Effective date: October 1, 2016
Application: All claims.
Policy subject: Termination, reduction or suspension of benefits
To establish guidelines for the suspension of benefits.
Customer means an injured worker or a surviving dependent spouse.
Good reason means circumstances or matters beyond the customer’s control. An employer would normally find such a reason and the length of absence from work to be acceptable.
Medical aid, also referred to as health care, means “the provision of medical and surgical aid, of hospital and professional nursing services, of chiropractic and other treatment and of prosthetics or apparatus” (Section 2(1)(v) of The Workers’ Compensation Act, 2013 (the “Act”)).
Individualized vocational plan (IVP) means a plan approved and signed by the Workers’ Compensation Board (WCB) and signed by the customer to meet a vocational goal. The IVP outlines the short and long-term goals for a suitable return-to-work plan.
Absence With Good Reason
Absence Without Good Reason
PRO 09/2017 Suspension of Benefits
POL 01/2008 Suspension of Benefits – Pregnancy
POL 10/2016 Suspension – While Incarcerated
POL 06/2009 Benefits – Customers in Transition from WCB to SGI Benefits
PRO 06/2009 Benefits – Customers in Transition from WCB to SGI Benefits
POL 11/2013 Bridging Program
POL 01/2018 Benefits – Long-Term Earnings Loss
PRO 01/2018 Benefits – Long-Term Earnings Loss
POL 08/2014 Continuum of Care
POL 03/2021 Second Injury and Re-Employment Reserve
PRO 03/2021 Second Injury and Re-Employment Reserve
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