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WORKERS COMPENSATION AND INJURY MANAGEMENT ACT 2023 (NO. 21 OF 2023) - SECT 28

28 .         Insurer or self-insurer to make decision on liability

        (1)         Within 14 days after a claim is given to an insurer or self-insurer, the insurer or self-insurer must give the worker and an insured employer a liability decision notice for the claim.

        Note for this subsection:

                If the claim is in respect of a dust disease, the time within which a liability decision notice must be given is 14 days after the insurer or self-insurer is notified of the determination of a Dust Disease Medical Panel in respect of the claim (instead of within 14 days after the claim is given to the insurer or self-insurer). See section 121.

        (2)         A liability decision notice is a notice in the approved form stating that —

            (a)         the insurer or self-insurer accepts that the employer is liable to compensate the worker for the injury to which the claim relates; or

            (b)         the insurer or self-insurer accepts that the employer is or may be liable to compensate the worker for the injury to which the claim relates but there are 1 or more liability questions (as defined in section 34(2)) in relation to the acceptance; or

            (c)         the insurer or self-insurer does not accept that the employer is liable to compensate the worker for the injury to which the claim relates.

        Note for this subsection:

                Sections 30 and  34 provide for the determination by an arbitrator of the liability of an employer for compensation to which a liability decision notice relates.

        (3)         In the case of an incapacity claim, the liability decision notice must also state whether or not the insurer or self-insurer accepts that the employer is liable to pay income compensation for incapacity for work.

        Note for this subsection:

                Division 3 provides for income compensation.

        (4)         A liability decision notice need not be given if a decision on liability cannot be made and the insurer or self-insurer instead gives the worker and the insured employer, within 14 days after the claim is given to the insurer or self-insurer, a notice (a deferred decision notice ) in the approved form stating that a decision on liability has been deferred.

        (5)         An insurer or self-insurer who fails to give a liability decision notice or deferred decision notice as and when required by this section commits an offence.

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

        (6)         If an insurer or self-insurer fails to give a liability decision notice or deferred decision notice as and when required by this section —

            (a)         the insurer or self-insurer is taken to have accepted that the employer is liable to compensate the worker for the injury to which the claim relates; and

            (b)         in the case of an incapacity claim — the insurer or self-insurer is taken to have accepted that the employer is liable to pay income compensation for incapacity for work.

        Note for this subsection:

                The employer’s obligation to pay income compensation to the worker arises when the insurer or self-insurer is taken to have accepted liability to compensate the worker and the compensation for which the employer is liable includes income compensation. See section 47.

        (7)         A reference in this section and in a liability decision notice to liability of the employer to compensate the worker for the injury includes —

            (a)         the employer’s liability to compensate the worker for the injury, irrespective of whether another employer may be wholly or partly liable to compensate the worker for the injury because the injury may be from employment with another employer or more than 1 other employer; and

            (b)         the employer’s liability under section 34(3) to make payments of compensation for the injury for which another employer may be partly liable; and

            (c)         the employer’s liability under section 35(3) to make payments of compensation for the injury for which another employer may be wholly or partly liable.

        (8)         For the purposes of the application of this section to a self-insurer —

            (a)         a claim made on an employer who is a self-insurer is considered to have been given to the self-insurer when it is made by the worker; and

            (b)         a requirement to give a notice to an insured employer does not apply to the self-insurer.



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