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WCB Procedures

  • Help
    • Searching for a procedure or within a procedure
  • 1 - Claim entitlement decisions
    • 1-1 Initial entitlement decision
    • 1-2 Initial entitlement decision - psychiatric or psychological injury
    • 1-3 Initial entitlement decision - hearing loss
    • 1-4 Benefits during a medical investigation
    • 1-5 Claim reopen (continuation or recurrence) decision
    • 1-6 Aggravation of a pre-existing condition decision
    • 1-7 Reconsider a previous decision (new evidence)
    • 1-8 Fitness-for-work decision
    • 1-9 Conflict of medical/psychologist opinion
    • 1-10 Additional entitlement decision
    • 1-16 Medical assistance in dying
  • 2 - Compensation rate setting and disbursements (payments)
    • 2-1 Rate setting
    • 2-6 Date-of-accident compensation
  • 3 - Return-to-work and care planning
    • 3-1 Modified work
    • 3-2 Collaborative care planning
    • 3-3 Duty to cooperate
    • 3-4 Egregious conduct
    • 3-5 Obligation to reinstate employment
    • 3-8 Medical panel
    • 3-9 Employer-requested medical examination
  • 4 - Medical benefits and services
    • 4-1 Medical testing, referrals and program support
    • 4-2 Community treatments
    • 4-3 Psychological counselling
    • 4-4 Orthotics and prosthetics
    • 4-5 Home health care
    • 4-6 Special services and equipment
    • 4-7 Opioid management
    • 4-8 Pharmacy direct billing and medication management
    • 4-9 Pharmaceutical cannabinoids and medical cannabis
    • 4-10 Externally-powered prosthetics
    • 4-11 Non-standard medical aid treatment decision
  • 5 - Claim-related expenses
    • 5-1 Travel and subsistence benefits
    • 5-2 Short-term home assistance
    • 5-5 Child and animal care
    • 5-6 Home and workplace modifications
    • 5-7 Vehicle modifications
    • 5-8 Initial hospitalization, treatment center and care facility benefits
    • 5-10 Special financial assistance
    • 5-13 Lump sum retirement (pre-retirement) benefit approval
  • 6- Permanent disability benefits
    • 6-1 Permanent clinical impairment
    • 6-2 Permanent total disability decision
    • 6-3 Advances and lump sum commutation requests
  • 7 - Re-employment benefits and services
    • 7-1 Triage assessment referral
    • 7-2 Supported job search
    • 7-4 Retraining programs
    • 7-5 Training on the job, train and place, or work assessment
    • 7-6 Designated public service employers
    • 7-7 Relocation assistance
    • 7-8 Alternate grants -retraining and self-employment
    • 7-9 Tools and equipment
  • 8 - Wage loss supplements
    • 8-1 Wage loss supplement (WLS) final approval
    • 8-2 Retroactive wage loss supplement final approval
    • 8-3 Temporary partial disability benefit (TPD) reviews
    • 8-4 Temporary economic loss (TEL) benefit reviews
    • 8-5 Economic loss payment (ELP) reviews
    • 8-6 Earnings loss supplement (ELS) reviews
  • 9 - Claim information, access and privacy
    • 9-4 Authorizations: worker and employer representatives
  • 10 - Client inquiries and incidents
    • 10-1 Client inquiry resolution
    • 10-2 Respectful communication
    • 10-3 Critical incidents
    • 10-4 Address a fairness inquiry
  • 11 - Claim and file administration
    • 11-1 Requesting medical reports
    • 11-2 Internal consultant referrals
    • 11-4 Translation and interpretation services
    • 11-5 Claim entitlement Investigation Unit referrals
    • 11- 8 Guardianship and trusteeship
  • 12 - Cost and entitlement adjustments
    • 12-1 Cost relief, cost transfer and cost reallocation
    • 12-3 Overpayments, cost corrections and payments on hold
  • 13 - Claim decision review and appeal
    • 13-1 Address a resolution submission or letter

Retroactive wage loss supplement final approval - Archived Nov 14, 2022

Procedure summary

Published On

Dec 10, 2019
Purpose

To refer injured workers for services to assist them in exploring new job options when they can no longer return to their date-of-accident job or employer.

To determine entitlement and amount of wage loss benefits.

Description

The decision maker anticipates the need for re-employment services for their worker and, in most cases, refers the worker for a triage assessment. During the triage assessment, a re-employment specialist collaborates with the worker to assess their needs and then makes recommendations for the right re-employment services that would best suit the worker’s unique needs and circumstances.

The recommended services can range from basic “skilling up” services that focus on short term training options to enhance the worker's employability, to longer-term services such as job planning and supported job search.

Throughout the re-employment process, the decision maker keeps in regular contact with the worker and re-employment specialist to monitor the worker’s progress and to offer additional assistance and support to the worker.

The decision maker makes every effort to support the worker in finding a job that maximizes their earning potential or matches what the worker earned at their date of accident job.

If the worker’s return-to-work options lead to lower earnings, the decision maker determines whether they may be entitled to an additional wage loss benefit. The wage loss benefit provides a top up between the worker’s estimated or actual earnings and their earnings at the time of their injury.

Key information

Decision makers can make a referral for a triage assessment while the worker is still in treatment.

The re-employment services triage assessment supports workers by focusing on the services they need and allows them to access training earlier so they stay focused and engaged in returning to work.

The assessment also supports decision makers by making recommendations for the services that will best support their workers' return to work. Changing jobs or careers can be a challenging time for an injured worker. The decision maker ensures the worker is engaged and plays an active role in each decision and step throughout their return-to-work journey.

While the decision maker assists the worker in finding a job, it is the re-employment specialist who assesses the worker and makes the recommendation for services based on the triage assessment results.

As of April 1, 2021, workers have a duty to cooperate in their return to work and vocational rehabilitation (re-employment). Cooperation means full participation and disclosure, as required, in those activities and services at each stage of a claim that are focused on supporting a worker’s recovery and return to work. The goal is to act in good faith to maximize recovery and achieve return to work, or independence for workers who are medically unable to return to work. There may be an impact to the worker’s benefits if they are not cooperating.

Note: The worker’s previous wage loss supplement may need to be reviewed when:

  • There has been changes to the worker’s position or work restrictions.
  • The worker’s previously chosen position was found not suitable by the decision maker or appeal body.
  • The decision maker has determined that the worker is entitled to a new wage loss entitlement retroactively.

Detailed business procedure

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1. Consider other job options for suitability, accessibility and/or other earnings information already on file

  • If there is enough information on file to estimate earnings, adjust the worker’s earning capacity retroactively.
  • If there is not enough information on file, refer the worker to a service provider to help identify retroactive job options.

Administrative tasks

Review the modified Vocational rehabilitation services planning phase report (C880).

2. Determine whether the job maximizes the worker’s earnings capacity moving forward

  • Contact the worker and explore any previous job options and address any potential obstacles they may be facing.
  • If the chosen job maximizes the worker’s earnings capacity, communicate the decision to the worker verbally and in writing.
  • If not, the worker may require support such as additional RE services, further medical assessments etc.
  • Explain to the worker that the upcoming services are both for their retroactive entitlement and for their future entitlement which may not be the same target positions.

Administrative tasks

There are no administrative tasks for this step.

Supporting references

Policies

  • 04-01 Part I - Establishing Net Earnings
  • 04-02 Part I - Temporary Benefits
  • 04-01 Part II – Application 3 - Establishing Net Earnings
  • 04-02 Part II – Application 1 - General
  • 04-04 Part I - Permanent Disability
  • 04-04 Part II – Application 1 - Determining Impairment of Earning Capacity
  • 04-04 Part II – Application 3 - Economic Loss Payment - Dates of Accident on or after January 1, 2018
  • 04-04 Part II – Application 4- Economic Loss Payment - Dates of Accident from January 1, 1995, to December 31, 2017, Inclusive
  • 04-04 Part II – Application 6 - Earnings Loss Supplements
  • 04-05 Part I - Return-to-Work Services
  • 04-05 Part II – Application 1 - General
  • 04-05 Part II – Application 5 – Job Search
  • 04-05 Part II – Application 6 - Training-on-the-Job Programs
  • 04-05 Part II – Application 7 – Training
  • 04-05 Part II – Application 8 - Relocation
  • 04-05 Part II – Application 9 – Self-Employment
  • 04-11 Part I – Duty To Cooperate
  • 04-11 Part II – Application 1 - Duty To Cooperate

Workers’ Compensation Act

Applicable Sections

  • Section 36 – Board entitlement to information
  • Sections 43 (1) (2) – Evaluation of a disability
  • Sections 56 – Compensation for disability
  • Sections 59 (1-3) – Cost of living adjustments
  • Section 63 – Determining impairment of earning capacity
  • Section 67 – Compensation to learner and apprentice
  • Section 70 (6) – Compensation for death
  • Section 89 (1-3) - Board to provide vocational and rehabilitation services
  • Section 151.1 (1) - Prohibition

Workers' Compensation Regulation

Applicable Sections

Related Legislation

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