The documents below are relevant to insurers.
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Hearing Loss Table

 A table for determining compensable percentage of hearing loss has been promulgated by the Commission.

The average decibel loss is to be translated into percentage of compensable hearing loss of each ear according to the attached table.

Snellen's Chart

The Snellen's Chart is a chart developed in 1862 by the Dutch ophthalmologist Herman Snellen, the son of the renowned physician, Dr. F. A. Snellen. The younger Snellen studied medicine in The Netherlands under Gerard Johann Mulder, Jacobus Ludovicus Conradus Schroeder van der Kolk, and Franz Cornelis Donders. He received his medical doctorate at Utrecht in 1858.

Dr. Snellen's chart is used to measure the percentage of loss of visual acuity.

Mediation Policies

Effective April 19, 2022 the format to be used in Issue Mediation or Full and Final Mediation may be via videoconference, telephone, in person, or some hybrid of the three, subject to the discretion of the mediator and the agreement of the parties.

Completed Wage Chart (8+ Days)

Example of a Wage Chart where an 8-day gap is involved. This could include weeks that an employee was off payroll for unpaid leave for various reasons.

These periods should be noted on the chart using an asterisk (*) in the “Gross amount paid, including overtime” column and are not to be counted in the calculations.

Completed Wage Chart

Example of a Wage Chart properly completed for a 52 week period preceding the accident.
Complete the weekly gross wages, number of days worked and the week ending date for the full 52 weeks, or applicable number of weeks available prior to the date of accident. Earnings for a similar employee may be used if the employee has worked less than 60 days.