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
14-01-11, 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13-02-04, Merit Adjusted Premium Program Rescinded December 11, 2019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13-02-05, Adjustments to CAD-7 Refunds and Surcharges Rescinded December 11, 2019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13-02-07, Adjustments to NEER Refunds and Surcharges Rescinded December 11, 2019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

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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