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Glossary of Terms

Acronyms

AC | ADP | ARC | CPS | CSRC | DOA | ELP | ELS | FCE | FFW | IA | IME | IPA | JFC | L/S | MA | MVA | NELP | OAA | OH & S | O/P | P/C | PCA | PCI | PDC | PPD | PTD | REA | RSD | RSI | RTA | RTW | TMJ | TOJ | TPD | TTD | VR | VRS | WA | WCB |
WCB Review Bodies

AC
Appeals Commission for Alberta Workers' Compensation

ADP
Appeal Documents Package

ARC
Assessment Review Committee (Effective September 1, 2002, referred to as a WCB review body)

CPS
Chronic Pain Syndrome

CSRC
Claims Services Review Committee (Effective September 1, 2002, referred to as a WCB review body)

DOA
Date of Accident

ELP
Economic Loss Payment

ELS
Earnings Loss Supplement

FCE
Functional Capacity Evaluation

FFW
Fit for Work

IA
Independence Allowance

IME
Independent Medical Exam

IPA
Interim Program Allowance

JFC
Job Finding Club

L/S
Lump Sum

MA
Medical Advisor

MVA
Motor Vehicle Accident

NELP
Non-economic Loss Payment

OAA
Office of the Appeals Advisor

OH & S
Occupational Health and Safety

O/P
Overpayment

P/C
Personal Coverage

PCA
Personal Care Allowance

PCI
Permanent Clinical Impairment

PDC
Permanent Disability Compensation

PPD
Permanent Partial Disability

PTD
Permanent Total Disability

REA
Re-employment Assistance

RSD
Reflex Sympathetic Dystrophy

RSI
Repetitive Strain Injury

RTA
Re-training Allowance

RTW
Return to Work

TMJ
Temporomandibular Joint (Syndrome)

TOJ
Training on the Job

TPD
Temporary Partial Disability

TTD
Temporary Total Disability

VR
Vocational Rehabilitation

VRS
Vocational Rehabilitation Services

WA
Work Assessment

WCB
Workers' Compensation Board

WCB Review Bodies
The first level of appeal, formerly known as the Claims Services Review Committee (CSRC) or the Assessment Review Committee (ARC).

General Terminology

Appeals Commission (AC) | ARC | CSRC| Office of the Appeals Advisor (OAA) | Workers' Compensation | Workers' Compensation Act (WCA) | Workers' Compensation Board (WCB)
WCB review body

Appeals Commission (AC)

The Appeals Commission is the second, and final, level of appeal for workers and employers who are dissatisfied with decisions made by the Workers' Compensation Board. The AC is an administrative tribunal, and its decision-making is independent of the Workers' Compensation Board.

ARC
Assessment Review Committee
The first level appeal division within the Workers' Compensation Board dealing with assessment issues.

(Effective September 1, 2002, referred to as a WCB review body)

CSRC
Claim Services Review Committee
The first level of appeal within the Workers' Compensation Board dealing with claim issues.

(Effective September 1, 2002, referred to as a WCB review body)

Office of the Appeals Advisor (OAA)
A department of the WCB that offers injured workers information about the appeal process and represents injured workers. There is no charge for the service of an Appeals Advisor.

Workers' Compensation
A disability insurance system set up under the Alberta Workers' Compensation Act. It provides benefits, including money paid for lost wages, health care and other related costs when workplace injuries occur.

Workers' Compensation Act (WCA)
Legislation enacted by the Legislative Assembly of Alberta (provincial government) that creates the workers' compensation system. Both the Workers' Compensation Board and the Appeals Commission are bound by the provisions of this legislation.

Workers' Compensation Board (WCB)
An independent organization that manages and administers the workers' compensation insurance business based on legislation. The WCB is not a provincial government department or crown agency.

WCB review body
The first level of appeal within the Workers' Compensation Board.

Key People

Appeals Advisor | Appeals Officer | Appeals Officer - Intake | Appellant | Board of Directors | Chief Appeals Commissioner | Commissioner | Hearing Chair | Hearing Panel | Interested Party | Ombudsman | Party |Representative | Respondent

Appeals Advisor
A WCB staff member (not an Appeals Commission employee) that offers injured workers advice, information and representation in the appeals process. There is no charge for the service of an Appeals Advisor.

Appeals Officer
An Appeals Commission staff member who reviews the claim file and compiles the related information into an Appeal Documents Package.

Appeals Officer - Intake
An Appeals Commission staff member who does the initial review of an appeal request and ensures the appeal is ready to be assigned to an Appeals Officer.

Appellant
A party that requests an appeal.

Board of Directors
The governing body of Alberta Workers' Compensation Board; appointed by the Lieutenant Governor in Council. The Board of Directors determines WCB policy, reviews and approves the programs and operating policies of the WCB, considers and approves annual operating and capital budgets of the WCB, and may enact by-laws and pass resolutions for the conduct of the business and affairs of the WCB.

Chief Appeals Commissioner
The principal commissioner for the Appeals Commission for Alberta Workers' Compensation.

Commissioner
An individual appointed by the Lieutenant Governor in Council who is a member of a hearing panel that hears and decides appeals.

Hearing Chair
A commissioner who conducts hearings at the Appeals Commission and is a member of panels that hear and decide appeals.

Hearing Panel
A group of commissioners assigned to hear and decide an appeal. Most hearing panels consist of three commissioners: one hearing chair and two other commissioners.

Interested Party
A person who is, or may be, directly affected by an Appeals Commission decision. An interested party is treated as a party to the proceeding.
[See Rules of Procedure, Interested Parties, page 4, Rule 4(e)]

Ombudsman
The Ombudsman of Alberta is given the authority by the Legislative Assembly to conduct impartial investigations on receipt of written complaints from people who believe they have been treated unfairly by agencies operating under provincial legislation. The Ombudsman is independent of government and has broad powers to investigate actions, decisions, practices and procedures of Alberta government departments, boards, agencies and commissions.

The Office of the Ombudsman is a complaint mechanism of last resort. This means the Ombudsman cannot become involved until all formal and informal appeals have been completed by the individual who has a complaint.

Party
An appellant, worker or employer respondent, or any person declared by the Appeals Commission to be an interested party to an appeal.
[See Rules of Procedure, Definitions, page 2, Rule 1]

Representative
Agent, solicitor, appeals advisor or other representative authorized, in writing, to act on behalf of any person in a proceeding.
[See Rules of Procedure, Representative, page 2, Rule 1(k)]

Respondent
A respondent is the other party who has an immediate or primary interest in the outcome of the appeal. An appellant may be a worker, in which case the respondent is the employer. Likewise, if an employer requests an appeal, the respondent who has the primary interest in the matter is the worker.

Appeals Commission Terminology

Adjournment | Clarification | Deemed Withdrawal | Decision | Entitlement | FOIP (or FOIPP) | Issue | Jurisdiction | Order-in-Council | Queen's Printer | Reconsideration | Tribunal | Withdrawal

Adjournment
Any postponement of an appeal, other than a withdrawal or deemed withdrawal.
[See Rules of Procedure, Adjournments and Cancellations, page 9, Rule 12]

Clarification
The AC has the ability to issue a document that:
·   Corrects a minor typographical error in an issued decision,
or
·   Provides explanation of information contained in an issued decision, or
·   Provides direction to the WCB regarding implementation of an AC decision.

These clarifications become part of a hearing panel's decision and must be read in conjunction with the original decision.

Deemed Withdrawal
Where no date is set for the hearing of an appeal within six months of an adjournment and no further adjournment has been granted, the appeal is deemed withdrawn.
[See Rules of Procedure, Adjournments and Cancellations, page 9, Rule 12(b)]

Decision
The written outcome of an appeal.
[See Rules of Procedure, Decision, page 11, Rule 14]

Entitlement
The right to a specific benefit or award.

FOIP (or FOIPP)
Freedom of Information & Protection of Privacy Act
Legislation that protects the privacy rights of individuals while also allowing right of access to information.

Issue
An issue is a concern rasied by an appellant regarding a decision made by a WCB review body. Examples of issues:
·   Reduction of permanent partial disability (PPD) award from 50% to 25%.
·   Denial of a repeat asssessment for marked life
disruption.
·   Denial of further temporary total disability (TTD) benefits.

Jurisdiction
The exclusive authority to administer and apply legislation.

Order-in-Council
An official proclamation signed by the Lieutenant Governor of Alberta appointing individuals as Appeals Commissioners for the Appeals Commission for Alberta Workers' Compensation.

Queen's Printer
The Alberta Queen's Printer publishes, distributes and sells copies of Alberta's legislation, selected federal legislation, standards, codes, department publications and specialty items that feature the distinctive symbols of Alberta.

Reconsideration
A request by a party to the original decision for the Appeals Commission to rehear any matter, order or decision made by it. [See Rules of Procedure, Reconsideration Application, page 10, Rule 13]

Tribunal
A decision-making body appointed to inquire into and make decisions on specific issues of review or appeal.

Withdrawal
A documented choice on the part of the appellant not to proceed with the appeal or part of an appeal.
[See Rules of Procedure, Adjournments and Cancellations, page 9, Rule 12(b)]

 

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Headings_24.gif Appeal Facts Although an appeal hearing can be as short as 15 minutes and as long as a few days, the average length of a hearing is 1 to 1½ hours.

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