Suspension & Work Capacity

Weekly Compensation

Can the insurer suspend or reduce payments of weekly compensation?

The insurer may suspend or reduce payments of weekly compensation if the worker fails to:

  • provide a current certificate of capacity
  • provide relevant documentation such as wage records, medical reports or statutory declarations that have been requested by the insurer
  • attend medical appointments
  • participate in a return to work program
  • comply with return to work obligations.

The insurer may also seek to reduce payments by making a work capacity decision.

What is a work capacity decision?

A work capacity decision is a decision made by the insurer after they have assessed an injured workers capacity to work taking into account their injury, restrictions and vocational ability.

If the insurer decides a worker has capacity to work they will calculate what the workers ability to earn is and adjust payments of weekly compensation accordingly.