Accident Compensation Amendment Bill 2009

table of provisions

Clause Page

Clause Page

Part 1—Preliminary 1

1 Purpose 1

2 Commencement 2

Part 2—Workers' Entitlement to Compensation 3

3 Definitions 3

4 Pre-injury average weekly earnings 3

5 Calculation of additional amount 4

6 New subsection inserted in section 5A 4

7 References to $1130 substituted 4

8 Definition of full time student 4

9 Amendment of section 14(3) 5

10 New section 14AA inserted 5

14AA Municipal Councillors 5

11 New sections 16A and 17 inserted 6

16A Riders and drivers in certain races 6

17 Outworkers 7

12 Claims for mental injury 10

13 Further amendment of section 82 11

14 Definitions 11

15 New sections 82A to 82D inserted 14

82A Circumstances in which weekly payments are reduced because of conviction for drink-driving offence 14

82B Circumstances in which weekly payments are reduced because of conviction for drug-driving offence 16

82C No entitlement to compensation where conviction for certain serious road traffic offences 17

82D Where conviction or finding of guilt overturned 18

16 New section 114BA inserted 19

114BA Notice of reduction of weekly payments 19

17 New sections 239AAA, 239AAB and 239AAC inserted 20

239AAA Access to police records 20

239AAB Court to provide certificate of conviction 21

239AAC VicRoads may disclose information to Authority 22

18 Amendment of Road Safety Act 1986 23

Part 3—Ensuring Timely Access to Benefits 24

19 Amendment of section 103 24

20 Amendment of sections 105 and 108 27

21 New section 109 substituted 30

109 Responsibilities of self-insurers and the Authority 30

22 Amendment of section 242 33

23 New sections 242AA to 242AF inserted 33

242AA Offence to engage in discriminatory conduct 33

242AB Order for damages or reinstatement 35

242AC Procedure if prosecution is not brought under section 242AA 37

242AD Civil proceedings relating to discriminatory conduct 39

242AE Effect of orders on other orders under section 242AA, 242AB or 242AD 43

242AF Claims under section 242AB or 242AD 44

24 Proceedings under section 242AA to be instituted within
3 years 44

25 Amendment of section 138B 44

26 New section 252J inserted 44

252J Supreme Court—limitation of jurisdiction 44

27 New section 252K inserted 45

252K Supreme Court—limitation of jurisdiction 45

Part 4—Better Income Replacement 46

28 Definitions 46

29 New section 55AA inserted 47

55AA Referral of medical question without consent 47

30 New section 91E inserted 48

91E Definitions applicable to this Division 48

31 New sections 93A to 93CA substituted 50

93A Weekly payments in first entitlement period 50

93B Weekly payments in second entitlement period 53

93C Weekly payments after the second entitlement period 56

93CA Compensation for incapacity arising from surgery
after second entitlement period 58

32 Amendments consequential on new sections 93A to93CA 60

33 Further consequential amendments 61

34 New section 93CD substituted 62

93CD Continuation of weekly payments after second entitlement period 62

35 New section 93CDA inserted 65

93CDA Entitlement under section 93CD not affected by certain circumstances 65

36 Repeal of section 93DA 66

37 New section 93CE inserted 66

93CE Compensation in the form of superannuation contributions 66

38 Consequential amendment of section 59 70

39 State average weekly earnings 71

40 Amendment of section 96 71

41 Amendment of section 96A 73

42 Amendment of section 97 73

43 New section 109AA inserted 73

109AA Employer may request reasons for decision on a claim 73

44 New section 252L inserted 75

252L Supreme Court—limitation of jurisdiction 75

45 Amendment of section 114 75

46 New section 114AA inserted 78

114AA Termination of compensation in the form of superannuation contributions 78

47 New sections 114EA and 114EB inserted 79

114EA Outstanding superannuation contributions 79

114EB Alteration or termination of superannuation contributions 80

Part 5—Treatment Expenses 82

48 Prior approval of medical and like services 82

49 Amendment of section 99—extension to modifications of
home or car 82

50 Notice of cessation of compensation under section 99 83

51 Repeal of section 99AAA 83

52 Limits applying to contributions required towards supported accommodation costs 83

Part 6—Lump Sum Benefits 85

53 Amendment of section 91 85

54 Compensation for non-economic loss 85

55 Alignment of lump sum and common law pain and suffering damages 92

56 Amendment of section 100 92

Part 7—Access to Justice for Seriously Injured Workers 94

57 Actions for damages—amendment of section 134AB 94

58 New section 134ABAA inserted 98

134ABAA Determination of serious injury application
following death of worker 98

59 New section 134ABB inserted 102

134ABB Calculation of limitation of actions period 102

60 Repeal of section 134AD 102

61 Actions for damages—amendment of section 135A 102

62 New section 135BBA inserted 103

135BBA Actions by terminally ill workers continued after
death of worker 103

63 New section 135AD inserted 104

135AD Limitation of Actions Act 1958 104

Part 8—Payments for Family Members
following Work-related Deaths 105

64 Definition 105

65 Jurisdiction of Magistrates' Court—amendment of section 43 106

66 Consequential amendments 106

67 Compensation for death of a worker—amendment of
section 92 106

68 Revised compensation for death of worker—amendment of section 92A 108

69 New section 92AA inserted 111

92AA Reimbursement of expenses incurred by
non-dependent family members of a deceased worker 111

70 Weekly pensions for dependants of worker who dies—amendment of section 92B 114

71 New section 92D inserted 115

92D Provisional payment 115

72 Indexation—amendment of section 100 119

73 New section 252H inserted 122

252H Supreme Court—limitation of jurisdiction 122

Part 9—Transparency in Decision-making and Efficient Resolution of Disputes 123

74 Definitions 123

75 Jurisdiction of the Magistrates' Court—amendment of
section43 126

76 Medical questions—amendment of section 45 126

77 New section 48A inserted 128

48A Use of documents relating to worker's claim 128

78 Certain proceedings referred for conciliation—amendment
of section49 129

79 Appointment of Conciliation Officers—amendment of section52D 129

80 Substitution of section 52F 129

52F Senior Conciliation Officer 129

52FA Data to be collected by the Senior Conciliation
Officer 130

81 Removal from office—amendment of section 52I 132

82 New section 55AB inserted 132

55AB Production and disclosure of information 132

83 Procedures before Conciliation Officers—amendment of section56 133

84 Conciliation of disputes—amendment of section 57 134

85 Disputes relating to weekly payments—amendment of
section59 135

86 Certain evidence inadmissible in proceedings—amendment
of section61A 135

87 Costs—amendment of section 62 135

88 Establishment and constitution—amendment of section 63 136

89 Procedures and powers—amendment of section 65 137

90 Opinions—amendment of section 68 138

91 New Division 3AA inserted in Part IV 139

Division 3AA—Employer objections 139

114H Definition 139

114I Objection by employer in respect of liability 139

114J Objection lodged out of time 141

114K Authority may refuse to review a decision to which a claimed employer has objected 141

114L Withdrawal of lodged objection 142

114M Request for information and suspension of review 142

114N Decision following review 144

114O Appeals 145

114P Grounds of appeal 146

114Q Hearing of appeal by Supreme Court 146

114R Costs of worker 147

92 New section 252M inserted 147

252M Supreme Court—limitation of jurisdiction 147

93 Amendment of Magistrates' Court Act 1989 147

Part 10—Employer Premiums 148

Division 1—Accident Compensation Act 1985 148

94 Definitions 148

95 Section 5C substituted and new sections 5D and 5E inserted 149

5C Value of remuneration comprising fringe benefits 149

5D Remuneration—motor vehicle allowance 149

5E Remuneration—accommodation allowance 151

96 New Division 4 inserted in Part II 152

Division 4—Independent review 152

35 Review of setting of premium and contributions by selfinsurers 152

97 New section 248AB inserted 153

248AB False or misleading statements 153

98 Investigation of fraud—amendment of section 248B 154

99 New section 248BA inserted 154

248BA Liability of premium adviser 154

Division 2—Accident Compensation (WorkCover Insurance) Act1993 155

100 Definitions 155

101 Compulsory WorkCover insurance—amendment of section 7 155

102 WorkCover insurance policy—amendment of section 9 159

103 Premiums order—general provisions—amendment of
section 16 160

104 New section 17A inserted 161

17A Authority may serve notice of premium 161

105 Adjustment of premium—amendment of section 21 161

106 New section 21A inserted 161

21A Premium notices in respect of deemed policy periods 161

107 Repeal of section 22 and consequential amendments 162

108 New section 26A inserted 163

26A Premium avoidance schemes 163

109 Repeal of sections 27, 28, 28A and 28B 164

110 Consequential amendments 164

111 Application of review and adjustment powers—amendment
of section31 164

112 Section 31A substituted 165

31A Refund of premium may be offset 165

113 Default penalty where failure to provide full true disclosure—amendment of section 31B 165

114 New Part 2A inserted 165

Part 2A—Premium review 165

32 Definition 165

33 Employer may apply for review of premium under
this Part 167

34 Payment of premium pending review 168

35 Review only as permitted under this Act 169

36 Time for lodging, and form of, application for review 169

36A Applications for review lodged out of time 170

36B Authority may decline application for review 170

36C Withdrawal of application for review 171

36D Time period for review 171

36E Request for information and suspension of review 171

36F Determination of review 173

36G Payments following review 175

36H Interest payable under section 36L 176

36I Deemed decisions of the Authority 177

36J Appeals 178

36K Hearing of appeal by Supreme Court 178

36L Premium review by Authority at its discretion 179

36M Adjustment of premium after review 179

115 Registration of section 55(2)(a) employer—amendment of section 58 179

116 Groups—amendment of section 66 180

117 Joint and several liability of group members—amendment of section 66A 184

118 Evidence—amendment of section 71 184

119 Supreme Court—limitation of jurisdiction—amendment of section 77 185

120 Consequential amendments 185

Part 11—Recoveries 186

121 Indemnity by third party—new subsection (4A) inserted 186

122 Indemnity by third party—new subsections (6) to(9) inserted 186

123 New section 252I inserted 187

252I Supreme Court—limitation of jurisdiction 187

Part 12—Self-Insurance 188

124 Definitions 188

125 Repeal of section 33A 188

126 Part V substituted 188

Part V—self-insurers 188

Division 1—General 188

139 Definitions 188

139A Student workers 190

139B Municipal Association of Victoria as self-insurer 191

Division 2—Application for approval as selfinsurer 191

140 Determination of eligibility to apply for approval as selfinsurer 191

141 Application for approval as self-insurer 192

141A Estimated rateable remuneration 194

141B Adjustment of application fee 194

Division 3—Approval as self-insurer 196

142 Approval as self-insurer 196

142A Terms and conditions of approval 198

143 Notice to be given to employer if application refused 199

144 Period that approval has effect 200

145 Review of approval 201

145A Revocation of approval 203

145B Cost associated with revocation recoverable from employer 205

145C Non-WorkCover employer ceases to be a selfinsurer 206

Division 4—Contributions to WorkCover Authority Fund 206

146 Payment of contribution 206

146A Submission of return by self-insurer 207

Division 5—Liability for claims for compensation 208

Subdivision 1—Liability of self-insurer 208

147 Self-insurer's liability to pay compensation 208

147A Claims management 208

148 Liabilities of self-insurer to be guaranteed 209

149 Payments by Authority 211

Subdivision 2—Election by self-insurer to assume liability
for tail claims 212

150 Movement from scheme insurance to self-insurance 212

150A Acquisition of scheme-insured body corporate by selfinsurer 213

150B Guarantee of liability for tail claims 215

150C Payment of settlement amount and other arrangements on assumption of liability for tail claims 216

150D Subsequent divestment of scheme-insured body corporate 217

Subdivision 3—Employer or subsidiary of employer ceases
to be self-insurer 218

151 Employer ceases to be selfinsurer 218

151A General provisions applying to assessment by an
actuary 220

151B Initial assessment of liability for tail claims 221

151C Annual assessment of tail claims liabilities and adjustment of payments 222

151D Provision of guarantees 223

151E Review of final revised assessment at the end of the liability period 227

152 Subsidiary of self-insurer becomes a non-WorkCover employer 228

Division 6—Miscellaneous 230

153 Guidelines 230

154 Investigation of self-insurer by Ombudsman 232

155 Secrecy provisions 233

127 New Schedules 4 and 5 inserted 236

SCHEDULE 4—Self-insurers—Pre-application Eligibility Fee 236

1 Pre-application eligibility fee 236

SCHEDULE 5—Application Fee for Approval as
Selfinsurer 238

1 Application fee 238

2 Assessment remuneration 238

3 Fee limit 239

Part 13—Return to Work 241

128 Repeal of section 93D 241

129 New Part VIIB inserted 241

PART VIIB—RETURN TO WORK 241

Division 1—Preliminary 241

189 Purpose 241

190 Obligations of employers and workers 242

191 Part does not derogate from other provisions in Act 242

192 Definitions 242

193 Application of Part 244

Division 2—Obligations of employers 245

194 Provide employment 245

195 Plan return to work 248

196 Consult about the return to work of a worker 249

197 Nominate a return to work co-ordinator 250

198 Make return to work information available 252

199 Host to co-operate with labour hire employer 253

Division 3—Obligations of workers 254

200 Participate in planning for return to work 254

201 Use occupational rehabilitation services 254

202 Participate in assessments 254

203 Return to work 254

204 Participate in an interview 256

Division 4—Termination of compensation 256

205 Failure to comply with Division 3 256

206 Notification of return to work 259

Division 5—General provisions 259

207 Resolution of return to work issues 259

208 Information about the employer obligation period 260

209 Authority may give direction 261

210 Compliance code 262

211 Effect of compliance codes 263

212 Disallowance of certain compliance code orders 263

213 Effect of compliance with compliance codes 264

213A Functions of Authority in respect of compliance
codes 264

214 Provisions applying to directions issued by the
Minister 264