Wage earning capacity is one of the most contested areas of Michigan workers’ comp wage loss. It is a rule insurers often use to reduce or eliminate weekly checks, and it is a rule many workers do not understand until benefits have already been cut.
What wage earning capacity actually means. Under Michigan law, wage loss benefits are based on the difference between what the worker was earning before the injury and what the worker is capable of earning afterward, not only what the worker is actually earning. The phrase “capable of earning” is where the dispute happens. Insurers may argue that a worker is capable of earning wages they are not actually receiving, and then use that hypothetical earning capacity to reduce or eliminate benefits.
How insurers use wage earning capacity to reduce benefits. The common scenario looks like this: the worker has restrictions that prevent a return to the pre-injury job, and the insurer obtains a vocational opinion arguing that work exists in the regional economy that the worker could perform within those restrictions. The worker may not have been offered that job and may not be earning those wages, but the insurer may still try to reduce the weekly benefit based on the amount the worker is supposedly capable of earning.
What makes a wage earning capacity argument weaker. Wage earning capacity arguments are not automatically successful. The argument is weaker when the worker has documented restrictions that prevent the proposed work, when the jobs identified are not realistically available given the worker’s education, training, and local job market, when the worker has made a good-faith effort to find work within restrictions, or when the treating physician supports more limited functional capacity than the insurer claims.
The 100-week and 250-week thresholds. Michigan workers’ comp law contains specific rules about when post-injury employment establishes a new wage earning capacity. Under MCL 418.301, if a worker is employed in post-injury work for less than 100 weeks and then loses that job through no fault of their own, the compensation rate is based on the original average weekly wage at the time of injury. If the worker was employed for 100 to 250 weeks, a magistrate may determine that no new wage earning capacity was established. After 250 weeks of post-injury employment, a new wage earning capacity is generally considered established. These thresholds matter when a worker returns to work after an injury, later loses that job, and needs benefits to resume.
Bona fide offers of reasonable employment. If the employer or another employer makes a bona fide offer of reasonable employment that fits the worker’s restrictions, and the worker refuses the offer without good and reasonable cause, that refusal can affect wage loss benefits. The key issues are whether the offer was truly bona fide, whether the work was actually reasonable given the worker’s restrictions, and whether the worker had good and reasonable cause to decline.