High Mercury Content
The Grassy Narrows & Islington Bands Mercury Disability Board

Claims Process

Assessment Request Forms (paper) are available at the Band Office and clinics in Wabaseemoong and Grassy Narrows. You can also contact the Mercury Disability Board office for forms.

You can also fill out the application online and it will be submitted directly to the Mercury Disability Board office for processing.

These forms are processed at the Mercury Disability Board office to begin the claims process with the Canada Life Assurance Company (formerly Great West Life Assurance Company). Canada Life administers the claims process and the Mercury Disability Fund on behalf of the Mercury Disability Board. Once your form is received, you will be sent a letter acknowledging receipt of your form and an MDB staff member will follow-up with you to explain the assessment process, discuss any further information needed from you and answer any questions you may have.

To have a youth assessed to find out if they are eligible for mercury disability payments please complete and sign the Assessment Request Form as the parent or guardian on behalf of the youth.

ASSESSMENT PROCESS FOR ADULTS

Three assessments make up stage 1 of tests:

  1. Overall Health – A Nurse Practitioner will meet with you to review your past medical history, your current health, your health concerns, to perform a general health examination and to complete a health questionnaire.
  2. Neurological – A Neurologist will check you for any tremors, your movements and coordination of movements, your speech, your reflexes and how you react to touch sensation.
  3. Visual Field – An Optometry Technician or Optometrist will check for any decrease in the area that you can see objects when you are looking straight ahead.

Your assessments from stage 1 will then be scored.  If you have reached the point score for maximum benefits you are finished with the assessment process.

If you have not reached the point score for maximum benefits you will go on to the stage 2 of assessment for a fourth test:

  1. Neuropsychologic/Neuropsychiatric – A Psychometrist or Psychologist will meet with you to assess how mercury may have affected your brain, such as your understanding, memory, focus, how you see images, your ability to move objects, how quickly you react and language.

Assessment Outcomes

You will be sent a letter with your final score and outcome once the assessment process has been completed. The letter will contain detailed information as to how your final point score was determined and all other related information.

If you have not reached the maximum benefit entitlement score you can submit an Assessment Request Form to begin the assessment process again.

Point Scoring

Point scores are determined from each assessment attended (overall health, neurological, visual fields and neuropsychologic/neuropsychiatric).  Those point scores are added together to determine a final point score.

The minimum point score to receive benefits is 6 points and maximum benefit entitlement score is 16 points.

If you are approved for benefits, information on payment dates and any retro amounts owing will be included in your outcome letter. Benefit payments are made by cheque or direct deposit.

ASSESSMENT PROCESS FOR CHILDREN/YOUTH

Three assessments make up the assessment process for youth:

  1. Overall Health – A Nurse Practitioner will meet with you and the youth to review their past medical history, current health, health concerns, to perform a general health examination and to complete a health questionnaire.
  2. Neurological – A Neurologist will check the youth for their movements and coordination of movements, strength, their speech, their reflexes and how they react to touch sensation.
  3. Neuropsychologic/Behavioural – A Psychometrist or Psychologist will meet with the youth to assess how mercury may have affected their brain, such as their understanding, memory, focus, how they see images, their ability to move objects, how quickly they can react, language and behaviour.

Assessment Outcome

You will be sent a letter with the youth’s final score and outcome once the assessment process has been completed. The letter will contain detailed information as to how the final point score was determined and all other related information.

If the youth has not reached the maximum benefit entitlement score you can submit an Assessment Request Form on behalf of the youth to begin the assessment process again.

Point Scoring

Point scores are determined from each assessment attended.  Those point scores are added together to determine a final point score.

The minimum point score to receive benefits is 6 points and maximum benefit entitlement score is 12 points for youth.

If the youth is approved for benefits, as youth are minors, benefits are held in trust for them until they turn 18 years of age. Information on the trustee and how to contact them will be provided in the outcome letter.