Page 2532 - Week 08 - Thursday, 5 August 2021
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report is January to March 2021. These reports provide information relevant to many of the Member’s questions.
1. A single application for defined benefits is made by an injured person for defined benefits, rather than separate applications for different types of defined benefits.
Income replacement benefits are payable when a person injured in a motor vehicle accident is unable to work for a period of time due to their injury. Some may experience only a few days off work and so do not seek the benefit. As such, not all defined benefit applications include a component for income replacement benefits.
The table overleaf shows the number of complete applications (where all information is available for an insurer to determine liability) for defined benefits for the month received by an MAI insurer and those applications that had income replacement payments.
|
Month |
Complete applications |
Complete applications with income replacement |
|
Feb 20 |
9 |
6 |
|
Mar 20 |
23 |
13 |
|
Apr 20 |
19 |
10 |
|
May 20 |
26 |
10 |
|
Jun 20 |
14 |
4 |
|
Jul 20 |
30 |
14 |
|
Aug 20 |
39 |
17 |
|
Sept 20 |
35 |
16 |
|
Oct 20 |
43 |
16 |
|
Nov 20 |
47 |
15 |
|
Dec 20 |
37 |
16 |
|
Jan 21 |
23 |
8 |
|
Feb 21 |
41 |
14 |
|
Mar 21 |
36 |
11 |
|
Apr 21 |
33 |
7 |
|
May 21 |
43 |
3 |
|
(June data pending) | ||
|
Total |
498 |
180 |
2. It is not possible to provide the information requested in questions 2(b), (c), (d) (e) and (f) as applications are not assessed exclusively on the basis of the income replacement benefit.
3. There have been seven internal reviews of income replacement decisions sought by applicants. It is not possible to provide information on rejections as applications are not assessed exclusively on income replacement benefits as noted above.
4. At internal review for a defined benefits application, where income replacement benefit was identified as the reason for review, six were affirmed and one was set aside and substituted.
5. No decisions relating to the income replacement benefit have been taken to external review by the ACAT.
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