Document name
Reversing Decisions
Document number
POL 23/2014

Effective date: January 1, 2015

Application: Claim and employer account decisions

Policy subject: Reconsiderations and appeals

Purpose:

To provide administrative guidelines for reversing decisions.

BACKGROUND

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The Workers’ Compensation Act, 2013 (the “Act”) authorizes the WCB to rescind, alter or amend any decision it has previously made (Section 20(5)).

POLICY

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  1. The WCB may reverse decisions when:
    1. There is new evidence.
    2. The Medical Consultant provides a contrary opinion regarding the relationship of medical issues to the injury and/or employment.
    3. The Appeals department, Assessment Committee or Board Members provide a contrary decision to that of the decision maker.
    4. Operations or Employer Services staff determine that the original decision is unreasonable.
  2. If a reversed decision results in the termination of benefits, POL 17/2010, Termination of Compensation Benefits – Notice, will apply.

Policy references

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Section heading

Act Sec #

Section detail

18, 20(5), 100(1)

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Supersedes

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POL 13/91 (Amended by POL 07/98) Reversing Decisions

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Complements

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