Insurer believes injuries not stabilised—up to 4 years 6 months after motor accident
140 Insurer believes injuries not stabilised—up to 4 years 6 months after motor accident
This section applies if the relevant insurer for a motor accident—
receives a quality of life benefits application from a person injured in the accident; and
reasonably believes that the person’s injuries have not stabilised; and
it is less than 4 years and 6 months after the date of the motor accident.
The relevant insurer must give the injured person a written notice telling the person—
that the insurer believes the person’s injuries have not stabilised; and
the reasons for the belief; and
that the insurer recommends that the WPI assessment be delayed until the injuries have stabilised; and
that the injured person may request a WPI assessment be carried out immediately but the insurer will not pay for a further assessment if the assessment confirms that person’s injuries have not stabilised.
If the injured person requests a WPI assessment be carried out immediately, the relevant insurer must refer the injured person to an authorised IME provider for a WPI assessment.
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