Workers' Compensation Claim Benefits (7:XI): Difference between revisions
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Workers' Compensation Claim Benefits (7:XI) (view source)
Revision as of 21:47, 13 December 2022
, 13 December 2022→C. Temporary Wage Loss Benefits
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If a worker has an injury but can perform the full duties of the pre-injury job, the claim is accepted for health care benefits only (see below). If the injury is such that the worker cannot perform full duties, the Board makes an entitlement decision on an accepted claim regarding additional benefits, especially wage loss. For most claims, the Board finds that there is some type of temporary disability: | If a worker has an injury but can perform the full duties of the pre-injury job, the claim is accepted for health care benefits only (see below). If the injury is such that the worker cannot perform full duties, the Board makes an entitlement decision on an accepted claim regarding additional benefits, especially wage loss. For most claims, the Board finds that there is some type of temporary disability: | ||
'''Temporary Total Disability''' - worker not working at all: Temporary Wage Loss benefits paid under s 191 of the Act [Former Act, s. 29] (see RSCM II, Policy #34.10); | *'''Temporary Total Disability''' - worker not working at all: Temporary Wage Loss benefits paid under s 191 of the Act [Former Act, s. 29] (see RSCM II, Policy #34.10); | ||
*'''Temporary Partial Disability''' – worker working part-time work at a suitable occupation or deemed suitable occupation and paid partial temporary wage loss benefits under s 192 of the Act [Former Act, s. 30] (See RSCM II, Policy #35.10); OR | |||
'''Temporary Partial Disability''' – worker working part-time work at a suitable occupation or deemed suitable occupation and paid partial temporary wage loss benefits under s 192 of the Act [Former Act, s. 30] (See RSCM II, Policy #35.10); OR | *'''Temporary Disability with Light Duties''' - worker working full time in suitable light duties as per RSCM II Policy #34.11. In this case, the Board usually does not pay the worker any temporary wage loss benefits but the worker’s other benefit entitlement (such as health care) is adjudicated under s 192 of the Act. Policy #34.11 applies to any adjudication of these light duties, including where the worker refuses light duties on the grounds that they are unreasonable. | ||
'''Temporary Disability with Light Duties''' - worker working full time in suitable light duties as per RSCM II Policy #34.11. In this case, the Board usually does not pay the worker any temporary wage loss benefits but the worker’s other benefit entitlement (such as health care) is adjudicated under s 192 of the Act. Policy #34.11 applies to any adjudication of these light duties, including where the worker refuses light duties on the grounds that they are unreasonable. | |||
:'''NOTE:''' Light duties are meant to be a temporary arrangement during a period of temporary disability. Even though no temporary wage loss benefit is paid to a worker, it is still an accepted period of “disability” under the Act. During this period, a worker is entitled not only to health care benefits but also to a decision regarding the outcome of the accepted condition. All periods of “light duty” should conclude with a formal “resolve” or “plateau” decision (see below). | :'''NOTE:''' Light duties are meant to be a temporary arrangement during a period of temporary disability. Even though no temporary wage loss benefit is paid to a worker, it is still an accepted period of “disability” under the Act. During this period, a worker is entitled not only to health care benefits but also to a decision regarding the outcome of the accepted condition. All periods of “light duty” should conclude with a formal “resolve” or “plateau” decision (see below). | ||
