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Claims Application Date:
This policy applies to all decisions made on or after July 1, 2007, for all accidents.
Published:
01-Aug-2007
Subject
Special Circumstances
Title
Entitlement Following Work Disruptions: Strikes and Lockouts
Document No.
15-06-05
| Policy | Guidelines | References |

Policy

A worker who is unable to continue working due to a strike or lockout, and whose employability is clearly affected by his/her work-related impairment/disability and associated clinical restrictions, may qualify for

  • additional loss of earnings (LOE) benefits, temporary total disability benefits (TT), future economic loss (FEL) supplement,
  • and possibly labour market re-entry (LMR) services.

NOTE

Read this policy in conjunction with 15-06-01, Entitlement Following Work Disruptions: General for additional information that is common to the work disruption policies, such as definitions, re-employment and co-operation obligations, LMR specifications, etc.

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Guidelines

General rule for entitlement

Generally, workers affected by a strike or lockout should have their benefit status maintained, i.e.,

  • if the worker is not in receipt of LOE, FEL, or permanent disability (PD) benefits at the time of the strike or lockout, additional benefits/services should probably not be allowed
  • if the worker is in receipt of partial LOE/FEL/PD benefits at the time of the strike or lockout, the partial benefits should probably continue, or
  • if the worker is in receipt of full LOE/FEL/TT minus PD/TT benefits at the time of the strike or lockout, the full benefits should probably continue.

Likely exceptions to the general rule

The following factors suggest that the worker’s employability is clearly affected by the work-related impairment/disability and associated clinical restrictions and that additional WSIB benefits/services may be in order

  1. the worker is in the early phase of recovery (i.e., there is a recent date of accident/recurrence/deterioration)
  2. the worker is still receiving WSIB-approved active (non-maintenance) health care treatment (e.g., physiotherapy) on a frequent basis
  3. the worker is on a graduated return to work program
  4. the worker requires a high degree of accommodation. (Tasks and work processes have been specifically accommodated for the worker’s impairment/disability and are not likely to exist with or be provided by another employer.)
  5. the worker has an impairment/disability that is significant enough that it clearly presents an obstacle to the worker finding alternate employment. (Workers who have more than one work-related impairment/disability may be significantly impaired due to the combination of their impairments/disabilities.)

Date of entitlement

If the decision-maker decides that additional benefits/services are in order, in most cases, these would be paid/provided from the date the strike/lockout started.


Health care monitoring

In all cases, the worker’s benefits may be adjusted when the health care information indicates that the worker has recovered to the extent that the worker

  • is fit for the pre-injury job, or
  • is fit for suitable work, and
    • no longer requires active treatment and/or a graduated return to work program,
    • the worker’s clinical restrictions do not present an obstacle to finding alternate employment.

Adjusting benefits

Before the decision-maker can adjust a worker’s benefits, the decision-maker has to identify a suitable and available employment or business (SEB). For example, if the worker becomes fit for

  • the pre-accident job, then the pre-accident job is the SEB, or
  • suitable work with the accident employer that is available in the general labour market, then the suitable work is the SEB.

LMR services

Eligibility criteria

LMR services are generally not provided to a worker who is affected by a labour dispute unless

  • the labour dispute is prolonged (more than three months), and
  • it is unknown when the labour dispute will be settled, and
  • the worker demonstrates that he/she has made efforts to mitigate the loss of work, and
  • the likelihood is high that the worker will choose to continue the LMR plan (if required) if the strike is resolved (see "Indicators that worker likely to continue with LMR plan", below), and
  • the decision-maker is unable to determine an appropriate SEB for the worker and the worker
    • has a likely permanent impairment/disability, and
    • is unable to perform the pre-injury job due to the work-related impairment/disability, and
    • has not previously received LMR services.

Indicators that worker likely to continue with LMR plan

Such indicators include, but are not limited to

  • the worker’s impairment/disability is so significant that a return to the accident employer is unlikely
  • the worker has a low paying job
  • the worker has low seniority
  • the worker is no longer involved in strike activities, e.g., picketing
  • the employer’s business is in financial trouble.

Application date

This policy applies to all decisions made on or after July 1, 2007, for all accidents.


Document history

This document replaces 15-06-05 dated October 12, 2004.

This document was previously published as:
18-01-11 dated April 11, 2003.

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References

Legislative authority

Workplace Safety and Insurance Act, 1997, as amended
Sections 40, 41, 42, 43, 107, 108, 110

Workers' Compensation Act, R.S.O. 1990, as amended
Sections 37, 43, 54, 147(2)


Minute

Administrative
#21, June 26, 2007, Page 442

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