FAQs about WSIB claims

FAQS

I think I contracted coronavirus (COVID-19) at work. Should I file a claim? 

While the nature of some people’s work may put them at greater risk of contracting the virus, for example those treating someone with COVID-19, any claims received by the WSIB will need to be adjudicated on a case-by-case basis, taking into consideration the facts and circumstances. 

 If you believe you contracted COVID-19 while at work, you may file a claim to determine if you are eligible for WSIB coverage. 

Will I continue to receive my WSIB benefits if my employer shuts down due to COVID-19?

Yes. We are continuing to pay all wage-loss benefits and have ensured all loss-of-earning benefits are up -to- date.

You will continue to receive the same benefits that you were receiving at the time of your employer’s shut-down.

I am working part-time and receiving partial loss-of-earnings benefits from the WSIB. Will I continue to receive my WSIB benefits if my employer shuts down due to COVID-19?

Yes. We are continuing to pay all wage-loss benefits and have ensured all loss-of-earning benefits are up- to- date.

You will continue to receive the same benefits that you were receiving at the time of your employer’s shut-down.

I have been performing modified duties due to a workplace injury, but receiving full pay. Will the WSIB cover any pay I lose if my employer shuts down due to COVID-19?

No. If you were not receiving any wage-loss benefits at the time of the employer’s shut-down, you won’t receive any new wage-loss benefits. If you were receiving any other benefits at the time of the shut-down, such as health care benefits, those will continue.

How will the WSIB determine if a COVID-19 claim will be allowed?

Multiple potential sources of COVID-19 may now exist at work and at home creating challenges in establishing work-relatedness when adjudicating claims.   

For a COVID-19 claim to be allowed, evidence must show that the person’s risk of contracting the disease through their employment is greater than the risk to which the public at large is exposed and that work significantly contributed to the person’s illness

To determine the work-relatedness of COVID-19 claims, the WSIB will look at details such as the person’s employment activities, their symptoms and whether they have a diagnosis of COVID-19.  

While the nature of some people's work may put them at greater risk of contracting the virus, for example those treating someone with COVID-19, this is a constantly evolving situation and any claims received by the WSIB will need to be adjudicated on a case-by-case basis, taking into consideration the facts and circumstances. 

Please note: The WSIB does not provide coverage for people who are symptom-free even when quarantined or sent home on a precautionary basis. However, should someone who is symptom-free develop symptoms or illness while on quarantine, they may be eligible for WSIB coverage.

Does the WSIB cover people for a quarantine period?

No, the WSIB does not provide coverage for people who are symptom-free even when quarantined, self-isolating or sent home on a precautionary basis.

I have a meeting with a WSIB staff member/at a WSIB office. Will the meeting still go ahead? 

The meeting will not be in person. To help protect people from the spread of COVID-19, we have made the decision to close our offices to the public. You should expect a call from the WSIB employee you were going to meet with so that they can arrange to meet by phone, virtually or postpone. 

If you had an oral appeal hearing scheduled, an Appeals Coordinator will call you to arrange a hearing via teleconference or a hearing in writing, or to postpone your appeal until we resume in-person oral hearings.

 Also, you can share most documentation with us using our website. Visit wsib.ca/upload to upload any claim-related forms, letters or documentation. As of March 16, we will not be processing any hard copy mail received, please use our online services or fax your documents to 1-888-313-7373. 

Can I still send my documents?

At this time we are not processing any mail or deliveries received. Our online services are the quickest way to send us information. Visit wsib.ca/upload to upload any claim-related forms, letters or documentation. Alternatively, if you don’t have a claim number, you can fax documents to 1-888-313-7373.

I can’t attend my health care appointment – because either I have been diagnosed with COVID-19 or I am self-isolating due to potential exposure. What should I do?

We are working to ensure continuity of care while also understanding that people may not be able to attend appointments. 

If you are unable to attend an appointment, please cancel it directly with the health care provider. You do not need to contact your adjudicator/case manager to let them know.

You may need to reschedule your appointment with the provider once you are considered clear to do so – in accordance public health guidelines and/or the directions of your treating health care provider.

Further information will be posted on our website and communicated as it becomes available.

My health care provider has rescheduled my appointment and it affects my ability to get treatment within the treatment timeline. What should I do?

Health care providers and associated facilities must abide by public health guidelines, including screening protocols.  If your care is disrupted, the clinician will inform your adjudicator/case management team and include an estimated timeline and date, if possible, for the next appointment.

If you have an urgent need for health care, please contact your family doctor or 911 if it is an emergency.