How The WCB Amendments Affect Workers
Review of Longstanding Contentious Claims
A one-time tribunal will be established to review old cases
where the worker feels unfairly treated. A review body will establish a
screening process to determine what cases should be heard by the Tribunal. The
Tribunal will make a decision on the claim using the rules in force at the time
of the original claim.
The Good
There are many claims that were never handled justly due to
problems in WCB practice and the appeal system. In these cases "natural
justice" was never met. The Tribunal provides a final opportunity to
"right a past wrong". This is a strong victory for workers.
Too Early To Tell
The pre-screening body will have an important role to play in
determining how fair the new tribunal process will be. We need to see how
restrictive or open the rules it establishes are.
Appeals Process Changes
The Good
WCB will be required in law to provide written rationale for
any decision made on a claim.
Workers will now have a right to know why a decision was made
on their claim.
The Amendments eliminate the Claims Services Review Committee
and build in a new pre-hearing dispute resolution process to attempt to solve an
appeal before a formal hearing.
Workers rarely won appeals at the CSRC level. It was mostly a source of delay
in resolving the conflict. The new process will shorten the time a worker has to
wait for a decision.
The concept of a pre-hearing dispute resolution has potential to help workers
get a fair decision without the formalities of a hearing. However, we need to
see details before a final assessment can be made.
Legislation requiring WCB to implement an Appeal decision within 30 days.
Currently WCB often delays implementing decisions it does not like, and there
is no mechanism to force them. This will guarantee a decision favourable to a
worker will be implemented right away.
Appeals Commission to be moved out of WCB and into the Department of Human
Resources and Employment.
Having the Appeals Commission under the WCB budget created perceptions of
conflict of interest. This step may help ensure there is no meddling by WCB in
the workings of the Appeals Commission.
Appeal Commission decisions will be published and indexed.
This will give workers greater access to previous decisions to help them
build a strong case, increasing their chance for a fair hearing.
The Bad
At Appeals Commission, Commissioners will no longer be
"Employer" or "Worker" representatives, but instead will be
"neutral" independents.
By removing a worker side commissioner, there is no longer a guarantee that
someone who understands the worker perspective will be a part of the decision.
The new "neutral" commissioners may not be objective at all. This
has the potential to undermine the other positive changes to the appeal process.
Appeals Commissioners also become its own Board of Directors.
The Commissioners govern themselves. This creates a disturbing lack of
accountability.
Too Early to Tell
Legislation to establish process to resolve conflicting
medical opinions.
WCB has a track record of using conflicting medical opinions to consistently
cut workers off. This has the potential of creating a fair process for resolving
conflicts between physicians. However, until the process is spelled out, it is
too early to tell how this will affect workers.
Appeals Advisors moved into the Department of Human Resources and Employment.
Separating the Advisors from the WCB is a good step, one that is long
overdue. However, the relationship between the Advisors and the Minister needs
to be clarified. Will their be a fee? Who will be their boss? There is also the
concern about possible privatization. Depending on how their services are
delivered, this could help workers, or make access to an advocate harder.
Accountability
The Good
WCB and Appeals Commission must hold an Annual General Meeting.
Gives workers a chance to publicly hold the WCB accountable.
Implement an Accountability Framework and expanding the annual Audit.
The WCB needs greater accountability. A framework will state expectations to
be met. However, until the framework is announced, we do not know if it will be
strong enough. A broader audit will also expand the ability of the Auditor
General to examine the practices of the WCB.
To Early to Tell
Creation of a Workers’ Compensation Authority
Until we see the terms of reference and the appointments to the Authority, it
is difficult to tell if this body will enhance the level of accountability by
WCB.