considering your real world limits.
  • Paper review opinions from doctors hired by the insurer who never meet you in person yet state that you can do sedentary work or retrain into another role.
  • Claims of “non compliance” with treatment when there are good reasons for missed appointments or when the record is incomplete.
  • Pre existing condition clauses where the insurer argues that your heart condition or risk factors existed before coverage began.
  • Pressure to return to work too early followed by a failed attempt that the insurer then uses to say you can hold a job.

A denial letter may sound final. Under BC law and your policy, it is usually the starting point for a careful review of your rights and options, including a possible lawsuit.

What Evidence Helps Prove Heart Disease or Stroke for LTD Purposes?

You do not need to have a perfect medical file to qualify for LTD. You do need evidence that connects your diagnosis, your symptoms, and your functional limits. Helpful evidence often includes:

  • Cardiology and neurology records showing your diagnosis, test results, treatment, and recommendations, including any limits on physical or stressful work.
  • Family doctor notes that describe your symptoms over time, including fatigue, chest discomfort, shortness of breath, palpitations, dizziness, or cognitive changes.
  • Functional descriptions that explain how far you can walk, how long you can sit or stand, how much you can lift, and how long you can concentrate before symptoms start or worsen.
  • Return to work attempts and what happened in real life, including increased symptoms or safety concerns that made continued work unrealistic.
  • Medication lists and side effects, especially if they affect your alertness, heart rate, blood pressure, or ability to drive or operate equipment safely.
  • Statements from family, friends, or co workers who have seen changes in your stamina, mood, or reliability since your heart event or stroke.

If an insurer says the evidence is not strong enough, that often means the record needs to be clarified, updated, or framed more clearly, not that your claim has no merit.

CPP Disability and Long-Term Disability After Heart Disease or Stroke

Many LTD policies require you to apply for Canada Pension Plan Disability (CPPD) if your disability is long term. CPPD is a federal program that looks at whether you have a “severe and prolonged” disability that prevents you from regularly doing any substantially gainful work.

In practice:

  • If CPPD is approved, your LTD insurer will usually deduct the CPPD amount from your LTD payments.
  • CPPD approval can be helpful evidence that another decision maker has found you disabled.
  • A CPPD denial does not automatically end your LTD rights. The legal tests and evidence are different.

Coordinating LTD and CPPD properly can protect your long term income, especially if the insurer is looking for reasons to stop paying after a heart attack, bypass surgery, arrhythmia, or stroke.

The 24 Month Change of Definition for Heart Disease and Stroke Claims

Around the 24 month mark, many LTD policies change from the “own occupation” test to the “any occupation” test. Insurers often treat this date as an opportunity to terminate benefits, particularly if:

  • Your test results have improved on paper
  • You can perform some daily activities at home
  • You have tried a partial or gradual return to work

In reality, heart disease and stroke can still prevent you from keeping up with any reasonable job, especially if stress, physical effort, or cognitive load are triggers for symptoms. If you receive a letter warning about a change of definition review, it is important to:

  • Speak with your cardiologist, neurologist, and family doctor about your current limits
  • Update your medical records so they reflect how you function over a full week, not just on good days
  • Get legal advice before agreeing to any cut off or lump sum settlement

How Long Do I Have to Sue My LTD Insurer in BC?

In British Columbia, the BC Limitation Act sets a basic two year limitation period for most civil claims, including many disability and insurance lawsuits. In general terms, the clock starts when you know, or reasonably should know, that:

  • Your insurer has clearly denied your LTD claim, or
  • Your ongoing LTD benefits have been stopped or cut off

The Limitation Act uses a “discoverability” rule and there are special rules for some situations, but for most LTD lawsuits it is safest to assume that you have two years from when you learned of the denial or termination of benefits.

Your LTD policy may also contain shorter time limits for giving notice of a claim, submitting proof of loss, or starting a legal action. Missing a limitation period can permanently bar your claim, so it is important to speak with a BC lawyer promptly after any denial or cut off.

Why Choose Tim Louis & Company for Heart Disease and Stroke LTD Claims

For more than forty years, Tim Louis has helped people across British Columbia stand up to insurers after serious illness and injury. Clients who have suffered heart disease or stroke often feel vulnerable and worried about the future. They need clear advice, not pressure.

  • Focused LTD experience with cardiac, stroke, chronic illness, and invisible disability claims
  • Plain language guidance about your chances, timelines, and options so you can make informed decisions
  • Individual attention so you are not treated as a file number or just another claim
  • BC wide service from a Vancouver based office, with phone and video options if travel is difficult
  • Free initial consultation so you can ask questions and understand your rights with no obligation

Our role is to reduce your stress, deal with the insurer, and help you protect your income while you focus on your health and your family.

What Working With Us Looks Like

  1. Step 1 – Free consultation: You contact us by phone, email, or through the contact form and share your denial letter, LTD policy, and a brief summary of your health situation.
  2. Step 2 – Review and advice: We review your documents, ask questions about your work and medical history, and explain your legal options in clear language.
  3. Step 3 – Taking action: If you choose to move ahead, we deal with the insurer on your behalf and help gather the medical and functional evidence needed to support your claim.

Throughout the process, we focus on communication, realistic expectations, and respect for your health limits.

What Clients Say About Tim Louis & Company

Many people find Tim online after calling several firms and feeling discouraged. Clients often say that Tim:

  • Called them back personally when other firms did not respond
  • Took time to listen and explain their options in plain language
  • Was honest about the strengths and limits of their case
  • Showed genuine care for their situation, not just the legal file

The firm has many five star Google reviews from people across British Columbia who turned to Tim after a denial, a serious diagnosis, or a major life change.

Talk to a Lawyer About Heart Disease or Stroke LTD in BC

If heart disease or stroke has taken you out of the workforce and your LTD benefits have been denied or cut off, you do not have to navigate this on your own. A short conversation can bring clarity about your policy, your medical evidence, and your legal options.

Free consultation: Call (604) 732 7678, email timlouis@timlouislaw.com, or use our contact form to send us your denial letter and LTD policy for review.

Services are available in English and Spanish. There is no obligation. We will explain your rights and help you decide on the next step that is right for you.

Common Questions About Heart Disease, Stroke, and LTD in BC

Can heart disease qualify for long-term disability in BC?

Yes. Heart disease can qualify for LTD if your symptoms and treatment prevent you from doing the essential duties of your job on a regular and predictable basis and you had an LTD policy in place when you became disabled.

Can I get LTD after a heart attack or stroke if my hospital stay was short?

Possibly. The length of your hospital stay is only one factor. What matters most is how your condition affects your day to day functioning over time, including your stamina, safety, and ability to keep up with work demands.

What if my insurer says I can do lighter or desk work?

Insurers often assume that sedentary work is easy. In reality, sitting for long periods, working under stress, and staying mentally focused can be very difficult or risky after heart disease or stroke. Medical evidence that explains why you cannot sustain even lighter work can be important.

Do I have to apply for CPP Disability as well as LTD?

Many policies require you to apply for CPP Disability if your disability is long term. Your LTD insurer may deduct CPPD payments, but CPPD approval can also support your LTD claim. A CPPD denial does not automatically mean your LTD claim will fail.

How long do I have to sue my LTD insurer in BC?

In most cases, you have up to two years from when you knew or reasonably should have known that your claim was denied or your LTD benefits were stopped. There are exceptions and policy based deadlines, so it is important to get legal advice as soon as possible after a denial.

Further Reading and Helpful Resources

These resources provide additional context about heart disease, stroke, disability, and your legal rights in British Columbia.

Important: This page provides general legal information only. It is not legal advice. Every LTD claim is different. To get advice about your situation, please contact our office for a free, no obligation consultation.

Stroke, heart disease and long-term disability

Navigating the complexities of disability claims, especially those related to heart disease and stroke, can be overwhelming. But with Tim Louis and his team, you’re not alone. Their commitment to justice, combined with their expertise, ensures you get the representation you deserve. Don’t let these medical challenges hinder your rights.

Benefits of Hiring Tim Louis for Heart Disease and Stroke Disability Claims

  • Expertise in BC Disability Law: With decades of experience, Tim Louis offers unparalleled knowledge in disability claims related to heart disease and stroke.
  • Assistance with Claims and Appeals: From filing to appealing denied claims, Tim Louis ensures a seamless process.
  • Maximizing Benefits: Tim Louis’ dedication ensures clients receive the maximum benefits they’re entitled to.
  • Stress-Free Legal Process: With Tim Louis by your side, the legal journey becomes less daunting and more manageable.

Take Action Today

For a free consultation, call Tim Louis at (604) 732-7678. Let us be your advocate in securing the benefits you rightfully deserve.

Call us at 604-732-7678 or email us at timlouis@timlouislaw.com.

About Tim Louis

A seasoned lawyer in Vancouver, British Columbia, Tim Louis has built a reputation for his unwavering commitment to clients and comprehensive knowledge in disability litigation. Whether you’re dealing with a disability claim due to heart disease, stroke, or any other medical condition, Tim Louis and his team are here to support you every step of the way.

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Why Choose Tim Louis Law?

Selecting a lawyer for your disability claim is crucial. With Tim Louis, you get more than just legal expertise; you get a compassionate ally who understands the emotional and physical challenges you’re facing. Trust in our dedication to ensuring you get the justice you deserve.

 

Contact Us:

If you or a loved one is grappling with the repercussions of heart disease or stroke and its impact on your livelihood, don’t hesitate. Reach out to Tim Louis Law today. Your rights, your health, and your future are worth fighting for.

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Frequently Asked Questions

Long-term disability insurance is a type of insurance policy that provides income replacement benefits to individuals who are unable to work due to a disability. These benefits are typically paid out on a monthly basis and can last for a specified period of time, such as 2 years, 5 years, or until the age of 65.
To qualify for long-term disability benefits for heart disease or stroke in British Columbia, you must have a disabling medical condition that prevents you from performing the essential duties of your occupation or any other suitable occupation for which you are reasonably qualified by education, training or experience. You must also provide medical documentation that supports your disability.
The process for filing a long-term disability claim in British Columbia typically involves submitting a claim form, providing medical documentation to support your disability, and waiting for a decision from the insurance company. It is important to ensure that your claim is complete and includes all necessary information and documentation.
If your long-term disability claim for heart disease or stroke is denied in British Columbia, you may have the option to appeal the decision. It is important to seek legal advice from a disability lawyer who can help you navigate the appeals process and maximize your chances of success.
Workers’ compensation is a type of insurance that provides benefits to employees who are injured or become ill as a result of their work. To qualify for workers’ compensation in British Columbia, you must have suffered a work-related injury or illness and be unable to work as a result. You must also meet certain other eligibility criteria, such as notifying your employer and submitting a claim within a specified timeframe.
A disability lawyer can help with your heart disease or stroke long-term disability claim in British Columbia by providing legal advice, assisting with claim filing and appeals, and advocating on your behalf with the insurance company or government agency. A lawyer can help ensure that your claim is complete and includes all necessary information and documentation, as well as maximize your chances of success.

 

 

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