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HomeMy WebLinkAboutFleming/Fockens 21-11-25In the Matter of a Labour Arbitration pursuant to the Ontario Labour Relations Act Between: West Parry Sound Health Centre (the “Employer”) -and- Ontario Public Service Employees Union, Local 342 (the “Union”) Grievances of Fleming (OPSEU File #’s 2019-0342-0007) and Grievance of Fockens (OPSEU File #2020-0342-0001) Arbitrator: Randi H. Abramsky Appearances: For the Employer: Hugh Dyer, Counsel For the Union: Indika Chandrasekara, Grievance Officer Hearing: November 10, 2021 via video conferencing. 2 AWARD 1. The Union, OPSEU Local 342, and two individual Paramedics, Bonnie Fleming and Tom Fockens, allege that the Employer, West Parry Sound Health Centre, has violated the Collective Agreement by failing to pay some of the costs they incurred in obtaining medical documentation required by the Employer, specifically their mileage, meals, parking and travel time. The Employer has denied any violation of the Collective Agreement. The outcome turns on an interpretation of the parties’ Collective Agreement. Facts 2. The Employer operates the Parry Sound District Emergency Medical Services (EMS), which provides basic emergency medical services in the geographical District of Parry Sound and neighbouring districts. 3. The parties proceeded on agreed facts, set out below: Fleming Grievance The Grievor, Bonnie Fleming, is a paramedic. She was absent from work due to a workplace injury. Her claims relate to August 10, October 1, October 15 and November 2, 2018. The documentation submitted was required to assess her return to work. She claims for her General Practitioner’s fee in providing the documents, mileage, travel time, meals and parking. Her grievance was filed on August 6, 2019. It states: I grieve that West Parry Sound Health Centre fails to reimburse costs to obtain APS/FAF/s as required and requested by West Parry Sound Health Center dating back to the initial workplace injury August 2018. As per several emails and phone calls with [the Employer], she has been provided with all relevant information regarding my expenses. We the union grieve that the employer has violated specifically but not exclusively Article 22 and Article 22.02 – OPSEU Local 3 342 Collective Agreement as well as any other applicable articles, policies or acts pertaining to all costs associated with obtaining employer requested documentation to be covered in full by the West Parry Sound Health Centre. 1. August 10, 2018 – There is no documentation in the employee’s Occupational Health file related to this appointment other than a September 10 FAF (Functional Abilities Form) that may be based on the appointment. Ms. Fleming states that she submitted a document. The September 10 FAF states restrictions, supports a return to work on modified duties on September 6 and indicates a follow-up appointment for October 1. Ms. Fleming was reimbursed for the doctor’s fee. 2. October 1, 2018 – The FAF shows updated restrictions. The appointment was for a reassessment, not just for documentation. The Grievor was to be reassessed on October 15. Ms. Fleming was reimbursed for the doctor’s fee. 3. November 2, 2018 – There is no documentation on file, but the Doctor’s invoice is in the file. The appointment was for a reassessment, not just for documentation. Ms. Fleming was not reimbursed for the doctor’s fee. 4. The Employer denies liability for milage, travel time, meals and parking. 4. Although the Employer raised a timeliness objection to Ms. Fleming’s grievance, at the hearing, it decided to waive that objection on a without prejudice basis to any other grievances. Fockens Grievance Tom Fockens is a Paramedic.He was on sick leave starting in October, 2019. Occupational Health requested medical documentation concerning a potential return to work on modified duties in October and November, 2019. He was absent due to illness in January, 2020. He claims for mileage, travel time and meals for trips to see his chiropractor on 4 October 21, November 4, and November 18, 2019 and to see his General Practitioner on January 21, 2020. His grievance is dated March 30, 2020. It states: We grieve the Employer has specifically but not exclusively violated article (22) of the OPSEU local 342 collective agreement as well as any other applicable article(s), act and/or legislation regarding the employer’s duty to cover “any” costs associated with providing proof of illness. 5. Although the Employer raised a timeliness objection to Mr. Fockens’ grievance, it decided to waive that objection on a without prejudice basis to any other grievances. 1. October 21, 2019 – The FAF confirmed the reasons for the Grievor’s absence and indicates that the appointment was for assessment/treatment, not simply for documentation. The Grievor was to be reassessed on October 28, although nothing was received by the Employer for that date. The Grievor advised that he would be reassessed on November 4. 2. November 4, 2019 – The FAF indicates that the appointment was for assessment/treatment and supported a return to work on modified duties on November 6, 2019, and to regular duties on November 18, 2019. His next appointment was for November 18. 3. November 18, 2019 – The APS (Attending Physician Statement) received after this scheduled appointment confirms the grievor’s return to regular duties. 4. January 21, 2020 – The Grievor was absent due to illness from January 9 until January 17, 2020. The Employer’s policy (consistent with 1992 HOODIP) requires proof of disability for 3 or more days of absence. 5. The Employer denies liability for milage, travel time, and meals. 6. It is undisputed that both Grievors live approximately 150 kilometres from their medical providers. 5 7. The relevant provision in the Collective Agreement is Article 22.02. That provision reads: Article 22 – Sick Leave 22.02. In order to qualify for sick leave an employee must notify the supervisor or appropriate assigned delegate and such supervisor or delegate shall be identified by the employer with a telephone number for contact, at least one (1) hour prior to the beginning of the employee’s working day on the day shift and at least two (2) hours prior to the beginning of the employee’s working day on the afternoon or night shift. The Employer reserves the right to require proof of illness from a qualified medical practitioner after three (3) days of absence in cases of suspected abuse. The employer shall be responsible for any costs associated with an employees’ requirement to provide proof of illness. 8. An employee’s obligation to provide medical documentation to the Employer is found beyond Article 22.02. Under Article 22.01, Sick Leave, full-time employees under the 1992 HOODIP plan must provide proof of total disability when absent for three days or more, as follows: Proof of Total Disability (such as a doctor’s certificate), that is satisfactory to your employer, is required if you are absent for three days or more, and is subject to a periodic review thereafter. Such proof may also be required at any time in order for you to qualify for benefits. 9. Under Article 21.01(d), if a full-time employee utilizes sick leave to attend a medical specialist more than 150 kilometers away from their home base or home, “[d]ocumented proof of appointment and location of appointment may be required at the Employer’s expense.” Article 22.01, Sick Leave, Applicable to Full-time Employees, provides: The Employer assumes total responsibility for providing and funding a short term sick leave plan at least equivalent to that 6 described in the 1992 Hospitals of Ontario Disability Income Plan (HOODIP) brochure. … (d) The Employer agrees to the utilization of sick leave to permit the full-time employees to attend medical specialists if referred by a Medical Doctor and if the specialist is located more than one hundred fifty (150) kilometers from their home base or home whichever is closer. … Documented proof of appointment and location of appointment may be required at the Employer’s expense. … 10. Under the Employer’s Attendance Management Program, Sick Time Procedures, the Employer “reserves the right to verify that an absence is medically justified” and states that the “Employee’s Role” includes: Provide Human Resources with suitable medical documentation upon his/her return-to-work for absences of 3 days or more. Reimbursement for Attending Physician’s/Practitioner’s Statement will occur only: If required (i.e., 3 days absence or on Phase 3 (or higher) of the Attendance Management Program; and The note contains meaningful medical information such as: i.e., - the nature of illness - dates involved - expected duration of illness - medical expectations - treatment program If requested, for special circumstances by either Human Resources and/or the Occupational Health and Safety Manager … Provide medical documentation to Human Resources prior to a medical leave of absence. 7 11. As the circumstances of the two grievors demonstrate, medical documentation may also be required for a return to work, with or without modifications, and for accommodation. 12. It is undisputed that Article 22.02 has been in the parties’ Collective Agreements since 2007 has not been amended. It is also undisputed that the Employer has never paid for mileage, travel time, parking, or meals. It has only paid the physician’s or medical practitioner’s fees. Positions of the Parties The Union 13. The Union asserts that the “modern approach” to the interpretation of collective agreements should be utilized when interpreting Article 22.02, citing Re SEIUWest.ca and Saskatoon Regional Health Authority (Reimer, Thoms Grievances), 2015 CarswellSask 960 (Zuck). Under that approach, “words must be read in their entire context, in their grammatical and ordinary sense, harmoniously with the scheme of the agreement, its object and the intention of the parties.” Saskatoon Regional Health Authority, supra, at para. 112. 14. Applying that approach, the Union asserts that the last sentence of Article 22.02 should be read to mean what it says –that the Employer “shall” pay “any costs associated with an employees’ requirement to provide proof of illness”. It submits that it is exhaustive and all- inclusive requirement. With other payment provisions, the Employer’s financial obligation is specified (e.g., uniforms “footwear shall be compensated to each paramedic upon receipt of satisfactory proof of payment by employee to a maximum of one hundred and seventy- give dollars ($175.00) per year”; meal allowance – “ten dollars ($10)”; jury duty (reimbursed for “meals, mileage, parking and accommodation in accordance with the Employer’s policy relating to such matters.”), education (“the Employer shall pay the full cost associated with courses, (i.e., texts and tuition)”. In contrast, under Article 22.02, the Employer agreed to pay “any costs associated” with providing “proof of illness.” In its view, the “costs associated with” providing proof of illness go beyond the actual cost of 8 the form. The Union contends that the Employer could have included limiting language but did not. It agreed to pay “any costs associated with an employee’s requirement to provide proof of illness.” 15. The Union cites to dictionary definitions of “any” which reveal a broad inclusive term. In the Union’s view, “any costs” includes mileage, meals, parking and travel time – costs incurred by an employee. It urges me to apply the “ordinary definition” of “any costs” to Article 22.02. 16. The Union submits that there are many times that an employee is required to provide medical documentation to the Employer – for sick time in excess of three days, for the Attendance Management Program, for accommodation and a return to work, before a medical leave of absence, among others. Article 22.02 sets out one such time – when the Employer suspects abuse – but submits there are many other times as well, and in its view, the last sentence of Article 22.02 requires the Employer to pay for “any costs” associated with the supplying of such medical documentation, whether it be for proof of illness or to receive benefits. It contends that the last sentence of Article 22.02 applies whenever an employee is required to submit medical documentation, not just in cases of suspected abuse. The Employer 17. The Employer agrees that a contextual approach is appropriate to interpret the Collective Agreement. It submits, however, that such an approach leads to a different result than that proposed by the Union. In its view, Article 22.02 must be read as a whole – not just the last sentence in isolation. In its view, the last two sentences are tied together to create an obligation on the Employer to pay the costs of providing proof of illness when it suspects sick leave abuse. It contends that the last sentence of Article 22.02 is not an omnibus reimbursement requirement that applies to any and all times that an employee must submit medical documentation. It contends that the obligation only arises when the Employer 9 requires “proof of illness” when it suspects sick leave abuse. The last two sentences of Article 22.02, it submits, are directly connected by both proximity and context. 18. The Employer argues that throughout the parties’ Collective Agreement, what the Employer is obligated to pay is found in the same subsection, that this is the “pattern” used by the parties. For example, if there is movement between bases under Article 24.01, the Employer pays “mileage”, what is required for uniforms is spelled out, what is required for a meal allowance is specified, and so forth. In its view, Article 22.02 is the same – it sets out what is to be paid within the section. It is not a commitment to pay for “proof of illness” in all circumstances. 19. Under this interpretation, the Employer contends that neither Grievor is entitled to any further compensation beyond the doctors’ fees since neither was required to provide “proof of illness” due to suspected abuse. In Ms. Fleming’s case, the documentation was to assess her return to work after a work-place injury, including any limitations. In Mr. Fockens’ case, it involved a return to work and a subsequent illness where proof was required under the 1992 HOODIP plan, not because of suspected abuse. 20. The Employer also argues, in the alternative, that the type of expenses sought by the Union here are not “costs” associated with providing proof of illness. The term “costs”, in its view, means something that is actually paid by the employee for the proof of illness – such as the fee to the doctor - and would not include travel time, meals or parking. 21. In the further alternative, the Employer contends that the Union is estopped from arguing that a broader interpretation applies due to the parties’ consistent past practice, since at least 2007, that the Employer has only paid the fee charged by the doctor to provide proof of illness. 10 Reasons for Decision 22. The goal in a contract interpretation case is to determine the intent of the parties based on the language negotiated, in the context of the whole Collective Agreement. The “modern approach” set out in Re SEIUWEST.ca and Saskatoon Regional Health Authority, supra, at para. 112, is consistent with the approach taken by most arbitrators – “words must be read in their entire context, in their grammatical and ordinary sense, harmoniously with the scheme of the agreement, its object and the intention of the parties.” One looks at the language, in the context of the provision and the Collective Agreement as a whole. 23. The main concern that I have about the Union’s interpretation is that it views the last sentence of Article 22.02 as if it were a stand alone provision, obligating the Employer to pay the costs incurred by employees every time medical documentation is required. It views it as an omnibus reimbursement provision for all types of medical documents that employees are required to supply for sick leave as well as benefits. That interpretation might be plausible if that provision did stand alone and was worded more broadly, but it does not, and it must be read in context with the language negotiated. 24. The context is sick leave. It states: 22.02. In order to qualify for sick leave an employee must notify the supervisor or appropriate assigned delegate and such supervisor or delegate shall be identified by the employer with a telephone number for contact, at least one (1) hour prior to the beginning of the employee’s working day on the day shift and at least two (2) hours prior to the beginning of the employee’s working day on the afternoon or night shift. The Employer reserves the right to require proof of illness from a qualified medical practitioner after three (3) days of absence in cases of suspected abuse. The employer shall be responsible for any costs associated with an employee’s requirement to provide proof of illness. 11 25. What this provision does is set out what an employee must do to qualify for sick leave. It then provides that the Employer has the right to require proof of illness from a qualified medical practitioner after three days of absence in cases of suspected abuse. If it does require that, the “Employer shall be responsible for any costs associated with an employee’s requirement to provide proof of illness.” The last two sentences, in the context of Article 22.02, are clearly tied together. The Employer may require proof of illness if abuse is suspected, and if such proof is required, it will pay the cost. That is the context of Article 22.02 – in regard to sick leave, it ties the Employer’s obligation to pay the costs for requiring the employee to provide “proof of illness.” This also makes sense – if the Employer questions whether the employee is really sick and requires proof of illness, they have to pay for that proof. 26. The words “proof of illness” also support the interpretation that the agreement to pay the costs is tied to situations when the Employer suspects abuse and requires proof that the employee was actually ill. Proof of illness is very different than other types of medical documentation required in other contexts, such as a return to work form, what limitations/restrictions an employee may have, what the employee’s prognosis may be, accommodation, a work hardening regime and so forth. The last sentence of Article 22.02 does not, by its terms, require the Employer to pay the cost of all “medical documentation”, as the Union suggests. It requires it when the Employer requires “proof of illness” when the employee is utilizing sick time. This difference in terminology-“proof of illness” versus “medical documentation”- is important and serves to limit the scope of the Employer’s obligation in the last sentence of Article 22.02. 27. Similarly, in Article 22.01, Sick Leave Applicable to Full-time Employees, under subsection (d) employees may utilize sick leave to attend medical specialists if referred by a doctor if the specialist is located more than one hundred fifty (150) kilometers from their home base or home. It further provides: “Documented proof of appointment and location of appointment may be required at the Employer’s expense.” This is another payment provided for in the Collective Agreement, in the same article – again when proof of the 12 appointment and location is required by the Employer. If the Employer requests the proof, it pays for it. 28. Not all medical documentation required of an employee, however, is contractually paid for by the Employer. As set out in Re SEIUWest.ca and Saskatoon Regional Health Authority, supra, at para. 116, “clear language spelling out the Employer’s obligation to pay the cost of medical reports is required.” In the absence of language which obligates the Employer to pay the cost of medical reports an employee bears that cost. Under Article 22.01, Sick Leave Applicable to Full-time Employees, the Employer assumes responsibility for providing and funding a short term sick leave plan at least equivalent to that described in the 1992 Hospitals of Ontario Disability Income Plan (HOODIP) brochure.” That plan states: Proof of Total Disability (such as a doctor’s certificate), that is satisfactory to your employer, is required if you are absent for three days or more, and is subject to a periodic review thereafter. Such proof may also be required at any time in order for you to qualify for benefits. There is no provision concerning Employer payment of costs found there. 29. The Employer’s obligation to pay for costs under the Attendance Management Plan is found under that policy, not the Collective Agreement. Under Article 22.02, in contrast, the Employer has agreed to pay the costs when it requires the employee to provide “proof of illness” due to suspected abuse. 30. The question remains, what costs are included in the words “any costs associated with an employee’s requirement to provide proof of illness”? The language is quite broad (“any costs associated…”), and, as asserted by the Union, stands in contrast to other provisions in the Collective Agreement where the costs that the Employer has agreed to pay are specified. On the other hand, “any costs associated…” may be read to mean actual costs paid by an employee to obtain proof of illness, as asserted by the Employer. On their face, 13 I find the words “any costs associated…” to be patently ambiguous – susceptible to either the broad interpretation asserted by the Union or the more limited one asserted by the Employer. 31. The parties’ consistent past practice, however, aids in the interpretation of these words. The same language has been in the Collective Agreement since 2007, without change, and included in many successive Collective Agreements. It has consistently been interpreted by the parties to be limited to the actual cost paid by an employee to obtain the “proof of illness” documentation required by the Employer – the doctor’s fee. The Employer has never paid mileage, travel time, meals or parking. I have no doubt that these costs are real and can be substantial for employees, especially when multiple medical visits and forms are required. Given this very long-standing past practice, however, which both parties were clearly aware of, I am persuaded that this is the intended interpretation of Article 22.02. 32. Accordingly, I am not persuaded, on the balance of probabilities, that the Employer violated the Collective Agreement when it did not pay the Grievors’ claims for mileage, meals, parking or travel time. Conclusion 33. For all of the reasons set out above, the grievances must be dismissed. Issued this 25th day of November, 2021. Randi H. Abramsky _______________________ Randi H. Abramsky