Page 1905 - Week 05 - Thursday, 16 May 2019

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item

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section

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decision

24

139 (2)

tell applicant for quality of life benefits that insurer believes person’s injuries have stabilised but the person is not likely to have a permanent impairment as a result of the injuries

25

180 (2)

refuse to make periodic payments of treatment and care benefits and income replacement benefits because insurer not satisfied injured person intends to live outside Australia permanently or for an extended time

26

180 (2)

refuse to make periodic payments of treatment and care benefits and income replacement benefits because injured person has not lived outside Australia for at least eligibility period

27

181 (4) (a)

calculate amount of lump sum to be less than $10 000

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item

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decision

1

59 (2)

refuse late application because applicant does not have full and satisfactory explanation

2

65 (1)

reject liability for defined benefits

3

65 (1)

reject liability for defined benefits because applicant not a person mentioned in s 55 (1)

4

65 (1)

reject liability for defined benefits because application made on behalf of applicant by someone other than a person mentioned in s 55 (2)

5

65 (1)

reject liability for death benefits or funeral benefits because person’s death was not result of motor accident

6

66 (1)

not pay income replacement benefits because—

(a) applicant is person mentioned in s 43 (1); and

(b) none of the circumstances mentioned in s 43 (2) applies to the applicant

7

66 (1)

not pay quality of life benefits because—

(a) applicant is person mentioned in s 43 (1); and

(b) the circumstances mentioned in s 43 (3) do not apply to the applicant

8

66 (1)

not pay income replacement benefits because applicant is person mentioned s 46 (1)

9

66 (1)

not pay quality of life benefits because applicant is person mentioned in s 46 (1)