Auditor Generals Report on Alberta WCB
EXCERPS from Alberta
http://www.oag.ab.ca/files/oag/ar2004-05.pdf Human Resources and Development; pages 243- 248 of 378
2003 audit of my claim also coincided with The Quality Assurance Group’s investigation into Alberta WCB, at which time I did not know about. I find it quite curious, especially pertaining to financial matter of my own concern that reflects directly to “possibly the validity of” this Report.
The Quality Assurance group completed a review of high dollar ELPs that
were established during 2003. Results indicated that there is room for
improvement in the entitlement decision of ELP cases.
High Dollar ELP’s? Would that be like when my T-5 for 2003 stated $ 44,000.00 income when my actual was approx $19,000.00.
WCB claims that all cheques issued to in my name are considered income. On the T5 taxation for the year 2003, states that I made over $44,000.00, which included computer, reimbursements, travel & meal allowance, loan/advance, school tuition and supplies, according to Revenue Canada only paid benefits were to be on T5 : repercussion of as of June 2004, caused my family to lose our GST rebate and lowered our child tax credits,: In May 2004, my WCB benefits were originally cut off , by end of May reinstated, which time my benefits were set at a deemed position as if I had passed my schooling and working in that profession.
Were claims altered to make them seem larger in order to keep premiums high and then lower the actual income for injured workers by disguising claimant income for that year?
From attending school the year before there were no additions (tuition, travel, expenses) on my T5, only paid benefits! 2004 T5 was the done up same as the T5 in 2002, except no school involved. 2006 T5 was done with benefits only also, which had training involved.
The WCB again made satisfactory progress in implementing this
recommendation as follows:
• WCB made a policy change to require a review of ELP entitlement and
rate setting after the first three years and then annual reviews
thereafter. This should allow management the opportunity to identify
and account for changes in worker entitlement and earnings over time.
• New ELPs require supervisor and manager review and approval.
• Claims staff and management have completed training and been
provided comprehensive tip-sheets, checklists and procedures
detailing the adjudication processes that need to be completed prior to
implementing an ELP award.
• Monthly reports providing detailed ELP information are distributed to
management.
When we completed the follow up of this point in March 2005, the Quality
Assurance group was in the process of obtaining management responses to
the findings for 2004.
To implement this recommendation, WCB’s Quality Assurance group must
finalize its review of the 2004 entitlement decisions and management must
demonstrate that changes made to the control environment have been
effective.
Yes changes were effective, as my benefits were cut at that time, cut right off, then reinstated at a lower rate of benefit. I remember my claims manager mentioning this to me, as due to the delay of my benefits being processed, same time as they lowered benefits (re-calculating?).
Makes one wonder as to what kind of training, tip-sheets, check lists and procedures detailed for the process of determining the implementation of the ELP award.
For the Quality Assurance Group I am not sure if this was internal or external, however a point of interest, the only financial business I found pertaining to that name, belongs to a division of the World Bank.(It was not them )
The “padding” my benefits would *benefit WCB down the road, even better considering all the “overpayments” they have collected off me, not even mentioning the “Fraud charges” for which they are collecting almost 3 times the stated amount in court documents. Charging me did 3 things, damaged my credibility to pursue the financial truth that I started prior by requesting an audit on my claim, criminal record and poverty. All from a T-5 that was purposely created, but then again in 2008, WCB claimed I made $816.00 monthly for income to a Government Financial Assistance agency, when my T-5 states $943.11 for the same year; and again a Fraud investigation against me.
*Implications and risks
If the ELP classifications and calculations are not accurate, the WCB may
pay inaccurate benefits to injured workers and charge incorrect costs to
employers.
Is this the reason that my rate calculations are all different but mysteriously calculated by their payment specialists to same amount?
More confusion like the financial reports that have the payments scattered around so bad that it takes a week to separate and put into proper order?
The WCB’s 2003–2004 strategic plan describes four strategic themes to guide
the organization:
• Commitment to fairness
• Focus on return to work
• Leveraging prevention
• Financial stability
Who does this apply too?
This is only part of the report I find pertaining to my case only, with possibly more information yet to be discovered.
Canadian Federation of Independent Business , Alberta District, tried to abolish the tribunal ( appeals) system at the WCB, due to cost. Tribunal alone $45 million and premiums increased 77% on average.
http://www.cfib.ca/legis/alberta/pdf/5179.pdf
Canadian Federation of Independent Business , Alberta District, tried to abolish the tribunal ( appeals) system at the WCB, due to cost. Tribunal alone $45 million and premiums increased 77% on average.
http://www.cfib.ca/legis/alberta/pdf/5179.pdf
GEE that relate to posting ?
Same time frame when all this was happening!
Making our employers aware of what they/ we are getting for which they pay for?
Over a Billion Alberta WCB, in their pockets right now!
Go to the site and see if it pertains to yours!
I brought this to the attention of the Auditor General office and was informed that they do not get involved with individual claims of the WCB, I requested to have an investigation by the A.G.O and the only reply I received back is
http://www.ffwdweekly.com/article/news-views/news/province-accused-of-muzzling-auditor-general-3615/Labels: agency, Alberta, assurance, auditor, bank.quality, board, canada, canadian, corruption, fraud, general, incentive, information, law, office, poverty, rights, social, wcb, world
posted by k.w.m at
10:46 PM
7 Comments:
All of Alberta is corrupt.
The WCB claimed for over a year that they lost my father's file. He is 75 years old and has an open claim from an injury in 1980.
They claimed it was lost for good and then MIRACULOUSLY I made a complaint to the F.O.I.P. officer and within 10 days they FOUND my dad's file....then after all the medical documentation was collected they turned him down...even though the documentation said "degenerative changes" and it had been 16 years since his last claim.
This whole province is a DISGRACE !!!!
They use the term Degenerative changes to lower or deny a claimants file, many with a repetitive injury are forced back to work, only to be re-injured again, at which point the WCB states that it is a new injury and that there is degenerative issues resulting from a previous injury. Which they will deny a claim or minimize their responsibility of the injury, even though it had been a WCB prior. They will do anything to prevent the claimant from collecting what is rightfully owed to them, while having the employer keep making payments and handing out large sums of Bonuses to their staff or other safety Organizations that you never hear of; one such Organization received over 19 million in a years that was on the Mobile Home Manufactures Safety website, but then after exposing that link on twitter, the page mysteriously was deleted, never under estimate the corruption of this organization.
I have a severe head injury in which the WCB have sought as a mild concussion which out of 6 doctors only one said it was a mild concussion and the rest stated it is a severe concussion. I suffer with a severe headache everyday for over 2 years now since the day of my accident, Their doctors have lied and they cut me off the first time and I won on appeal and not even 6 months later they have cut me off as of today again. They never followed the decision of the appeals board and never intended to find out what is wrong with me. They also gave my old file to the new neurologist and he based his decisions on the file that was thrown out by the appeals commitee, making his decision biased and not based on what is happening to me. I deal with a headache everyday, dizziness, nausea, vomitting and they are stating that there is no medical evidence to support my claim. All the evidence is there and they made sure any new doctors that work for them make their decisions based on the lies from the reports which were thrown out that had me cut off the first time and I won, now my family has to suffer and I am still suffering from the injury to this day and they never did any new tests and made thier basis from the lies they produced from the first time. How can they be allowed to do this? They lie and thier doctors lie for them, don't these people have a conscience? I still can't work and now they keep doing this to me. I have to appeal again. This is ridiculous. They have made sure they haven't helped me and didn't comply with the appeals commission decision and did whatever they wanted to do. This has to change, they do this to everyone that walks through thier door with a legit injury, we're the victims of a corrupt system called WCB Alberta. I hurt everyday because of an accident that should be covered by WCB until they can properly treat my condition. They lie and cheat legit people out of claims and it needs to stop.
Anon 11:35
I suggest you see your family doctor & request a referral to a specialist. Your family Doctor should be the up and foremost authority on your injury and medical conditions, as many other WCB Alberta claimants have not realized is that it is you & your Doctor in charge of your claim , the WCB is an insurance Corporation that is under the payment of the Employer; of who's interests they hold, "thirdly" , firstly to the shareholders then the "Board".
As in all insurances it is the one that is to be covered that receives the least; they will do all they can to bring in the employers premiums , while lowering the liabilities at any cost.
When they save enough, defraud of or embezzle/Extort, from the "recipients", they turn and hand out financial rewards to employers that have the least "reported/loss time" accidents.
Are you job attached? aka still have your employment waiting, with same employer.
WCB is the biggest abuser of injured workers that ever existed. I was injured at work in 2007, have had to decrease my hours of work meaning I lose 15 hours a month and WCB seems to think that a fair economic loss settlement is $118.13 a month. At the time of the injury I was making $4 less an hour than I am at this point. The logic (or lack thereof) is that because I have had an increase in my hourly rate then my economic loss is less. Hello, let's turn on the lightbulb!!!!!!!!!!!! Any fool with half a brain and an ounce of common sense would realize that my economic loss will increase as my wage increases. I am now losing $396 a month due to the inability to work those 15 hours a month because of the injury. WCB has the intelligence of a dead nit if they think that $118.13 is a fair settlement. WCB should be totally dismantled and people hired that have actually suffered an injury that changes your lifestyle, have an IQ of more than 2. none of the existing case managers have had any injury other than a paper cut. We all can't sit in the ivory tower pushing a pencil as a living and the heaviest thing we will lift is the telephone. WCB IS A DISGRACE TO THE WORKERS ALL THEY CARE ABOUT IS THE KICKBACK THEY ARE PROBABLY GETTING FROM THE EMPLOYERS FOR REFUSING CLAIMS AND KEEPING PAYMENTS LOW. Instead of paying that fat cat CEO millions of dollars for sitting on their butt thinking of more ways to screw the injured worker that money should be returned to the injured worker who has suffered major lifestyle changes because of that injury. Interesting to see if any member will actually be man/woman enough to reply
ANON Feb 2nd:
The WCB has a limit on amount of income, it is only 90% up to a limit of income, say your income is $50,000.00 the WCB ceiling limit is $44,000.00 you will get the max of 90% of the $44,000.00.
Also when your income is still coming in even a reduced amount of hours they will set that loss at the "date of Injury", they do however allow for inflation increase, which they calculate to be on average of 1.5% per year, once you are again receiving the same income as you had the year of your injury, WCB will then stop all payments and in most cases close your .
Feel lucky you employer has employment for you , as many I have talked too have lost their jobs due to permanent injury.
This website was... how do you say it? Relevant!!
Finally I've found something which helped me. Thanks a lot!
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