In the second of six modules, offered within Prevention Link’s core curriculum, various benefits and services are explored.
- The significance of legislation (OHSA, WSIA), regulations and policy, including changes to the legislation and the effects these changes have had on benefits; and
- The benefits available under the WSIA, in the three different eras, including:
- Temporary Partial (PT);
- Temporary Total (TT) disability;
- Future Economic Loss (FEL);
- Non-economic Loss (NEL); and
- Loss of Earnings (LOE) calculation, maximum and minimum levels and exclusion periods and offsets.
Participants also explore detailed examples of benefit calculations and parameters affecting the final numbers. The structure of the Workplace Safety and Insurance Board (WSIB) and appeal system are described in relation to the New Service Delivery Module and the roles of each WSIB position. The adjudication process is described and participants follow the flow of a claim through the process. Problem resolution and the process for an appeal are presented.
Participants further learn about funding, including:
- which employers are covered;
- optional insurance;
- how the system is funded;
- how incentive programs; and
- experience rating work and when claim costs can be transferred.
Participants also learn how to make a case plan for a successful outcome and different types of evidence to use. Communicating effectively, both verbally and in writing with the many professionals involved and workers and witnesses are discussed. The organization of a Board file is presented and participants explore how to effectively review a file, make a case plan to proceed to move a claim forward and use this knowledge to review a case file.