CPP Disability - How applications are adjudicated
HRDC's medical adjudicators or Service Delivery Specialists, who are health professionals, review applications for a Canada Pension Plan (CPP) disability benefit, except when the applicant has not made enough CPP contributions.
HRDC's medical adjudicators are trained nurses with extensive knowledge of CPP legislation, regulations, policies and procedures. They receive ongoing training on up-and-coming medical developments to ensure that they are aware of, and sensitive to, the complexities of new medical conditions. They are supported by a group of CPP physicians and specialists who provide advice on complex medical issues.
The test for CPP disability eligibility is whether the person with a severe and prolonged medical condition has the functional capacity or ability to work at any job (not just his or her own job) on a regular basis. The condition must be expected to last at least one year or is likely to result in death.
Many people mistakenly believe that CPP eligibility decisions are based on the medical diagnosis alone. In fact, eligibility is determined by considering several factors together including:
- the nature and severity of their medical condition;
- the impact of the medical condition and treatment on their capacity to work;
- the prognosis;
- personal characteristics such as age, education, and work history; and,
- their work performance and productivity.
Under CPP legislation,the availability of suitable employment in the applicant's area is not considered in determining eligibility.