Operational Policy Manual

This manual is the source of operational policy for the WSIB. It contains such matters of policy and law as:

  • Worker coverage, filing claims
  • Benefits, work reintegration
  • Employer coverage, premiums, experience rating
  • Health care, occupational diseases

Operational Policy Manual User Guide

New and revised policies: to reflect regulatory changes and the new rate-setting model
Document Published Comments
12-01-04, Coverage Status January 2, 2020 Revised document
14-01-01, The Classification Structure January 2, 2020 Revised document
14-01-06, Associated Employers January 2, 2020 Revised document
14-01-07, Single and Multiple Premium Rates January 2, 2020 New policy
14-01-08, Temporary Employment Agencies January 2, 2020 New policy
14-01-09, Transition to the Rate Framework January 2, 2020 New policy
14-01-10, Temporary Employment Agencies Transition to the Rate Framework January 28, 2020 New policy
14-01-11, Non-Profit Organizations Transition to the Rate Framework January 2, 2020 New policy
14-02-01, Employer Level Premium Rate Setting January 2, 2020 New policy
14-02-06, Employer Premium Adjustments January 2, 2020 Revised document
Revised policies: consequential and housekeeping policy revisions related to the new rate-setting model
Document Published Comments
12-01-01, Who is an Employer? January 2, 2020 Revised document
12-01-02, Employer by Application January 2, 2020 Revised document
12-03-02, Optional Insurance January 2, 2020 Revised document
13-02-02, NEER (New Experimental Experience Rating Plan) January 2, 2020 Revised document
13-02-04, Merit Adjusted Premium Program Rescinded December 11, 2019

Removed from OPM January 2, 2020		 Deleted policy
13-02-05, Adjustments to CAD-7 Refunds and Surcharges Rescinded December 11, 2019

Removed from OPM January 2, 2020		 Deleted policy
13-02-06, Construction Industry Plan (CAD 7) January 2, 2020 Revised document
13-02-07, Adjustments to NEER Refunds and Surcharges Rescinded December 11, 2019

Removed from OPM January 2, 2020		 Deleted policy
14-01-02, Single Classification January 2, 2020 Deleted policy
14-01-03, Segregated Payrolls January 2, 2020 Deleted policy
14-01-04, Aggregated Payroll January 2, 2020 Deleted policy
14-01-05, Special Ancillary Rules January 2, 2020 Deleted policy
14-02-03, Purchase Certificates January 2, 2020 Revised document
14-02-04, Clearance Certificate January 2, 2020 Revised document
14-02-05, Closures January 2, 2020 Revised document
14-02-07, Employer Non-Compliance Interest and Charges January 2, 2020 Revised document
14-02-08, Determining Insurable Earnings January 2, 2020 Revised document
14-02-14, Reinstatement of Accounts January 2, 2020 Revised document
14-02-16, Credit Interest on Appeals January 2, 2020 Revised document
14-02-17, Fatal Claim Premium Adjustment January 2, 2020 Revised document
14-02-18, Insurable Earnings - Construction January 2, 2020 Revised document
14-02-19, Clearance Certificate in Construction January 2, 2020 Revised document
14-03-06, Minimum Premium January 2, 2020 Revised document
14-03-09, Premium Remittance January 2, 2020 Revised document
14-03-10, Statement of Account January 2, 2020 Revised document
14-03-12, Reconciliation January 2, 2020 Revised document
14-04-04, Collections Based on Financial Hardship January 2, 2020 Revised document
14-05-01, Transfer of Costs January 2, 2020 Revised document
14-05-02, Removal of Costs January 2, 2020 Revised document
15-01-05, Third Party Rights of Action January 2, 2020 Revised document
15-01-06, Third Party Motor Vehicle Accident Claim Costs January 2, 2020 Revised document
18-01-04, Recovery of Benefit-Related Debts January 2, 2020 Revised document
21-01-01, Access to Employer Information January 2, 2020 Revised document
21-02-01, Disclosure of Claim File Information – General January 2, 2020 Revised document
21-02-02, Disclosure of Claim File Information (Issue in dispute) January 2, 2020 Revised document
21-02-03, Disclosure of Claim File Information to Employers (No Issue in Dispute) January 2, 2020 Revised document
22-01-01, Material Change in Circumstances - Employer January 2, 2020 Revised document
22-01-06, Offences and Penalties - External Suppliers of Goods and Services January 2, 2020 Revised document
22-01-07, Offences and Penalties - Worker January 2, 2020 Revised document
Revised policies: 2020 Benefit Rates
Document Published Comments
18-01-02, Benefit Dollar Amounts - Accidents from 1998 January 2, 2020 Revised document
18-01-03, Benefit Dollar Amounts - Accidents before 1998 January 2, 2020 Revised document
18-01-05, Table of Rates January 2, 2020 Revised document
Revised policy: revised to reflect amendments made to the federal cannabis regime
Document Published Comments
17-01-10, Cannabis for Medical Purposes December 16, 2019 Revised document
Deleted policies
Document Published Comments
13-01-02, Workwell Program

Rescinded October 30, 2019

Removed from OPM November 1, 2019

 Deleted policy
13-01-03, The Safety Groups Program

Rescinded October 30, 2019

Removed from OPM November 1, 2019

 Deleted policy
13-02-03, Safe Communities Incentive Program (Pre 2002 Entrants)

Rescinded October 30, 2019

Removed from OPM November 1, 2019

 Deleted policy
13-02-08, Safe Communities Incentive Program - Revised (2002 and later entrants)

Rescinded October 30, 2019

Removed from OPM November 1, 2019

 Deleted policy
New policy: sets guidelines governing entitlement to, review of, and payment for medical cannabis
Document Published Comments
17-01-10, Cannabis for Medical Purposes March 1, 2019 New document
Revised policies: 2019 Benefit Rates
Document Published Comments
18-01-02, Benefit Dollar Amounts- Accidents from 1998 January 23, 2019 Revised document
18-01-03, Benefit Dollar Amounts- Accidents before 1998 January 23, 2019 Revised document
Revised policy: Changes to reporting and payment frequencies to simplify billing cycles
Document Published Comments
14-03-09, Premium Remittance January 2, 2019 Revised document
Revised policy: 2019 Benefit Rates
Document Published Comments
18-01-05, Table of Rates January 2, 2019 Revised document
Revised policies: minor revisions as a result of scheduled policy review
Document Published Comments
18-03-07, Loss of Retirement Income Benefits (Accidents on or after January 1, 1998) December 6, 2018 Revised document
18-04-17, Loss of Retirement Income Benefits (Accidents from January 2, 1990 to December 31, 1997) December 6, 2018 Revised document
Revised policy: to reflect legislative amendments to expand coverage for PTSD in first responders and other designated workers
Document Published Comments
15-03-13, Posttraumatic Stress Disorder in First Responders and Other Designated Workers September 7, 2018 Revised document
Revised policies: to reflect updates to the Diagnostic and Statistical Manual of Mental Disorders and ensure consistency with other OPM documents referencing DSM diagnoses.
Document Published Comments
15-04-02, Psychotraumatic Disability September 7, 2018 Updated document
15-04-03, Chronic Pain Disability September 7, 2018 Updated document
Updated policies: Updated to align with changes to the Ministry of Education work education programs for secondary school pupils.
Document Published Comments
12-04-04, Individuals on Unpaid Training Placements July 27, 2018 Updated document
12-04-05, Coverage for Unpaid Trainees July 27, 2018 Updated document
12-04-07, Pupils in Work Education Programs July 27, 2018 Updated document
12-04-13, Apprentices July 27, 2018 Updated document
18-06-01, Calculating Temporary Total Disability Benefits (Accidents between 1985 and 1998) July 27, 2018 Updated document
Updated policy: Updated to align with regulatory changes to presumptive coverage
Document Published Comments
23-02-01, Cancers in Firefighters and Fire Investigators July 4, 2018 Updated document
New policy: To reflect legislative amendments regarding medical assistance in dying
Document Published Comments
15-06-09, Medical Assistance in Dying April 5, 2018 New policy
Revised policies: 2018 Benefit Rates
Document Published Comments
18-01-02, Benefit Dollar Amounts - Accidents from 1998 April 5, 2018 Revised policy
18-01-03, Benefit Dollar Amounts - Accidents before 1998 April 5, 2018 Revised policy
Revised policies: Consequential and housekeeping policy revisions related to indexation and benefit calculations
Document Published Comments
12-04-04, Individuals on Unpaid Training Placements February 1, 2018 Revised policy
12-04-07, Students in Work Education Programs February 1, 2018 Revised policy
12-04-13, Apprentices February 1, 2018 Revised policy
15-02-05, Recurrences February 1, 2018 Revised policy
15-06-06, Incarcerated Workers February 1, 2018 Revised policy
18-02-09, Determining Average Earnings - Periodic Payments for Survivors February 1, 2018 Revised policy
18-04-10, Calculating FEL for Students, Learners, and Apprentices February 1, 2018 Revised policy
18-05-04, Calculating NEL Benefits February 1, 2018 Revised policy
18-05-09, NEL Redeterminations February 1, 2018 Revised policy
18-06-06, Individuals on Unpaid Training Placements - Temporary Disability Benefits February 1, 2018 Revised policy
18-07-06, Lump Sum (Commutations) February 1, 2018 Revised policy
New policy: To reflect legislative amendments regarding chronic mental stress
Document Published Comments
15-03-14, Chronic Mental Stress January 2, 2018 New policy
Revised policy: Consequential changes from legislative amendments regarding chronic mental stress
Document Published Comments
15-03-02, Traumatic Mental Stress January 2, 2018 Revised policy
New and revised policies: Changes related to indexation and benefit calculations
Document Published Comments
18-01-14, Annual Indexing January 2, 2018 New policy
18-02-07, Calculating Net Average Earnings January 2, 2018 Revised policy
18-03-02, Payment and Reviewing LOE Benefits (Prior to Final Review) January 2, 2018 Revised policy
18-03-06, Final LOE Benefit Review January 2, 2018 Revised policy
18-04-05, Initial Determination – Workers Who are Earning at Time of Determination January 2, 2018 Revised policy
18-04-06, Initial Determination – Where Suitable Occupation has been Determined January 2, 2018 Revised policy
18-04-11, Supplements for Programs and Work Reintegration Activities Before and After 24 Months January 2, 2018 Revised policy
18-04-12, Supplement Following Significant Deterioration January 2, 2018 Revised policy
18-04-18, FEL: Changes to Net Exemption Code January 2, 2018 Revised policy
18-04-20, Final FEL Benefit Review January 2, 2018 Revised policy
18-06-01, Calculating Temporary Total Disability Benefits (Accidents between 1985 and 1998) January 2, 2018 Revised policy
18-06-02, Calculating Temporary Partial Disability Benefits (Accidents between 1985 and 1998) January 2, 2018 Revised policy
18-06-04, Most Recent Earnings for Recurrences January 2, 2018 Revised policy
18-07-04, Calculating Permanent Disability Benefits January 2, 2018 Revised policy
18-07-05, Arrears January 2, 2018 Revised policy
18-07-08, Payments to Dependants January 2, 2018 Deleted policy
18-07-09, Section 147(14)-$200 Additional Amount (Permanent Disability) January 2, 2018 Revised policy
18-07-10, Sections 147(2) and 147(4) Supplements (Permanent Disability) January 2, 2018 Revised policy
20-03-03, Calculating CPP/QPP Offsets from Survivors’ Benefits January 2, 2018 Revised policy
20-03-04, Spouse with No Children January 2, 2018 Revised policy
20-03-06, Spouse with One or More children January 2, 2018 Revised policy
20-03-07, Spouse and Children Not Living Together January 2, 2018 Revised policy
20-03-09, Apportionment of Survivors’ Benefits January 2, 2018 Revised policy
20-03-10, Children and No Spouse January 2, 2018 Revised policy
20-03-11, Children Cared for by Parent or Other Person January 2, 2018 Revised policy
20-03-12, Child 19 Years or Older Continuing in Education January 2, 2018 Revised policy
20-03-14, Other Dependents January 2, 2018 Revised policy
20-03-16, Payments to Dependents January 2, 2018 Revised policy
Revised policy: 2018 Benefit Rates
Document Published Comments
18-01-05, Table of Rates January 2, 2018 Revised policy
Updated policies: Changes related to offences and penalties, and employer accident reporting
Document Published Comments
15-01-02, Employers’ Initial Accident-Reporting Obligations January 2, 2018 Updated policy
22-01-05, Offences and Penalties – General January 2, 2018 Updated policy
22-01-06, Offences and Penalties – External Suppliers of Goods and Services January 2, 2018 Updated policy
22-01-07, Offences and Penalties – Worker January 2, 2018 Updated policy
22-01-08, Offences and Penalties – Employer January 2, 2018 Updated policy
Updated policies: Changes to reflect pilot cars addition to Interjurisdictional Agreement
Document Published Comments
14-02-09, Insurable Earnings – Drivers in the Transportation Industry January 2, 2018 Updated policy
14-02-12, Insurable Earnings – Interjurisdictional Agreement January 2, 2018 Updated policy
14-02-13, Alternative Assessment Procedure for Interjurisdictional Trucking & Transport Industry January 2, 2018 Updated policy
15-01-11, Interjurisdictional Agreement January 2, 2018 Updated policy
Revised policy: Revised to more closely reflect the Freedom of Information and Protection of Privacy Act (FIPPA)
Document Published Comments
21-01-01, Access to Employer Information October 10, 2017 Revised policy
Deleted policy
Document Published Comments
16-01-10, Occupational Aluminum Exposure, Dementia, Alzheimer’s Disease and Other Neurologic Effects

Rescinded June 16, 2017

Removed from OPM August 17, 2017

 Deleted policy
Updated policy: Policy revision related to Schedule 2 administration rate
Document Published Comments
12-01-04, Schedules 1 & 2 June 1, 2017 Updated document
Updated policy: Updated to reflect revised hearing devices program
Document Published Comments
17-07-04, Hearing Devices January 3, 2017 Updated document
Revised policies: 2017 Benefit Rates
Document Published Comments
18-01-02, Benefit Dollar Amounts - Accidents from 1998 January 3, 2017 Revised document
18-01-03, Benefit Dollar Amounts - Accidents before 1998 January 3, 2017 Revised document
18-01-05, Table of Rates January 3, 2017 Revised document
Updated policy: Updated to align with regulatory changes to presumptive coverage
Document Published Comments
23-02-01, Cancers in Firefighters and Fire Investigators January 3, 2017 Updated document

Email notification service

Subscribe to receive an email notice whenever there is an update to the OPM.

Past policies

For copies of past policies, please email polpub@wsib.on.ca or phone 416-344-4355 or 1-800-387-0750 Ext. 416-344-4355.

Questions

Do you have a policy question? Contact the Operational Policy Branch.

Resources

Policy overview

Workplace Safety and Insurance Act (WSIA)

WSIA Regulations