Decision #109/08 - Type: Workers Compensation
Preamble
The worker sustained a right ankle fracture at work on March 13, 2007. Responsibility for the claim was accepted by the Workers Compensation Board (“WCB”) and the worker received various types of benefits. The worker is currently appealing decisions that were reached by primary adjudication and Review Office regarding her average earnings and a file review was held at the Appeal Commission on July 17, 2008 to consider the matter.Issue
Whether or not the worker’s average earnings should be $832.54 per week from March 14, 2007 to May 15, 2007 and $881.49 per week effective May 16, 2007.Decision
That the worker’s average earnings should be $832.54 per week from March 14, 2007 to May 15, 2007 and $881.49 per week effective May 16, 2007.Decision: Unanimous
Background
On February 15, 2007, the worker commenced employment as a long haul truck driver with the accident employer. For the first 90 days, she would be on probation and was paid 34 cents per mile. After the probationary period was over, she would be paid 36 cents per mile. Unfortunately, on March 13, 2007, she suffered a compensable injury and was unable to continue employment. Following receipt of wage rate information from her employer, the WCB calculated the worker’s average earnings at $832.54 per week.
On November 20, 2007, the worker provided the WCB with additional material which she felt would made a difference in the calculation of her average earnings. The material included an information sheet from the employer which indicated that a volume incentive bonus of 2 cents per mile was payable for all miles if over 11,000 and confirmed the increased rate of pay after 90 days of service.
In a decision dated December 6, 2007, primary adjudication informed that the worker that the new information she submitted was reviewed, however it had been confirmed that her average earnings had been correctly established. The worker disagreed and filed an appeal with Review Office.
In a decision dated January 7, 2008, Review Office determined that the worker’s average earnings should be $832.54 per week from March 14, 2007 to May 15, 2007 and increased to $881.49 per week effective May 16, 2007.
Review Office spoke with the worker’s employer and was told that the first 90 days of a worker’s employment is considered to be a probationary period. Drivers who successfully complete it receive an increase in the rate paid per mile they drive from 34 to 36 cents, a 5.88% increase. Review Office indicated that the drivers were not guaranteed mileage and high mileage bonuses were earned by few people.
It was determined by Review Office that there was no basis for increasing the worker’s average earnings based on mileage increases she might have had or bonuses she might have earned had her employment not been interrupted. It stated that The Workers Compensation Act (the “Act”) and WCB Policy 44.80.10.10, Average Earnings did not cover what the worker was requesting. Review Office directed primary adjudication to recalculate the worker’s wage loss benefit from May 16, 2007 using average earnings of $881.49 per week.
The worker appealed Review Office’s decision to the Appeal Commission. In her submission dated April 13, 2008 she stated that was making $1500 to 1800 every two weeks and was working 3 days on and three days off. She stated the WCB did not consider her real earning potential by stating that her income would be only $40,000 per year.
Reasons
Applicable legislation
This appeal deals with the calculation of workers’ average earnings. Section 45 of the Act deals with the calculation of average earnings and provides:
Calculation of average earnings
45(1) 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, but the amount of average earnings shall not exceed the maximum annual earnings established under section 46.
WCB Policy 44.80.10.10 “Average Earnings” (the “Policy”) deals with the calculation of wage loss benefits and states as follows:
Formulas
The establishment of a worker’s average earnings under either section 45 of the WCA as it pertains to workers injured prior to January 1, 1992 or sections 45(1) and 45(2) of the WCA as it pertains to workers injured on or after January 1, 1992, will be governed by the same formulas. These formulas incorporate either regular earnings at the time of the accident, or average yearly earnings or probable yearly earning capacity. The formula that best represents the worker’s loss of earnings will be chosen.
Thus the Policy identifies three different formulas - regular, average and probable - which may be used to calculate a worker's wage loss benefits. Definitions for the three formulas are provided in the Policy as follows:
Regular Earnings:
Regular earnings are the amount of earnings a worker normally receives as remuneration in the occupation(s) in which he or she was employed at the time of injury. Regular earnings are based on the normal payment schedule (daily, weekly, monthly, annually, etc.) converted to a weekly amount. Earnings from concurrent employment (whether in a covered or non-covered industry) which are reduced or eliminated due to an accident in a covered industry are included in regular earnings.
Regular earnings do not normally include overtime, special reimbursements for employment expenses or bonuses that are not regularly paid.
Average Yearly Earnings:
Average yearly earnings include any remuneration that the worker received as a result of employment or employment-insurance benefits. 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 accident. If the WCB determines that this calculation does not produce an accurate reflection of the 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.
Probable Yearly Earning Capacity:
Probable yearly earning capacity is the worker’s projected earnings for the next twelve months. It is based on the worker’s regular earnings at the time of accident as applied to the worker’s established work pattern. Consistent with Section 45 of the WCA (1992), the probable yearly earning capacity must be based on the worker’s earnings before the accident, but may be based on “income from employment and employment insurance benefits, and over such period of time, as the board considers fair and just.”
Worker’s position
The worker provided a written submission to the Appeal Commission. The worker explained that she worked hard and paid her own way to become a long haul driver. For many reasons, truck driving was an ideal job for her and would give her the opportunity to earn enough income to meet her monthly expenses. A number of examples of the earning potential of a long haul driver were provided. The worker requested that she be allowed at least $53,000 per year.
Analysis
As noted earlier, the Policy deals with the calculation of wage loss benefits. Three different formulas - regular earnings, average yearly and probable yearly - may be used to calculate a worker’s wage loss benefits. The key is to use the method that best represents the worker’s loss of earnings, in a manner which is “fair and just”, as required by subsection 45(1).
In applying the legislation and policy, the panel is satisfied that the average earnings of $832.54 per week from March 14, 2007 to May 15, 2007 and $881.49 per week effective May 16, 2007, fairly reflects the worker’s loss of earnings. Generally speaking, WCB policies tend to look backwards at past performance to establish a worker’s average earnings. There are very limited circumstances where prospective earnings may be used to establish the worker’s rate. In the worker’s case, Review Office already adopted a prospective approach and from May 16, 2007 forward, the worker was given the benefit of the increased mileage rate she would have earned had she completed her probationary period.
The panel also notes information on the file which indicates that the weekly average earnings rate of $832.54 is equivalent to an annual salary of $43,292.08 and that according to the employer, the average wage for a truck driver is $40,000. Given that the worker had only a one month work history with the employer and that she is being compensated at a rate which may be greater than the average wage of others in her field, the panel is of the opinion that the worker’s average earnings are correctly established. While the worker may have had the potential to earn higher income as a long haul driver, unfortunately she did not work in the position long enough to establish that this income would indeed have been earned by her.
The worker’s appeal is dismissed.
Panel Members
L. Choy, Presiding OfficerA. Finkel, Commissioner
M. Day, Commissioner
Recording Secretary, B. Kosc
L. Choy - Presiding Officer
Signed at Winnipeg this 26th day of August, 2008