Motor Accident Injuries Act 2017

A decision determining a merit review application takes effect on the date on which it is given or such later date as may be specified in the decision.

If any such decision varies, or is made in substitution for, an insurer’s decision, the decision of the merit reviewer is taken—

to be the decision of the insurer (other than for the purposes of a review under this Division), and

to have had effect as the decision of the insurer on and from the date of the insurer’s actual initial decision, unless the merit reviewer directs otherwise.

A decision determining a merit review application is, subject to section 7.15 (Review of merit review decision by review panel), binding on the parties to the review.

If the decision results in an increase in the amount of any weekly payments of statutory benefits payable to a claimant, the insurer must commence payment of the statutory benefits in accordance with the decision within 7 days after the issue of the certificate as to the merit reviewer’s determination.

It is a condition of an insurer’s licence under this Act that the insurer must comply with this section.