Page 1907 - Week 05 - Thursday, 16 May 2019

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decision

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97

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

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100 (1)

decision about injured person’s post-injury earning capacity

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101 (3) (b) (ii), (4) (b) (ii) or (5) (b) (ii)

refuse to make earlier payment of income replacement benefits to injured person who makes late application for defined benefits because not satisfied there are exceptional circumstances justifying earlier payment

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105 (2)

suspend injured person’s benefit payments

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107 (1) (b)

reduce or stop paying income replacement benefit payments

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121 (1)

make reasonable request to injured person to attend health practitioner for assessment of treatment and care needs

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121 (3)

suspend payment of treatment and care benefits and income replacement benefits because injured person fails to comply with reasonable request to attend health practitioner

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126 (2)

refuse to approve treatment and care not mentioned in injured person’s recovery plan because treatment and care not reasonable and necessary in the circumstances and will not assist with injured person’s recovery or management of person’s injury

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128 (2) (a) (i) (B)

refuse to make earlier payment of treatment and care expenses, domestic services expenses and travel expenses in relation to late application for period starting on date that is 13 weeks before date of application because insurer not satisfied that there are exceptional circumstances justifying earlier payment

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158 (2)

amount of injured person’s final offer WPI

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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

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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

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181 (4) (a)

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