Frequently Asked Questions when submitting the WC TPD Worksheet (Form 7359) using the Insurer's Pending Reports
- What if I have a week within a period of TPD where the employee earns
more than his or her weekly wage, or is on vacation. How do I reflect
In this case the period in question needs to be skipped. Accomplish this by splitting the period of TPD into two periods on the WKC-13, with one period before the non-compensable week(s) and one period after. You will then have to complete two worksheet entries, one for the first period and one for the second.
- If there are a lot of weeks for which I have to enter the partial
wages earned, and the employee has earned the same amount for each week,
do I have to re-key this value every time?
You can key in this amount once, and then copy and paste it for all the other other applicable weeks.
What is the difference between the "Return to WKC-13" button
and the "Cancel" button?
The "Return to WKC-13" button will save all of the worksheet detail entered and return you to the WKC-13, so that the detail will be submitted as part of the WKC-13 transmission. The "Cancel" button deletes all of the detail entered and returns you to the WKC-13. In this case the worksheet detail is lost.
How do I change the previously submitted partial wages earned for a given week of TPD?
If the period of TPD is still open, i.e. it does not have a return to work date, click on the "TPD" button to access the worksheet. Once in the worksheet, key the new amount for the week in question, and then click the "Return to WKC-13" button. Remember to change the period’s amount of compensation paid on the WKC-13, if applicable.
If the period of TPD is closed, i.e. has a return to work date associated with it, do the following: On the WKC-13, ignore the pre-filled, open payment line. On the first blank line, enter the payment type of "TPD" along with the last day worked and the return to work date for the period in question. Click on the "TPD" button associated with this period and make the necessary changes to the detail. After this, click the "Return to WKC-13" button. To successfully transmit the WKC-13 you must enter either a new amount of compensation paid or the original amount for the period of TPD to which the change has been made. Also, if the open, pre-filled payment line on the WKC-13 is TPD, you need to enter the worksheet for that line and then click the "Return to WKC-13" button, otherwise you will get the following error message: "TPD worksheet info is missing. To enter TPD detail, click the TPD button".
If I am only paying for one week of TPD, do I have to pay for the waiting period? If I do not, how do I calculate this?
For temporary disability calculations involving the 3-day waiting period, indemnity is due for the first 3 days after the injury only if temporary disability exists for more than 7 calendar days after the day of injury. Always count Sunday in the 7 calendar days after the injury to determine if indemnity is due for the waiting period, but Sundays are not counted as one of the days in the 3-day waiting period unless the employee worked on Sundays. No TPD or TTD indemnity, however, is paid for Sundays.
If the employee is on TPD and is not entitled to indemnity or wages lost during the 3-day waiting period, treat wages lost during the 3-day waiting period as though the hours were worked and the wages were earned for the week. Add the hours and wages lost during the 3-day waiting period to the total number of hours worked and wages earned for the week. If you fail to do this you may pay more in TPD benefits than the law requires. NOTE: this period will need to be recomputed and the 3-day waiting period paid if the employee has a renewed period of disability beyond the 7 calendar days.
Suppose that I have a TPD last day worked that is five weeks in the past, and no return to work date. When I go into the worksheet it prompts me for five weeks of detail, but I only know two weeks worth. How can I file this worksheet?
There are two ways to accomplish this. First, you can make an estimated guess for the three unknown weeks. When that information does become available to you, however, you will have to go back into the worksheet and correct it (see above, question 4, for how to do this).
Second, on the WKC-13 you can enter the return to work date that will generate a worksheet with the two weeks that you know, and no more. After entering the detail, submit the WKC-13. When you receive the confirmation screen you must answer YES to the "will there be more Temporary Disability payments made on this claim in the future?" question, because the claimant has not really returned to work full duty. When you are ready to make more payments you will have to go back into the claim and enter the necessary information to generate another worksheet (starting where the last one left off). You will then have to repeat the process described above in this paragraph until the claimant has actually returned to work full duty.
The wage for my part time, injured employee was expanded, but Worker's Compensation is using a lower wage to calculate TPD payments due. Is this correct?
Yes it is. For part time employees, whose wage has been expanded and who have returned to light duty at the job of injury, the TPD wage is the highest actual wage, and not the expanded wage.
- I have a
claimant who was on TTD for Monday, Tuesday and Wednesday, and then
started TPD on Thursday. If TPD must be run from Sunday to Sunday, how
do I report this?
Whenever there is TTD and TPD in the same week, the entire week is figured as TPD and reported accordingly.
If the claimant has not been paid for the three days of TTD, then fill out the Internet TPD worksheet as an entire week of TPD and pay the claimant whatever the TPD rate is for the week.
If the claimant has been paid for the three days of TTD, then when filling out the Internet TPD worksheet enter as the wages earned whatever the claimant earned for the week from the employer. Do not include as wages earned what the claimant was paid in TTD. When figuring out what the claimant is owed, subtract whatever has been paid in TTD from the TPD rate for the week.