Page 1906 - Week 05 - Thursday, 16 May 2019

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item

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section

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decision

10

66 (1)

not pay quality of life benefits and death benefits because person who died as a result of motor accident is person mentioned in s 46 (2)

11

66 (1)

not pay defined benefits because s 49 applies to the injured person or dead person but MAI commission has not notified insurer that motor accident caused by, or attributable to, act of terrorism

12

66 (1)

not pay income replacement benefits because applicant not entitled to those benefits under s 89

13

66 (1)

not pay treatment and care benefits for expenses incurred for stated treatment and care because of 1 or more of the following reasons:

(a) treatment and care not reasonable and necessary;

(b) treatment and care did not relate to personal injury sustained in motor accident;

(c) injured person has not paid for the treatment and care and is not liable to pay for the treatment and care

14

66 (1)

not pay treatment and care benefits for domestic services expenses incurred by injured person in employing someone to provide domestic services to injured person’s dependants because of 1 or more of the following reasons:

(a) expenses not reasonable and necessary;

(b) injured person did not provide those services to dependants before the motor accident;

(c) dependants are able to undertake those services

15

66 (1)

not pay treatment and care benefits for travel expenses incurred by injured person and a parent or other carer accompanying injured person because of 1 or both of the following reasons:

(a) expenses for travel and accommodation not reasonable and necessary;

(b) travel not undertaken to undergo treatment and care

16

66 (1)

not pay death benefits because coroner finds dead person’s conduct in relation to motor accident made up physical elements of conduct of serious offence or 2 or more driving offences

17

66 (1)

not pay funeral benefits because applicant not entitled to funeral expenses under s 175

18

96

decision about the amount of income replacement benefits an injured person is entitled to for first payment period