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Supreme Court of Canada Landmark Ruling

Tuesday, November 22, 2011

Recently a landmark decision was issued by The Supreme Court of Canada that limits the jurisdiction of a human rights tribunal to consider matters that have already been dealt with in another proceeding.  This ruling reinforces the provision of Section 45.1 of the Ontario Human Rights Code, which provides that “the tribunal may dismiss an application, in whole or in part, in accordance with its rules if the Tribunal is of the opinion that another proceeding has appropriately dealt with the substance of the application”.

A standing argument has been that the tribunal has not enforced this provision creating concerns for employers that employees are with ease able to ” shop for different and better results” when a decision has already been made .

In the case of Boyce v. Toronto Housing Corporation, the worker appealed a decision from the WSIB to the Ontario Human Rights Tribunal after being terminated. Here’s what happened:

  •  Worker injured knee when chair collapsed at work. The worker lived in Scarborough and the employer offered accommodated work in downtown Toronto. Worker requested to work from home or an alternative location closer to home.
  • WSIB Appeals Resolution Officer ruled that while a temporary modified job offered in 2005 as a Parking Enforcement Officer was suitable, it was not clear if the worker could safely get to work given disability
  • 2008 WSIB Claims Adjudicator ruled permanent modified position as a dispatcher working downtown was suitable. The worker objected to the decision, but did not complete rejection form and pursue appeal right away. Employer terminated employee when he failed to accept terms of modified duty. Worker then appealed to Ontario Human Rights Tribunal.
  • Worker filed complaint with Human Rights Tribunal-the tribunal did not dismiss the claim under section 45.1 and ruled the WSIB adjudicator’s decision failed to appropriate consider the workers requests for accommodation in regard to travel to and from work.

The significance of the recent decision in the case of British Columbia Compensation Board v. Figliola-Here is a recap:

  • Figliola case dealt with workers who were seeking compensation for chronic back pain from the British Columbia Worker’s Compensation Board. They were awarded compensation of 2.5% of their total disability.  They were not satisfied with the amount of compensation.
  • Each worker appealed the decision citing the BC board’s policy was “patently unreasonable” under section 15 of the Canadian Charter of Rights and Freedoms.  The review officer dismissed the appeal stating the board was not in violation under the B.C Code.
  • Workers filed complaints with British Columbia Human Rights Tribunal and alleged the same discriminatory arguments-The BC Board brought forward a motion to dismiss the complaints on the basis that the argument had already been appropriate dealt with.
  • Tribunal dismissed the board’s motion and held that section 27(1) (similar to section 45.1 of Ontario Human Rights Code) of the B.C code did not apply and allowed the complaint to proceed.
  • Finally, British Columbia Supreme Court reversed the Tribunal’s decision to move forward, but then again restored the decision.

The BC WCB Board appealed to the Supreme Court of Canada who overturned the Tribunal’s decision, dismissed the worker’s complaints and stated that the B.C code “does not give the Tribunal authority to act as a review body with jurisdiction to consider, comment on and substitute decisions of other administrative tribunals”

What does this mean for employers in Ontario?

Due to the similarity between B.C’s section 27(1) and Ontario’s section 45.1 of their respective Human Rights Codes , the Figliola decision will likely have implications on the jurisdiction of the Ontario Human Rights Tribunal in hearing duplicated complaints. Ontario employers can use this landmark decision if they are seeking a tool to dismiss a human rights complaint by an employee when the issue has already been dealt with appropriately in arbitration or in front of a labour relations board.

In the case of Boyce v. Toronto Housing Corporation, unfortunately the worker’s requests for accommodation were not appropriately considered and many avenues were left unexplored.  In this case, had all reasonable accommodations been met and had the employer and WSIB fully addressed all aspects of the worker’s requests for accommodation this Human Rights Case could have been avoided, or dismissed.

 It is extremely important when responding to accommodation requests that there is an investigative process that documents and explains to the employee how the employer will meet the accommodation request. The employer is not required to do exactly what the employee requests, however the employer is required to offer alternative solutions that are reasonable with consideration for medical and functional abilities.

If you have any questions about this decision, or if you are experiencing a similar situation as the cases above, please contact Anna Aceto-Guerin by email at anna@clearpathemployer.com or by phone, 519-624-0800.

Clear Path has a particular specialty in cost-effective WSIB claims management, return-to-work (RTW) strategies and acquiring SIEF cost relief. Click here to learn more about our WSIB claims management services.

Categories: News, WSIB/STD Claims

How does the NEW NEER 4 year Window Affect you?

Monday, November 7, 2011

On July 15th 2011 the WSIB amended a board policy extending the NEER window to 4 years. The purpose is to improve return to work outcomes, overall cost reductions and premiums for employers.

What does this mean for you? Claim years will now be subject to 4 years of reviews and potential surcharges.  Specifically, claims that have occurred in 2008 will now be appearing on your September 2012 NEER statement.  In the previous scheme a 2008 claim would have ceased to impact employers as of September 30, 2011 in the 3 year window.  Ultimately any active claims in the 2008 claim year (claims receiving benefits as of January 1, 2012), could adversely affect your NEER review potentially significantly increase your WSIB costs in 2012. This new policy requires greater involvement and accountability on part of the original employer to foster a successful return to work for the injured worker or risk greater costs in a longer window.  In light of the new window - what should you do?

 How do I minimize the impact of the 4 year NEER window?

We recommend these 6 principles to minimize the impact of the 4 year NEER window.

  1. Develop, implement and adhere to comprehensive return to work policies
  2. Review functional abilities of injured workers to determine possibilities for return to work as early as possible and as often as necessary
  3. Communicate regularly with the WSIB regarding active claims
  4. Medically monitor and manage all WSIB claims using experienced medical professionals
  5. Consider appealing adverse decisions
  6. Continue to request SIEF on claims  

Clear Path can help…

Clear Path has a particular specialty in cost-effective WSIB claims management, return-to-work (RTW) strategies and acquiring SIEF cost relief. It can be challenging dealing with the government and orchestrating an effective return to work plan.

We believe claims management is a collaborative process which assesses, coordinates, monitors and implements the options and services required to promote timely, safe return to work programs and quick resolution of WSIB claims.

Clear Path offers a complimentary and confidential review of your most recent NEER statement by our WSIB claims specialists (a $250 value!).

Our experts will forecast your costs for this year and identify areas of potential savings. You have nothing to lose and there is absolutely no obligation to utilize our services further.

Fax your most recent NEER statement today to (519) 624-0860 for a complimentary review.

 

WSIB discusses changes to RTW, LMR and 4 year window

Tuesday, November 30, 2010

Insights from Nov 29, 2010 teleconference on recent changes at the WSIB:

Check out the Tools section of our website to download a copy of the presentation used by the WSIB during the teleconference.

On Monday the WSIB held one of their promised Stakeholder Consultations via teleconference regarding the new Work re-integration policies.

I was one of the "lucky ones" to have heard about the session, however the 2 ½ hour "consultation" did not reveal many new details. The session started with a walk down memory lane in terms of the previous RTW and Labour Market Re-Entry programs with the WSIB and the "case for change."

The premise sounds good: they envision "Re-integration to decent, safe, and sustainable employment." Alas, I'm unsure that the WSIB has a realistic and practical way of implementing this in the real world. Here are some of the highlights of the content discussed:

 

Policies:

There are 5 new Work Re-integration policies to replace the 24 existing policies covering ESRTW, re-employment and LMR:

  • Principles, Concepts and Definitions (19-02-01)
  • Responsibilities of the Workplace Parties (WPP) in the Return to Work Process (19-02-02)
  • Determining Suitable Occupation (SO) (19-03-03)
  • Work Transition (WT) Plan (19-03-05)
  • Work Transition (WT) Expenses (19-03-06)

In addition, there is a new draft NEER policy (featuring the change to a 4 year window). According to today's presentation, this new policy "will not be used by WSIB staff during consultation period," but rather the "existing NEER policy (13-02-02) will continue to apply throughout the course of the consultation period."

 

So what do these new policies mean for the employer?

We see that the WSIB is looking at different outcomes with this new program, with particular focus on ensuring that the injured worker returns to the injury employer as often as possible. These options include:

  • Pre-injury job with injury employer,
  • Pre-injury job, with accommodation if required with the accident employer, 
  • Work of a comparable nature and earnings to pre-injury job with injury employer, with accommodation if required, or lastly,
  • Alternate suitable work with injury employer, with accommodation if required

Obligations of the workplace parties seem simple - maintain early contact, communicate throughout recovery, identify RTW opportunities, make sure to give any relevant RTW info to the WSIB and lastly to report any disputes to regarding RTW.

 

What is the Work Transition Plan and when does this come into play?

It seems that if there are issues with RTW then the case manager will refer the file to the WTS -Work Transition specialist for review. This will typically happen between 6-9 months of time.

One of the concerns we see here is the issue with recovery and healing times. Currently there are some discrepancies and inconsistencies with regard to healing times and the jury is still out on this issue. When we asked the question of the presenters today, they really didn't have a good answer for us on how the healing times let alone the severity of injury would be determined or if it will be determined consistently by the WSIB.

 

Young and older workers:

Couple of really interesting changes - one of which is around the young worker and enhanced benefits for this group of individuals that could potentially be earning lower pre-accident earnings. The new system will actually assist them to "achieve higher earnings than pre-injury without significantly increasing the cost or duration of the plan." So at the end of the day this looks a bit like an advantage if you are a younger worker who may not have pursued higher education - Which seem to me among other things to be slightly discriminatory...

The other item we thought was interesting is the "option for workers 55 or over to participate in a self-directed transition program (TP), with full LOE benefits payable for 12 months, following which LOE benefits based on the identified suitable occupation (SO)". We're not quite sure how this will work...and not sure the WSIB knows either.

 

"We can't force the worker..."

One thing I noticed throughout the session was the frequent use of the words "we can't force the worker." This was used in relation to accepting shift changes or part time work, relocation or even certain types of training. One thing is sure; there will be more worker intervention, input and generally direction by the worker in this new work re-integration program.

 

Consequences of non-cooperation:

According to today's session, a dispute over "job suitability" does not automatically mean that workplace parties (WPP) are being non-cooperative. However, if parties are being non-cooperative in RTW efforts, there will be penalties:

  • For the worker the initial penalty will be a 50% reduction in benefits and the full penalty being full wages reduced.
  • For the employer penalties start at 7 days after the written notice of non cooperation and include 50% of cost of lost wages, the final penalty will be 100% of the cost of the worker's wage loss benefits, plus 100% of any costs for providing WT services to the worker.

The light at the end of the tunnel here is that for an employer that breaches both a co-operation and re-employment obligation in the same claim, the WSIB will apply a single penalty however, the presenters were not able to confirm if this will be applied over and above any NEER surcharges or as a separate penalty.

 

Next Steps:

If you would like to discuss the changes to the WSIB in more detail, please don't hesitate to contact Anna Aceto-Guerin, CHRP at anna@clearpathemployer.com or call (519) 624-0800

 

Employer’s Duty to Accomodate an Employee Illness

Friday, August 13, 2010

An interesting article from Earl Altman at First Reference Talks outlining the employer's duty to accomodate an employee's injury or illness and examples seen in court outlining different definitions of accomodating employees. Article was posted on Tuesday July 20th, 2010.

Link to article

 

Categories: News, WSIB/STD Claims

WSIB fixes troubled injured worker re-training program

Tuesday, July 13, 2010

A Toronto Star article that outlines the new changes being made to the WSIB's Labour Market Re-entry program:

http://www.thestar.com/news/investigations/workplacesafety/wsib/article/831165--wsib-fixes-troubled-injured-worker-re-training-program

Categories: News, WSIB/STD Claims