In which situation are time-loss benefits not payable?

Time-loss benefits are designed to compensate workers for wages lost due to a work-related injury or illness. These benefits are not payable in specific situations where the eligibility criteria have not been met. One of these situations is when the worker is incarcerated.

When a worker is incarcerated, they are not actively participating in the workforce, which fundamentally changes their eligibility for time-loss benefits. The purpose of time-loss benefits is to replace lost income resulting from an inability to work due to a job-related injury. Being in prison renders the individual unable to work in a legal employment capacity, and thus the foundation for receiving these benefits is not applicable.

In contrast, other situations mentioned may still allow for time-loss benefits, albeit with complications or further requirements. For instance, if an employee is employed but cannot perform their duties due to an injury, they may still qualify for benefits. The unavailability of an attending physician might delay the claims process but does not inherently disqualify a worker from receiving benefits. Similarly, insufficient evidence of the injury could lead to a denial of the claim but doesn't remove the potential for benefits if adequate proof is later provided. However, incarceration serves as a more definitive barrier to eligibility for time-loss benefits.