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Are Workers on Workers? Comp Guilty of Not Reporting Health Improvements?

Under workers’ comp law (Sec. 149(2)) a person who ‘wilfully fails’ to inform the WSIB of a material change of circumstances in connection with their entitlement to benefits can be fined up to $25K and/or jailed for 6 months. What exactly does ‘willfully fails’ mean’or, in legal terms, what is the mens rea, or mental state, required to cross the ‘willfully’ boundary’ A new Court of Appeal ruling tying together 3 separate cases addresses this crucial question:

Situation Lower Court Rulings High Court Ruling
Surveillance cameras show a worker getting full loss of earnings for permanent impairment & incapacity to work driving, carrying groceries and doing other physical activities Trial: Didn’t violate ‘willfully fails’ rule. Worker didn’t speak English nor understand the rule. Navigating WSIB website to figure out what ‘material change’ means is hard enough for a full English speaker without injuries

Appeal: Acquittal overturned & new trial ordered

 Not guilty. Crown didn’t prove worker acted with the mens rea required
Surveillance cameras show a worker getting full loss of earnings & personal care allowance for an assistant for head/brain injuries driving and doing other physical activities independently Trial: Worker violated ‘willfully fails’ rule. Since he wasn’t in an ‘unconscious or dissociative state,’ his omission to notify WSIB could be interpreted as willful

Appeal: Conviction upheld as reasonable

 Conviction set aside & new trial ordered to determine if trial court was right in interpreting omission as willful act
Surveillance cameras show a worker getting benefits for a debilitating chronic pain driving, laying bricks & shingling his roof Trial: Guilty. The stuff worker was doing was so far beyond his reported capabilities that he just had to know he had improved and should have reported it to WSIB

Appeal: Conviction upheld

 Conviction set aside & new trial ordered. Neither court addressed whether the worker had the required mens rea

 

[Workplace Safety and Insurance Board v. Curtis, 2018 ONCA 441 (CanLII), May 10, 2018].