what triggers surveillance
surveillance is more common when:
- a claim has been active for a long period.
- the disability involves conditions that are difficult to measure objectively, such as chronic pain, fibromyalgia, fatigue or mental health disorders.
- the policy is approaching a key date, such as the 24-month “change of definition” from own occupation to any occupation.
- the insurer is actively seeking cost-cutting opportunities.
a brief, edited clip of you carrying groceries or attending a family barbecue may be presented as “proof” that you are capable of full-time employment while ignoring pain, fatigue, symptom flare-ups and recovery time.
insurers often review public content on platforms such as facebook, instagram, tiktok and linkedin. your photos, videos, captions, comments and check-ins can all be taken out of context. at minimum, use strict privacy settings on social media.
however, surveillance is only one piece of evidence and must be weighed against the full medical record. this includes opinions from treating doctors and specialists, medical records and clinical findings, functional limitations over time, and the consistency of the evidence as a whole.
what to do if you’re targeted
if your benefits have been terminated due to surveillance, don’t panic. continue living your life honestly and within your doctors’ restrictions. continue to follow medical advice and adhere consistently to recommended limitations. and keep a symptom diary, documenting pain levels, fatigue, flare-ups and recovery time.
with proper legal guidance, surveillance-based denials can be challenged, and many are successfully overturned with the right evidence.
nainesh kotak is the founder of kotak personal injury law, a firm focused on protecting clients’ rights to justice and obtaining the compensation they deserve. he serves as vice president of the ontario trial lawyers’ association and acting regional lead for the central west region on the justice of the peace appointment advisory committee, and was formerly chair of otla’s long-term disability section.
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summer surveillance: how insurance companies can monitor your long-term disability claim