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What benefits does the insurer pay?

Weekly payments for time off work

1.For the first 45 weeks you are entitled to be paid your normal earnings, which in certain circumstances may include shift allowance and overtime, less any amount that you are able to earn in suitable employment.

2.After 45 weeks the insurer pays 75% of your pre-injury earnings if you are totally incapacitated. If you are partially incapacitated a prescribed formula applies whereby the weekly payments of compensation for those hours not worked is gradually increased as you increase your hours of work.

3.You must accept offers of suitable employment and participate in reasonable rehabilitation, vocational and retraining programs. Failure to do so can result in a reduction or termination of weekly payments.

4.Weekly payments must not exceed 150% of average weekly ordinary time earnings for full time adults as published by the Australian Bureau of Statistics. Similarly, payments cannot be made below a certain figure.

5.Weekly payments will be reduced under a prescribed formula if you retire and receive a pension and/or a lump sum benefit under a superannuation scheme.

Hospital, Medical and like expense benefits

1.The insurer is liable to pay the reasonable costs of medical, dental, surgical, hospital, nursing and therapeutic treatment (including physiotherapy, osteopathy, massage and chiropractic). It is also liable to cover expenses for medication, travel (where the round trip exceeds 50 kilometres) and provision (in prescribed circumstances) of household services and attendant care.

2.In certain circumstances the insurer will also pay for alterations to the employee’s residence or motor vehicle and for the provision and/or replacement of aids and appliances.

The information on this website is of a general nature only and may not reflect recent changes to certain areas of law. It should not be relied upon as a substitute for discussing your situation with a qualified legal practitioner.