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To establish or adjust a rate of compensation for time loss claims that fairly represents a worker’s net earnings at the time of their accident or illness.
Description
When a worker is unable to return to work following a work-related injury, they may be eligible to receive wage replacement or wage top-up benefits.
Obtaining and validating the correct earnings information is vital to setting a rate accurately. It ensures the worker receives the appropriate compensation they are entitled to while they are away from work.
The decision maker communicates with both the employer and the worker to gather a worker’s employment and earnings information and then calculates the worker’s compensation rate.
In some instances,the decision maker may seek assistance from WCB-Alberta’s internal Payment Unit. The Payment Unit setsall complex rates. A complex rate is defined as:
Owner/Operator (vehicle or welder)
Subcontractor
Self-employed (no personal coverage)
Personal coverage above the minimum personal coverage amount (no GCA)
Personal coverage above the GCA amount
Piece/Commission worker (if they incur expenses)
Emergency forest firefighters
Section 61 rates
Section 68 rates
Key information
Compensation rates are based on what a worker was earning at the time of their workplace injury or illness. The compensation rate is based on 90% of a worker’s net earnings, as per Section 56 of the Workers’ Compensation Act. This rate is also referred to as the Section 56 rate. Refer toPolicy 04-01, Part I: Establishing Net Earnings and Part II Applications 1 to 4. The initial Section 56 rate must be approved before another rate type (i.e., Section 61, concurrent etc.,) can be added.
Employment Insurance contributions for those earnings,
Canada Pension Plan contributions for those earnings, and
Probable amount of income tax deducted or withheld for those earnings based on the yearly Canada Revenue Agency tax tables.
These deductions are applied regardless of the worker’s actual tax status.
A worker’s net earnings are calculated based on compensation tables produced by the Government of Canada for the prior calendar year.
If the worker’s yearly gross earnings are below the minimum earnings range for their date-of-accident year (as per Compensation tables), the rate is set at 100% of their net earnings. Refer to Section 56(12) of the Act. The eCO system automatically calculates this adjustment to the rate.
Accidents or recurrences that occurred:
before September 1, 2018, and on or after January 1, 2021, a maximum compensable earnings (MCE) amount is set annually by the WCB Board of Directors.
between September 1, 2018, and December 31, 2020, there was no maximum compensable earnings amount. Refer toPolicy 04-1, Part II, Addendum Afor yearly MCE amounts.
Before a Section 56 rate can be set the decision maker must determine the worker's employment status:
Permanent - A worker who is employed for 12 months per year (not including their allotted vacation time) and whose position is not subject to seasonal layoffs.
Non-permanent (also called seasonal or temporary) - A worker who is employed less than 12 months per year and whose position is subject to layoffs, lack of work or shutdowns. Contract or temporary workers whose period of employment is less than 12 months are also considered non-permanent workers.
Personal coverage - A worker who has purchased optional WCB coverage. Personal coverage, subject to approval, is available for individuals who employ workers or who are:
proprietors,
partners in a partnership,
directors of a corporation or a society, or
members of an association, board, authority, commission or foundation.
Owner-operator - A worker who owns and operates mobile industrial equipment such as a tractor/trailer unit, bobcat, delivery truck, or truck-mounted mobile welding unit. If the owner-operator has purchased personal coverage, the personal coverage process is used to set the rate.
Subcontractor - A worker who is contracted to do work for another employer and incurs business expenses to perform that work. If the subcontractor has purchased personal coverage, the personal coverage process is used to set the rate.
If a change is made to the claim (rate change, DOA change, change in payee, etc.), eCOeCO is the electronic system that is used for claims. will process changes overnight and any adjustment to existing payments or new payment amounts will not be processed until the next day.
Additional resources for rate setting are available in the internal Resource Library and Payment unit site.
Earnings information received must be reviewed and any irrelevant information must be severed to ensure the worker's privacy is not compromised. The decision maker notifies the Access to Information Department why the earnings information was gathered (e.g., to confirm earnings for the compensation rate) and whether any irrelevant information needs to be severed. Access to Information will sever the records according to guidelines established by the Client Services Department. This ensures only the required information is available.
Determine the worker’s employment status and set the Section 56 rate
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Permanent
The following information is needed to set the compensation rate:
Gross earningsThe worker’s earnings before any deductions are taken. for one year prior to the accident or other ratesi.e. hourly, monthly or bi-weekly. of pay on the date of accident.
If the worker was not employed for one year, their gross earnings are calculated from the date of hire to the date of their accident.
If the worker had a change in pay, work schedule or position within the year prior, their gross earnings are calculated from that date to the date of their accident.
Hours of work.Only regular hours are used for this shift cycle.
Unpaid days.Unpaid days include time missed from work during the gross earnings period without pay due to loss of income situations outside of the worker’s control (e.g., sickness including leave for family illness, injury, WCB injury, maternity leave, strike, lockout). These situations do not include predetermined conditions of employment such as vacation or work shutdowns).
Shift cycle start date.The first day “on” of the shift cycle rotation prior to the date of accident.
Shift cycle rotation.If the worker’s shift cycle repeats, obtain the shift cycle details (regular days on and regular days off).
If the worker’s shift cycle does not repeat, set the shift cycle as “7 on 0 off” and average the regular number of hours per week.
If the information required to set the rate was submitted through WCB's online injury reporting the Section 56 rate may be set automatically. Once set, review the rate to confirm it is accurate and update the earnings status as confirmed.
If any details are missing or the reporting was not submitted through WCB's online reporting, the rate must be set manually. Contact the employer to clarify or obtain the missing details. If appropriate, refer to or send the employer a copy of the employer report of injury information package and the reporting compensable earnings employer fact sheet. If unsuccessful in reaching the employer, request assistance from an Administrative Assistant who will engage Industry Support if required. Once confirmed, enter the worker’s employment and earnings information into eCO to manually set the rate.
Document the rate setting details in a file note (Rate Setting, Details) Refer to the Resource Library for the template.
Non-permanent
The Section 56 rate set for non-permanentA worker who is subject to lay-offs or shutdowns due to a lack of work or seasonal factors, or whose agreed term of employment is less than 12 months. workers is comprised of two separate rates:
The temporary rate is set first and is effective up to the last expected day of employment had the injury not occurred. The temporary rate represents what the worker would have earned if they had worked in their date-of-accident job for 12 months.
The base rate begins the day the worker’s job was expected to end had the injury not occurred. It is calculated by taking what the worker would have earned during the season and averaging it over 12 months. Once the base rate is in effect it does not revert back to the temporary rate.
The following information is needed to set the compensation rate:
Gross earningsThe worker’s earnings before any deductions are taken. for one year prior to the accident or other ratesi.e. hourly, monthly or bi-weekly. of pay on the date of accident.
If the worker was not employed for one year, their gross earnings are calculated from the date of hire to the date of their accident.
If the worker had a change in pay, work schedule or position within the year prior, their gross earnings are calculated from that date to the date of their accident.
Hours of work.Regular hours.
Unpaid days.Unpaid days include time missed from work during the gross earnings period without pay due to loss of income situations outside of the worker’s control (e.g., sickness including leave for family illness, injury, WCB injury, maternity leave, strike, lockout). These situations do not include predetermined conditions of employment such as vacation or work shutdowns).
Position start date.The first day the employer hired the employees into the same position as the worker to complete a specific work project or shutdown.
Position end date.The expected last day of employment for employees hired into the same position as the worker.
Shift cycle start date.The first day “on” of the shift cycle rotation prior to the date of accident.
Shift cycle rotation.If the worker’s shift cycle repeats, obtain the shift cycle details (regular days on and regular days off).
If the worker’s shift cycle does not repeat, set the shift cycle as “7 on 0 off” and average the regular number of hours per week.
Contact the date-of-accident employer to clarify the earnings information, if required and ask the worker if they worked during the others earnings period.
If the information required to set the rate was submitted through WCB's online injury reporting the Section 56 rate may be set automatically. Once set, review the rate to confirm it is accurate and update the earnings status as confirmed.
If any details are missing or the reporting was not submitted through WCB's online reporting, the rate must be set manually. Contact the employer to clarify or obtain the missing details. If appropriate, refer to or send the employer a copy of the employer report of injury information package and the reporting compensable earnings employer fact sheet. If unsuccessful in reaching the employer, request assistance from an Administrative Assistant who will engage Industry Support if required. Once confirmed, enter the worker’s employment and earnings information into eCO to manually set the rate.
On claims with a DOA prior to October 15, 2004, where the yearly gross earnings were less than the minimum Permanent Total Disability (PTD), the "base rate" for those claims was automatically adjusted upward by the system to the minimum PTD rate.
On claims with a DOA of October 15, 2004, or later, where the annual gross earnings are less than the minimum PTD rate, the Section 56 rate is set using the actual earnings pattern (e.g., specify the worker's actual wages and the worker's actual shift cycle). The "base rate" is not automatically adjusted upward to the minimum PTD rate.
Other earnings
When a worker is classified as non-permanent, their earnings from other sources of employment outside of their date-of-accident position can be added to their base rate if the earnings occurred within the eligible period. This ensures the worker's compensation rate accurately reflects their earnings during the off-season.
The earnings must be within the eligible time frame, and in some cases if a portion of the earnings fall outside the eligible time frame, we can consider pro-rating those earnings down, so they fit the time frame.
The eligible other earnings period is defined by using the following formula:
Start with the position end date.
Go back to the same date of the previous year.
Add one day to get exactly one year.
Then go up to the day before the position start date.
Example:
The Section 56 season is January 1, 2019, to May 31, 2019.
Therefore, the eligible other earnings period is June 1, 2018, to December 31, 2018.
Review the worker’s position start date and end date on file to determine the worker’s eligible other earnings period.
Contact the worker and ask them to provide proof of their earnings within the eligible other earnings period. This can include:
Paystubs
Records of Employment (ROE)
Letter(s) from previous employers confirming gross taxable employment income during the other earnings period.
Note: As additional other earnings are received each earnings record is added to the base rate separately.
Obtain the reason(s) for any unpaid days missed during the gross earnings period to ensure the reason(s) meet the criteria in this procedure. If applicable, enter the number of unpaid days in the "number of days excluded" field in eCO to pro-rate the earnings according to the number of days worked. If the gross earnings period used to set the rate is more than 90 days and the worker missed a consecutive period of time, all calendar days must be deducted in order for the gross earnings to pro-rate accurately.
Refer to the Payment Unit site for further information EW>Departments>Payment Unit>Search>Gross Earnings.
Document the information obtained during the phone conversation in a file note (Rate Setting/ Details).
Other earnings
If assistance is required send a task to the payment rate setting team desk asking them to add other earnings into the base rate.
If a change is made to the claim (rate change, DOA change, change in payee etc.) eCO will process changes overnight and any adjustment to existing payments or new payment amounts will not be processed until the next day.
Document the rate setting details in a file note using the Rate setting details category and the appropriate standard text.
Includerate information to the IED entitlement letter or send the appropriate rate-setting letter from the CL052 series. Include the rate amount from the other earnings. To protect the worker’s privacy, do not include any additional details about the source of the other earnings such as the name of the employer, dates of employment, etc.
Refer to the Earnings and Employment Details screen HELP page for further information on earnings eligibility time frames for other earnings refer to Payment Unit database located on the EW>Departments>Payment Unit>Search>Other Earnings.
Document the following other earnings in a file note (Rate Setting/Details):
The name of the employer
The earnings amount and dates the earnings represent
Information regarding any earnings that had to be pro-rated down to fall within the eligible other earnings period or earnings submitted that could not be included in the base rate as they were not within the eligible time frame.
There is also a guaranteed coverage amountThe amount of insurance proprietors, partners and corporate directors can purchase without having to substantiate earnings prior to benefits being paid. for some industries.
Confirm the worker's personal coverage (PC) and guaranteed coverage amounts (GCA), if applicable. Ensure the PC was in effect at the time of accident.
The rate is set using the options below dependent upon the situation:
If the worker purchased minimum personal coverage: The rate is set based on the minimum personal coverage amount.
If the worker purchased personal coverage up to or equal to the guaranteed coverage amount (GCA): The rate is set based on the actual personal coverage amount purchased (i.e., compensation rate is set on the lower of the amount of coverage purchased or the GCA amount). Proof of earnings is not required to set the rate.
If the worker purchased personal coverage over the minimum and there is no guaranteed coverage amount: A provisional rateThe provisional rate is a temporary rate that is set to ensure benefits are paid in a timely manner. Once the worker’s earnings are verified using their T1 tax return, the rate is adjusted if necessary. is set based on the minimum personal coverage amount until the worker’s earnings and business expenses are confirmed. The rate is then adjusted based on the worker’s actual earningsRate of pay at the time of the accident (e.g., the hourly rate multiplied by the number of scheduled hours of employment, etc.). or the purchased personal coverage amount, whichever is lower.
If the worker purchased personal coverage over the guaranteed coverage amount: A provisional rateThe provisional rate is a temporary rate that is set to ensure benefits are paid in a timely manner. Once the worker’s earnings are verified using their T1 tax return, the rate is adjusted if necessary. is set based on the guaranteed coverage amount for the industry in which the worker was injured until the worker’s earnings and business expenses are confirmed. If this demonstrates the worker’s earnings are greater than the guaranteed coverage amount, the rate is adjusted based on the worker’s actual earnings or the purchased personal coverage amount, whichever is less. If this demonstrates the worker’s earnings are less than the guaranteed coverage amount, the rate will continue to be based on the guaranteed coverage amount.
Effective April 1, 2020,if a worker with personal coverage submits dividends as income for setting their compensation rate, consider them for setting the rate only when they are in lieu of salary or when the dividend reasonably represents work performed. Dividends are not considered earnings when they are general allocations of the company's undistributed profits to shareholders or when dividends are declared for any other reason. When a company declares a dividend, they are required to record meeting minutes outlining the dividend. It can be the distribution of profits, extraction of capital or the repayment of a loan to the company. Refer to the Personal coverage fact sheet for additional details.
The following information is needed to set the compensation rate:
Hours of workRegular and overtime hours.
Shift cycle start dateThe first day “on” of the shift cycle rotation prior to the date of accident.
Shift cycle rotationIf the worker’s shift cycle repeats, obtain the shift cycle details (regular days on and regular days off).
If the worker’s shift cycle does not repeat, set the shift cycle as “7 on 0 off” and average the regular number of hours per week.
When requesting earnings information (verbal or written), explain that only the required information should be submitted. Irrelevant information should be removed (severed).
If the claim is charged, obtain the effective date of the PC from theClaim Folder - Policy Details screen or the Earnings and Employment Details tab.
If there are any questions about the PC, send a file note to the Claims Charging, Working Desk asking for clarification.
If the worker requires further information about their personal coverage or guaranteed coverage amount, reference the appropriate fact sheet or offer to provide them with an online link or copy:
Set the rateWhen setting the rate for personal coverage holders, enter a typical work schedule of 40 hours per week and a “7 on 0 off” work cycle. using the worker’s hours and coverage amount.
If the worker has personal coverage (above minimum- no GCA, or over GCA), the Payment Unit will send the worker the letter requesting earnings.
If a provisional rate was set, a task will automatically be sent to the payment rate setting team desk to confirm the worker’s earnings.
If a change is made to the claim (rate change, DOA change, change in payee, etc.), eCO will process changes overnight and any adjustment to existing payments or new payment amounts will not be processed until the next day.
Add a file note (Contact/Claimant or Employer or Modified Work/Employer or Claimant) documenting the discussions.
The Payment Unit will send the worker a Req Self Emp Earn - w Tax Info letter (CL037F) to confirm earnings information and to communicate the temporary provisional rate.
Payment Unit: Once the earnings information is received, review the information and adjust the rate if necessary. Send the appropriate rate-setting letter from the CL052 series to the worker explaining how the rate was set.
Owner-operator
The compensation rate for an owner-operator without personal coverage is set based on the greater of:
The worker’s gross income, less their business expenses. Or
50% of gross income for welders who own and operate a welding unit.
25% of gross income for all other owner-operators.
Until actual earnings and expenses are confirmed, the rate is set based on a provisional rateThe provisional rate is a temporary rate that is set to ensure benefits are paid in a timely manner. Once the worker’s earnings are verified using their T1 tax return, the rate is adjusted if necessary. normally equivalent to minimum wage and the worker’s average hours of work.
In most cases the claim owner will set a provisional rate then send the file to the Payment Unit and they will finalize the rate and send the letter.
The following information is needed to set the compensation rate:
Hours of work.Regular and overtime hours.
Shift cycle start date.The first day “on” of the shift cycle rotation prior to the date of accident.
Shift cycle rotation.If the worker’s shift cycle repeats, obtain the shift cycle details (regular days on and regular days off).
If the worker’s shift cycle does not repeat, set the shift cycle as “7 on 0 off” and average the regular number of hours per week.
Set the provisional rate and send a task to the payment rate setting team desk to confirm the worker’s earnings.
If a change is made to the claim (rate change, DOA change, change in payee, etc.), eCO will process changes overnight and any adjustment to existing payments or new payment amounts will not be processed until the next day.
Upon receipt of the information requested and only if you are not able to set the rate based on the information provided, send a file note (Rate Setting/Detail) to the Payment/Rate Setting, Team Desk for their review and response.
The Payment Unit will review the earnings information and adjust the rate, if appropriate.
See Electronic Workplace> Payment Unit> Provisional rate> Owner operator for more information.
Subcontractor, Piece and commission workers who incur significant employment expenses
A subcontractor's compensation rateIf the subcontractor has personal coverage, follow the “personal coverage” steps of the procedure. is calculated based on their net employment income, less business expenses. To set the rate the Payment Unit will send the worker the letter requesting earnings.
Until actual earnings and expenses are confirmed, a provisional rateThe provisional rate is a temporary rate that is set to ensure benefits are paid in a timely manner. Once the worker’s earnings are verified using their T1 tax return, the rate is adjusted if necessary. is set using Alberta’s minimum wage rate and the workers average hours of work per week.
Note: For subcontractors, a temporary provisional rate based on minimum compensation is not automatically set by Benefit Calculator. Ensure the rate is correct before approving. If a subcontractor has PC or GCA, proceed to the personal coverage section to set the rate.
Subcontractors and owner/operators may qualify for personal coverage and could have a guaranteed coverage amount (GCA). In these cases, earnings information may not be required to set the rate. Proceed as usual with GCA rates.
If the subcontractor, piece or commission worker does not incur significant employment expenses, then the rate can be set by the claim owner like a regular employee.
The following information is needed to set the compensation rate for a subcontractor, commission or piece worker that does not incur significant employment expenses:
Employment Status (must be confirmed with the employer) – is position permanent (employed 12 months per year) or non-permanent (employed less than 12 months per year subject to layoffs, lack of work or shutdowns)? If non-permanent, the position start and end dates must be confirmed with the employer and documented in the rate-setting file note.
Gross earnings for one year prior to the accident or other rates of pay on the date of accident.
if the worker was not employed for one year, their gross earnings are calculated from the date of hire to the date of accident.
If the worker had a change in pay, work schedule or position within the year prior, their gross earnings are calculated from that date to the date of their accident.
Hours of work.Regular hours only.
Unpaid days missed during the gross earnings period.
Position start date (non-permanent worker)
Position end date (non-permanent worker)
Shift cycle start date.The first day “on” of the shift cycle rotation prior to the date of accident.
Shift cycle rotation.If the worker’s shift cycle repeats, obtain the shift cycle details (regular days on and regular days off).
If the worker’s shift cycle does not repeat, set the shift cycle as “7 on 0 off” and average the regular number of hours per week.
Piece/Commission Workers that incur significant employment expenses - Benefit Calculator does not set a provisional rate. The Payment Unit receives an automatic task to send the worker the letter requesting earnings. Claim owner will set the rate as a temporary provisional rate normally equivalent to minimum wage and the worker's average hours of work.
A listing of the following expenses can be obtained by telephone or by sending forms & corr. template CL037C (Request for Earnings Information):
Vehicle Expenses: If the vehicle is used for the purpose of transporting materials, tools, etc. to and from the work site, expenses such as gas, oil, repairs, payments, etc. are to be deducted from gross earnings. Exclusions would include major repairs such as motors which is considered capital cost.
Material: If the materials are supplied by the worker and the employer does not reimburse, deduct these amounts from the gross earnings. If all materials are supplied by the employer, do not deduct anything.
Hired Help: A worker hired by a subcontractor is known as a sub trade. Monies paid to a sub trade during the period in question must be deducted from gross earnings.
Other Expenses: Any other expenses incurred during the performance of subcontractor duties are to be deducted from gross earnings.
Confirm with the employer and worker if significant employment expenses are incurred. The worker can confirm whether they deduct employment expenses from their income when filing their personal income tax.
If it is confirmed that the worker incurs significant employment expenses, set the provisional rate and send a task to the payment rate setting team desk to confirm the worker’s earnings.
If a change is made to the claim (rate change, DOA change, change in payee, etc.), eCO will process changes overnight and any adjustment to existing payments or new payment amounts will not be processed until the next day.
The Payment Unit will send the worker a Req Self Emp Earn - w Tax Info letter (CL037F) to confirm earnings information if the tax return has not been received and to communicate the temporary provisional rate.
Payment Unit: Once the earnings information is received, review the information and adjust the rate if necessary. Send the appropriate rate-setting letter from the CL052 series to the worker explaining how the rate was set.
Prior to adding concurrent earnings to a rate, the Sec 56 rate must be set accurately first. Otherwise, any changes to the Sec 56 weekly rate will also change the concurrent weekly rate.
If the worker has another job on the date of their accident, this is called concurrent employment. Their earnings from that job should be added as a concurrent rate once the below information has been obtained. Concurrent employment should be added to the compensation rate regardless of whether the worker is missing time from the concurrent job or not as this is a more accurate representation of the worker's employment income on the date of their accident. If the worker is able to work in their date- of-accident job but is unable to work in their concurrent job, the DOA earnings are excluded from the requested payments or vice versa.
Contact the worker and ask for their consent to contact their concurrent employer to obtain the required earnings information. If unable to contact the concurrent employer, request the worker's proof of earnings information (paystubs for one year prior to the date of accident). A paystub from the concurrent employer at the time of the accident is also required to confirm the worker was concurrently employed at the time of the injury.
A concurrent rate is set using the same information as a Section 56 rate, so the same information is required for the additional job(s):
Employment Status – is the concurrent position permanent (employed 12 months per year), non-permanent (employed less than 12 months per year due to layoffs, lack of work or shutdowns), or self-employed? If non-permanent, the position start and end dates must be confirmed with the concurrent employer.
Gross earningsThe worker’s earnings before any deductions are taken. for one year prior to the accident or other ratesi.e. hourly, monthly or bi-weekly. of pay on the date of accident.
If the worker was not employed for one year, their gross earnings are calculated from the date of hire to the date of their accident.
If the worker had a change in pay, work schedule or position within the year prior, their gross earnings are calculated from that date to the date of their accident.
Hours of work.Regular hours only.
Unpaid days missed during the gross earnings period and the reason.Unpaid days include time missed from work without pay due to loss of income situations outside of the worker’s control (e.g., sickness including leave for family illness, injury, WCB injury, maternity leave, strike, lockout). These situations do not include predetermined conditions of employment such as vacation or work shutdowns).
Position start dateThe first day the employer hired the employees into the same position as the worker to complete a specific work project or shutdown. (non-permanent worker).
Position end dateThe expected last day of employment for employees hired into the same position as the worker. (non-permanent worker).
Shift cycle start date.The first day “on” of the shift cycle rotation prior to the date of accident.
Shift cycle rotation.If the worker’s shift cycle repeats, obtain the shift cycle details (regular days on and regular days off).
If the worker’s shift cycle does not repeat, set the shift cycle as “7 on 0 off” and average the regular number of hours per week.
Special circumstances
Two jobs with the same employer: If the worker has two separate jobs with the DOA employer and the DOA employer is only paying the worker for one job, the earnings from the job in which the worker was injured are added as "Insured" and the earnings from the other job are added as "Concurrent".
According to Policy 05-02 - Cost and Entitlement Adjustments, concurrent earnings from the same employer are not eligible for cost relief. It is possible to then pay the employer for the position they are reimbursing the worker for and pay the worker for the position the employer is not reimbursing.
The system defaults the payee to worker therefore if the concurrent employer is keeping the worker on full pay the payee will require adjustment after adding the concurrent earnings. Refer to the "Change Payee" section below for details.
Injured While an Unpaid Worker or Volunteer: If a worker is injured while performing unpaid work or volunteer activities and has regular employment earnings from a concurrent job, gather the earnings information for the concurrent work. To process the concurrent earnings set the Section 56 rate with the unpaid work or volunteer earnings as permanent and .01 cents “per year” rate of pay. After completing this step adjust the rate to add the concurrent earnings to the Section 56 rate. Refer to Policy 04-01, Part II, Application #2, - Special Circumstances Notes Link for what earnings are considered for unpaid workers and volunteers. See Business Proc 1.1A - RateSetting Information - Addendum for definition of unpaid worker and volunteers Notes Link.
Excluding an earnings source
To ensure the correct tax tables are applied, all sources of income must be included in the compensation rate. If the worker is not missing time from one earnings source (e.g., missing time from date-of-accident employment but not concurrent employment, fit for DOA work but not concurrent, etc.), the earnings from the job the worker is capable of performing should be added to the rate. Then, adjust the rate to exclude the earnings source on payments by completing the "Include on Payments" field on the Payee and Earnings Source Summary screen.
Refer to the internal Payment Unit site for steps on how to exclude an earnings source from the rate.
Ensure the Sec 56 rate has been set accurately before concurrent earnings are added.
Enter the worker's concurrent employment and earnings information into the eCO Earnings and Employment Details screen and set the concurrent rate.
Determine if the information gathered over the phone is required in writing and send the appropriate Forms and Corr. letter according to rate type.
Document the gathered information in a file note (Rate Setting/Details).
If the worker is an owner-operator or subcontractor, follow the processes above to obtain the worker's information.
If a change is made to the claim (rate change, DOA change, change in payee, etc.), eCO will process changes overnight and any adjustment to existing payments or new payment amounts will not be processed until the next day.
Send the CL052C Concurrent Earnings - Rate Letter to the worker explaining how the concurrent rate was set and how it adds to the Section 56 rate. To protect the worker’s privacy, do not copy the date-of-accident employer.
Costs related to concurrent employment are automatically relieved from the employer's accounts; therefore, they are not entitled to receive this information.
Two jobs with the same employer: When adding the concurrent employer as a participant and the concurrent job is with the DOA, send a file note (Registration & Accounts) to the Claims Charging, Working Desk. Claims Charging will then send a task to the Address Book, Working Desk to turn on the EFT flag for the concurrent account with the DOA employer if their main account is EFT.
Ensure all required information is documented (full name, address) in the file note and request that the DOA employer be added to the participant list as role code Employer not the Insurer.
Add a file note (Cost Distribution) and put "cost relief does not apply - concurrent employer is the DOA" in the description line and send to the Cost Distribution team desk.
After the Section 56 rate is set, additional rates or adjustments may be calculated
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Recurrence (Section 61) rate
When a worker experiences a recurrence of the same disability more than 12 months after their date of accident, a new compensation rate may be set, effective the date of the recurrence layoff date. The Section 61 rate is based on a worker’s earnings at the time of their recurrence and is only set if the earnings are greater than the Sec 56 rate (including any applicable COLA's).
In order for a worker to be eligible for a Section 61 rate adjustment, they must meet the following criteria as per Section 61 of the Workers’ Compensation Act:
a worker who was awarded compensation in respect of an accident ceases to receive that compensation by reason of recovery from the disability,
there is a recurrence of disability in the form of temporary disability and that disability is due to the same accident,
the worker has at the time of recurrence of the disability, earnings in an amount that is greater than the amount of the worker’s net earnings at the time of the accident, and
more than 12 months have elapsed since the date of the accident.
Use the Rate Tool in the Payment Assistant to confirm if the worker's original Section 56 weekly rate plus applicable cost of living allowances (COLA) is higher than what their calculated Section 61 weekly rate will be for the same effective date. If it is higher, that original Section weekly 56 rate will continue to be used, and the Sec 61 rate details should not be entered into the employment screen.
As noted in the Key information section above, when a worker’s date of accident was on or after January 1, 2021 (or before January 1, 2018), the rate was set based on 90% of net earnings up to a yearly maximum. However, if the date of accident was between September 1, 2018, and December 31, 2020, their original (Section 56) rate was set on 90% of their actual net earnings.
This means if a worker who had their accident between September 1, 2018, and December 31, 2020,experiences a recurrence on or after January 1, 2021, the earnings used to set the Section 61 rate will be subject to a maximum compensable earnings amount even though their original rate was not.
For example, a worker who was injured on November 1, 2019 had a Section 56 rate based on earnings of $150,000 per year.
They experienced a recurrence on January 5, 2021 at which time they were earning $175,000 per year.
The maximum compensable earnings amount for 2021 is $98,700 so the Section 61 rate would be based on earnings of $98,700 per year.
This means the worker’s rate for the recurrence will continue to be based on the higher Section 56 rate.
A recurrence (Section 61) rate is set using the same informationSimilar to the Section 56 rate, if the recurrence happened on or after September 1, 2018, there is no maximum compensation amount for the Section 61 rate, even when the date of accident was prior to September 2018. as a Section 56 rate if the worker was employed on the date of recurrence lay-off:
Employment Status – is the position permanent (employed 12 months per year), non-permanent (employed less than 12 months per year due to layoffs, lack of work or shutdowns), or self-employed? If non-permanent, the position start and end dates must be confirmed with the date of recurrence employer.
Gross earningsThe worker’s earnings before any deductions are taken. for one year prior to the recurrence lay-off date or other ratesi.e. hourly, monthly or bi-weekly. of pay.
If the worker was not employed for one year, their gross earnings are calculated from the date of hire to the date of their recurrence.
If the worker had a change in pay, work schedule or position within the year prior, their gross earnings are calculated from that date to the date of their recurrence.
Hours of work.Regular hours only.
Unpaid days missed during the gross earnings period and the reason(s).Unpaid days include time missed from work without pay due to loss of income situations outside of the worker’s control (e.g., sickness including leave for family illness, injury, WCB injury, maternity leave, strike, lockout). These situations do not include predetermined conditions of employment such as vacation or work shutdowns).
Position start dateThe first day the employer hired the employees into the same position as the worker to complete a specific work project or shutdown. (non-permanent worker).
Position end dateThe expected last day of employment for employees hired into the same position as the worker. (non-permanent worker).
Shift cycle start date.The first day “on” of the shift cycle rotation prior to the date of accident.
Shift cycle rotation.If the worker’s shift cycle repeats, obtain the shift cycle details (regular days on and regular days off).
If the worker’s shift cycle does not repeat, set the shift cycle as “7 on 0 off” and average the regular number of hours per week.
If the worker was not employed on the date of recurrence lay-off, we require proof of employment earnings for 12 months prior to the lay-off date. These earnings are not pro-rated. Records of Employment and paystubs are the best source of earnings as they have dates on them.
If the Section 61 rate is in effect, the recurrence continues and it results in increased permanent work restrictions requiring vocational services, the liability is calculated based on the Section 61 rate. Any wage loss supplement resulting from this recurrence would be based on the Section 61 rate and not the Sec 56 rate as the recurrence had not ended. However, if the recurrence resolves (e.g. the worker returns to the same level if fitness he/she had prior to the recurrence), any wage loss supplement payable will be based on the Sec 56 rate.
Contact the worker and request proof their earnings information (paystubs for one year prior to the recurrence layoff date) at the time of their recurrence layoff date. If they were working for the date-of-accident employer at the time of the recurrence, the date-of-accident employer may also be contacted.
Enter the Section 61 layoff date into the Return-to-Work screen.
Use the Rate Tool in the Payment Assistant to determine what the Sec 61 weekly rate will calculate to using the Sec 61 rate effective date and the Sec 61 gross annual earnings. Compare this to the Sec 56 (plus any applicable COLA’s) weekly rate in effect for the same effective date. If the Sec 56 (plus any applicable COLA’s) weekly rate is higher than the Sec 61 weekly rate in the Rate Tool, a Sec 61 rate is not applicable; therefore, do not enter the Sec 61 rate details into eCO.
However, if the Sec 61 weekly rate will be higher than the Sec 56 (plus any appliable COLA’s) weekly rate in effect for the same effective date, enter the worker's Section 61 employment and earnings information into eCO and set the Section 61 rate.
If applicable, enter the number of unpaid days in the "number of days excluded" field in eCO to pro-rate the earnings according to the number of days worked.
If at the time of the recurrence, the worker has personal coverage or is an owner-operator or subcontractor, follow the processes above to obtain the worker's information.
If a change is made to the claim (rate change, DOA change, change in payee, etc.), eCOwill process changes overnight and any adjustment to existing payments or new payment amounts will not be processed until the next day.
Add the rate information to the worker's Reopen/Recurrence of Disability- Accepted letter (CL016G) or send the appropriate rate-setting letter from the CL052 series explaining how the rate was set.
Apprentice (Section 67) rate
A worker who is injured while training as an apprentice may be eligible for an adjusted compensation rate based on the average earnings of a fully qualified worker in the same trade.
For apprentice (Section 67) rates, the worker’s employment status, shift cycle, hours of work and shift cycle start date remain the same as the Section 56 rate.
The Section 67 rate is set based on the average journeyman wage from the date of the accident or, if the worker was a union member, the starting journeyman earnings based on the collective agreement in effect at the time of the accident. This adjustment begins the date the worker would have become a journeyman if the injury had not occurred.
For workers who are entitled to a Section 67 rate and:
Were injured on or after September 1, 2018, up to and including December 31, 2020, their Section 67 rate is not subject to a yearly maximum compensable earnings amount.
Were injured prior to September 1, 2018, or on or after January 1, 2021, their Section 67 rate is subject to a yearly maximum compensable earnings amount.
Contact the worker and/or employer and request:
A signed apprenticeship contract OR agreement with the employer, and
A copy of their Apprentice Identification Card and documentation of the hours logged for the Apprenticeship Board.
Confirm what date the worker would have reached journeyman status, had they not been injured.
Wage information for occupations in Alberta can be searched and salary information provided is based on a survey that is completed every 2 years (the year of the survey is listed in the 'Wages and Salaries' heading). Use the average starting journeyman wage from ALIS for the position the worker was apprenticing in. This link is also available on the Labour Market Tools EW site under Business Tools>Labour Market Tools
SelectIf rate information is not available from any of the public sources, WCB will contact several employers within the worker’s locale and a specific industry (e.g., construction, etc.) to obtain the information. the average starting wages.
If the worker was a union member, review their collective agreement to determine potential earnings.
This adjustment begins the date the worker would have become a journeyman if the injury had not occurred.
Example for a Welder - from the Alberta Wage and Salary Survey - in the ALIS profile identify the average start salary for Welders and related machine operators. The profile should be reflective of the year of the DOA on the claim. For example, if the DOA was in 2020, request the ALIS profile with earnings prior to or at the time of DOA (2020 or earlier).
Confirm what date the worker would have reached journeyman status, had they not been injured. Ensure this date is entered into the Claimant and Employer Details tab in the Employment screen in eCO.
Add a detailed file note (Compensation Payments, Rate Setting) documenting the source of the earnings information. Include the specific earnings information used to set the Section 67 rate.
When setting the Section 67 rate, include any vacation pay, overtime pay, shift differentials etc. that was used to the set the Section 56 rate. A note should be placed on the file documenting this information. If the Section 56 rate was set using gross earnings, request assistance from the Payment Unit. A breakdown of regular and overtime hours worked during the gross earnings period used to set the Sec 56 rate may need to be obtained from the employer.
If the worker was a union member, review their collective agreement to determine potential earnings.
If a change is made to the claim (rate, date of accident (DOA), payee, etc.), eCO will process changes overnight and any adjustment to existing payments or new payment amounts will not be processed until the next day.
Send the appropriate rate-setting letter from the CL052 series to the worker explaining how the rate was set.
If the DOA year is more than 3 years outside of the most current survey available, send a request to the mailbox.mh.lmarequests@wcb.ab.ca, as noted above to obtain salary information closest to the DOA year.
Young worker (Section 68) rate
Young workers or students in the workforce are often working in minimum wage jobs and/or are not yet at the full earning potential of their working lives. When a young worker or student has a significant loss of function due to an injury, they may not be able to gain the work experience necessary or to complete the education required to reach their earnings potential. In most cases, these earnings reflect the appropriate level needed to set short-term workers’ compensation rates.
When a young worker or student experiences a significant loss of function, their compensation rate may be adjusted to the Alberta average weekly earnings to more accurately represent their future earning potential. This applies to claims with a date of accident on or after September 1, 2018.
For Section 68 rates, the worker’s employment status, shift cycle, hours of work and shift cycle start date remain the same as the Section 56 rate.
Review the file to ensure the Section 68 criteria has been met:
The worker has a permanent clinical impairment of 50% or more on their current and previous claims combined and has not had a section 68 adjustment.
The worker was under the age of 25 on their date of accident, or The worker was a student who was 25 years or older on their date of accident and enrolled in a vocational program.
The date of accident is on or after September 1, 2018.
The gross earnings used to set the compensation rate must be less than the Alberta average weekly earnings once converted to annual earnings. The Alberta average weekly earnings used for this calculation are for the year prior to the DOA year,
If a young worker or student is severely injured (PCI of 50% or greater), their long-term compensation rate would be set based on the higher of:
90% of net earnings at the time of accident or
90% of net earnings based on the Alberta average weekly earnings for the previous year
If it is determined that a Section 68 rate should be applied, the new rate takes effect on the date that the permanent clinical impairment is assessed or two years after the date of accident, whichever is first.
The severity of the worker’s injury is assessed through a permanent clinical impairment exam by a physician once the point of maximum recovery is reached - typically two years after the injury.If permanent clinical impairment cannot be assessed by two years after the date of accident, WCB will seek out a medical opinion as to whether the permanent clinical impairment is likely to be greater than 50%. If so, the Section 68 rate will be applied
In the case of a fatality claim where there are dependants, the pension rate will be adjusted when:
The date of accident is on or after September 1, 2018,
The gross earnings used to set the pension rate are less than the Alberta average weekly earnings once converted to annual earnings for the year prior to the date of accident year, and
The worker was under 25 on the date of accident or a student on the date of accident.
The rate is adjusted based on Section 70(1) of the Act which indicates that when a worker dies, the dependants will receive the same benefits the worker would have received had they lived and been permanently totally disabled.
The new rate is paid as a Section 68 rate.
The Alberta average weekly earnings can be found on the Payment Unit site (Departments>Payment Unit>Section 68 - DOA is on or after September 1, 2018).
Ensure the worker has a permanent clinical impairment of 50% or more on their current and previous claims combined and has not had a section 68 adjustment.
If the worker is a student, request confirmation of enrollment in an academic or vocational program on their date of accident.
Confirm the Alberta average weekly earnings for the year prior to the accident as per the Statistics Canada website.
Send a note to the payment rate setting team desk confirming the Alberta average weekly earnings for the year prior to the DOA and request they add the Section 68 rate.
If a change is made to the claim (rate change, DOA change, change in payee, etc.) eCO will process changes overnight and any adjustment to existing payments or new payment amounts will not be processed until the next day.
The Payment Unit will add the Section 68 rate in eCO.
Send the appropriate rate-setting letter from the CL068 series to the worker explaining how the rate was set.
Cost of living adjustment (COLA)
WCB applies a COLA to compensation benefits to prevent a decrease in benefits due to inflation. COLA restates the date-of-accident earnings in current dollars, so the wage loss benefits of today reflect the real wage loss. The amount of the COLA is set yearly.
When a worker is receiving benefits two years or more after their accident, they may be entitled to have a COLA applied yearly to their compensation benefit.
A COLA is applied when the worker’s rate is based on earnings equal to or less than the maximum compensable earnings amount for the year. For example, the maximum compensable earnings amount for 2025 is $106,400.00. To receive a COLA in 2025, the worker’s rate must be based on earnings equal to or less than $106,400.00.
Administrative tasks
COLAs are applied on eligible benefits and a letter is sent to the worker; both are done automatically.
Communicate with the worker and employer each time a rate is adjusted
Communicate rate decisions
Whenever a rate is set or adjusted, the decision maker is responsible for calling the worker to communicate the decision and sending a letter to the worker with a copy to the employer (if appropriate). Explain what information was used to calculate their rate and how it was calculated. When a detailed explanation of the entitlement decision is required, modify the template or use a custom letter. Ensure copies are sent to all interested parties.
End every letter with the decision maker’s name and direct contact number. Also provide the options to contact a supervisor or request a formal decision review within 12 months.
Confirm the worker’s preference for frequency and method (cheque or direct deposit) to receive their wage replacement benefits.
*In some cases where the Payment Unit adjusts rates, they will send the letter.
Administrative tasks
Add the rate information to the worker's Initial Entitlement Decision (IED) letter or send the appropriate rate-setting letter from the CL052 series.
Supporting information
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Additional earnings
WCB considers other taxable benefits that are received in addition to the worker's regular pay. These actual earnings include:
Type of Pay
Description
Overtime
Overtime worked in the one year prior to the date of accident should be included in the compensation rate.
If the worker’s, pro-rated annual earnings are not reflective of the date-of-accident position, ask the employer for the average overtime hours for the date-of-accident position, taking into consideration the entire year (or season). Refer to policy 04-01- Establishing Net Earnings, Application 2: Special Circumstances for more information.
Note: Do not include overtime hours in the eCO shift cycle of the rate screen, only include regular hours.
Statutory holiday pay
Statutory holiday pay is added to the rate if the worker receives this pay as part of their regular earnings. It is a percentage that is paid by the employer in addition to the regular pay. It is received regularly on the worker pay cheques.
Statutory holiday pay is not added when the worker receives "time off with (regular) pay". This means the worker continues to receive their regular salary while away from work.
Employer includes tips/gratuities on their employees' pay cheque.
The worker confirmed they claim their tips as income when they file taxes.
The employer does not keep track of tip amounts, nor does the worker claim it as income when filing taxes.
Refer to the internal Electronic Workplace (Departments>Payment Unit > Tips/Gratuities) for further information.
Vacation Pay
Vacation pay:
Added to the Rate: If the worker receives vacation pay as part of their regular earnings, it is added to the rate at the time of the accident. This is a percentage paid by the employer in addition to regular pay.
Not Added to the Rate: If the worker receives "time off with (regular) pay," meaning they continue to receive regular pay while away from work, it is not added to the rate at the time of the accident.
Note: When calculating a TD02Temporary partial disability - wage top-up benefit payment:
If the vacation entitlement was earned before the injury and paid out after the injury, it is not considered post-accident earnings and will not be included in the post-accident earnings calculations.
If the vacation entitlement was earned post-accident and during the period the worker is receiving TD02Temporary partial disability - wage top-up benefit benefits, the vacation payout may be added to the post-accident earnings for the payment of TD 02 benefits.
Tips:
When adding vacation pay to the rate, ensure it is not already included in the rate of pay (e.g., gross earnings).
If there is conflicting information about vacation pay, refer to Employment Standards for details on occupations excluded from basic vacation pay entitlement, vacation pay eligibility based on length of service and percentage paid based on nature of employment.
If a worker is paid based on the number of sales and the worker incurs significant employment expenses, earnings are considered to be gross income, minus any business expenses. If the worker does not incur significant employment expenses to perform their job duties, the worker's commission earned during the one year prior to the date of accident are their gross earnings.
Commission
Employer-subsidized portion of employer-provided accommodations
If the worker loses the accommodation because of the compensable accident, it is considered when setting the rate.
The dollar value of an isolation allowance
If the isolation is a permanent part of the job and the worker loses the allowance because of the compensable accident it is considered when setting the rate.
The dollar value of travel, subsistence and lodging allowances, if they are recorded as taxable benefits
These will be included if they are recorded as taxable benefits.
Dividends
For all personal coverage (PC) holders with a Section 56/61 rate effective April 1, 2020, and onwards, WCB may include dividends when the rate for workers with PC when the dividend is taken in lieu of salary or when the dividend reasonably represents work performed.
Dividends are not considered earnings when they are a general allocation of the company's undistributed profits to shareholders or when dividends are declared for any other reason. When a company declares a dividend, they are required to record the meeting minutes outlining the dividend.
Other
Any other taxable remuneration which, in the WCB's opinion, should be included when calculating the compensation rate
Refer to the additional resources for further information: Policy 04-01- Establishing Net Earnings and the internal Procedures Resource Library and the Payment Unit site.
Averaging earnings
When the employer provides earnings that go beyond the date of accident or layoff, the employer should be contacted to obtain the actual earnings information for the period required as earnings beyond the date of accident may have been impacted by the injury. If this information cannot be obtained, determine the amount by using the Earnings & Shift Cycle Pro-Rating Tool to calculate the yearly gross earnings.
Administrative tasks
The Earnings & Shift Cycle Pro-Rating Tool is available on the Payment Assistant site. The link to the Payment Assistant site is also found on the Electronic Workplace (Business Tools>Payment Assistant).
Delete a rate
All compensation rates can be deleted except the original Section 56 (SEC 56) rate. Before asking the Payment Unit to delete the rate, confirm that deletion is necessary, and the rate cannot be corrected by modifying it.
If a compensation rate with rate-based payments is deleted, those payments will automatically adjust to use the previous effective compensation rate. This can result in an overpayment or adjustment for the worker or employer.
To delete an ELP or TEL rate all reviews must first be deleted to the point where the rate deletion is required.
Converted ELP and TEL rates can be deleted however cannot be restored, (undo-deleted), as a case plan is not attached to converted rates. The case plan must be updated with the new information in order to process adjustments to issued payments.
If an ELS/ELP or monthly TPD rate with rate-based payments attached is deleted, the payments are deleted by the system and an overpayment is created. These payments are restored, (undo-deleted), when the TPD or ELS rate is re-set.
Note: When an ELP rate is deleted the attached Section 56 rate is automatically deleted if attached to the case plan, (post implementation). If the ELP was converted, (in force prior to Benefit Calculator implementation), the attached Section 56 rates must be manually deleted.
Administrative tasks
The Payment Unit is responsible for deleting rates.
Send a file note (Compensation Payments/Details) to the appropriate desk.
Refer to the Payment Unit site (internal Electronic Workplace > Departments > Payment Unit) for guidance on which desk to send the file note to.
Farming
To determine the compensation rate for farm workers, set the rate the same as for any other worker by confirming their earnings, employment status, shift cycle, and hours of work with the farm owner. Refer to Policy 04-01- Establishing Net Earnings for information.
To determine the compensation rate for farmers who purchase Personal Coverage (PC):
Minimum PC - Set the rate on the minimum PC amount which is up to (or equal to) the GCA.
If the PC is over the Guaranteed Coverage Amount (GCA): Set an initial rate based on the GCA.
Once the T1 General is returned, the rate setting team will consider the earnings reported on line 141 (i.e., self-employment farming net income) of the T1 General for the compensation rate.
If the earnings reported on line 141 of the T1 General are:
Greater than (or equal to) the PC amount, the rate will be set based on the PC amount.
Less than the PC amount, but greater than the GCA, the rate will be set based on the earnings reported on line 141 (i.e., self-employment farming net income).
Less than the GCA amount, the rate will remain set based on the GCA amount.
If the PC holder cannot provide a T1 General (e.g., they have not completed their taxes), set the compensation rate on minimum or GCA if the PC holder has purchased above GCA until a T1 General is provided as proof of earnings.
Once the T2042 Statement of Farming Activities is returned the rate setting team will consider the earnings reported on line 9946 (i.e., net income loss) of the T2042 Statement of Farming Activities for the compensation rate.
If the earnings reported on line 9946 (i.e., net income loss) are:
Greater than (or equal to) the PC amount, the rate will be set based on the PC amount.
Less than the PC amount, but greater than the GCA, the rate will be set based on the earnings reported on line 9946 (i.e., your net income loss).
Less than the GCA amount, the rate will remain set based on the GCA amount.
Concurrent earnings for farm owners: If a worker requests that their farming earnings be included in their compensation rate as concurrent earnings, the rate setting team will require a copy of the T1 General or T2042 Statement of Farming Activities to verify their earnings.
Date of accident before January 1, 2016
To determine the compensation rate for farm workers set the rate the same as for any other worker by confirming their earnings, employment status, shift cycle, and hours of work with the farm owner. Refer to Policy 04-01- Establishing Net Earnings for information.
To determine the compensation rate for personal coverage holders (or concurrent earnings for farm owners), set the compensation rate based on the higher of the following:
Net income reported on line 141 (i.e., self-employment farming net income) of the T1 General, or
One-third of the gross farming income reported on line 168 of the T1 General.
Any rates set or concurrent earnings added to a rate for dates of accident before January 1, 2016, will continue to follow the same practices as noted above and will not be adjusted.
To verify earnings, send a file note (Compensation Payments/RateSetting), to the Payment/Ratesetting, Team Desk requesting they send out a Request Earnings Information - Worker has Personal Coverage (CL037F) letter. This letter will request the PC holder's T1 General from the previous year. Farmers will also have the option to submit only a copy of their T2042 Statement of Farming Activities without submitting their T1 General.
Permanent total disability (PTD)
Effective October 1, 2015, the yearly PTD rate will increase yearly to be an amount needed to reach the current minimum wage in Alberta.
This change is being implemented as the minimum PTD rate (set out in Section 56(7)(a) of the Workers' Compensation Act as $900 per month) with yearly COLAs applied is expected to fall below the provincial minimum wage amount which is scheduled to increase yearly until 2018.
This new process ensures that workers being paid PTD benefits will not be paid less than the provincial minimum wage. Annual adjustments to the PTD will be the greater of:
the regular annual COLA, or
an adjustment based on the provincial minimum wage (full-time/wk) in effect as of January 1 of the adjustment year.
Pro-rated earnings
Pro-rated earnings are often used to project yearly earnings when the worker has not yet been employed in the position for a full year, had a position change, pay increase within the year prior to the date of accident or had unpaid days missed within the gross earnings period.
Request the gross earnings and the exact dates (total days) the gross earnings cover. For this period, determine the number of unpaid days within this period (e.g., sickness, family illness leave, injury, WCB injury, maternity leave, strike, lockout, or other income loss situations beyond the worker's control, excluding predetermined employment conditions such as shutdown and lack of work).
Administrative tasks
Obtain the reason(s) for any unpaid days missed during the gross earnings period to ensure the reason(s) meet the criteria in this procedure.
If applicable input the number of unpaid days in the "Number of Days Excluded" field of the Earnings and Employment Details screen.
If the gross earnings period used to set the rate is more than 90 days and the worker missed a consecutive period of time, all calendar days must be deducted in order for the gross earnings to pro-rate accurately. Refer to the Payment Unit site for further information EW>Departments>Payment Unit>Search>Gross Earnings Notes Link.
The systemwill pro-rate the earnings based on the number of days worked and set the compensation rate.
Provisional rate
A provisional rate is a temporary rate set via RapidReportRapidReport is the electronic injury reporting system that is used by employers and providers. or the Employer Mobile App. It can also be set by the decision maker while awaiting more information from the employer to establish an accurate rate. This is common for complex rates, such as those for owner-operators, self-employed workers, subcontractors, personal coverage holders, piece workers, commission workers and emergency forest firefighters.
The earnings status field indicates whether the rate is provisional or confirmed. The decision maker or payment specialist will update this field to ‘confirmed’ once the worker and/or employer verify the earnings information.
Administrative tasks
When unable to gather accurate earnings information from the C060, C040, call or email, send a letter requesting the missing information and set a provisional rate.
In these cases, we can set a provisional or temporary rate in order to pay some benefits to the worker right away.
A provisional rate is normally set based on minimum wage and the worker’s average hours per week. However, in some cases we may set the provisional rate lower or higher than this depending on the nature of the worker’s employment.
Set the date of accident and rate for a worker with a delayed diagnosis and/or layoff
For initial entitlement claims where the worker is diagnosed with a work-related condition years after they retire from that occupation:
Establish the date of accident (DOA) based on the date the worker first sought medical treatment for the condition. This may result in a date of accident in the current year for a job the worker retired from a number of years ago.
Pay the worker permanent and temporary benefits based on their earnings at the date of accident. The Section 56 rate will be based on the earnings the worker was making when they first sought medical treatment for the condition.
Self-employed workers- modified work/establishing a value of service
When a self-employed worker is:
Totally disabled as a result of compensable work restrictions and is:
Kept on full salary by their company/employer, pay TD01Temporary total disability benefits wage replacement benefits on assignment to the company/employer (e.g., a numbered company, worker's name, etc.), based on the worker's compensation rate (i.e., salary, personal coverage amount) until the worker is fit for employment.
Not receiving any salary by their company/employer, pay TD01Temporary total disability benefits wage replacement benefits to the worker based on the worker's compensation rate (i.e., salary or personal coverage amount).
Working part-time modified employment due to compensable work restrictions, and is:
Kept on partial salary by their company/employer to reflect the portion of work being done, pay TD02Temporary partial disability benefits. wage top- up benefits to the worker based on the worker's compensation rate (i.e., salary or personal coverage amount).
Kept on full salary by their company/employer, pay TD02Temporary partial disability benefits. wage top-up benefits on assignment to the company/employer (e.g., a numbered company, worker's name, etc.) based on the worker's compensation rate, less the hours worked. Refer to the 3-1 Modified work procedure.
Working full-time or part-time modified employment, but is not receiving/drawing a salary, establish a value of service for the modified work that the self-employed worker is providing. Pay TD02Temporary partial disability benefits. wage top-up benefits to the worker less the “value of service.” The work performed must:
Directly contribute to the ongoing operations of the company and allow it to continue operating and/or be part of a plan to return the worker to full hours and/or duties.
Be work the worker would reasonably pay someone else to do if they were not able to perform it.
When the work does not contribute to the ongoing operations of the company or towards the plan to return the worker to full hours/duties, and/or allow the company to continue operating/generating revenue, TD01Temporary total disability benefits wage replacement benefits should be paid.
Generally, a self-employed worker who is not earning a salary should work a minimum of five hours per week to be eligible for TD02 benefits, less the "value of service." However, this must be assessed on a case-by-case basis, as there may be situations where it is reasonable to pay TD02 benefits for less than five hours of work per week.
Examples:
A worker operates a single truck and has no employees. Due to being unfit to operate the truck, they spend three hours per week making business calls and doing paperwork. This work does not enable the truck's operation or generate revenue, and the worker would not hire someone to perform these tasks if they were unable to do them. Therefore, issuing wage top-up benefits (TD-02) less "value of service" is not reasonable. Wage replacement benefits (TD-01) are the most appropriate in this situation.
A worker owns a company with several employees. The worker spends three hours per week making business calls, supervising employees, and doing paperwork, which enables the employees to continue working and the company to generate revenue. The plan is to increase the work hours by one hour every two weeks. If the worker is unable to perform these tasks, they would hire someone to do them. Therefore, it is reasonable to pay wage top-up benefits (TD-02) less "value of service" for the three hours of modified work the worker performs weekly.
A farmer's ranch continues to operate and generate revenue while they are unfit to work, with tasks performed by family members and ranch hands. New medical reports indicate the worker is fit for sedentary work, and they confirm that they are doing two hours per week of paperwork and supervision. The ranch's operations remain unchanged, and no additional revenue is generated from the modified duties. Since the worker would not reasonably pay someone else to do this work and is working fewer than five hours per week, it is not reasonable to pay wage top-up benefits (TD-02) less "value of service." Wage replacement benefits (TD-01) are the most appropriate.
To establish the value of service for a self-employed worker performing modified duties:
Percentage of the day worked: Consider paying based on the percentage of the day that the worker performs modified duties. For example, farmers often don't have a set number of hours they work, so it may fairer to pay based on the percentage of the day that they work. To calculate: If for example, they work 12.5% of the day - multiply the weekly compensation rate by 12.5% to determine the deduction from their TD02Temporary partial disability benefits. wage top-up benefits (TD-02).
Rate for Hiring Someone: Ask the worker what they would pay someone to do the same work, ensuring it is at least minimum wage. Consider whether the company could continue operating without the worker performing these duties and it there are other employees or is it a "one man" operation?
Usual Rate of Pay: Contact other companies that employ people in similar occupations to confirm the usual rate of pay.
Hours/Time Worked: Consider paying TD02Temporary partial disability benefits. wage top-up loss benefits less the hours/time worked.
Research: Use the Labour Market Tools, LMA Analysis Information, ALIS or Employability Profile (EP) pre-July 31/17 databases to research the modified job being performed.
Note: Effective August 1/17, the revised EPs, including salary records, are stored in Labour Market Analysis Information database. Older versions of EPs prior to this date are stored in the Employability Profiles pre-July 31/17 database (EW>Business Tools).
For these situations, consider the location that the worker is performing the modified duties and compare to earnings for the position in that particular city or the next nearest location. If using Labour Market Records, it is important to confirm that the modified work being performed is a position that exists in the public domain. Otherwise, the record may not be suitable to use for estimating a value of service.
When determining the value of service for a self-employed worker performing modified duties, consider the following:
Location-Based Earnings: Compare the earnings for the position in the city where the worker is performing the duties or the next nearest location.
ALIS/Labour Market Records: Ensure the modified work being performed is a position that exists in the public domain. If not, the record may not be suitable for estimating the value of service.
Note: If a self-employed worker has personal coverage and is entitled to wage replacement/loss benefits, the benefits issued cannot exceed the amount of the worker's personal coverage.
The worker's shift cycle is based on a repeating pattern of regular hours worked per cycle, total working days and days off within that cycle.
If the pattern does not repeat, the average number of regular hours per week should be calculated and the cycle should be based on a 7-day week.
Note: This also includes the gross earnings period "start" and "end" dates entered in the "Shift Premium", "Other Taxable" and "Overtime" gross earnings fields.
Note: Do not include overtime hours in the eCO shift cycle of the rate screen ('regular' hours only).
Administrative tasks
Refer to the Payment Unit EW site (Departments>Payment Unit>Shift Cycle) tab for further information.
Undocumented earnings (paid under the table)
If a worker is being paid in cash with no T4 reporting by the employer and no T1 reporting by the worker to the Canada Revenue Agency, the WCB must determine if the worker was employed in an industry covered under the Act, whether the industry has mandatory coverage, and if the employer has an account with the WCB.
Note: The Payment Unit does not determine how compensation rates should be set for workers with undocumented earnings (cash under the table).
Each situation is unique, so there are a few approaches to setting these types of rates:
Confirm Earnings with Employer: Educate the employer that they are required to maintain detailed records of ALL earnings paid to employees (see below) including casual labour. If they are unable to provide this information for the compensation rate, an audit may be required. Send the Employer's Report of Injury or Occupational Disease form (C040) to the employer.
Worker's Report: Ensure the worker completes and signs a Worker's Report of Injury or Occupational Disease form (C060).
Proof of Income: Have the worker submit proof of employment income or hours worked. Acceptable documentation includes receipts from the employer, invoices, bank statements, Money MartMoney Mart is an example of resources available to cash money and deposit into banking institutes. slips showing routine deposit patterns, and any other documents confirming employment earnings and hours worked. Note: While these documents may not guarantee verification of earnings, they can assist with further investigation and discussions with the employer.
Referral to Premium Auditor: If multiple attempts to gather earnings information from the employer fail, consider referring the case to a Premium Auditor to determine the worker's insurable earnings. Refer to internal Electronic Workplace (Departments > Premium Audit) for details.
Claims Investigation: Consider having the Investigation unit obtain witness statements from other employees also being paid cash under the table. Refer to the 11-5 Claim entitlement Investigations Unit referrals procedure for more details.
Similarly Employed Earnings: Use earnings from similarly employed workers if there is evidence that the worker's employment and earnings pattern matches that of a similar worker in the industry.
Value of Service: Set the compensation rate based on a fair and reasonable 'value of service' for the type of work the worker has been performing.
Referral to Employer Account Services (EAS): If no referral has been made, consider referring the case to EAS. For details, refer to the internal Electronic Workplace (Departments > Employer Account Services > Referrals).
For additional information, refer to the internal Electronic Workplace site (Departments > Payment Unit)
Workers with unique situations
Unique Situation
Additional Information
Retired workers
Policy 04-01, Part II, Application 4 - Benefits, question 8, states that retired workers are not eligible for temporary wage loss benefits since they do not experience a loss in earnings. Therefore, they are not eligible for these benefits for any periods of temporary disability that begin after retirement. However, if a worker is already receiving temporary wage loss benefits and then retires, these benefits will continue for the duration of the disability, even if it overlaps with retiree benefits (e.g., CPP, Employment pension).
Unpaid Workers
Unpaid workers are individuals, including family members, who provide services without remuneration to any employer operating a for-profit organization to which the Act applies. See Section 103 (2) of the Workers' Compensation (WC) Act and Policy 06-01 - Part II, Application 3 - Workers for more details.
Volunteers
Volunteers are individuals who provide services without remuneration to not-for-profit organizations. Refer to Section 14 (5) of the Workers' Compensation (WC) Act and Policy 06-01 - Part II, Application 3 - Workers for further information on volunteers and definition of not-for-profit organizations.
Severance pay
The WCB does not include severance pay (or pay in lieu of notice) for the purposes of calculating the worker's gross earnings for payment of compensation. The WCB considers severance pay to be compensation from the employer for the loss of employment, rather than employment earnings.
Average annual earnings of other workers in a similar occupation may be used for setting the accident rate of pay in certain circumstances. Refer to Policy 04-01 - Establishing Net Earnings, Application 2: Special Circumstances, for further information. Usually, the earnings information from three different employees in the same position as the worker on the date of accident is used. All four conditions in Policy 04-01 must be met in order to consider similarly employed. If the worker is paid a predetermined wage (a rate of pay), this policy would not apply. This means if the worker is paid “per hour”, “per day”, “per kilometer”, “per trip”, “pre tree” etc. this is considered a predetermined wage and would not meet the policy.
The worker must be paid on the basis of work completed (piecework) instead of predetermined wages. If the worker is paid hourly, daily, bi-weekly or monthly this is considered a predetermined wage and would need the policy.
Leap Year
eCO will pro-rate earnings that include a leap year down to 365 days. Example: Section 56 gross earnings are $50,000 however; this includes a leap year (the period is actually 366 days) so the system will pro-rate these annual earnings down to $49,863.39 (365 days).
DOA for shifts overlapping two calendar days
When a worker is injured on a shift encompassing two calendar days, the DOA is the date the shift started.