Work Related Issues. Objectives
Work Related Issues. The purpose of the program is to ensure benefit coverage for related physical or mental impairments. If a physical or mental impairment occurs an application may be made to the provincial workers' compensation board or If the condition is accepted by the provincial worker compensation board, then any benefits related to the claim will be paid by the provincial compensation board and the physical or mental impairment will not be considered for the program. If the condition is not accepted by the provincial compensation board then the employee may apply for a income benefit. If the employee claim for benefits is not approved, the Nurse Case Manager will contact the employee stating the reason for the claim not being approved. Documentation outlining the medical information required to appeal the decision will be forwarded to the employee. The employee will be advised of the appeal time frame of four (4) weeks. The Nurse Case Manager additionally informs the employer contact at the Company of the claim status. The employer contact at the Company informs the payroll department of the suspension of the employee’s regular pay. The employee must then inform both the Nurse Case Manager and the employer contact at the Company of their decision (i.e. appealing with further medical evidence, returning to work, etc.). The employer contact at the Company informs the appropriate personnel of the status of the employee’s leave and the employee’s decision on appeal. Discussions on employment relation issues and employment protocol should begin with the employee at this time. Upon receipt of the appeal documentation, the Nurse Case Manager will review the claim in its entirety in conjunction with the Doctor and render a decision.
Work Related Issues. The purpose of the STD/RTH program is to ensure on-going benefit coverage for non-work related physical or mental impairments. If a work-related physical or mental impairment occurs an application may be made to the provincial workers’ compensation board (WCB, CSST or WSIB). If the condition is accepted by the provincial worker compensation board, then any benefits related to the claim will be paid by the provincial compensation board and the physical or mental impairment will not be considered for the STD/RTH program. If the condition is not accepted by the provincial compensation board then the employee may apply for a STD/RTH income benefit.
