Dictionary
Schedule 18 Dictionary
section 3
actuarial standard means the document called ‘Professional Standard 302—Valuations of general insurance claims’ issued by the Actuaries Institute.
actuary means an actuary approved by the Regulator.
adverse psychological reaction does not include a mental disorder.
AMA 5 means the 5th edition of the Guides to the evaluation of permanent impairment published by the American Medical Association.
ankylosis means fixation of a joint in a specific position.
annual levy, for part 2, division 3, see section 16.
application day, in relation to a self-insurer, for part 3, division 1, see section 26.
appointed actuary—
for part 3, division 1, see section 28; or
for part 3, division 2, see section 39; or
for part 3, division 3, see section 50; or
for part 3, division 4, see section 60; or
for part 3, division 5, subdivision 2, see section 72; or
for part 3, division 5, subdivision 3, see section 81(1); or
for part 3, division 6, see section 91(1).
arbiter means the actuarial arbiter appointed under section 100.
assessed premium, for an employer, means premium calculated using the employer’s wages for a period of insurance.
assessment day—
in relation to a self-insurer, for part 3, division 1, see section 26; or
in relation to a member, for part 3, division 2, see section 37; or
in relation to a former self-insurer, for part 3, division 3, see section 48; or
in relation to a non-scheme member, for part 3, division 6, see section 89.
cancellation day—
in relation to a former self-insurer, for part 3, division 3, see section 48; or
in relation to a non-scheme employer, for part 3, division 5, see section 69.
category, for schedule 6, see schedule 6, section 2(1)(b).
children’s functional independence measure, for part 6, division 1, see section 151.
claim means—
an application for compensation; or
a claim for damages.
consecutive categories, for schedule 6, see schedule 6, section 3.
consent day, in relation to a member, for part 3, division 2, see section 37.
corresponding score, for a category, for schedule 6, see schedule 6, section 1.
decision, of an insurer, for part 4, division 4, subdivision 4, see section 134.
digestive system—
means the organs and other parts of the body forming the alimentary tract, and includes the tongue, throat and abdominal wall; but
does not include an organ or other part of the body mentioned in the injury column of schedule 14.
dominant injury, of multiple injuries, means—
the injury of the multiple injuries having the highest range; or
if 2 or more of the injuries have the highest range—the injury (of those 2 or more injuries) that is selected as the dominant injury by a court assessing an ISV.
DPI amount, for schedule 5, see schedule 5, section 1(a).
DSM 4 means the 4th edition of the Diagnostic and statistical manual of mental disorders, text revision (DSM-IV-TR) published by the American Psychiatric Association in 2000.
estimated claims liability has the same meaning as in section 84(8) of the Act.
final day, in relation to a non-scheme member, for part 3, division 6, see section 89.
financial quarter means a period of 3 months beginning on 1 January, 1 April, 1 July or 1 October.
former self-insurer, for part 3, division 3, see section 48.
functional independence measure, for part 6, division 1, see section 151.
further premium, for an employer, means an amount, other than assessed premium or provisional premium, payable by an employer to WorkCover under the Act, and includes the following—
arrears of premium;
additional premium under section 8(3);
interest on premium under section 10(2);
an amount of unpaid premium or a payment or penalty payable under section 57(2) of the Act;
additional premium for late payment under section 61 or 62 of the Act;
additional premium under section 63 of the Act.
highest range means the range of ISVs having the highest maximum ISV.
household worker means a person employed solely in and about, or in connection with, a private dwelling house or the grounds of a private dwelling house.
injured worker means a worker who has sustained an injury.
injury, for part 4, division 4 and schedule 5, see section 123.
ISV means injury scale value.
Le Fort I fracture means a horizontal segmented fracture of the alveolar process of the maxilla.
Le Fort II fracture means a unilateral or bilateral fracture of the maxilla—
in which the body of the maxilla is separated from the facial skeleton and pyramidal in shape; and
that may extend through the body of the maxilla down the midline of the hard palate, through the floor of the orbit and into the nasal cavity.
Le Fort III fracture means a fracture in which the entire maxilla and 1 or more facial bones are completely separated from the brain case.
legal cost amount, for schedule 5, see schedule 5, section 1(b).
licence, in relation to a self-insurer, means a licence to be a self-insurer mentioned in section 71 or 72 of the Act.
medical certificate means—
in relation to an application under section 132 of the Act—
a certificate given by a doctor or nurse practitioner as required under section 132(3)(a) of the Act; or
a certificate given by a registered dentist as permitted under section 132(4) of the Act; or
in relation to an application under section 132A of the Act—
a certificate given by a doctor as required under section 132A(3)(c)(i) of the Act; or
a certificate given by a registered dentist as permitted under section 132A(4) of the Act; or
in relation to an application under section 132B of the Act—a certificate given by a doctor as required under section 132B(3)(c)(i) of the Act.
medical expert, for an assessment of a PIRS rating, means a person—
who is appropriately qualified to perform the assessment, including, for example, a psychologist, neuropsychologist or psychiatrist; and
who has had appropriate training in the use of the PIRS.
medical specialty means a branch of medicine that is a recognised specialty under the Health Practitioner Regulation National Law.
member, for part 3, division 2, see section 37.
mental disorder means a mental disorder recognised under DSM 4.
modified barthel index means the guidelines and modified scoring of the barthel index stated in the article ‘Improving the sensitivity of the barthel index for stroke rehabilitation’ by S Shah, F Vanclay and B Cooper published in the Journal of Clinical Epidemiology, 1989, vol 42 no 8, pp 703-709.
new insurer, for part 3, division 2, see section 38.
nurse means a person registered under the Health Practitioner Regulation National Law to practise in the nursing profession, other than as a student.
old insurer, for part 3, division 2, see section 38.
old self-insurer, for part 3, division 6, see section 89.
outstanding liability, for part 3, division 1, see section 26.
panel, for part 4, division 4, see section 123.
PIRS means the psychiatric impairment rating scale stated in schedule 16.
PIRS rating, for a mental disorder, means a rating on the PIRS for the permanent impairment caused by the mental disorder.
pre-existing, in relation to an injury, means existing at the time immediately before the injury.
premium includes assessed premium, provisional premium and further premium.
provisional annual levy, for part 2, division 3, see section
19(2)(a).
provisional premium, for an employer, means premium calculated using a reasonable estimate of wages for a period of insurance.
qualifying condition, for part 4, division 4, see section 123.
range, in relation to an ISV for an injury, means the range of ISVs for the injury stated in schedule 14.
reading, of a chest x-ray, for schedule 6, see schedule 6, section 2.
second appointed actuary, for part 3, division 4, see section 66(1).
section 193A compensation, for an injury, for part 4, division 4, see section 123.
section 193A notice, for part 4, division 4, see section 129(1).
self-insurer’s data, for part 3, division 4, see section 58.
specialty medical assessment tribunal see section 197(b).
specified date, for part 2, division 3, see section 18(2).
summary report—
for part 3, division 1, see section 32(1); or
for part 3, division 2, see section 43(1); or
for part 3, division 3, see section 54(1); or
for part 3, division 5, subdivision 2, see section 76(1); or
for part 3, division 5, subdivision 3, see section 85(1); or
for part 3, division 6, see section 95(1).
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