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s 60

Application for defined benefits—action following receipt

In force
Chapter 2Motor accident injuries—defined benefits
Part 2.3Application for defined benefits
Division 2.3.2Application for defined benefits
Subdivision 2.3.2.2Making an application for defined benefits

60 Application for defined benefits—action following receipt

(1)

If the relevant insurer for a motor accident receives an application for defined benefits, the relevant insurer must, within the period stated in the MAI guidelines—

(a)

for an application made during the application period—give the applicant a written notice (a receipt notice) that includes—

(i)

information about how the applicant may apply for payment of allowable expenses; and

(ii)

other information required by the MAI guidelines; or

(b)

for a late application—give the applicant a written notice (a late receipt notice) stating that defined benefits will be paid to the applicant if the insurer accepts the application; or

(c)

for an application that is incomplete—return the application to the applicant accompanied by a notice (a required additional information notice) stating the additional information needed to complete the application and that the application will not be dealt with until the relevant insurer receives the additional information.

(2)

For subsection (1) (c), an application is incomplete if the application—

(a)

is not signed by or on behalf of the applicant; or

(b)

does not include all the information required, under the MAI guidelines or a regulation, to be included in the application.

(3)

A receipt notice or late receipt notice must be in the form, and include the information, required by the MAI guidelines.

Division 2.3.3 Payment of allowable expenses

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