How to Apply

To apply for salary insurance, the following steps must be taken:

  • Obtain one of the form Short-term Disability Benefits Claim Form (11A-B); (11A Unemployment Insurance Statement and 11B-Employee's Statement / Attending Physician's Statement).
    • If the worker is claiming salary insurance benefits as part of treatment for alcoholism, drug addiction, compulsive gambling, major depression, or violent behaviour, he or she must fill out other forms (13-14, 16-17 or 18-19). These forms are available on our web site and at clinics recognized by MÉDIC Construction.
  • Workers must fill out the sections of the form reserved for them (11A-B).
  • Workers must have their physician fill out the required medical reports in the salary insurance forms 11B.
  • Workers must apply for Employment Insurance Sickness Benefits online at www.servicecanada.gc.ca or, if they don’t have Internet access, by using one of the computers available in a Service Canada Centre. Employment Insurance is the first payer in case of disability.

    After applying for Employment Insurance and filling out the “identification” and “authorization of employee” sections of form 11A, workers may bring this form to a Service Canada Centre or mail it to the following address in order for an authorized person to fill out the section concerning Employment Insurance.

    Service Canada, P.O. Box 60, Boucherville (Québec) J4B 5E6

  • Workers return part 11B of the form to the CCQ after it is filled out. Service Canada will return part 11A to the CCQ.

It should be noted that:

  • Salary insurance benefits may be paid during the waiting period for employment insurance.
  • Insured women not eligible for benefits from the Québec Parental Insurance Plan (QPIP) or an Employment Insurance Plan and who have given birth, must contact the CCQ's Customer Services to apply for salary insurance.
  • After the initial application for salary insurance is made, MÉDIC Construction monitors the worker’s file. The documents needed for examination of the file are requested when they are needed.
  • Workers must apply for salary insurance within a certain deadline.

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