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DismissedSocial Security Tribunal of Canada (Employment Insurance)·

Appeal for Additional Sickness Benefits Dismissed

Case No.

📌 In brief

The claimant tried to get more weeks of sickness benefits but was denied because they had already received the maximum 26 weeks allowed by law. They argued that a postal strike prevented them from providing necessary medical reports, but the Tribunal ruled against them.

⚖️ Legal holding

A claimant is not entitled to receive more than 26 weeks of sickness benefits under the Employment Insurance Act.

Topics

Employment InsuranceSickness BenefitsMaximum Weeks

Provisions

Employment Insurance Act, s. 12(3)(c)Employment Insurance Regulations, s. 40(1)

📖 What the law says

Employment Insurance Act s.12

If a benefit period is set for someone claiming benefits, they can receive payments for each week they are unemployed during that period, but only up to the maximum limits set by the act. The exact maximum number of weeks depends on factors like the regional unemployment rate and the amount of insurable employment the person had.

Employment Insurance Regulations s.40

To prove that they cannot work due to illness, injury, or quarantine, a claimant must provide a medical certificate from a doctor or another medical professional. This certificate should confirm the claimant's inability to work and estimate how long the condition will last.

Plain-English explanation — does not replace advice from a lawyer.

📖 Technical summary

The claimant's appeal for additional weeks of sickness benefits was dismissed as he had already received the maximum 26 weeks allowed under the Employment Insurance Act.

📜 Headnote Official document

The claimant appealed the dismissal of their application for additional weeks of sickness benefits, arguing that they were unable to provide necessary medical documentation due to a postal strike. The Tribunal dismissed the appeal, finding that the claimant had already received the maximum 26 weeks of sickness benefits allowed under the Employment Insurance Act.

📚 Full judgment Official document

[TRANSLATION] Citation: [NAME] v Canada Employment Insurance Commission , 2026  SST  39 Social Security Tribunal of Canada General Division – Employment Insurance Section Decision Appellant: [redacted] Respondent: [redacted] Decision under appeal: Canada Employment Insurance Commission reconsideration decision (758779) dated October 6, 2025 (issued by Service Canada) Tribunal member: [NAME] of hearing: In writing Decision date: January 7, 2026 File number: GE-25-3335 On this page Decision Overview Matter I have to consider first Issue Analysis Conclusion Decision [ 1 ] The appeal is dismissed. [ 2 ] The Claimant was paid the maximum number of weeks of sickness benefits that he is entitled to. He was paid 26 weeks of Employment Insurance ( [NAME] ) sickness benefits. That is the maximum number of weeks of sickness benefits under the Act. Footnote 1 Overview [ 3 ] The Claimant applied for [NAME]  sickness benefits starting February 2, 2025. [ 4 ] The Commission told the Claimant that it could not pay him [NAME]  sickness benefits starting August 11, 2025, because it had already paid the maximum 26 weeks of sickness benefits. [ 5 ] The Claimant says that he was unable to provide some medical reports because of the postal strike. He believes that these documents would have changed the Commission’s decision. Footnote 2 Matter I have to consider first The Claimant asked for a hearing in writing [ 6 ] The Claimant asked for the hearing to be held in writing. I accepted his request and told him that the appeal can be decided based on the information on file. Footnote 3 Issue [ 7 ] Is the Claimant entitled to more weeks of sickness benefits? Analysis Issue 1: Is the Claimant entitled to more weeks of sickness benefits? [ 8 ] A claimant isn’t entitled to be paid benefits for a working day in a benefit period for which the claimant fails to prove that on that day the claimant was unable to work because of a prescribed illness, injury or quarantine, and that the claimant would otherwise be available for work. Footnote 4 [ 9 ] The information and evidence to be provided to the Commission by a claimant in order to prove inability to work because of illness, injury or quarantine is a medical certificate completed by a medical doctor or other medical professional attesting to the claimant’s inability to work and stating the probable duration of the illness, injury or quarantine. Footnote 5 [ 10 ] The Claimant provided evidence that he was unable to work because of illness. In fact, he was paid 26 weeks of sickness benefits. Footnote 6 [ 11 ] The Commission says that the Claimant stated that he was unable to go back to work and wants to be paid more sickness benefits. [ 12 ] Based on his medical certificate dated March 1, 2025, the Claimant isn’t fit for work and there is no expectation that he will be able to go back to work anytime soon. Footnote 7 The medical certificate dated March 25, 2025, said that he will be off work for at least 12 months. Footnote 8 [ 13 ] The Act says that the maximum number of weeks during a benefit period when benefits can be paid is 26 weeks in the case of illness, injury or quarantine. Footnote 9 [ 14 ] I understand the Claimant’s difficult situation because he has been off work for a long time because of illness. But my role is to apply the Act, and I can’t change it just to please the Claimant who feels wronged. The Act sets out a maximum number of weeks a claimant can be paid under [NAME]  sickness benefits. I don’t have the authority to change that number. [ 15 ] The Claimant was paid the maximum number of weeks of sickness benefits that he is entitled to. He was paid 26 weeks of [NAME]  sickness benefits. That is the maximum number of weeks of sickness benefits under the Act. Footnote 10 Conclusion [ 16 ] The appeal is dismissed. [ 17 ] The Claimant was paid the maximum number of weeks of sickness benefits that he is entitled to. Footnotes Footnote 1 See section 12(3)(c) of the Employment Insurance Act (Act). I note that the Commission didn’t cite the correct reference to the Act in its arguments because it referred to a maximum of 15 weeks. See GD4-4. Return to footnote 1 Footnote 2 See the Claimant’s reasons for challenging the Commission’s reconsideration decision at GD2-4. Return to footnote 2 Footnote 3 See the Tribunal’s letter dated December 29, 2025, at GD1-1. Return to footnote 3 Footnote 4 See section 18(1)(b) of the Act. Return to footnote 4 Footnote 5 See section 40(1) of the Employment Insurance Regulations. Return to footnote 5 Footnote 6 See the certificate attesting to the payment of Employment Insurance ( [NAME] ) benefits. Return to footnote 6 Footnote 7 See the request for leave because of health reasons at GD2-12. Return to footnote 7 Footnote 8 See the medical certificate at GD12-10. Return to footnote 8 Footnote 9 See section 12(3)(c) of the Act . I note that the Commission didn’t cite the correct reference to the Act in its arguments because it referred to a maximum of 15 weeks. See GD4-4. Return to footnote 9 Footnote 10 See section 12(3)(c) of the Act. I note that the Commission didn’t cite the correct reference to the Act in its arguments because it referred to a maximum of 15 weeks. See GD4-4. Return to footnote 10

⚖️ What tends to weigh in cases like this

✅ Tends to be accepted

  • The claimant provided a medical certificate proving inability to work due to illness.
  • The claimant was paid the maximum 26 weeks of sickness benefits allowed by law.
  • The tribunal recognized the claimant's difficult situation but adhered to legal limits.

❌ Tends to be rejected

  • The claimant believed additional medical reports would extend his sickness benefits beyond 26 weeks.
  • The claimant argued that a postal strike prevented him from providing necessary documentation earlier.
  • The claimant requested more weeks of sickness benefits despite reaching the statutory limit.

Patterns observed in similar cases in this collection — every case is unique.

❓ Frequently asked questions

What did this decision decide?

The claimant's appeal for additional weeks of sickness benefits was dismissed.

What was the dispute about?

The claimant wanted more weeks of sickness benefits after the postal strike prevented him from submitting necessary medical reports.

How did the court decide, and why?

The court decided against the claimant because he had already received the maximum 26 weeks of sickness benefits allowed under the Employment Insurance Act.

Which laws or rules were applied?

Sections 12(3)(c) of the Employment Insurance Act and 40(1) of the Employment Insurance Regulations were applied.

What was the argument that mattered most?

The claimant argued that he was unable to provide necessary medical documentation due to a postal strike, but the court found that he had already received the maximum allowed benefits.

Was the decision for or against the person who brought the case?

The decision was against the claimant.

What does this mean for someone in a similar situation?

Someone in a similar situation should ensure they submit all necessary documentation within the required timeframe to avoid such issues.

What evidence or documents mattered?

Medical certificates and the claimant's inability to provide additional medical reports due to a postal strike were important documents.

Official source: Social Security Tribunal of Canada (Employment Insurance) headnote and full judgment reproduced from the court's public records. View on the official source ↗Summary, holding, technical summary and questions: produced by Artificial Intelligence based on the official headnote and judgment. These are VadeLab’s own material and are not the work of the Court.This decision was issued by the Social Security Tribunal of Canada (Employment Insurance). It is a reproduction of an official work published by the Government of Canada, and the reproduction has not been produced in affiliation with, or with the endorsement of, the Government of Canada. It is not an official version.
Claimant's Appeal for More Sickness Benefits Dismissed | VadeLab