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LOE Benefits Guide: Loss of Earnings at WSIAT

Based on 10,838 WSIAT decisions analyzed (1987-2026) - 10.94% of all appeals


What is LOE?

Loss of Earnings (LOE) is ongoing wage replacement for workers who cannot return to pre-injury earnings due to a workplace injury. It compensates for:

LOE is NOT a lump sum - it’s an ongoing monthly benefit for as long as wage loss continues.


Key Facts from 40 Years of WSIAT Data

LOE by the Numbers

Common LOE Disputes

  1. LOE calculation - Is the benefit amount correct?
  2. Deemed earnings - WSIB says you “should” be earning more
  3. Suitable employment - What jobs are you capable of doing?
  4. Pre-injury earnings - What were you actually earning before injury?
  5. Cooperation failures - Did you fail to participate in return-to-work?

How LOE is Calculated

Step 1: Determine Pre-Injury Earnings

WSIB uses your average earnings for the 12 months BEFORE your injury:

Example:

Step 2: Apply LOE Formula

LOE = 85% of (Pre-Injury Earnings - Post-Injury Earnings)

The 85% figure is confirmed on the WSIB loss of earnings page.

Example:

⚠️ The annual maximum — verify this before you rely on it

We have not been able to confirm the 2026 statutory maximum LOE from the WSIB’s own published table. WSIB sets this figure annually and it changes. A figure carried over from last year will be wrong.

Get the current number from the primary source: WSIB — Table of Rates (policy 17-06-01, maximums table). Or call the WSIB Information Line and ask for the current maximum LOE.

Unverified as of 2026-10-04. This page previously stated a specific monthly maximum with no source. We removed the number rather than print one we cannot stand behind.

What we can confirm: LOE is subject to an annual maximum that rises each year, and LOE payments are indexed for inflation.

Step 3: Ongoing Payments

LOE is paid monthly for as long as you have wage loss (can be lifetime if permanent).

Indexing: LOE is adjusted annually for inflation.


Common LOE Appeal Scenarios

Scenario 1: WSIB “Deemed” You Can Earn More

WSIB decision: “You can work as a cashier earning $35,000/year”
Your reality: No cashier jobs available, or you tried and failed

What WSIAT looks for:

Red flag: WSIB often deems earnings based on hypothetical jobs that don’t exist in your local market.

Scenario 2: Pre-Injury Earnings Were Underestimated

Your position: I was earning $55,000/year (including overtime, bonuses)
WSIB decision: Base salary only = $45,000/year

What WSIAT accepts:

LOE difference: $10,000/year × 0.85 = $8,500/year extra LOE ($708/month)

Scenario 3: WSIB Says You’re “Non-Cooperative”

WSIB decision: “LOE suspended - failed to attend vocational assessment”
Your position: I couldn’t attend due to [medical appointment, transportation, family emergency]

What WSIAT looks for:

Common non-cooperation triggers:


LOE + Other Benefits

Can You Get LOE AND NEL?

YES. LOE is wage replacement. NEL is impairment compensation. You receive both.

Example:

LOE vs. FEL (Future Economic Loss)

FEL = Pre-1990 system (monthly pension)
LOE = Post-1990 system (monthly benefit)

Our data: 7,120 FEL decisions (7.19%) - legacy system still in appeals


How to Win Your LOE Appeal

1. Prove Your Pre-Injury Earnings

What you need:

WSIB often underestimates:

2. Challenge “Deemed Earnings”

WSIB will deem you capable of earning $X/year in “suitable” jobs.

Your counter-argument:

What WSIAT accepts:

3. Prove You’re Cooperating

WSIB’s favorite LOE denial: “Non-cooperation”

How to avoid:

Document everything:

4. Show Your Job Search Efforts

WSIB expects “reasonable efforts” to return to work.

What counts:

What WSIAT will excuse:


LOE Timeline

Standard Processing Times

  1. Initial LOE decision: Within 3-6 months post-injury
  2. LOE recalculation: When earnings change (report monthly)
  3. Reconsideration request: 30-60 days to file
  4. WSIAT appeal filing: 6 months from WSIB decision
  5. WSIAT hearing: 12-24 months after filing
  6. WSIAT decision: 2-6 months after hearing

Retroactive LOE: If you win appeal, WSIB pays back-owed LOE from date of original decision


LOE Red Flags (When WSIB Will Fight You)

High Monthly LOE

LOE over $2,000/month: Expect WSIB to aggressively deem earnings or demand cooperation

Young Workers with Permanent LOE

Age under 40 + permanent wage loss: WSIB will push vocational retraining to reduce LOE

Self-Employment Income Claims

Self-employed pre-injury: WSIB scrutinizes income claims (requires 2-3 years of tax returns)

Refused Modified Work

Employer offered modified duties, you declined: WSIB will deem you earning pre-injury wages (LOE = $0)


LOE Calculation Examples

Example 1: Partial RTW with Wage Loss

Pre-injury: $60,000/year ($5,000/month)
Post-injury: $40,000/year ($3,333/month)
Wage loss: $1,667/month
LOE: $1,667 × 0.85 = $1,417/month

Annual LOE: $17,004/year

Example 2: Total Disability (No Post-Injury Earnings)

Pre-injury: $45,000/year ($3,750/month)
Post-injury: $0
Wage loss: $3,750/month
LOE: $3,750 × 0.85 = $3,188/month

Annual LOE: $38,250/year

Example 3: WSIB Deemed Earnings

Pre-injury: $50,000/year ($4,167/month)
Actual post-injury: $0 (can’t find work)
WSIB deemed: $35,000/year ($2,917/month)
Wage loss (per WSIB): $1,250/month
LOE (per WSIB): $1,250 × 0.85 = $1,063/month

Your appeal argument: Deemed earnings unrealistic → LOE should be $3,542/month (based on actual $0 earnings)

Potential LOE gain if appeal succeeds: $2,479/month = $29,748/year


Sample LOE Appeal Language

Grounds for Appeal Template

“I am appealing the WSIB decision dated [DATE] which determined my Loss of Earnings benefit at [AMOUNT] per month. I believe this calculation is incorrect because:

  1. Pre-Injury Earnings Underestimated: WSIB calculated my pre-injury earnings at $[X]/year, but my actual earnings were $[Y]/year as demonstrated by [T4s, pay stubs, CRA records].

  2. Deemed Earnings Unrealistic: WSIB deemed I can earn $[Z]/year as a [JOB], but I have applied for [NUMBER] similar positions with no offers. Medical evidence shows I cannot perform [SPECIFIC DUTIES] due to [INJURY].

  3. Labor Market Reality: There are no suitable jobs available in my area (population [X], limited [INDUSTRY] opportunities). I have a Grade [X] education and [Y] years experience in [FIELD], which does not transfer to deemed occupations.

I am requesting WSIAT recalculate my LOE based on my actual pre-injury earnings of $[Y]/year and actual post-injury earnings of $[AMOUNT], resulting in a monthly LOE benefit of $[AMOUNT].”


Co-Occurring Issues in LOE Appeals

Based on our 10,838 LOE decision analysis:

Success Rates

Official WSIAT statistics: 65-73% of worker appeals succeed (partially or fully)

LOE-specific patterns: High volume (10.94% of appeals) suggests contentious calculation methodology


External Resources


Data Sources

This guide is based on:

Full analysis: WSIAT Pattern Analysis Report
Deep dive: WSIAT Deep Dive Report


Last content review: October 4, 2026

What on this page is verified, and what is not

Being straight about this, because a wrong dollar figure can cost someone an appeal.

Content Status
Decision-pattern counts (10,838 LOE decisions, 10.94% of appeals) Verified — computed from the WSIAT Open Data export of 99,036 decisions
The 85% LOE formula Verified against the WSIB loss-of-earnings page, 2026-10-04
Worked examples using the 85% formula Verified arithmetic — the examples are ours, not WSIB’s
The annual statutory maximum LOE Removed — could not verify. See the warning above
Maximum insurable earnings ($121,700 for 2026) Verified via WSIB 2026 premium rates, 2026-10-04

Pattern analysis generated April 2026. Content reviewed October 4, 2026.

Next scheduled review: figures with dollar amounts, January 2027