Decision #53/07 - Type: Workers Compensation

Preamble

This appeal deals with the calculation of the worker’s average earnings. At the time of the injury the worker was working as a journeyman carpenter and was initially provided wage loss benefits on the basis of his earnings as a carpenter. Subsequently, the Workers Compensation Board (WCB) reviewed the worker’s average earnings which were reduced to $178.79 per week effective January 27, 2005. The worker disagreed with this calculation and appealed to the Review Office which dismissed the worker’s appeal. The worker then appealed to the Appeal Commission.

A file review was held on February 21, 2007 at the request of an advocate, acting on behalf of the worker.

Issue

Whether or not the worker’s average earnings should be $178.79 per week effective January 27, 2005.

Decision

That the worker’s average earnings should be $178.79 per week effective January 27, 2005.

Decision: Unanimous

Background

The worker filed a compensation claim for multiple injuries that he sustained in a work related accident on November 3, 2004 during the course of his employment as a journeyman carpenter. The WCB accepted the claim for compensation and the worker was provided with wage loss benefits commencing November 4, 2004. The WCB calculated the worker’s average earnings as being $10,292.01 or $1,063.48 gross per week. The actual benefits were $652.95 per week or 90% of net sheltered earnings.

In February 2005, a WCB case manager reviewed the worker’s income tax returns for 2002 and 2003. Based on the worker’s demonstrated income and the fact that his employment with the accident employer was time limited, it was determined that the worker’s benefits would be based on average earnings of $227.77 per week which reduced the worker’s benefits to $178.79 per week, effective January 27, 2005.

On April 24, 2006, the worker’s advocate asked the WCB to re-evaluate the worker’s wage loss benefits. He felt that the worker’s benefits should take into consideration the worker’s previous 25% share of income earned during his participation in a business venture which had failed. He felt as a carpenter, the worker was capable of earning maximum trade earnings.

On June 2, 2006, Review Office confirmed that the worker’s average earnings should be $178.79 per week effective January 27, 2005. In making this determination, Review Office considered WCB policy 44.80.10.10. It took into consideration the worker’s employment data from the prior two years before his compensable injury. The highest earnings were used to calculate the average earnings. The worker’s average earnings did not have any income reported to Revenue Canada for the year 2002. There was also a minimal difference between his earnings for 2003 and 2004. The worker contended that he would have pursued additional carpentry employment and his average earnings should be based on what he could have earned. Review Office found no evidence that the worker’s regular and average yearly earnings did not accurately reflect his loss of earning capacity at the time of the accident and therefore there was no basis to calculate the worker’s average earnings using the probable yearly earnings formula.

On October 18, 2006, Review Office was asked to reconsider its June 2, 2006 decision based on subsections 45(3) and (4) of The Workers Compensation Act (the Act). Review Office advised all interested parties that these subsections were not relevant in the worker’s situation as the worker was 55 years old at the time of his injury and was employed as a journeyman carpenter.

In December 2006, the worker appealed Review Office’s decision and a file review was arranged. Submissions to the appeal panel dated January 12, 2007 and December 6, 2006 were provided by the worker’s advocate for consideration.

Reasons

Worker’s Position

The worker was represented by an advocate who provided written submissions to the Appeal Commission on behalf of the worker dated January 12, 2007 and December 6, 2006.

The representative noted that the worker had recently returned to work in his trade as carpenter and was working as a carpenter at the time of the injury. He noted that the worker’s wage loss benefits were originally based on his earnings as a carpenter. He noted that the worker’s union provided a letter indicating there was zero unemployment in 2006 for its members. He also noted that the worker’s financial institution provided a letter indicating that the worker had consolidated his outstanding obligations on the basis that he was returning to full time work as a carpenter. He indicated that the worker had intended to return to full-time work as a carpenter.

The representative submitted that after being absent from working as a carpenter for a number of years and returning when business was booming, the worker is being penalized.

The representative asked that the panel apply subsection 45(4) of the Act. He submitted that “There was a significant change in circumstances that required [the worker] to re-enter the workforce as a carpenter. The average earning capacity included his prior partnership in the music business, however, that income was much lower that (sic) minimum wage and welfare rates and that don’t (sic) represent a fair assessment of his earning capacity when working in his skilled occupation.”

The representative stated that the inclusion of his pre-accident income results in an unfair representation of what the worker’s future earnings would be.

In the submissions, the representative addressed other issues relating to the accident, the worker’s medical condition and the WCB’s management of the claim. These issues were not before the Appeal Commission and accordingly the panel did not address them.

Applicable Legislation and Policy

The Appeal Commission and its panels are bound by the Act, regulations and policies of the Board of Directors. There are several sections of the Act which are directly applicable to this appeal.

Subsection 39(1) provides that when an injured worker sustains a loss of earning capacity, wage loss benefits are payable in accordance with section 40.

Subsection 40(1) provides that the loss of earning capacity of a worker is the difference between:

(a) the worker's net average earnings before the accident; and

(b) the net average amount that the board determines the worker is capable of earning after the accident.

Subsection 45(1) provides that “The board shall calculate a worker’s average earnings before the accident on such income from employment and employment insurance benefits, and over such period of time, as the board considers fair and just...”

WCB Policy 44.80.10.10 (Average Earnings) provides that in calculating the worker’s average earnings under section 45, the WCB will use formulas that “…incorporate either regular earnings at the time of accident, or average yearly earnings or probable yearly earning capacity. The formula that best represents the worker’s loss of earnings will be chosen.”

Analysis

The issue before the panel was whether the worker’s average earnings should be $178.79 per week effective January 27, 2005. For the appeal to succeed, the panel must find that the WCB has improperly calculated the worker’s average earnings. After reviewing the file and considering the details of the worker’s employment history and income, the panel finds that the worker’s average earnings should be $178.79.

WCB Policy 44.80.10.10 provides under the definition of Average Yearly Earnings that “To determine a worker’s true loss of earnings, the WCB will generally use documentable employment data from any consecutive 12 month period during the one or two years before the compensable injury. If the WCB determines that this calculation does not produce an accurate reflection of a worker’s loss of earnings, it will generally use documentable employment data from a 12 month period during, or an average of, a longer period of up to five years.”

The panel finds that WCB Policy 44.80.10.10 has been properly applied to the calculation in this case. A review of the worker’s prior income tax returns indicated little income from employment for the years prior to the compensable injury. A review of the worker’s employment history indicates that he did not regularly work as a carpenter in the years prior to his compensable injury. In the 12 months immediately before the compensable injury the worker had worked for a very short period as a carpenter. The panel acknowledges that the worker was involved in a business venture but the tax returns do not demonstrate any significant income earned as a result of the business.

The panel notes that the WCB considered documented employment data for the two year period before the compensable injury and that the highest earnings were used to calculate the worker’s average earnings.

The panel has considered the submission that the worker would have worked full time as a carpenter, but for the accident, and that his average earnings should be based upon what the worker might have earned. The panel finds no basis for considering the worker’s possible future earnings. Rather, in accordance with the Act, the worker’s average earnings are properly based upon the worker’s income before the accident.

The worker’s representative asked that the panel apply subsection 45(4) of the Act. This section applies to cases where due to a worker’s young age, the average earnings before the accident do not fairly represent the worker’s earning capacity. The section has no application in the case of a worker who is 55 years of age and has a recognized trade, albeit that the worker did not work regularly in the trade.

The appeal is declined.

Panel Members

A. Scramstad, Presiding Officer
A. Finkel, Commissioner
W. Leake, Commissioner

Recording Secretary, B. Kosc

A. Scramstad - Presiding Officer

Signed at Winnipeg this 18th day of April, 2007

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