3 years ago

WSIB - Ontario Nurses' Association

WSIB - Ontario Nurses' Association

How to get the most out

How to get the most out of your WTP?We recommend you do some information gathering regarding jobs and educationthat you are interested in prior to the first meeting with the Work Transition Specialist.Providing the WTS with detailed information regarding job interests thatare truly suitable for your condition is your best chance at getting a plan that canactually help you restore your pre-injury earnings basis. To sell the WTS on youridea, you can get course and job information, including retraining period, costof retraining, earnings information from possible future employers, professionalorganizations, unions, universities and colleges, newspaper ads, Employment andImmigration Canada, etc. The training course and physical job demands can alsobe reviewed by your physician regarding medical suitability and medical sustainability.A WTS will take into account: your interests; if the training and resulting job ismedically suitable; if you will be able to complete the training; and which SO willmost likely reduce WSIB’s liability to pay you a partial or full loss of earningsbenefit to age 65. The WTS will also have to consider if the job is likely medicallysustainable, i.e., is your condition expected to deteriorate and make the job unsuitable.Are there sustainable jobs available in the community?What will WSIB consider and what components of a WTP can WSIB approve?If WSIB agrees to retrain, they can and should pay for anything associated withthe retraining and needs of your injury. These costs include LOE benefits, tuition,books, travel, professional registration exam costs, accommodation needs like adual set of books, a home computer and ergonomic workstation etc. Anythingpertaining to the retraining or accommodation of your restrictions must normallybe included in the plan at the time it is submitted to WSIB for approval, or youmay have a difficult time getting add-ons approved at a later date.In considering retraining, WSIB looks at whether you are likely to complete theprogram, whether the proposed job is medically suitable, and how lengthy theretraining program is when compared to the other SOs identified by the WTS.Although WSIB is not keen on approving lengthy plans, we have been successful(especially in cases where the worker is well prepared before the first meeting)in having university programs approved, i.e. upgrade to Bachelor’s in Nursing,nurse practitioner course. WSIB looks at whether the cost of retraining is reasonableand whether there is no other suitable employment available to the worker.They consider the age and educational background of the worker, i.e., if the workeris older, lengthy training will likely not be approved.35

If a plan includes any work hardening program, we also recommend it includerevisiting the plan in the event you are unable to return to the deemed job.It is hard to estimate the length of any training, since we do not know what thetraining will entail. Since WSIB pays necessary and appropriate expenses for theplan, an estimate of the plan costs should also be included as part of the plan.What happens if you can’t find work in the proposed SO?It appears the WSIB’s number one goal is to have a WTS propose a SO that approximatesthe pre-injury earnings (part-time at similar part-time wages). If a dollar-for-dollarSO proposal cannot be achieved given your condition, etc., WSIBwill pay the difference between the deemed job (SO) and the pre-injury job, whetheryou are able to find employment in the deemed job. If you do not obtain a jobin that approved SO after retraining, etc., you will have to live off of the differencebenefits (partial LOE benefits) paid to you by WSIB. This is why it is so importantto ensure a proper WTP/SO is developed by the WTS and accepted by WSIB.Once the SO has been identified, deemed earnings are based on the current wageguide information. There are a number of WSIB policies that address LOE benefits,deemed jobs, deemed earnings and reviews. You should ask the WTS andCase Manager (CM) for wage earnings information, including whether this isthe entry level wage, middle level wage, etc. for the deemed SO. Expected wageearnings for the SO should be included in the WTP. WSIB looks at whether therewill be good job prospects on completion.While WSIB must consider the availability of the SO before deeming your Lossof Earnings benefits, under the new system, the WSIB can enforce the relocationof a worker to another geographical location for a SO and they are not requiredto pay moving expenses. So, if you choose not to relocate, your earnings will bedeemed and benefits reduced.What if you choose not to cooperate in this process?If you do not cooperate in any stage of Work Reintegration, including Work TransitionPlans, WSIB benefits will cease or be reduced until cooperation beginsagain. If your benefits are re-started, you will still not receive benefits for theperiod during which you were in non-cooperation.What to do if you disagree with the plan but don’t want your benefits discontinued?We routinely recommend workers try to include in the plan a provision that statesthe worker’s restrictions will also be accommodated while attending school. This36

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