Decision #121/08 - Type: Workers Compensation

Preamble

The worker filed a claim with the Workers Compensation Board (“WCB”) for a right knee injury that occurred on January 21, 2004. It was the position of primary adjudication and Review Office that the worker was not entitled to any adjustment of wage loss benefits. The worker advisor assisting the worker disagreed and filed an application to appeal with the Appeal Commission. A file review was held on August 19, 2008 to consider the matter.

Issue

Whether or not the worker is eligible for further wage loss benefit adjustments.

Decision

The worker is not eligible for further wage loss benefit adjustments.

Decision: Unanimous

Background

In May 2001, the worker was first hired by the employer. In July, 2003, she was accepted into a training program for a new position with the employer. While she was in the training program, the employer continued to pay the worker at her former wage rate, even though these wages were higher than the wage paid to other recruits in the training program. Although initially, the pay for the new position was lower, there was greater opportunity for advancement, and according to the salary schedule for the new position, after moving up two classes (or levels), the worker would be earning more in the new position than she was currently earning.

In January, 2004, the worker had completed an 18 week training course and was almost ready to start duties in a probationary position. Unfortunately, on January 21, 2004, while undergoing a physical abilities test, the worker injured her right knee. As a result of the knee injury, she would not be able to meet the physical requirements to continue her employment in the new position. The worker was accommodated by the employer in her original job.

The worker filed a claim for compensation which was accepted by the WCB. When calculating the worker’s wage loss benefits, the wage which the worker was earning at the time of her accident was used, i.e. the wage rate applicable to her old position.

On May 22, 2007, a worker advisor advanced the argument that the worker’ s claim met WCB Policy 44.80.30.30, Prospective Earnings – Apprentices and Youthful Worker (“the Apprenticeship Policy”). Pursuant to this policy, the worker’s wage loss benefits should be calculated based on the prospective average earnings she would have earned in the new position.

On June 11, 2007, a WCB case manager determined that the claim did not meet the requirements of the Apprenticeship Policy and referenced the following definition:

“Apprentice” in an occupation also means a worker who participates in a structured, employer-financed training program in order to work in the occupation.”

The worker advisor appealed the above decision to Review Office on June 28, 2007. The worker advisor argued that the worker successfully completed all aspects of her training course and would have been offered a job (which paid more money) but because of her permanent compensable injury she was accommodated with a lower paid position. It was the worker’s position that she qualified as an “apprentice” and should therefore be considered for prospective earnings.

On August 21, 2007, Review Office allowed the appeal and determined that the worker’s average earnings should be adjusted as an apprentice. Review Office indicated that the worker’s employment and training situation at the time of the injury met the definition of “apprentice in an occupation” and pointed to evidence on file which showed that the worker was participating in a structured, employer-financed training program in order to work in the occupation. Review Office indicated that WCB policy 44.80.30.30.01 applied based on the individual merits of the claim. In applying the policy, it was anticipated the WCB would need to identify “the prevailing wage of a starting journeyman” and adjust average earnings to that extent.

On October 11, 2007, primary adjudication determined that further wage loss benefit adjustments in relation to the worker’s status as an apprentice would not be required. It was determined that the worker became a journeyman when she completed her field training as this was the point at which her formal training would have ended. Since the wages paid to a recruit at this level were less than the wages paid to the worker, no adjustments to her wage loss benefits were required. This decision was confirmed by Review Office in a letter dated November 16, 2007.

On April 11, 2008, the worker advisor asked Review Office to consider the worker’s entitlement to wage loss benefits based within the context of WCB Policy 44.80.10.10, Average Earnings (“the Average Earnings Policy”).

In a June 5, 2008 decision Review Office confirmed that the worker was not entitled to further wage loss benefit adjustments. It was Review Office’s opinion that probable yearly earnings had already been determined within the context of the worker’s status as an apprentice and that there was no basis to grant an adjustment of the worker’s pre-accident wage rate in consideration of further wage loss benefits. In July 2008, the worker advisor appealed Review Office’s decision and a file review was arranged.

Reasons

Applicable legislation

This appeal deals with the calculation of the worker’s average earnings. Section 45 of The Workers Compensation Act (the “Act”) deals with the calculation of average earnings. Subsection 45(1) of the Act 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.

The Average Earnings Policy eals 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 Average Earnings Policy identifies three different formulas - regular, average and probable - which may be used to calculate a worker's wage loss benefits.

Schedule “B” to the Average Earnings Policy provides further guidance on when “Probable Yearly Earning Capacity” should be used. Schedule “B” states:

The probable yearly earning capacity formula forecasts what a worker may be expected to earn for a consecutive 12 month period after the accident…

For probationary employees, benefits are based on the worker’s regular or average yearly earnings at the time of the accident and are adjusted to reflect the starting wage of a non-probationary employee when the worker’s probationary period would have ended (unless it is established that the worker would not have successfully completed the probationary period).

The Apprenticeship Policy allows the average earnings of a worker to be upwardly adjusted to reflect what the worker would likely have earned, were it not for the compensable injury. The Apprenticeship Policy applies only to individuals who meet the definition of either “apprentice” or “youthful worker”. For apprentices, the policy provides:

Once average earnings have reached the prevailing wage of a starting journeyman, this policy will not apply and adjustments will be made in accordance with the indexing provisions of the Act.

Worker’s position

A written submission was prepared by a worker advisor on the worker's behalf. It was submitted that the worker was entitled to wage loss benefits equivalent to that of a Class 1 employee. The worker had graduated from the training program in January 2003, but due to permanent right knee restrictions resulting from the workplace accident, she was not allowed to participate in field training. If she could have completed the probationary period, she would have been able to work towards a Class 1 level. It was submitted that it was not fair and just that her future loss of earnings was not being compensated and that the “most fair average earnings” had not been calculated.

The advancement structure for the position being sought by the worker was that a new employee entered as a recruit and would be paid at a recruit rate until the training course was completed. The employee would then be paid at a probationary rate for one year. After one year of service, the employee would be promoted to Class 5, and every year thereafter, the employee would advance one class until Class 1 was achieved. Each advancement would be accompanied by an increase in wages. In the worker’s case, if she not been physically disabled from continuing to pursue the position, on January 23, 2006 she would have become a Class 4 employee and at this point, she would first experience an increase over what she was previously being paid.

Analysis

The issue before us is whether or not the worker is eligible for further wage loss benefit adjustments. Wage loss benefits are calculated with reference to “average earnings”. According to the Apprenticeship Policy, increase adjustments to average earnings will only continue until: “average earnings have reached the prevailing wage of a starting journeyman.” The key issue for the panel to determine is what level should be considered to be the prevailing wage of a “starting journeyman”. In order for the appeal to succeed, we must find that Class 1 is equivalent to a starting journeyman. We are not able to make that finding.

In the panel’s opinion, the WCB was correct in applying the Apprenticeship Policy to the worker’s situation and further correctly determined that the apprenticeship period ended upon the completion of the probationary period and achieving a Class 5 level. The panel views the staged classes or ranks as being no different than other occupations where levels or steps are created to reflect incremental increases in rate of pay. This does not mean that persons in the lower levels are still in training or are not yet qualified; it simply means that an individual’s salary will reflect the amount of on the job experience which the individual possesses. At an earlier stage in the file, the worker argued that there is a physical fitness test which must be performed each year; however, the panel does not view this as being an ongoing learning requirement. The physical fitness test is used to ensure that the workers maintain a minimum level of physical ability in order to remain qualified to perform the job.

The panel found support in its views by the concept that if a worker was injured when in Class 4 or 3, that worker would only receive wage loss benefits according to the rate of pay for that class. The average earnings of such a worker would not be gradually increased up to a rate of pay equivalent to a Class 1 employee. If the worker’s argument was to be accepted, all persons in occupations with structured steps would be entitled to have their wage loss benefits gradually increased over time until they reached the highest step or level. This could not have been the intent of the Act, which instead provides for annual indexing of a workers’ pre-accident earnings.

The worker has no doubt suffered a loss of opportunity as a result of her accident. The head supervisor was very complimentary regarding her performance as a recruit. Generally speaking, the Act relies on the income being earned by the worker at the time of the accident to establish average earnings. There is only limited provision for compensation for loss of future potential. The Apprenticeship Policy only allows increases in average earnings to the level of a starting journeyman. In the present case, while the worker would have been entitled to the benefit of being moved forward from a recruit’s wages to the salary of a Class 5 employee, she was already being paid in excess of this amount at the time of the accident.

It is therefore the panel’s decision that the worker is not eligible for further wage loss benefit adjustments. The worker’s appeal is dismissed.

Panel Members

L. Choy, Presiding Officer
A. Finkel, Commissioner
M. Day, Commissioner

Recording Secretary, B. Kosc

L. Choy - Presiding Officer

Signed at Winnipeg this 12th day of September, 2008

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