Workers' Compensation Claim Benefits (7:XI): Difference between revisions
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Workers' Compensation Claim Benefits (7:XI) (view source)
Revision as of 19:47, 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); | ||
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* Strikes or lay offs (#34.32); and | * Strikes or lay offs (#34.32); and | ||
* Vacation or termination pay (#34.41 and 34.42). | * Vacation or termination pay (#34.41 and 34.42). | ||
A temporary disability ceases when the worker’s medical condition either resolves entirely or is not expected to change significantly in the next 12 months. At this point, the medical condition is said to have “plateaued” and is considered permanent (see RSCM II, Policy #34.54). In either case, the Board ceases to pay further temporary wage loss benefits under ss. 191 or 192 of the Act [Former Act, s. 29 or 30] at this point. | A temporary disability ceases when the worker’s medical condition either resolves entirely or is not expected to change significantly in the next 12 months. At this point, the medical condition is said to have “plateaued” and is considered permanent (see RSCM II, Policy #34.54). In either case, the Board ceases to pay further temporary wage loss benefits under ss. 191 or 192 of the Act [Former Act, s. 29 or 30] at this point. | ||