austlii:nsw/NSWPIC/2025/239
General information, not legal advice.
NSWPIC
2025-05-30
Original judgment source is linked above.
(1) A claim is exempt from assessment under this Division if -
(a) ..., or
(b) the Commission has made a preliminary assessment of the claim and has determined (with the approval of the President) that the claim is not suitable for assessment under this Division.
(2) If a claim is exempt from assessment under this Division, the President must, as soon as practicable, arrange for the issue to the insurer and the claimant of a certificate to that effect (enabling court proceedings to be commenced in respect of the claim concerned)."
"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."
(a) the parties submit the matter is not suitable for assessment as it involves an issue of jurisdiction which should be determined by the District Court, and
(b) in the alternative, the parties seek a discretionary exemption from claims assessment, pursuant to r 99(3)(a) and (b) of the Commission Rules 2021 as the claim involves complex legal and factual issues and issues of liability.
[1] Medical Review Panel certificate dated 2 July 2024.
Strbac
Allianz Australia Insurance Limited [2025] NSWPIC 239