Employment Insurance (EI)

Decision Information

Decision Content

Citation: TY v Canada Employment Insurance Commission, 2024 SST 545

Social Security Tribunal of Canada
General Division – Employment Insurance Section

Decision

Appellant: T. Y.
Respondent: Canada Employment Insurance Commission

Decision under appeal: Canada Employment Insurance Commission reconsideration decision (597260) dated August 11, 2023 (issued by Service Canada)

Tribunal member: Angela Ryan Bourgeois
Type of hearing: Videoconference
Hearing date: January 25, 2024
Hearing participant: Appellant
Decision date: March 4, 2024
File number: GE-23-3222

On this page

Decision

[1] The appeal is dismissed. The Appellant was paid 15 weeks of Employment Insurance (EI) sickness benefits during the benefit period starting May 16, 2021. This is the maximum weeks of EI sickness benefits allowed by law.

Overview

[2] The Appellant applied for EI regular benefits in May 2021. He had an accident on November 1, 2021, and wasn’t capable of working. He asked for EI sickness benefits in February 2022.Footnote 1

[3] The Canada Employment Insurance Commission (Commission) reconsidered his claims for benefits from October 31, 2021. Because the Appellant couldn’t work after October 31, 2021, the Commission converted his claims for EI regular benefits to claims for EI sickness benefits.Footnote 2 As a result of this change, it says it paid the Appellant 15 weeks of EI sickness benefits under that May 2021 benefit period.

[4] The Appellant says he doesn’t have any question about 2021 sickness benefits.Footnote 3 He says that he did not ask for sickness benefits in 2021.Footnote 4 He asked for sickness benefits on February 13, 2022.Footnote 5

[5] The Appellant has complaints about the Commission, and how it has handled his claims for benefits as far back as 2016.Footnote 6

[6] But I can only look at issues that have been reconsidered by the Commission. The only issue in this file that has been reconsidered by the Commission is the EI sickness benefits paid to the Appellant during the May 2021 benefit period.

[7] So, this decision is about the EI sickness benefits paid to the Appellant during the May 2021 benefit period.

[8] As part of this appeal, I have considered some related issues, but only to the extent that they could have affected his entitlement to EI benefits paid under the May 2021 benefit period. For example, the Appellant believes that the spelling of his name in certain documents has affected his entitlement to benefits.

[9] My analysis may answer some of the Appellant’s additional concerns, but he will have to ask the Commission to make a decision about any issues that remain.Footnote 7 If he isn’t happy with the Commission’s response, he can ask for a reconsideration decision. It is only after a reconsideration decision has been made that he can appeal those matters to the Tribunal.

Matter I have to consider first

I accepted documents after the hearing

[10] Following the hearing on January 25, 2024, I asked the Commission to provide some additional documents and provide an explanation about the various versions of the Appellant’s name in the file.Footnote 8

[11] The Commission responded within the set time.Footnote 9 I gave the Appellant time to provide additional written submissions in response.Footnote 10 The Appellant provided a response within the set time, which I have considered.Footnote 11

[12] Also, at the hearing, the Appellant talked about what his bank statements would show. I gave the Appellant time to file his bank statements with the Tribunal.Footnote 12 He filed the documents on time.Footnote 13 I gave the Commission a chance to provide additional arguments in response to the Appellant’s documents.Footnote 14 The Commission didn’t provide a response.

Issue

[13] Has the Appellant received the 15 weeks of EI sickness benefits the Commission says it paid him?

Analysis

[14] The Appellant applied for EI regular benefits on May 19, 2021.Footnote 15 The Commission paid him EI regular benefits AND EI sickness benefits under the benefit period beginning May 16, 2021.

[15] The Appellant says he doesn’t have a question about EI sickness benefits in 2021. He says he asked for EI sickness benefits on February 13, 2022, and in October 2022, he contacted J., who told him that he would receive 15 weeks of EI sickness benefits.Footnote 16 But he didn’t receive any sickness benefits after that, even though the Commission claims that it paid him 15 weeks of benefits.

[16] It’s not clear to me that the Appellant realizes that he was paid EI sickness benefits under the May 2021 benefit period. This is because the benefits were originally paid as EI regular benefits, but when the Commission learned that the Appellant wasn’t capable of working, it retroactively changed his claim from a claim for EI regular benefits to a claim for EI sickness benefits. The change was effective from October 31, 2021.

[17] The Commission didn’t complete the change until July 2022. This meant that the Appellant didn’t receive some of the benefits payable for January and February 2022 until July 2022.

[18] Considering all the evidence on file, including the Commission’s statements and the Appellant’s bank statements, I find that the Commission paid the Appellant 15 weeks of EI sickness benefits for the weeks of October 31, 2021, to February 12, 2022.

[19] The table below shows the EI sickness benefits paid to the Appellant.

Weeks of Benefits Week of Benefit Paid ($) Federal Tax deducted ($) Net payment ($) Date payment processed Deposit date from Appellant’s bank statementFootnote 17
1 31-Oct-21 $500
66
$40
0
$460
66
5-Nov-21
13-Jan-22
9-Nov-21
17-Jan-22
2 7-Nov-21 500
66
40
0
460
66
19-Nov-21
13-Jan-22
23-Nov-21
17-Jan-22
3 14-Nov-21 500
66
40
0
460
66
19-Nov-21
13-Jan-22
23-Nov-21
17-Jan-22
4 21-Nov-21 500
66
40
0
460
66
6-Dec-21
13-Jan-22
08-Dec-21
17-Jan-22
5 28-Nov-21 500
66
40
0
460
66
6-Dec-21
13-Jan-22
08-Dec-21
17-Jan-22
6 5-Dec-21 500
66
40
0
460
66
17-Dec-21
13-Jan-22
21-Dec-21
17-Jan-22
7 12-Dec-21 500
66
40
0
460
66
17-Dec-21
13-Jan-22
21-Dec-21
17-Jan-22
8 19-Dec-21 500
66
38
0
462
66
31-Dec-21
13-Jan-22
05-Jan-22
17-Jan-22
9 26-Dec-21 500
66
38
0
462
66
31-Dec-21
13-Jan-22
05-Jan-22
17-Jan-22
10 2-Jan-22 566 53 513 15-Jul-22 19-Jul-22
11 9-Jan-22 566 53 513 15-Jul-22 19-Jul-22
12 16-Jan-22 566 53 513 15-Jul-22 19-Jul-22
13 23-Jan-22 566 53 513 15-Jul-22 19-Jul-22
14 30-Jan-22 566 53 513 15-Jul-22 19-Jul-22
15 6-Feb-22 566 53 513 15-Jul-22 19-Jul-22

[20] Besides the retroactive change in benefit type (from regular to sickness), other issues made it difficult to understand how and when the Commission paid the Appellant EI sickness benefits under this benefit period. These include:

  • The Appellant’s benefit rate was retroactively increased by $66 on January 13, 2022. So, he received a lump sum payment on January 17, 2022, for $2,178, representing 33 weeks of EI benefits at $66 per week.Footnote 18
  • His EI sickness benefits weren’t approved until July 2022, so he didn’t receive his EI sickness benefits for the weeks of January 2, 2022, to February 6, 2022, until July 19, 2022.Footnote 19 The deposit was for $3,078, which represents his net weekly payment of $513 for the last six weeks of his EI sickness benefits ($513 × 6 = $3,078).

[21] The Commission’s statements and the Appellant’s bank statements show that the Appellant received 15 weeks of EI sickness benefits from October 31, 2021. Since 15 weeks is the maximum number of weeks allowed, he received all the EI sickness benefits he was entitled to receive.Footnote 20

[22] The Appellant says the Commission couldn’t have paid him EI sickness benefits from October 31, 2021, because he didn’t ask for them until February 2022.Footnote 21

[23] I understand the Appellant asked for EI sickness benefits in February 2022, not October 2021, but since he couldn’t work after his accident on November 1, 2021, he wouldn’t have been entitled to EI REGULAR benefits then.Footnote 22 This is because claimants must be capable of working to get EI regular benefits. If the Commission hadn’t converted his claim for regular benefits to a claim for sickness benefits, the Appellant would have had to repay the benefits the Commission had already paid him for the period of October 31, 2021, to January 13, 2022.

[24] The Appellant believes the Commission fabricated the payments it claims it made in its letter starting on page GD3-61.Footnote 23

[25] I find that the payments shown in the Commission’s letter accurately reflects the payments it made to the Appellant because, as shown in the table above, the payments set out in the letter correspond to the bank deposits shown in the Appellant’s bank statements.

[26] The Appellant questions why the Commission deducted different tax amounts for the same amount of benefits payable. He provided a T4E statement for benefits he received in 2018 showing that only $5 was deducted in income tax for benefits of $282.Footnote 24 He asked that I review this with careful attention to detail.Footnote 25

[27] I don’t know why the amount deducted for income tax changed from $40 to $38, or why only $5 was deducted in 2018. The amount of tax deducted doesn’t change my finding that the Appellant received 15 weeks of EI sickness benefits as set out in the table above.

[28] The Appellant provided a copy of the Commission’s letter about his entitlement to EI sickness benefits from February 13, 2022, to April 16, 2022.Footnote 26 These are benefits under a different benefit period and will be addressed in the decision relating to that benefit period.

The Appellant’s name

[29] When the Appellant applied for EI benefits, he inputted his full name (first and last) in the spot for his last name. He then inputted his full name again, without spaces between names, in the spot for his second name. He also inputted his full name in the spot for his last name at birth.Footnote 27 This is what it looked like:

Filled in Employment Insurance benefit form

[30] The Appellant says that he has been denied benefits because the Commission messed up his name.

[31] The Commission explained that it uses the name entered by a claimant when they apply for benefits.Footnote 28 So in the Appellant’s case, given how he entered his name on his application form, the Commission used his full name (without spaces) followed by his full name with spaces.Footnote 29 It remained this way until it was changed in the system, which upon review of the file, happened in July 2022.

[32] The Appellant says that the Commission mixed him up with another family member. But I see nothing in the file that would suggest that how the Appellant’s name appeared on the letters affected his entitlement to EI sickness benefits.

[33] The Appellant says that he isn’t the person named in the letters and documents that have his incorrect name. While the letters may have the incorrect name, this is based on the name he inputted in the system when he applied for benefits. Since his application and entitlement to benefits are linked to his social insurance number, the incorrect name hasn’t affected his entitlement to EI benefits.

How the Commission treated the Appellant

[34] The Appellant told me that the person he spoke to from Regina talked to him in a manner that diminished his worth.Footnote 30

[35] I am sorry that the Appellant’s conversation with the Commission’s officer made him feel that way. I have the authority to look at his entitlement to benefits, I don’t have the power to investigate complaints about the Commission’s staff. To make such a complaint, he could call Service Canada and ask about their complaint process.

Conclusion

[36] The Commission paid the Appellant 15 weeks of EI sickness benefits under the benefit period starting in May 2021. He isn’t entitled to more weeks of EI sickness benefits under this benefit period.

[37] The appeal is dismissed.

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