ETFO Provincial LTD Termination Form
This form should be completed to terminate your LTD coverage and discontinue your premium deductions.

There are two scenarios under which your LTD coverage should be terminated.

Scenario 1


You are eligible for a 60% unreduced service pension now.

OR

You are eligible for a 60% unreduced service pension within the later of either the next 110 working days or the expiration of your sick leave to a maximum of 24 months.

Scenario 2


You have reached the end of the month in which you turned age 65.

OR

You will reach the end of the month in which you turned age 65 within the later of either the next 110 working days or the expiration of your sick leave to a maximum of 24 months.

Return your completed form to:


Jodie Campbell, Senior Service Consultant, OTIP
E-mail: jcampbell@otip.com
Fax - 1-866-342-2134