Desjardins Insurance's initial attending physician's statement for group disability claims has a physical-illness version on one side and a psychological-illness version on the reverse. It records the diagnosis, treatment, follow-up and expected length of the disability at the start of a claim. The French version, Déclaration initiale du médecin traitant, is numbered 02025; the English 02025A is dated 2018-09.
The employee completes Section 1 with their policy and certificate numbers. The attending physician completes the version that matches the condition, in block letters, and gives the form to the employee.
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Initial Attending Physician’s Statement
Déclaration initiale du médecin traitant
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The side that matches the condition: the physical illness version, or the psychological illness version on the reverse. Both end with the approximate duration of the disability in days or weeks and how long before the patient can return to work, part-time, full-time or gradually.
Once all required documents arrive, Desjardins' plan member guide gives usual processing times of 5 business days for short-term disability and 10 business days for long-term disability. A claims specialist may call the employee, and the decision is confirmed in writing.
No. Desjardins' group disability guide says it shares only whether the employee is eligible for benefits, the return-to-work plan, and what the employer needs to know to make the return easier, such as functional limitations. The diagnosis on this statement stays with the insurer.