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s 161

Final offer WPI less than 5%

In force
Chapter 2Motor accident injuries—defined benefits
Part 2.6Defined benefits—quality of life benefits
Division 2.6.3Quality of life benefits—WPI assessment

161 Final offer WPI less than 5%

(1)

If the relevant insurer for a motor accident decides an injured person’s final offer WPI is less than 5%, the relevant insurer must, within the stated time, give the person a written notice—

(a)

if the insurer requested the IME provider to arrange a review of the first WPI report under section 159—including a copy of the IME provider’s notice of affirmation or increase; and

(b)

telling the person—

(i)

their final offer WPI; and

(ii)

how they may apply to the ACAT for review of the final offer WPI decision; and

(iii)

if separate WPI reports assess an injured person’s physical injuries and psychological injuries—how the final offer WPI was determined.

(2)

In this section:

stated time means—

(a)

if separate first WPI reports are provided for the injured person’s physical injuries and psychological injuries and the insurer requests the IME provider arrange a review of only 1 report under section 159—14 days after receiving the IME provider’s notice of affirmation or increase; or

(b)

if separate first WPI reports are provided for the injured person’s physical injuries and psychological injuries and the insurer requests the IME provider arrange a review of both reports under section 159—14 days after receiving the IME provider’s notice of affirmation or increase for both reports; or

(c)

if only 1 first WPI report is provided and the insurer requests the IME provider arrange a review under section 159—14 days after receiving the IME provider’s notice of affirmation or increase; or

(d)

if separate first WPI reports are provided for the injured person’s physical injuries and psychological injuries and the insurer did not request the IME provider arrange a review of either report under section 159—28 days after receiving the later of the second WPI reports; or

(e)

if only 1 first WPI report is provided and the insurer did not request the IME provider arrange a review under section 159—28 days after receiving the second WPI report.

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