Workers’ Compensation and Rehabilitation Regulation 2025

After deciding the matters mentioned in section 128, the insurer must give the worker a notice (a section 193A notice) in the approved form.

If the insurer decides the qualifying condition is satisfied for the worker, the section 193A notice must state the amount of section 193A compensation to which the worker is entitled for the worker’s injury.

If the insurer decides the qualifying condition is not satisfied for the worker, the section 193A notice must state—

the insurer’s decision; and

that the worker may ask the insurer for written reasons for the decision; and

that the worker may apply to the panel for a review of the decision only if the worker has asked the insurer for written reasons for the decision.

If the insurer decides it does not have enough information to decide whether the qualifying condition is satisfied for the worker, the section 193A notice must state—

the insurer’s decision; and

that the worker may, within the period mentioned in section 131(2)(a), give the insurer information to enable the insurer to decide whether the qualifying condition is satisfied for the worker; and

that, if the worker does not give the insurer the information within the period mentioned in paragraph (b)—

the qualifying condition will be taken not to be satisfied for the worker; and

the worker will not be entitled to section 193A compensation; and

the worker will not have a right to apply to the panel for a review of the matters mentioned in subparagraphs (i) and (ii).