Effective date: October 1, 2017
Approved date: August 22, 2017
Application: All injuries on and after the effective date where there is a pre-existing condition.
Policy subject: Decision making - Principles
To establish adjudication guidelines for claims where pre-existing conditions exist.
Pre-existing condition means a non-work related medical, physical or psychological condition that existed prior to the work-related injury. The existence of the condition must be medically confirmed, either pre-injury or post-injury, and may have been evident prior to the occurrence of the work injury or it may become evident afterwards.
Aggravation means, as the result of a work-related injury, a pre-existing condition is temporarily worsened.
Acceleration means, as the result of a work-related injury, a pre-existing condition is permanently worsened.
The Workers’ Compensation Act, 2013
Sections 2(1)(r), 20, 26, 31, 49, 103
(1) POL and PRO 01/2000, Pre-Existing Condition – Section 49 (effective May 1, 2000 to September 30, 2017).
(2) POL 17/94, Pre-Existing Conditions (effective August 16, 1994 to April 30, 2000).
PRO 12/2017 Pre-Existing Condition – Aggravation or Acceleration
POL 07/2021 Arising Out of and In the Course of Employment
POL 06/2009 Benefits – Customers in Transition from WCB to SGI Benefits
POL 02/2019 Decision Making
PRO 02/2019 Decision Making
POL 05/2013 Injuries – Heart Attack
PRO 02/2016 Injuries – Hernia
PRO 04/2017 Injuries – Occupational Disease
PRO 07/2017 Records Management
POL 03/2021 Second Injury and Re-Employment Reserve
PRO 09/2017 Suspension of Benefits
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