Communication
How often is a PSD sent on an LTD claim?
What is every 8 weeks
A surgical procedure in which the worn, damaged surfaces of the knee joint are replaced with metal and high-density plastic prosthetic components.
What is a total knee replacement
This resource provides up to date, evidence based medical-disability information. We use this information to guide entitlement decisions, understand expectations for treatment and to estimate forecasting throughout the management of a claim.
What is MDG
In Alberta, where do you find practitioner ID's?
What is the CPSA website
Who at SL would be in charge of obtaining new business for disability insurance?
What is an account executive?
Where is the preferred method of communication located in solar?
What is under the member details
A chronic brain disorder with recurrent episodes of headaches associated with symptoms of neurologic dysfunction.
What is a migraine
Where our practices are stored, which support Disability management of all claims.
What is Athena
Compliance with treatment, poor prognosis, poor medical resources/extended wait-times, sub-optimal treatment, medical mindset, and multiple conditions fall under what claim category?
What are influencing factors?
If a tip is received for a suspect claim or you believe there is something suspicious occurring, what team should you refer the file to?
What is the fraud risk management team
Advises recipient that detailed emails are ready to be retrieved through the SL protected website environment. To login in to the website, an Access ID and Password/PIN are required
What is certified email
Term used to describe a condition characterized by chronic widespread musculoskeletal pain with tenderness at multiple sites, which is associated with abnormal pain processing in the central nervous system, sleep problems, fatigue, and cognitive disturbances
What is fibromyalgia.
The system that houses contracts and booklets for each policy
What is DARC?
An anticipated resolution date based on our current case management strategy and planned case management initiatives.
What is the forecast date
What is it called when a file is in litigation and plaintiff's counsel wishes to question a DCM?
What is discovery
The online system plan sponsors can access for details regarding the disability claims for their policy
What is the Disability Online Tool?
Classified as an anxiety disorder characterized by persistent, intrusive, and inappropriate thoughts, images, or urges that are not pleasurable or experienced as voluntary (obsessions).
What is OCD.
A document retrieval service provider that SL uses that has established relationships with physicians and hospitals nationwide.
What is Dynacare
At the end of the own occupation period for standard contracts, what does the definition of disability changes to?
What is any occupation
A legal document that gives someone else the ability to act on behalf of a plan member in a legal or business matter when the PM is unable to handle his/her affairs.
What is a Power of Attorney
When a medical request is sent to a physician, this needs to be set on the file so follow up's are sent to the plan member automatically.
What is an EM (electronic message)
The development of cancerous tumors in the back part of the mouth or upper region of the throat.
What is oropharyngeal cancer
Repository of all the member information in the Employee database to confirm eligibility of benefits.
What is Oasis
When it is determined that a member has what may be long standing or permanent functional limitations, with no possibility of a return to work, we may consider moving the claim to what status?
What is long duration
An independent investigation of the plan member in order to verify their level of function or activity.
What is surveillance