austlii:nsw/NSWPIC/2026/148
General information, not legal advice.
NSWPIC
2026-03-18
Original judgment source is linked above.
Pinarbasi v AAI Limited t/as GIO [2026] NSWPIC 148
MOTOR ACCIDENTS - Motor Accident Injuries Act 2017; Motor Accidents Compensation Act 1999; discretionary exemption application by claimant; claim not suitable for assessment at the Personal Injury Commission pursuant to section 7.34 (1)(b); Held - basis not suitable; claim involves complex legal and factual issues pursuant to rule 99(3)(a) of the Personal Injury Commission Rules 2021; privately operated buses operating on public transport route; dispute as to which Act should apply to assessment of damages; other factors include costs of single hearing; recommendation subsequently approved by the Division Head, as the President's delegate.
RECOMMENDATIONS - CLAIM NOT SUITABLE FOR ASSESSMENT
13 August 2025 requesting the claim be exempt from assessment under discretionary grounds pursuant to s 7.34(1)(b) of the MAI Act. The claimant submitted that the claim falls outside the jurisdiction of the Commission. 2. In determining whether a claim is not suitable for assessment for the purposes of s 7.34(1)(b) of the MAI Act, rule 99 of the PIC Rules, requires the Commission to consider the objects of the Personal Injury Commission Act 2020 and the circumstances of the claim, including the following:
(a) whether the claim involves complex legal or factual issues, or complex issues in the assessment of the amount of the claim;
(b) whether the claim involves issues of liability, including contributory negligence, fault or causation;
(c) whether a claimant or witness, considered by the Commission to be a material witness, resides outside the State;
(d) whether a claimant or insurer seeks to proceed against one or more non-CTP parties, and
(e) whether the insurer alleges that a person has made a false or misleading statement in a material particular in relation to the injuries, loss or damage sustained by the claimant. The insurer opposes the claimant's application and submits that the claim is suitable for assessment based on the fact that breach of duty of care is not in issue.
(a) soft tissue injuries to cervical and lumbar spine, and
(b) injury to right shoulder not caused by the subject accident.
"Rule 99 Consideration of discretionary exemption from claims assessment
(1) A claimant or insurer may apply for an exemption from assessment under section 92(1)(b) of the MAC Act or section 7.34(1)(b) of the MAI Act by lodging an application.
(2) In determining whether a claim is not suitable for assessment for the purposes of section 92(1)(b) of the MAC Act or section 7.34(1)(b) of the MAI Act, the Commission must consider the objects of the PIC Act and the circumstances of the claim.
(3) Without limiting the matters that may be considered, the Commission may consider the following -
(a) whether the claim involves complex legal or factual issues, or complex issues in the assessment of the amount of the claim,
(b) whether the claim involves issues of liability, including contributory negligence, fault or causation,
(c) whether a claimant or witness, considered by the Commission to be a material witness, resides outside the State
(d) whether a claimant or insurer seeks to proceed against one or more non-CTP parties,
(e) whether the insurer alleges that a person has made a false or misleading statement in a material particular in relation to the injuries, loss or damage sustained by the claimant in the accident giving rise to the claim."
"...whether the claim involves complex legal or factual issues, or complex issues in the assessment of the amount of the claim, "
Pinarbasi
AAI Limited t/as GIO [2026] NSWPIC 148;