Who Pays for Long-Term Disability in Canada?
If you’re receiving long-term disability (LTD) benefits — or thinking about applying — one of the most common questions is simple:
Who actually pays for long-term disability?
The answer depends on where your coverage comes from and how your LTD plan is set up. Below is a clear, plain-language breakdown.
Short Answer
In most cases, long-term disability benefits are paid by an insurance company, not directly by your employer or the government.
But there are important exceptions.
Most Long-Term Disability Benefits Are Paid by an Insurance Company
Long-term disability benefits in Canada are typically part of a group insurance plan, and understanding how long-term disability in Canada works is the first step in knowing who pays and why.
Here’s how it typically works:
- Your employer offers a group benefits plan
- LTD coverage is included in that plan
- A private insurance company administers and pays the benefits
- Monthly payments are made directly to you while you’re unable to work
Who Pays for the LTD Premiums?
This is where things can vary — and it matters.
1. Employer-Paid LTD Premiums
If your employer pays the full cost of the LTD premiums:
- The insurance company still pays your benefits
- But your LTD payments are usually taxable income
2. Employee-Paid LTD Premiums
If you pay the premiums yourself (often through payroll deductions):
- The insurance company pays your benefits
- Your LTD payments are usually tax-free
3. Shared Premiums
Some plans split the cost between employer and employee.
- Tax treatment may be partially taxable
- It depends on how the plan is structured
Does the Government Pay Long-Term Disability?
No — not private LTD.
Government programs do not pay benefits under private long-term disability policies.
However, you may also qualify for:
- CPP Disability benefits, which are paid by the federal government
- These are separate from private LTD
- Many LTD policies require you to apply for CPP Disability
- CPP payments are often deducted from your LTD benefits
What About Self-Employed or Individually Purchased LTD?
If you’re self-employed or bought your own LTD policy:
- You pay the premiums directly to the insurer
- The insurance company still pays the benefits
- Payments are often tax-free if premiums were paid personally
Why the Payer Matters So Much
Understanding who pays for LTD helps explain why claims are often disputed.
Insurance companies:
- control eligibility decisions
- review medical evidence
- conduct file reviews and medical assessments
- decide when benefits continue or stop
Disputes often arise over how long long-term disability benefits last and when insurers believe payments should end.
What If the Insurance Company Stops Paying?
If your LTD benefits are denied or terminated:
- Your employer usually cannot override the decision
- The dispute is typically between you and the insurer
- Deadlines apply, and delays can hurt your claim
This is where understanding your rights becomes critical.
Key Takeaways
- Most LTD benefits in Canada are paid by insurance companies
- Employers usually provide the coverage, but don’t pay the benefits themselves
- Who pays the premiums affects whether benefits are taxable
- Government programs like CPP Disability are separate
- Disputes almost always involve the insurer — not your employer
Need Help With a Long-Term Disability Issue?
If you’re unsure who should be paying your benefits — or your LTD payments have been denied, delayed, or cut off — getting clarity early can make a big difference.
At Samfiru Tumarkin LLP, our disability lawyers regularly help people across Canada understand how long-term disability claims work and what options may be available when insurers push back.