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Workers' Compensation and Rehabilitation Act 2003
sec.239AWorker with more than 1 injury from an event
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### sec.239A Worker with more than 1 injury from an event
This section applies to a claimant who is a worker mentioned in section 237 (1) (a) (ii) .
The claimant can not have, and the insurer can not decide to have, the injury assessed under chapter 3 , part 10 to decide if the claimant has sustained a DPI.
The insurer can not decide the claimant’s notice of claim does not comply with section 275 only because the claimant has not received a notice of assessment for the injury.
However, the claimant may seek damages for the injury only if the insurer decides the claimant has sustained an injury.
The insurer must make a decision for subsection (4) within 40 business days after—
the claimant gives, or is taken to have given, a complying notice of claim; or
the claimant gives a notice of claim for which the insurer waives compliance with the requirements of section 275 with or without conditions; or
a court makes a declaration under section 297 .
The insurer must—
notify the claimant of its decision for subsection (4) ; and
if the insurer decides the claimant has not sustained an injury—give the claimant written reasons for the decision; and
if the insurer is WorkCover—also give the information mentioned in paragraphs (a) and (b) to the claimant’s employer.
If the insurer does not make a decision for subsection (4) within the time stated in subsection (5) —
the insurer must, within 5 business days after the end of the time stated in subsection (5) , notify the claimant—
of its reasons for not making the decision; and
that the claimant may have the insurer’s failure to make the decision reviewed under chapter 13 ; and
the claimant may have the insurer’s failure to make the decision reviewed under chapter 13 .
A person aggrieved by the insurer’s decision may have the decision reviewed under chapter 13 .
s 239A ins 2015 No. 13 s 7 (retro)
(sec.239A-ssec.1) This section applies to a claimant who is a worker mentioned in section 237 (1) (a) (ii) .
(sec.239A-ssec.2) The claimant can not have, and the insurer can not decide to have, the injury assessed under chapter 3 , part 10 to decide if the claimant has sustained a DPI.
(sec.239A-ssec.3) The insurer can not decide the claimant’s notice of claim does not comply with section 275 only because the claimant has not received a notice of assessment for the injury.
(sec.239A-ssec.4) However, the claimant may seek damages for the injury only if the insurer decides the claimant has sustained an injury.
(sec.239A-ssec.5) The insurer must make a decision for subsection (4) within 40 business days after— the claimant gives, or is taken to have given, a complying notice of claim; or the claimant gives a notice of claim for which the insurer waives compliance with the requirements of section 275 with or without conditions; or a court makes a declaration under section 297 .
(sec.239A-ssec.6) The insurer must— notify the claimant of its decision for subsection (4) ; and if the insurer decides the claimant has not sustained an injury—give the claimant written reasons for the decision; and if the insurer is WorkCover—also give the information mentioned in paragraphs (a) and (b) to the claimant’s employer.
(sec.239A-ssec.7) If the insurer does not make a decision for subsection (4) within the time stated in subsection (5) — the insurer must, within 5 business days after the end of the time stated in subsection (5) , notify the claimant— of its reasons for not making the decision; and that the claimant may have the insurer’s failure to make the decision reviewed under chapter 13 ; and the claimant may have the insurer’s failure to make the decision reviewed under chapter 13 .
(sec.239A-ssec.8) A person aggrieved by the insurer’s decision may have the decision reviewed under chapter 13 .
- (a) the claimant gives, or is taken to have given, a complying notice of claim; or
- (b) the claimant gives a notice of claim for which the insurer waives compliance with the requirements of section 275 with or without conditions; or
- (c) a court makes a declaration under section 297 .
- (a) notify the claimant of its decision for subsection (4) ; and
- (b) if the insurer decides the claimant has not sustained an injury—give the claimant written reasons for the decision; and
- (c) if the insurer is WorkCover—also give the information mentioned in paragraphs (a) and (b) to the claimant’s employer.
- (a) the insurer must, within 5 business days after the end of the time stated in subsection (5) , notify the claimant— (i) of its reasons for not making the decision; and (ii) that the claimant may have the insurer’s failure to make the decision reviewed under chapter 13 ; and
- (i) of its reasons for not making the decision; and
- (ii) that the claimant may have the insurer’s failure to make the decision reviewed under chapter 13 ; and
- (b) the claimant may have the insurer’s failure to make the decision reviewed under chapter 13 .
- (i) of its reasons for not making the decision; and
- (ii) that the claimant may have the insurer’s failure to make the decision reviewed under chapter 13 ; and