Effective date: November 1, 2021
Application: Applies to all claims on or after the effective date.
Policy subject: Termination, reduction or suspension of benefits
Purpose:
To establish guidelines for the suspension of earnings loss benefits when a worker’s absence is not related to the effects of the work injury.
Acceptable Circumstance means situations or matters which are generally beyond the worker’s control (also referred to as “good reason”).
Individualized vocational plan (IVP) means a plan approved and signed by the Workers’ Compensation Board (WCB) and signed by the customer to meet a vocational goal. The IVP outlines the short and long-term goals for a suitable return-to-work plan.
Short-Term Absences
Acceptable Circumstances
Non-Acceptable Circumstances
Long-Term Absences
Pregnancy
Extension of Benefits
Long-Term Earnings Loss
Cost Relief
The Workers’ Compensation Act, 2013
Sections 2(1)(v), 19, 20, 35, 51, 58, 68, 81, 99, 100, 101 and 111.
(1) POL 15/2016, Suspension of Benefits (effective October 01, 2016 to October 31, 2021).
(2) PRO 09/2017, Suspension of Benefits (effective August 01, 2017 to October 31, 2021).
(3) POL 01/2008, Suspension of Benefits – Pregnancy (effective February 01, 2008 to October 31, 2021).
(4) PRO 15/2016, Suspension of Benefits (effective October 01, 2016 to August 01, 2017).
(5) POL and PRO 07/2014, Suspension of Benefits (effective June 01, 2014 to October 01, 2016).
(6) POL and PRO 03/2009, Suspension of Benefits (effective May 01, 2009 to June 01, 2014).
PRO 10/2021 Suspension of Benefits
POL 10/2016 Suspension – While Incarcerated
POL 05/2020 Annuities
POL 01/2018 Benefits – Long-Term Earnings Loss
POL 08/2014 Continuum of Care
POL 02/2019 Decision Making
PRO 02/2019 Decision Making
POL 07/2016 Earnings Verification
POL 03/2021 Second Injury and Re-Employment Reserve