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Document name

Reversing Decisions

Document number

POL 23/2014

Effective date: January 1, 2015

Application: Claim and employer account decisions

Policy subject: Reconsiderations and appeals

Purpose:

To provide administrative guidelines for reversing decisions.

BACKGROUND

The Workers’ Compensation Act, 2013 (the “Act”) authorizes the WCB to rescind, alter or amend any decision it has previously made (Section 20(5)).

POLICY

The WCB may reverse decisions when:
1. There is new evidence.
2. The Medical Consultant provides a contrary opinion regarding the relationship of medical issues to the injury and/or employment.
3. The Appeals department, Assessment Committee or Board Members provide a contrary decision to that of the decision maker.
4. Operations or Employer Services staff determine that the original decision is unreasonable.
If a reversed decision results in the termination of benefits, POL 17/2010, Termination of Compensation Benefits – Notice, will apply.