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WCB Procedures

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    • 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

Alternate grants: academic and self-employment - Archived Feb 5, 2024

Procedure summary

Published On

Aug 10, 2021
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 training 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.

Alternate grants 

Alternate grants are available in rare situations when an individual would like to explore alternate employment options outside of WCB's re-employment services stream. Eligible workers receive a lump sum payment in instalments, representative of their entitlement to WCB services. Generally, these options are explored with the worker during their job planning phase.

Academic grants support workers’ academic pursuits when the cost of their chosen program is suitable but not cost effective. An academic grant allocates the costs for the program(s) WCB would sponsor to the worker’s chosen program.

For example: a worker would like to attend a four-year academic program, but is only eligible for costs that would finance to a two-year program, the worker would receive a grant to use towards a portion of their chosen program’s costs.

Self-employment grants provide funding to workers who are eligible for re-employment services, but have instead opted to start their own business. In order to be approved for this grant, the worker must develop their own business plan with assistance from WCB’s Re-employment Services and Business Development Services.

Detailed business procedure

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1. Review the worker’s entitlement and confirm their level of service

Administrative tasks

There are no administrative tasks for this step.

2. Establish a re-employment work plan for the worker

Refer the worker for a triage assessment to establish a baseline of re-employment services they are eligible for.

Administrative tasks

There are no administrative tasks for this step.

3. Contact the worker and discuss their request for an alternate grant

Once the triage assessment is complete, call the worker and discuss the following:

  • The worker's reason for requesting alternate program assistance.
  • The benefits of the program and the desired outcome.
  • The purpose of alternate program assistance and how estimated costs are determined.
  • The financial limits for alternate program assistance (e.g., the alternate program assistance is subject to a maximum based on estimated re-employment services costs)
  • Responsibilities and expectations of both the worker and decision maker.

Administrative tasks

There are no administrative tasks for this step.

4. Support the worker in developing an alternate grant proposal and/or business plan for self-employment plans

Include the estimated program costs, including:

  • tuition
  • fees
  • work modifications
  • tools
  • books
  • clothing

If further assistance with a self-employment plan is required, refer the worker to a contracted business development services provider.

Administrative tasks

Referring to a business development services provider:
Fax a FM803A (Business Development Services Referral) or business development services referral form (C-803) and the worker's business plan to the business development services consultant.

The business plan should address each of the areas identified in the WCB business plan preparation template form (C-816).

Re-employment services providers are able to assist workers in completing the templates.

5. Review the worker’s alternate grant proposal

Confirm the estimated costs.

Determine if the grant is appropriate (i.e., the program is a compatible fit with the worker’s work restrictions, is cost effective and is reasonable, etc.).

If the proposal is not appropriate, deny the proposal and refer the worker for another triage assessment to determine if another re-employment service would be more suitable.

Administrative tasks

There are no administrative tasks for this step.

6. Communicate the decision to the worker and issue the grant

Refer the worker’s file to a case assistant to monitor and follow up if the worker is eligible for any additional benefits or services.

Administrative tasks

Send an RE update letter (CL041G) to the worker.

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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