Workplace Safety & Insurance Coverage - wsib
Workplace Safety & Insurance Coverage - wsib
Workplace Safety & Insurance Coverage - wsib
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Chapter 6 -Account Administration<br />
■ total benefit costs (including those<br />
covered by advances)<br />
■ physicians’ fees<br />
The administration fees are based on a projected<br />
administration rate that is set at the beginning of<br />
each year.<br />
Did You Know<br />
Since October 1990 physicians under the Ontario’s<br />
health insurance plan (OHIP) no longer bill the WSIB<br />
directly. They bill WSIB claim related costs to the<br />
Ministry of Health who, in turn, bills the WSIB.<br />
Late Filing of Accident Report (0183)<br />
This is issued daily, as they occur. This form notifies an<br />
employer when they are charged a late filing penalty.<br />
The charge is $250 for each occurrence.<br />
Physician Fee Adjustment<br />
Employers receive this notice annually, normally in<br />
March. It shows the difference between the estimated<br />
amount and the actual amount paid by the WSIB to the<br />
Ministry of Health for the previous year for physician fees.<br />
Fines for late reporting of accidents are recorded<br />
on the monthly statement as an AD invoice number.<br />
Average weekly Average reimbursement<br />
X – Deposit<br />
Costs pattern + 2 weeks on Hand<br />
Interest Charged<br />
The late payment interest charge notice is sent when<br />
interest is charged. The WSIB charges interest at the rate<br />
of two per cent each month end on the amount of<br />
overdue invoices not covered by a deposit.<br />
Late payment interest charges are recorded on<br />
the monthly statement as an AC invoice number.<br />
Interest Earned<br />
A notice of interest earned is sent when earned.<br />
The WSIB pays interest on deposits at each month end on<br />
the portion of the deposit greater than the accounts<br />
receivable balance.<br />
Invoice Cancellation Notice<br />
This notice is sent when the WSIB cancels an invoice<br />
previously charged to a Schedule 2 employer, such as<br />
when we cancel a late reporting charge.<br />
Interest earned is recorded on the<br />
monthly statement as a BB invoice number.<br />
Frequency of Billing Charges<br />
Working Capital<br />
All Schedule 2 employers must provide working capital so<br />
that the WSIB can pay for workplace insurance benefits<br />
on their behalf. The WSIB may request additional<br />
working capital at any time if it feels there are insufficient<br />
funds on hand. The amount is payable upon receipt of<br />
notice.<br />
Each year, the rate of interest paid is set at the prime<br />
rate of the WSIB’s bank, less two per cent, at the close<br />
of business each December 31. This rate is then used for<br />
the coming year.<br />
The WSIB evaluates the employer’s average weekly<br />
costs and reimbursement pattern; and adjusts the working<br />
capital amount as necessary using the firm’s cumulative<br />
12 month experience.<br />
Average weekly costs are based on the benefit and<br />
associated costs (administration and physicians’ fees) paid<br />
out for the previous 12 months. The average<br />
reimbursement pattern is the average time it takes for<br />
an employer to reimburse the WSIB for benefits and<br />
associated costs.<br />
Charge/Cancellation Notice<br />
Late Filing of Accident Report<br />
Schedule 2 Invoice<br />
Covered by Advance Notice<br />
Invoice Cancellation<br />
Physician Fee<br />
Administration Charge<br />
Monthly Statement<br />
Late Payment<br />
Interest Earned<br />
Adjustment – Physician fee<br />
Reconciliation of administration charge<br />
Billing Cycle<br />
Daily<br />
Weekly<br />
Weekly<br />
Daily<br />
Monthly<br />
Monthly<br />
Monthly<br />
Monthly<br />
Monthy<br />
Yearly<br />
Yearly<br />
32 Your account manager is your key contact for all<br />
premium-related questions.