Western Australian Numbered Acts

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WORKERS COMPENSATION AND INJURY MANAGEMENT ACT 2023 (NO. 21 OF 2023) - SECT 241

241 .         Refusal of indemnity

        (1)         The regulations may prescribe circumstances (the permitted circumstances ) in which a licensed insurer is permitted to refuse to indemnify an employer against liability to pay compensation or damages in respect of an injury to a worker for which the employer is liable.

        (2)         A licensed insurer who insures an employer under a workers compensation policy against the employer’s liability to pay compensation or damages in respect of an injury to a worker for which the employer is liable —

            (a)         may in the permitted circumstances refuse to indemnify the employer against that liability; and

            (b)         cannot refuse in any other circumstances to indemnify the employer against that liability despite any term or condition of a workers compensation policy.

        (3)         A licensed insurer who refuses to indemnify an employer against liability to pay compensation or damages in respect of an injury to a worker for which the employer is liable must give notice of refusal of indemnity in the approved form to the worker, the employer and WorkCover WA within 5 days after the decision to refuse indemnity is made by the insurer.

        Penalty for this subsection: a fine of $5 000.

        (4)         If notice of refusal of indemnity is given to the employer within the period within which the insurer is required under section 28 or  29 to give a liability decision notice for the claim (the liability decision period ) —

            (a)         the insurer’s obligations in respect of the claim under Part 2 Division 2 cease to apply; and

            (b)         the employer is required to deal with the claim as if the employer were a self-insurer (as required by section 31 because the employer is uninsured) and as if the claim had been given to the employer on the day that the employer received the notice of refusal of indemnity.

        Note for this subsection:

                Sections 28 and  29 apply to the employer when dealing with the claim as a self-insurer as if the claim had not been given to the employer until the employer was given the notice of refusal of indemnity.

        (5)         If notice of refusal of indemnity is given to the employer (whether or not within the liability decision period) the following provisions apply to a dispute about the liability of the insurer to indemnify the employer —

            (a)         the dispute is not a dispute for the purposes of Part 6 and proceedings for the determination of the dispute cannot be brought under that Part;

            (b)         the dispute must, on application to the District Court by the employer, be determined by the District Court.

        (6)         Subsection (5) does not prevent proceedings under Part 6 for the determination of a dispute about whether the employer is liable for compensation with which the notice of refusal of indemnity is concerned.



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