QueenslandWorkCover
Queensland Act 1996WORKCOVERQUEENSLANDREGULATION1997Reprinted as in force on 22 November
2002(includes amendments up to SL No. 304 of
2002)Reprint No. 2DThis reprint is
prepared bythe Office of the Queensland Parliamentary
CounselWarning—This reprint is not an authorised
copy
Information about this reprintThis
regulation is reprinted as at 22 November 2002.The reprint shows
the law asamended by all amendments that commenced on
or before that day (Reprints Act 1992s 5(c)).The
reprint includes a reference to the law by which each amendment was
made—see listof legislation and list of annotations in
endnotes.This page is specific to this reprint.See
previous reprints for information about earlierchanges made under
the Reprints Act 1992.A table of earlier reprints is
included in theendnotes.Also see endnotes
for information about—•when provisions
commenced•editorial changes made in earlier
reprints.Dates shown on reprintsReprints dated at
last amendmentAll reprints produced on or after 1 July
2002, hardcopy and electronic, are dated as at the last
date of amendment. Previously reprints weredated as at the
date of publication. If a hard copy reprint is dated earlier than
an electronicversion published before 1 July 2002, it
means the legislation was not further amendedand the reprint
date is the commencement of the last amendment.If the date of a
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the electronic version was published before thehard copy version.
Also, any revised edition of the previously published electronic
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s19s3WorkCover Queensland Regulation 1997WORKCOVER QUEENSLAND REGULATION1997[as amended by all amendments that
commenced on or before 22 November 2002]PART
1—PRELIMINARY1Short titleThisregulationmaybecitedastheWorkCoverQueenslandRegulation
1997.2CommencementThis regulation
commences on 1 February 1997.3DefinitionsIn this
regulation—“actuarialstandard”means‘ProfessionalStandard300—Actuarialreports and
advice on outstanding claims in general insurance’ issuedby
the Institute of Actuaries of Australia (ACN 000 423 656).1“actuary”means an actuary
approved by WorkCover.“AMAguide”meansthe‘GuidestotheEvaluationofPermanentImpairment’
published by the American Medical Association.“arbiter”means the actuarial arbiter appointed under
section 129.“assessed premium”, for an
employer, means premium calculated usingthe employer’s
wages for a period of insurance.“binaural
tables”means the binaural tables recommended and
publishedfor the time being by NAL.1A copy of the standard may be
inspected at the WorkCover’s head office at 280Adelaide Street,
Brisbane.
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310s 3WorkCover
Queensland Regulation 1997“centralestimate”hasthemeaninggivenbytheactuarialstandard,section 10.“claim”,
for part 9, means—(a)an application for compensation;
or(b)a claim for damages.“excess period”see section 69
of the Act.“financial quarter”means a period
of 3 months beginning on 1 January,1 April, 1 July
or 1 October.“furtherpremium”foranemployermeansanamount,otherthanassessed premium
or provisional premium, payable by an employer toWorkCover under the Act, and includes the
following—(a)arrears of premium;(b)additional premium under section
8(4);(c)interest on premium under section
10(2);(d)an amount of unpaid premium or a
payment or penalty payableunder section 61(2)2of the Act;(e)additional premium for late payment under
section 65 or 663ofthe Act;(f)additional premium under section
674of the Act;(g)an
amount payable under section 715of
the Act.“hearinglosstables”meansthehearinglosstablesrecommendedandpublished for the time being by NAL.“lower
extremity”see AMA guide.6“modified barthel index”means the
guidelines and modified scoring ofthe barthel
index stated in the article ‘Improving the Sensitivity of
theBarthelIndexforStrokeRehabilitation’
bySShah,F Vanclayand2Section 61
(Recovery of compensation and unpaid premium) of the Act3Section65(Additionalpremiumpayableifpremiumnotpaid)or66(Furtheradditional
premium payable after appeal to industrial magistrate) of the
Act4Section 67 (Additional premium for
out-of-State workers) of the Act5Section 71 (Employer may insure against
payment for excess period) of the Act6Under
the AMA guide, the lower extremity has 6 sections, namely, the
foot, thehindfoot, the ankle, the leg, the knee and
the hip.
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411s 4WorkCover
Queensland Regulation 1997B CooperpublishedintheJournalofClinicalEpidemiology,1989,vol
42 no 8, pp 703-709.“NAL”means the
National Acoustic Laboratories (Cwlth).“ophthalmologists
guide”means the publication ‘A Guide to Members
oftheAustralianCollegeofOphthalmologists’publishedforthetimebeing by the Australian College of
Ophthalmologists.“premium”includes
assessed premium, provisional premium and furtherpremium.“presbycusiscorrectiontable”meansthepresbycusiscorrectiontablerecommended and published for the time being
by NAL.“provisionalpremium”,foranemployer,meanspremiumcalculatedusing a
reasonable estimate of wages for a period of insurance.“prudentialmargin”hasthemeaninggivenbytheactuarialstandard,section 12.“risk free rate of
return”has the meaning given by the actuarial
standard,section 13.“upper
extremity”see AMA guide.74Scheme solvency—Act, s 5(1)Forsection5(5)(b)oftheAct,WorkCover’sassetsmustexceedWorkCover’s liabilities by at least 5% of
WorkCover’s outstanding claimsprovisions at the
end of its last financial year.(2)To
remove any doubt, the amount required under subsection (1) is
inaddition to the minimum solvency or capital
adequacy standards requiredunder section
5(5)(a) of the Act.7Under the AMA guide, the upper
extremity has 4 parts, namely, the hand, the wrist,the
elbow and the shoulder.
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512s 7WorkCover
Queensland Regulation 1997PART 2—EMPLOYER INSURANCEDivision 1—Policies and premium
assessments5Application for policyAn
application for a policy must be made to WorkCover in the
approvedform.6Policies and
renewals(1)On payment of the premium shown as
payable in a premium noticeissuedbyWorkCovertoanemployer,WorkCovermustissuetotheemployer a
policy, in the approved form, for the period of insurance
statedin the notice.(2)A
policy has no force or effect until—(a)WorkCover receives the premium payable to
WorkCover for thepolicy or its renewal; or(b)WorkCover enters into an instalment
plan for the policy undersection 10.87Assessment of premium(1)This section does not apply to a
policy for household workers.(2)WorkCovermustassesspremiumpayableunderapolicyforeachperiod of
insurance shown in a premium notice.(3)The
following formula must be used to calculate premium—P=AP - PPP + PP +
FP(4)However, if the policy relates to
government workers covered underan arrangement
approved by WorkCover, WorkCover may assess premiumat
the rate decided by WorkCover after taking actuarial advice.8Section 10 (Payment of premium by
instalments)
s
813s 8WorkCover
Queensland Regulation 1997(5)Foraperiodofinsurancebefore1July1997,anassessmentofpremium must be made in accordance with the
provisions of the Act inforce at the time of the relevant
period of insurance.(6)If,afterthepremiumisassessed,WorkCoverissatisfiedthatpremiumfortheperiodhasbeenoverpaid,WorkCovermustrefundorcredit the amount of overpayment to the
employer to whom the premiumnotice is
given.(7)If,afterthepremiumisassessed,WorkCoverissatisfiedthatpremiumfortheperiodhasbeenunderpaid,theemployertowhomthepremium notice is given must pay the premium
as assessed.(7A)Thepremiumforapolicyassessedunderthissectionmaybeincreased to take account of the
following—(a)GST payable for the supply of the
policy;(b)duty payable under theDuties Act 2001for the
policy.(8)In subsection (3)—“P”means the premium payable.“AP”means assessed premium for the
preceding period of insurance.“PPP”means provisional premium for the preceding
period of insurance.“PP”means provisional premium for the
period of insurance.“FP”means further premium.8Declaration of wages(1)Thissectiondoesnotapplytoanemployerwhoemploysonlyhousehold workers.(2)Eachemployer,otherthanaself-insurer,must,onorbefore31
August in each year, lodge with WorkCover a declaration of wages
soWorkCover can assess the employer’s
premium.(3)The declaration must be in—(a)the approved form; or(b)withWorkCover’sapproval—anotherformacceptabletoWorkCover.(4)If
an employer does not comply with subsection (2), the
employermust pay an additional premium under schedule
1.
s
914s 10WorkCover
Queensland Regulation 1997(5)Theadditionalpremiumpayableunderschedule1istheamountspecified opposite the time after 31 August
in a year when the employercomplies with
subsection (2).9Value of board and lodging(1)This section applies if an employer
provides, or is to provide, boardto a worker
during a period of insurance.(2)The
value of board provided is taken to be wages paid, or to be
paid,by the employer to the worker.(3)Foreachweektheemployerprovides,oristoprovideboard,thevalue of board is not less than—(a)the weekly allowance for board
provided for under the industrialinstrument
governing the calling in which the worker is engaged;or(b)if paragraph (a)
does not apply—6% of QOTE.(4)In this
section—“board”meansaccommodation,meals,laundryservicesoranyotherentitlement having a monetary value provided
when lodging.10Payment of premium by
instalments(1)WorkCover may accept payment of
premium by instalments underan instalment
plan approved by WorkCover if WorkCover is satisfied thatpayment of premium by the due date would
impose financial hardship onthe
employer.(2)The instalment plan is subject to the
following conditions—(a)interestataratespecifiedbytheboardbyindustrialgazettenotice must be added to the amount of each
instalment;(b)interest must be calculated from the
due date;(c)theinterestratethatappliesatthestartoftheinstalmentplanremains constant until the plan ends;(d)onacceptanceoftheinstalmentplan,theemployermust,ifrequiredbyWorkCover,enterintoapaymentarrangementacceptable to
WorkCover;
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1115s 11WorkCover
Queensland Regulation 1997(e)if an instalment
of premium is not paid on or before the due datefor
payment of the instalment—(i)thetotalamountofunpaidinstalmentsandinterestonoutstandinginstalmentstothatdayimmediatelybecomespayable to WorkCover; and(ii)additional
premium under section 11 applies to the unpaidinstalments and
interest; and(iii)the policy for
which the premium is payable ceases to haveeffect;
and(iv)the employer
contravenes section 529of the
Act.11Additional premium for late
payment—Act, ss 65 and 66(1)This section
applies if, on or before the due date, an employer doesnot
pay—(a)the amount of premium payable under a
premium notice; or(b)theamountbywhichafinalassessmentofpremiumbyanindustrialmagistrateortheIndustrialCourtismorethantheamount of assessment of premium paid
under section 490(4) ofthe Act.(2)To
remove any doubt, this section does not apply if WorkCover
hasaccepted payment of the amount under an
instalment plan and instalmentsare paid under
the plan.(3)Thissectiondoesnotapplytoanemployerwhoemploysonlyhousehold workers.(4)The
additional premium payable under section 65 or 66 of the Actis—(a)if payment of
the amount is made to WorkCover within 30 daysafter the due
date—5% of the amount; or(b)if payment of
the amount is made to WorkCover after 30 days butwithin 60 days of the due date—10% of the
amount; or(c)if payment of the amount is made to
WorkCover after 60 days ofthe due date or if no payment is
made—10% of the amount plusinterest at the
annual rate mentioned in section 10(2)(a) for the9Section 52 (Employer’s obligation to
insure) of the Act
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1216s 13WorkCover
Queensland Regulation 1997period from the due date, or a later
date decided by WorkCover,untiltheamountandalladditionalpremiumispaidtoWorkCover.12Deemed premium—s 31(1)For
section 31,10deemed premium for a self-insurer, for
a financialyear of the self-insurer’s licence, is the
notional premium calculated underthe
formula—D=W----1---0-x--0---R--(2)In subsection
(1)—“D”means deemed premium.“W”means—(a)the
wages of the self-insurer for the financial year of licence;
or(b)iftheself-insurerhasonlybeenself–insuredforpartofafinancialyear—areasonableestimateofthewagesoftheself-insurer for
the financial year of licence.“R”means the rate for the self-insurer’s
industry or business specified inthe notice under
section 5811of the Act that applies to the
financialyear of licence.13Deemed premium—Act, s 515(2)(a)(1)For section 515(2)(a)12of the Act, deemed premium, for an
employerfor a period of insurance or for a
self-insurer for a financial year of theself–insurer’slicence,isthenotionalpremiumcalculatedundertheformula—D=W----1---0-x--0---R--(2)In subsection (1)—“D”means deemed premium.10Section 31 (Annual levy—Act, s 111)11Section 58 (Setting of premium) of the
Act12Section 515 (Starting appeals) of the
Act
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1417s 14WorkCover
Queensland Regulation 1997“W”means—(a)the wages of the employer for the
preceding period of insuranceor of the
self-insurer for the preceding financial year of licence;or(b)iftheemployerortheself-insurerhasonlybeeninsuredorself–insured for part of a period of
insurance or part of a financialyear—a
reasonable estimate of the wages of the employer for theperiodofinsuranceorofthewagesoftheself-insurerforthefinancial year of licence.“R”means the rate for the employer’s or
self-insurer’s industry or businessspecified in the
notice under section 5813of the Act that
applies to theperiod of insurance or financial year of
licence.14Cancellation of policy on ceasing to
employ workers(1)This section applies if an employer
wishes to cancel a policy becausethe employer has
ceased to employ workers.(2)Thissectiondoesnotapplytoanemployerwhoemploysonlyhousehold workers.(3)The
employer must give WorkCover—(a)written notice that the employer—(i)has ceased to employ workers on and
from a date specifiedin the notice; and(ii)wishes to cancel the policy; and(b)written details of the employer’s
wages in relation to the periodstarting on 1
July last preceding the day on which employment ofworkers ceased and ending on that
day.(4)WorkCover must assess the premium
payable by the employer forthe period during
which the employer was required by the Act to maintaina
policy.(5)Ifthepremiumpaidbytheemployerfortheperiodmentionedinsubsection (3) is—13Section 58 (Setting of premium) of the
Act
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1518s 15WorkCover
Queensland Regulation 1997(a)greaterthantheamountofpremiumassessedundersubsection
(3)—WorkCovermustrefundtotheemployertheamount overpaid; or(b)lessthantheamountofpremiumassessedundersubsection
(3)—the employer must pay WorkCover the amountof the deficit on
or before the due date under a final premiumnotice issued
for the amount of the deficit.15Documents to be kept—Act, s 469(1)An employer or contractor must keep
the following documents forsection 469 of
the Act—(a)thetimeandwagesbook,orwagesbook,andtheregisterofemployees,requiredtobekeptundertheIndustrialRelationsAct;(b)documents,oraccurateandcompletecopiesofdocuments,requiredtobekeptunderalawoftheCommonwealthforpayments made to the employer’s workers or
contractors for theperformance of work, including, for
example—(i)group certificates; and(ii)group employer’s
reconciliation statements; and(iii)prescribedpaymentsystempayer’sreconciliationstatements;(c)theperson’sprofitandlossaccount,totheextentitrelatestoamounts paid for wages for workers, or to
contractors.(2)However, a document mentioned in
subsection (1)(b) or (c) need notcontaininformationanemployerorcontractorreasonablybelievesisconfidentialandnotnecessarytoenableWorkCovertocalculatetheperson’sactualexpenditureonwagesorforcontractsfortheperiodtowhich
the document relates.Examples—1.Income and profit lines.2.Tax file numbers.(3)An
employer or contractor need not comply with subsection (1)
if—(a)WorkCoverhasgiventheemployerorcontractornoticethatadocument need not be kept, and the notice
remains in force; or
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1619s 16WorkCover
Queensland Regulation 1997(b)theemployerorcontractorwasacorporationandhasbeenwound-up.(4)In this section—“worker”does
not include a household worker.Division
2—Employer excess16Excess period—Act, s 69(1)The excess period is calculated having
regard to—(a)thedaysworkedunderaworker’scontractofservicewithanemployer when the injury was
sustained; and(b)the period—(i)if
the worker’s total incapacity is ongoing—of 1 week fromwhentheworker’sentitlementtoweeklypaymentofcompensation starts; or(ii)iftheworker’stotalincapacityisinterrupted—oftheworker’s continuing incapacity because of
the injury.(2)If a worker is required to work for a
stated number of days only, theexcess period is
up to the stated number of days, or 4 days, whichever is thelesser.Example of
excess period for subsection (1)(b)(i)—1.A worker is employed 5 days a week
(Monday to Friday). Theworker sustains an injury on Tuesday
and immediately stopsworktoattendformedicaltreatment.Thetreatingdoctorcertifies total incapacity for work for 2
weeks. The excess periodis 4 days (from Wednesday to
Monday).Example of excess period for subsection
(1)(b)(ii)—1.A worker is
employed 5 days a week (Monday to Friday). Theworker sustains
an injury on Wednesday, attends for medicaltreatmentthatdayandthetreatingdoctorcertifiestotalincapacityfor2days.Theinitialexcessperiodis2days(Thursday and
Friday).The worker returns to work on Monday and
works Monday,Tuesday and Wednesday. However, the
incapacity from the sameinjury continues and the worker
obtains a subsequent medicalcertificate for 2
days. The balance of the excess period is 2 days(Thursday and Friday). The total excess
period is 4 days.
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1720s 17WorkCover
Queensland Regulation 1997Examples of excess period for
subsection (2)—1.Aworkerisemployed2daysaweek(ThursdayandSaturday).Theworkersustains an
injury on Saturday and continues to work until the end of the day.
Theworker attends for medical treatment the
following Monday and the treating doctorcertifiestotalincapacityforworkfor10days.Theexcessperiodis2days(Thursday and Saturday).2.A
worker is employed for 1 day only. The worker sustains an injury,
attends formedical treatment and the treating doctor
certifies total incapacity for 3 days. Theexcess period is
1 day.17Employer’s election to insure against
payment for excessperiod—Act, s 71(1)An
employer may only elect to insure against the employer’s
liabilityto pay for the excess period for a period of
insurance—(a)at the start of a new policy—by making
written application toWorkCover on the application for a
policy; or(b)onrenewalofapolicy—bymakingwrittenapplicationtoWorkCoveronorbefore31 Augustintherenewedperiodofinsurance.(2)The
employer’s election to insure for a period of insurance—(a)appliesfromthedaytheemployer’swrittenapplicationisreceived by WorkCover, or the start of the
policy, whichever isthe later; and(b)applies until the end of the period of
insurance; and(c)cannot be withdrawn by the
employer.(3)However, if the employer elected to
insure for the preceding periodof insurance and
elects to insure for the current period of insurance on orbefore 31 August in the current period of
insurance, the election appliesfrom the start of
the current period of insurance.(4)If
the employer does not pay the premium for the period by the
duedate for payment of the premium or an
instalment of premium under aninstalment plan,
the employer is taken never to have made the election toinsure.
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1821s 30WorkCover
Queensland Regulation 199718Amount payable to
insure against payment for excessperiod—Act, s
71(1)This section applies if an employer
elects to insure under section 71of the Act
against the employer’s liability to pay for the excess
period.(2)The amount payable by the employer is
the greater of—(a)8.5% of the employer’s premium for the
period of insurance; or(b)$10.00.(3)For subsection (2)(a), the employer’s
premium is—(a)if the employer elects to insure for
the period of insurance anddid not elect to
insure for the preceding period of insurance—P = PP;
or(b)if the employer elects to insure for
the period of insurance andelected to
insure for the preceding period of insurance—P = AP - PPP +
PP; or(c)if
the employer did not elect to insure for a period of
insuranceand elected to insure for the preceding
period of insurance—P = AP - PPP(4)In
this section—“P”means premium.“AP”means assessed premium for the preceding
period of insurance.“PPP”means
provisional premium for the preceding period of insurance.“PP”means provisional premium for the
period of insurance.Division 4—Self-insurance30Application fees—Act, s 100For
section 100 of the Act, the amount of the application fee
is—(a)for a single employer—$15 000;
or(b)for a group employer—$20
000.
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3122s 32WorkCover
Queensland Regulation 199731Annual levy—Act,
s 111(1)Forsection111ofthe Act,theamountofthelevypayablebyaself-insurer for
each financial year or part of a financial year of a licence
isan amount calculated under the
formula—L=(D–EDP + ED)×R.(2)In subsection
(1)—“L”means annual levy.“D”means deemed premium for the self-insurer
for the preceding financialyearoflicencecalculatedundersection12usingthewagesoftheself-insurer for the year of
licence.“EDP”meansdeemedpremiumfortheself-insurerfortheprecedingfinancial year of
licence calculated under section 12 using estimatedwages of the self-insurer for the year of
licence.“ED”means deemed premium for the
self-insurer for the current financialyear of licence
calculated under section 12 using estimated wages ofthe
self-insurer for the year of licence.“R”meanstheratepublishedintheindustrialgazettenoticeundersection 11114of
the Act.32Conditions of licence—Act, s
112A self-insurer’s licence is subject to the
following conditions—(a)foreachyear,orpartofayear,ofalicence—theself-insurermust lodge with
WorkCover a declaration in the approved formof the
self-insurer’s wages so that WorkCover can calculate thelevy
payable under section 31;(b)the
unconditional bank guarantee lodged under section 113 of theAct—(i)mustbeissuedbyabankorQueenslandTreasuryCorporation; and(ii)must
not be issued by a bank that is a related body corporateto
the self-insurer; and14Section 111
(Annual levy payable) of the Act
s
3323s 33WorkCover
Queensland Regulation 1997(iii)must be
satisfactory to WorkCover;(c)theannualassessmentofestimatedclaimsliabilityundersection 113(3) of the Act must be carried
out under guidelinesissued by WorkCover by industrial
gazette notice.33Premium payable after cancellation of
self-insurer’s licence—Act,s 125(1)Thissectionappliesifaformerself-insurercontinuestobeanemployer after the self-insurer’s licence is
cancelled.(2)Thepremiumpayablebytheformerself-insurerforthefirst2 periods of
insurance after cancellation is to be calculated according to
themethod and at the rate specified by WorkCover
by industrial gazette noticeunder section
5815of the Act as if the employer were a
new employer.(3)However, the rate under subsection (2)
cannot be less than the ratecalculated under
the following formula—R=(---P-----+-----L-----+-W----A----)----x----1---0---0--(4)In subsection (3)—“R”means the premium rate.“P”meanstheactualpaymentsmadebytheformerself-insurer,lessrecoveriesreceivedandpaymentsmadethataretheequivalentofamounts payable for the excess period, for
claims incurred during thefinal period of licence.“L”means an actuarial estimate of the
outstanding liability at the end ofthe
self-insurer’s licence for claims incurred during the final period
oflicence, excluding liability for the excess
period.“A”means the administrative costs
associated with claims incurred duringthe final period
of licence, calculated by multiplying P + L by 0.095.“W”means the wages of the self-insurer
during the final period of licence.“final period of
licence”means—(a)foranemployerlicensedasaself-insurerfor3ormoreyearsimmediately
before cancellation of the licence—3 years; or15Section 58 (Setting of premium) of the
Act
s
3424s 35WorkCover
Queensland Regulation 1997(b)for an employer
licensed as a self-insurer for less than 3 yearsimmediately before cancellation of the
licence—the period of thelicence.34Actuarial procedure—self-insurers(1)Actuarial estimates required under
this division must be carried outby an actuary
approved by WorkCover.(2)The actuary must
calculate the estimate under guidelines issued byWorkCover by industrial gazette
notice.PART 3—OTHER INSURANCESDivision
1—Students35Insurance of work experience
students(1)In this section—“corporation”meansthecorporationsoleoftheMinisterestablishedunder theEducation (General Provisions) Act
1989.“educationalestablishment”hasthemeaninggivenintheEducation(Work Experience) Act 1996,
section 5.“student”hasthemeaninggivenintheEducation(WorkExperience)Act 1996,
section 3.“workexperience”hasthemeaninggivenintheEducation(WorkExperience) Act
1996, section 4.“work experience
place”means a place where work experience is, or
is tobe, provided for a student.(2)WorkCovermayenterintoacontractofinsurancewithaneducationalestablishmentorthecorporationtoinsuretheeducationalestablishmentorthecorporationagainstliabilityforcompensationforinjury to a student arising out of work
experience.
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3625s 36WorkCover
Queensland Regulation 1997(3)For this
section, when deciding whether an injury arises out of, or
inthe course of, work experience, chapter 1,
part 4, division 6, subdivisions 2and 316of the Act apply as if(a)the student were a worker; and(b)work experience were the employment;
and(c)the work experience place were the
place of employment; and(d)thecorporationortheeducationalestablishmentweretheemployer.(4)A
student has the same entitlements to compensation as a
worker.(5)For the entitlements of a student to
compensation, all the provisionsof the Act under
which entitlements are decided apply to the student in thesame
way as they would apply to a worker including, for example—•the provisions of chapter 3
(Compensation)•the provisions of chapter 7 (Medical
Assessment Tribunals)•the provisions
of chapter 9 (Reviews and Appeals).(6)However,insurancecoverprovidedunderacontractofinsuranceunderthissectionislimitedtocompensationunderchapter3,parts9and
1017of the Act.(7)Also,thecontractdoesnotcoverpaymentofdamagesforinjurysustained by the
student.(8)WorkCover has a liability under a
contract of insurance entered intounder this
section only if the premium assessed for the contract has
beenpaid in full.36Insurance of industry placement
students(1)In this section—“college”has
the meaning given in theVocational Education and
Training(Industry Placement) Act 1992,
section 4.16Chapter1(Preliminary),part4(Basicconcepts),division6(Injuriesandimpairment), subdivisions 2 (Injury) and 3
(When injury arises out of, or in thecourse of,
employment) of the Act17Chapter 3
(Compensation), parts 9 (Entitlement to compensation for
permanentimpairment) and 10 (Compensation on worker’s
death) of the Act
s
3626s 36WorkCover
Queensland Regulation 1997“industry placement”has
the meaning given in theVocational Educationand
Training (Industry Placement) Act 1992, section 8, but
does notinclude a paid industry placement.“industry placement place”means a place where industry placement
is,or is to be, provided for a student.“student”hasthemeaninggivenintheVocationalEducationandTraining (Industry Placement) Act
1992, section 4.(2)WorkCover may enter into a contract of
insurance with a college toinsure the
college against liability for compensation for injury to a
studentarising out of an industry placement.(3)For this section, when deciding
whether an injury arises out of, or inthecourseof,industryplacement,chapter1,part4,division6,subdivisions 2 and 318of
the Act apply as if(a)the student were a worker; and(b)industry placement were the
employment; and(c)the industry placement place were the
place of employment; and(d)the college were
the employer.(4)A student has the same entitlements to
compensation as a worker.(5)For the
entitlements of a student to compensation, all the
provisionsof the Act under which entitlements are
decided apply to the student in thesame way as they
would apply to a worker including, for example—•the
provisions of chapter 3 (Compensation)•the
provisions of chapter 7 (Medical Assessment Tribunals)•the provisions of chapter 9 (Reviews
and Appeals).(6)However,insurancecoverprovidedunderacontractofinsuranceunderthissectionislimitedtocompensationunderchapter3,parts9and
1019of the Act.(7)Also,thecontractdoesnotcoverpaymentofdamagesforinjurysustained by the
student.18Chapter1(Preliminary),part4(Basicconcepts),division6(Injuriesandimpairment), subdivisions 2 (Injury) and 3
(When injury arises out of, or in thecourse of,
employment) of the Act19Chapter 3
(Compensation), parts 9 (Entitlement to compensation for
permanentimpairment) and 10 (Compensation on worker’s
death) of the Act
s
3727s 38WorkCover
Queensland Regulation 1997(8)WorkCover has a
liability under a contract of insurance entered intounder
this section only if the premium assessed for the contract has
beenpaid in full.Division
2—Eligible persons37Proposal for contract of
insurance—Act, s 26For section 26 of the Act, an eligible
person is taken to express a wish toenterintoacontractofinsurancewithWorkCoverbylodgingafullycompleted and
signed proposal in the approved form with WorkCover.38Documents to be kept by eligible
person(1)ThissectionappliesifWorkCoverhasenteredintoacontractofinsurance for chapter 1, part 4, division 3,
subdivision 420of the Act withan eligible
person.(2)The eligible person must keep
documents showing the remunerationorotherbenefitforperformingwork,orprovidingservices,thattheeligible person has received as an eligible
person.(3)If the eligible person applies for
weekly payments of compensationunderchapter3,part8,division4,subdivision3Aordivision5,subdivision221oftheActbutcannotsubstantiateremunerationorotherbenefit received,
WorkCover may pay an amount WorkCover considers isreasonable.20Chapter 1 (Preliminary), part 4 (Basic
concepts), division 3 (Persons entitled tocompensation
other than workers), subdivision 4 (Eligible persons) of the
Act21Chapter 3 (Compensation), part 8
(Weekly payment of compensation), division 4(Entitlement for
total incapacity), subdivision 3A (Eligible persons) or division
5(Entitlement for partial incapacity),
subdivision 2 (Eligible persons) of the Act
s
3928s 41WorkCover
Queensland Regulation 1997Division 3—Other persons39Contracts of insurance for other
persons(1)This section applies if a contract of
insurance for chapter 1, part 4,division 3,
subdivision 522of the Act provides for a matter to be
decided bya medical assessment tribunal in accordance
with chapter 7 of the Act orfor an appeal to
a court in accordance with chapter 9 of the Act.(2)The provisions of the Act apply and
jurisdiction is conferred on thetribunal or court
to hear and decide the matter.Division
4—Contracts of insurance generally40Entitlements of persons mentioned in ch 1,
pt 4, div 3, subdivs 1, 2and 4Fortheentitlementsofapersonmentionedinchapter1,part4,division 3,subdivision
1,2or423oftheActtocompensation,alltheprovisions of the Act apply to the
person in the same way as they wouldapply to a worker
including, for example—•the provisions
of chapter 7 (Medical Assessment Tribunals)•the
provisions of chapter 9 (Reviews and Appeals).41WorkCover not liable if premium not
paidWorkCover is not liable under a contract of
insurance under chapter 1,part 4, division 3 of the Act if the
premium for the contract has not beenpaid in full to
WorkCover on or before the due date.22Chapter 1 (Preliminary), part 4 (Basic
concepts), division 3 (Persons entitled tocompensation
other than workers), subdivision 5 (Other persons) of the
Act23Chapter 1 (Preliminary), part 4 (Basic
concepts), division 3 (Persons entitled tocompensationotherthanworkers),subdivision1(Volunteersetc.),2(Personsperforming
community service etc.) or 4 (Eligible persons) of the
Act
s
4229s 43WorkCover
Queensland Regulation 199742Duty to report
injury(1)Thissectionappliesifapersonwhoisentitledtocompensationunder chapter 1,
part 4, division 3 of the Act and is covered by a contract
ofinsurance sustains an injury for which
compensation may be payable.(2)However, this section does not apply to an
eligible person.(3)ThepersonwithwhomWorkCoverhasenteredintothecontractmustcompleteareportintheapprovedformandsendittothenearestoffice of WorkCover.(4)The
report must be sent immediately after the first of the
followinghappens—(a)the
person with whom WorkCover has entered into the contractknows the injury has been sustained;(b)the person covered by the contract
reports the injury to the personwith whom
WorkCover has entered into the contract;(c)the
person with whom WorkCover has entered into the contractreceives WorkCover’s written request for a
report.(5)If the person with whom WorkCover has
entered into the contractfailstocomplywithsubsection(3)within10daysafteranyofthecircumstances mentioned in subsection (4),
the person commits an offence,unless the person
has a reasonable excuse.Maximum penalty—20 penalty
units.PART 4—COMPENSATIONDivision
1—Calculation of NWE43Calculation of NWENormalweeklyearningsofaworkerfromemploymentaretobecalculated under
this division.
s
4430s 47WorkCover
Queensland Regulation 199744What amounts may
or may not be taken into account(1)Amountspaidtotheworkerbywayofovertime,higherduties,penalties and
allowances (other than amounts mentioned in subsection (2))that
are of a regular nature, required by an employer and that would
havecontinued if not for the injury may be taken
into account.(2)AmountsmentionedintheAct,schedule3,definition“wages”,paragraphs (a) to (d) are not to be
taken into account.45NWE if impracticable to calculate rate
of worker’s remuneration(1)This section
applies if it is impracticable, at the date of injury to theworker, to calculate the rate of the worker’s
remuneration because of—(a)the period of
time for which a worker has been employed; or(b)the
terms of the worker’s employment.(2)Regard must be had to—(a)the
normal weekly earnings during the 12 months immediatelybefore the date of injury of a person in the
same grade, employedin the same work, by the same
employer, as that of the worker; or(b)ifthereisnosuchperson—thenormalweeklyearningsofapersoninthesamegrade,employedinthesameclassofemployment, and in the same district as that
of the worker.46NWE if worker worked for 2 or more
employers(1)Thissectionappliesifaworkerhasworkedunderconcurrentcontracts of
service with 2 or more employers, under which the worker hasworked at 1 time for 1 employer and at
another time for another of theemployers.(2)Theworker’snormalweeklyearningsaretobecalculatedasifearnings under all the contracts were
earnings in the employment of theemployerforwhomtheworkerwasworkingwhentheinjurywassustained.47NWE
if WorkCover considers calculation unfair(1)This
section applies if WorkCover considers that the calculation
ofnormal weekly earnings under this division
would be unfair.
s
4831s 49WorkCover
Queensland Regulation 1997(2)ThenormalweeklyearningsmaybecalculatedinthewayWorkCover
considers to be fair, and the calculation under this subsection
istaken to be the normal weekly earnings of the
worker.Division 2—Compensation application and
other procedures48Application for compensationFor
section 159(3)(b)24of the Act, a claimant must give
WorkCover, tothe extent that WorkCover reasonably
requires—(a)proof of injury and its cause;
and(b)proof of the nature, extent and
duration of incapacity resultingfrom the injury;
and(c)if the injury is, or results in, the
death of a worker—proof of—(i)the
worker’s death; and(ii)the identity of
the worker; and(iii)therelationshiptotheworkeranddependencyofpersonsclaiming to be
the worker’s dependants.49Doctor’s
certificate(1)The doctor’s certificate required by
section 159(3)(a) of the Act toaccompany an
application for compensation must be in the approved form.(2)However, if a worker sustains an
injury in another State or country,WorkCovermustacceptfromthedoctorwhoattendstheworkeramanuscriptcertificatethatissubstantiallytotheeffectoftheapprovedform.(3)A doctor attending a worker who has
sustained an injury must giveWorkCover a
detailed report on the worker’s condition within 10 days
afterreceiving Workcover’s request to do
so.(4)The fee payable to the doctor for the
report is an amount accepted byWorkCover to be
reasonable, having regard to the relevant table of costs.24Section 159 (Applying for
compensation) of the Act
s
5032s 51WorkCover
Queensland Regulation 199750If doctor not
available(1)This section applies if a claimant
does not lodge a medical certificatewith an
application for compensation because a doctor was not available
toattend the claimant.(2)TheclaimantmustcompleteandlodgewithWorkCoveradeclaration in the approved form.(3)For a non-fatal injury, the
declaration—(a)can be accepted by WorkCover only once
for injury to a claimantin any 1 event; and(b)is acceptable proof of incapacity of a
claimant for not more than3 days.51Examination of claimant or worker—Act, ss
162 and 447(1)For sections 162 and 44725of the Act, a personal examination
mustbe requested in writing to the claimant or
worker.(2)The request must specify—(a)thenameofthedoctororotherregisteredperson,whoisnotemployed by WorkCover under a contract of
service, engaged tomake the examination; and(b)if the doctor is a specialist—the field
of specialty; and(c)the day, time and place when and where
the examination is to bemade.(3)Adoctororotherregisteredpersonwhomakesapersonalexamination of a
claimant or worker must give WorkCover, within 10 daysafter
the examination—(a)a written report on the examination;
and(b)an itemised account for the
examination.(4)Feespayabletoadoctororotherregisteredpersonforapersonalexamination of a claimant or worker—(a)are payable by WorkCover; and25Sections 162 (Examination by
registered person) and 447 (Power of tribunal toexamine worker) of the Act
s
5233s 54WorkCover
Queensland Regulation 1997(b)are payable
for—(i)making the examination; and(ii)giving a report
to WorkCover; and(c)arethecostsacceptedby
WorkCovertobereasonable,havingregard to the relevant table of
costs.52Payment for treatment arranged by
employer other thanself-insurer(1)Anemployer,otherthanaself-insurer,may,withWorkCover’sconsent, make an
arrangement or agreement, on behalf of WorkCover, witha
doctor, hospital or institution to provide—(a)medical treatment; or(b)hospitalisation; or(c)medical aid;to a worker who
has sustained injury.(2)WorkCovermayratifyanarrangementoragreementmadebyanemployer without
WorkCover’s consent if WorkCover is satisfied that—(a)the case was one of emergency;
and(b)in the interests of the worker, it was
necessary to take immediateaction.(3)WorkCoverisliabletopaythereasonableexpensesofmedicaltreatment,
hospitalisation or medical aid provided to the worker under
thearrangement or agreement.53Maximum liability for cost of
hospitalisation—Act, s 236For section 23626of
the Act, the maximum amount that WorkCover isliable to pay for
hospitalisation of a worker is $10 000.54Special medical treatment, hospitalisation
or medical aid(1)This section applies if WorkCover
considers that the injury sustainedby a worker would
require—26Section 236 (Maximum liability for
cost of hospitalisation) of the Act
s
5534s 55WorkCover
Queensland Regulation 1997(a)special medical
treatment; or(b)special hospitalisation; or(c)special medical aid.(2)WorkCover may make an arrangement or
agreement with a doctor,hospitalorinstitutiontoprovidetheworkerwiththespecialmedicaltreatment, hospitalisation or medical
aid.(3)For special hospitalisation, WorkCover
may make the arrangementor agreement only to the extent
specified in section 23427of the
Act.(4)WorkCover is liable to pay the cost of
the special medical treatment,hospitalisationormedicalaidprovidedtotheworkerunderthearrangement or agreement.(5)However, the maximum amount that
WorkCover is liable to pay forspecial
hospitalisation is $10 000.Division 3—Entitlement to compensation
for permanent impairment55Table of
injuries(1)The table of injuries is set out in
schedule 2.(2)The table of injuries, parts 1, 2, 4
and 6 must be read in conjunctionwith the relevant
provisions of the AMA guide.(3)The
methods that must be used in assessing the degree of
permanentimpairment resulting from an injury mentioned
in part 1, 2, 4 or 6 are themethods stated in
the AMA guide.(4)However, not every injury a worker may
sustain is mentioned in thetable of injuries
and, if a worker sustains permanent impairment from aninjury that is not mentioned in the table of
injuries (other than in part 3or 5), the AMA
guide must be used for assessing the degree of permanentimpairment resulting from the injury.(5)Thetableofinjuries,part3mustbereadinconjunctionwiththeophthalmologists guide (for vision
injuries) and the hearing loss tables (forhearing
injuries).27Section 234 (Extent of liability for
period of hospitalisation) of the Act
s
5635s 56WorkCover
Queensland Regulation 1997(6)The methods that
must be used in assessing the degree of permanentimpairmentresultingfromaninjurymentionedinthetableofinjuries,part 3 are the
methods stated in the ophthalmologists guide or hearing losstables.(7)IfthereisaninconsistencybetweenthetableofinjuriesandtheAMA guide, the ophthalmologists guide
or the hearing loss tables, the tableof injuries
prevails to the extent of the inconsistency.(8)Forsubsection(2),aprovisionoftheAMAguideisarelevantprovision of the guide for a part of the
table of injuries if it is mentioned inthe part as a
relevant provision for the part.56Assessing degree of permanent impairment
from multiple injuriesusing the table of injuries(1)This section applies if a worker
sustains permanent impairment frommultiple injuries
sustained in 1 event.(2)Thedegreeofpermanentimpairmentforeachinjuryisassessedseparately and
lump sum compensation is decided accordingly.Example—A worker sustains a fractured pelvis
and a fractured wrist in the same event. The degreeof
permanent impairment resulting from each injury is assessed
separately in the usualway under the table of
injuries.(3)However,formultipleinjuriestoasinglelimb,thedegreeofpermanent impairment sustained by the worker
in relation to the limb isassessed by using the combined values
chart in the AMA guide, unless theguide specifies
otherwise.Example—A
worker sustains injuries to the worker’s right wrist and right
elbow and a crush injuryto the worker’s left hand. The degree
of permanent impairment resulting from theinjuries to the
right arm is assessed by using the combined values chart in the
AMAguide. The degree of permanent impairment
resulting from the injury to the left hand isassessed in the
usual way under the table of injuries.(4)Also, if a worker sustains multiple injuries
of a kind mentioned in thetableofinjuries,part4in1event,thedegreeofpermanentimpairmentsustained by the
worker in relation to the injuries is assessed by using thecombined values chart in the AMA
guide.
s
5736s 58WorkCover
Queensland Regulation 199757Assessment for
industrial deafness—Act, s 197(1)This
section sets out the way the degree of permanent impairment
forindustrial deafness must be assessed for
section 19728of the Act.(2)The
worker must undergo an audiometric test for hearing
conductedby an audiologist.(3)The
test must be preceded by a period of quiet of at least 8
hours.(4)Forairconductiontesting,thetestmustcomplywithAustralianStandardAS1269‘SAAHearingConservationCode’,rules5.6.3.2.and
5.6.3.4(c).(5)The worker’s hearing levels must be
determined separately for theleft and right
ears at audiometric test frequencies 500, 1 000, 1 500, 2
000,3 000and4000HzwithanaudiometercomplyingwithAustralianStandard
AS2586.(6)Thepercentagelossofhearingistobecalculatedbyusingthebinaural tables and adjusted, if required,
under the presbycusis correctiontable.58Calculation of WRI—Act, s 201(1)Forsection20129oftheAct,aworker’sWRIisthepercentagecalculated using
the following formula—L-----S---PM----I--S-x--C---1---0---0-(2)In this
section—“LSPI”meansthelumpsumcompensationpayableunderthetableofinjuries for the degree of permanent
impairment for the injury.“MSC”means maximum
statutory compensation under chapter 3, part 630of
the Act.Example—If a
worker loses a thumb, the lump sum compensation payable under the
table ofinjuriesis$43200.Themaximumstatutorycompensationis$150000.So,theworker’s WRI is 28.8% [(43 200 x 100)
÷ 150 000].28Section 197
(Assessment of permanent impairment) of the Act29Section 201 (Calculation of WRI) of the
Act30Chapter 3 (Compensation), part 6
(Maximum statutory compensation) of the Act
s
5937s 61WorkCover
Queensland Regulation 199759Additional lump
sum compensation for certain workers—Act,s 210The
additional lump sum compensation payable for certain workers
isset out in schedule 3.60Additional lump sum compensation for
gratuitous care—Act,s 211(1)The
additional lump sum compensation payable for gratuitous care
isset out in schedule 4.(2)Forsection211(5)31oftheAct,theassessmentreportofanoccupational
therapist must state whether, in the relationship between
theworker and the other person, the day-to-day
care—(a)wasprovidedtotheworkerbeforetheworkersustainedtheimpairment; and(b)would ordinarily be provided in the worker’s
home; and(c)is likely to continue to be provided
in the worker’s home.(3)Themethodofassessingaworker’slevelofdependencyisthemethod stated in the modified barthel
index.(4)Indecidingtheamountoftheworker’sentitlementtoadditionalcompensation,WorkCovermusthaveregardtotheinformationinthereport.PART
5—REHABILITATIONDivision 1—Caring allowance61Further information required in
occupational therapist’sreport—Act, s 241(1)Anoccupationaltherapist’sassessmentreportmustcontaintheinformation mentioned in section
60(2).31Section 211 (Additional lump sum
compensation for gratuitous care) of the Act
s
6238s 63WorkCover
Queensland Regulation 1997(2)In paying the
caring allowance, WorkCover must have regard to theinformation in the report.62Extent of liability for caring
allowance—Act, s 242(1)WorkCover must decide the number of
hours of care required for aworkerhavingregardtotheoccupationaltherapist’sreportandthegraduated scale
in schedule 5.(2)Themethodofassessingaworker’slevelofdependencyisthemethod stated in the modified barthel
index.(3)The amount of the caring
allowance—(a)must be decided having regard to the
number of hours of carerequired; and(b)mustbepaidatanhourlyrateequaltothecarerpensionratedivided by
35.(4)In subsection (3)(b)—“carer
pension rate”means the weekly amount of the maximum
singlecarer pension rate payable from time to time
under a Commonwealthlaw but does not include an amount for
allowances, for example, rentassistance or
family payment.Division 2—Workplace rehabilitation policy
and procedures63Reporting requirement for review of
workplace rehabilitationpolicy and proceduresFor
section 244(4)32of the Act, an employer must, within
30 days aftercompleting a review of the employer’s
workplace rehabilitation policy andprocedures, give
WorkCover written evidence, in the approved form, thatthe
review has been completed.32Section 244
(Employer’s obligation to have workplace rehabilitation policy
andprocedures) of the Act
s
6439s 69WorkCover
Queensland Regulation 1997Division 3—Standard for
rehabilitation64Who this division applies toThis
division applies to anyone who is required, under chapter 4, parts
3and 433of
the Act, to provide or manage the rehabilitation of workers.65Definition for div 3In
this division—“rehabilitationplan”meansawrittenplanoutliningtherehabilitationobjectives and
the steps required to achieve the objectives.66Standard for rehabilitationFor
section 24534of the Act, the standard of
rehabilitation must be inaccordance with this division.67Doctor’s approvalApprovalofaworker’streatingdoctormustbeobtainedanddocumented for all rehabilitation plans,
including amendments to plans.68Worker’s fileA file must be
kept for each worker undertaking rehabilitation and mustcontain copies of all relevant documentation,
correspondence and accounts.69Rehabilitation plan(1)A
rehabilitation plan must be developed for each worker
undertakingrehabilitation.(2)The
plan must be consistent with the worker’s needs.(3)The plan must be developed in
consultation with the worker.33Chapter 4 (Injury management), parts 3
(Responsibility for rehabilitation) and 4(Employer’s
obligation for rehabilitation) of the Act34Section 245 (Employer’s obligation to assist
or provide rehabilitation) of the Act
s
7040s 72WorkCover
Queensland Regulation 1997(4)The plan must at
least contain the following matters—(a)clearandappropriateobjectiveswithwaysofachievingtheobjectives;(b)details of rehabilitation required to meet
the objectives;(c)projected costs and time frames of
rehabilitation;(d)review mechanisms and dates for
review;(e)progress to date.70Case
notes(1)Accurateandobjectivecasenotesmustbekeptforeachworkerundertaking rehabilitation.(2)Case notes must contain details
of—(a)allcommunicationsbetweentheworker,therehabilitationcoordinator and
other relevant parties; and(b)actions and decisions; and(c)reasons for actions and
decisions.71Early worker contactA
worker who sustains an injury and who requires rehabilitation must
becontactedaboutrehabilitationassoonaspracticableaftertheinjuryissustained or is reported.72Rehabilitation(1)Rehabilitationmustbegoaldirectedwithtimelyandappropriateservice provision
having regard to—(a)the worker’s injury; and(b)the objectives of the rehabilitation
plan; and(c)the worker’s rate of recovery.(2)Strategiesusedinrehabilitationmustbeevaluatedbytherehabilitationcoordinatorasthecaseprogressestomonitortheireffectiveness.(3)Rehabilitation must focus on return to
work.
s
7341s 74WorkCover
Queensland Regulation 1997(4)However, if the
worker’s injury is so severe that a return to work isprecluded,rehabilitationmustfocusonmaximisingtheworker’sindependent
functioning.(5)Duties assigned to a worker for a
suitable duties program must bemeaningful and
have regard to the objective of the worker’s rehabilitation.(6)Therehabilitationcoordinatormustensurerehabilitationforaworker is coordinated with and
understood by line managers, supervisorsand
co-workers.(7)A worker must be treated with
appropriate respect and equity.73Confidentiality(1)Informationobtainedduringrehabilitationmustbetreatedwithsensitivity and confidentiality by all
parties.(2)If it is necessary to obtain or
release information associated with theworker’srehabilitation,theworker’sauthoritytoobtainorreleasetheinformation must be obtained.(3)The worker’s authority is not required
for the release of informationto
WorkCover.PART 6—DAMAGES74Notice of claim for damages—Act, s
280(1)A notice of claim must be made in the
approved form and include thefollowing
particulars35—(a)full
particulars of the claimant, including—(i)full
name and any other known names; and(ii)if
the claimant is not the worker—the worker’s full name;and(iii)residential
address; and35SeealsotheAct,section280A(2)(Noncompliancewiths280andurgentproceedings).
s
7442s 74WorkCover
Queensland Regulation 1997(iv)date of birth;
and(v)gender; and(vi)usualoccupationand,ifthatdiffersfromthenatureofemploymentatthetimeoftheevent,thenatureoftheemployment at the time of the event;
and(vii) the name and address of every employer
of the worker at thetime of the event;(b)full
particulars of the event, including—(i)the
date, time and place of the event; and(ii)adescriptionofthefacts,astheclaimantunderstandsorrecallsthemtobe,ofthecircumstancessurroundingtheevent; and(iii)names and addresses of all witnesses to the
event, and theirrelationship, if any, to the worker;
and(iv)name and address
of any person on behalf of the claimant’semployer to whom
the claimant reported the event and theiremployment
details; and(v)fullparticularsofthenegligenceallegedagainsttheclaimant’s employer and any other party on
which the claimis based; and(vi)whether,andtowhatextent,liabilityexpressedasapercentage is
admitted for the injury and, if another party isinvolved,theliabilityexpressedasapercentagethattheclaimant holds the other party
responsible; and(vii) if another party is involved—details
of the notice given tothe party;(c)full
particulars of the nature and extent of—(i)all
injuries alleged to have been sustained by the claimantbecause of the event; and(ii)thedegreeofpermanentimpairmentthattheclaimantalleges has
resulted from the injuries; and(iii)the
amount of damages sought under each head of damageclaimed by the claimant and the method of
calculating eachamount; and(iv)how
the claimant is presently affected by the injuries;
s
7443s 74WorkCover
Queensland Regulation 1997(d)the name and
address of each hospital at which the claimant hasbeentreatedfortheinjury,andthenameandaddressofeachdoctor by whom
the claimant has been treated for the injury;(e)thenameandaddressofeachprovideroftreatmentorrehabilitationserviceswhohasmadeanassessmentof,orprovidedtreatmentorrehabilitationservicesfor,permanentimpairment arising from the injury;(f)allpersonalinjuries,illnessesandimpairmentsofamedical,psychiatricorpsychologicalnaturesustainedbytheclaimanteither before or
after the event that may affect the extent of thepermanentimpairmentresultingfromtheinjurytowhichtheclaim relates, or may affect the amount of
damages in anotherway;(g)allpersonalinjuries,illnessesandimpairmentsofamedical,psychiatricorpsychologicalnaturesustainedbytheclaimanteitherbeforeoraftertheeventforwhichtheclaimanthasclaimeddamages,compensationorbenefits,thenameandaddressofanypersonagainstwhomaclaimfordamagesorcompensationwasmadeand,ifaninsurerwasinvolved,thename
and address of the insurer;(h)the
name and address of each hospital at which the claimant hasbeentreatedforaninjury,illnessorimpairmentmentionedinparagraph (f) or (g), and the name and
address of each doctor bywhomtheclaimanthasbeentreatedfortheinjury,illnessorimpairment;(i)all
steps taken by the worker to mitigate their loss;(j)if the claimant claims damages for
diminished income earningcapacity—particularsoftheclaimant’semploymentduringthe3 years immediately before and since
the event including—(i)the name and
address of each of the claimant’s employers;and(ii)the period of
employment by each employer; and(iii)the
capacity in which the claimant was employed by eachemployer; and(iv)theclaimant’sgrossandnet(aftertax)earningsforeachperiod of
employment; and
s
7444s 74WorkCover
Queensland Regulation 1997(v)theperiodsduringwhichtheclaimantwasinreceiptofpayments from the Department of Social
Security (Cwlth);and(vi)the periods
during which the claimant received no income,andthereasonswhytheclaimantwasnotreceivinganyincome.(2)A
notice of claim relating to an injury causing death must contain
thefollowing additional particulars (if
relevant)—(a)if the claimant is the deceased
worker’s spouse—(i)thedateofmarriageorthedateonwhichthedefactorelationship
started; and(ii)the place of
marriage or the residential address where thede facto
relationship started; and(iii)the claimant’s
net (after tax) weekly income before and afterthe worker’s
death; and(iv)the age to which
the claimant intended to work and the basisof the
claimant’s future employment i.e. whether full timeor
part time; and(v)detailsofanyhealthproblemsthattheclaimantcurrentlyhas;
and(vi)the amount of
average weekly financial benefit derived bythe claimant
from the deceased worker before the worker’sdeath and the
method of calculating the amount; and(vii) the
expected date of birth of a posthumous child; and(viii)details of remarriage or start of a
marriage-like relationship;(b)if
the claimant is not the deceased worker’s spouse—(i)the claimant’s relationship to the
deceased worker; and(ii)the claimant’s
net (after tax) weekly earnings; and(iii)the
age to which the claimant would have been dependentonthedeceasedworkerandthebasisofthedependency;and(iv)detailsofanyhealthproblemsthattheclaimantcurrentlyhas;
and
s
74A45WorkCover Queensland Regulation
1997s 74A(v)the
amount of average weekly financial benefit derived bythe
claimant from the deceased worker before the worker’sdeath and the method of calculating the
amount.74A Notice of claim and urgent
proceedings—Act, s 280A(1)This section
applies if the claimant alleges an urgent need to start aproceedingfordamagesdespitenoncompliancewithsection280oftheAct.(2)For section 280A(4) of the Act, the
claimant’s notice of claim mustbe faxed
to—(a)iftheworker’semployerisnotaself-insurer—WorkCoveratWorkCover’s registered office; or(b)if the worker’s employer is a
self-insurer—the self-insurer at theself-insurer’s
registered office.(3)The claimant’s notice of claim must
include a cover page stating—(a)the
sender’s name and address; and(b)the
total number of pages sent, including the cover page; and(c)the fax number from which the notice
is sent; and(d)the date of the transmission;
and(e)the name and fax number of the person
to whom the fax is beingsent; and(f)the
name and phone number of a person to contact if there is aproblem with the transmission; and(g)a statement that the transmission is
for the giving of the notice ofclaim under
section 280A(4) of the Act.(4)If there is a
dispute about the giving of the notice of claim undersection280A(4)oftheAct,thetransmissionadvicegeneratedbythesender’s fax machine confirming the
transmission was successful must beincluded as an
exhibit to any affidavit of service.
s
7546s 75WorkCover
Queensland Regulation 1997PART 7—COSTSDivision
1—Proceeding before industrial magistrate75Costs—proceeding before industrial
magistrate(1)The costs of a proceeding before an
industrial magistrate are in thediscretion of the
magistrate.(2)However, if the magistrate allows
costs—(a)for costs in relation to counsel’s or
solicitor’s fees—(i)thecostsaretobeundertheUniformCivilProcedureRules
1999, schedule 3;36or(ii)if, because
of—(A)the work involved; or(B)the importance, difficulty or
complexity of the matterto which the proceedings
relate;theindustrialmagistrateconsiderstheamountofcostsprovidedforundersubparagraph
(i)areinadequateremuneration,
the magistrate may allow costs (in total or inrelationtoanyitem)inanamountupto1.5 timestheamount provided for under subparagraph
(i) (in total or inrelation to that item); and(b)for costs in relation to witnesses’
fees and expenses—the costsare to be under
theUniformCivilProcedure(Fees)Regulation1999,
part 4;37and(c)for
costs in relation to bailiff’s fees—the costs are to be under
theUniformCivilProcedure(Fees)Regulation1999,schedule3,part
2.3836UniformCivilProcedureRules1999,schedule3(Scaleofcosts—MagistratesCourts)37Uniform Civil Procedure (Fees)
Regulation 1999, part 4 (Allowances for witnessesand
interpreters)38Uniform Civil Procedure (Fees)
Regulation 1999,schedule 3 (Magistrates Courtsfees), part 2 (Bailiff’s fees) was
renumbered as schedule 2, part 2—now seeJusticeLegislation (Variation of Fees and Costs)
Regulation 2001, section 22.
s
7647s 78WorkCover
Queensland Regulation 1997(3)Subsection (4)
applies if—(a)WorkCover is required to pay costs in
a hearing in relation to awitnesswhoisadoctororotherwiseisofaprofessionaldescription;
and(b)theamountoffeesandexpensespayableinrelationtothewitnessbythepartythatcalledthewitnessismorethantheamount of costs allowed by the
industrial magistrate.(4)WorkCovermay,ontheapplicationofthepartythatcalledthewitness, pay an additional amount on account
of the costs that WorkCoveraccepts as
reasonable, having regard to the subject matter of the
hearing.Division 2—Claim for damages76Who this division applies toThis
division applies only to a claimant who is—(a)a
worker whose WRI is 20% or more; or(b)a
dependant.77Definition for div 2In
this division—“netdamages”meansdamagesrecoveredlesscompensationpaidbyWorkCover.78Costs
before proceeding started(1)This section
prescribes the legal professional costs of a claim beforea
proceeding is started.(2)If a claimant
recovers at least $150 000 net damages, the costs are—(a)if the claim is settled—(i)withoutholdingacompulsoryconference—120%oftheamount in schedule 6, column A;
or(ii)afteracompulsoryconferenceisheld—theamountsinschedule 6, columns A and B;
and
s
7948s 80WorkCover
Queensland Regulation 1997(b)forinvestigationofliabilitybyanexpert—theamountinschedule 6, column C; and(c)foranapplicationtothecourt—theamountinschedule6,column D.(3)If a
claimant recovers net damages of $50 000 or more but less
than$150 000, the costs are 85% of the amount
under subsection (2).(4)If a claimant
recovers less than $50 000 net damages, the costs are85%oftheamountcalculatedundersubsection(2)multipliedbytheproportion that the net damages bear to
$50 000.Example of subsection (4)—If
the net damages recovered are $30 000, the costs are (85% of the
amount calculatedunder subsection (2)) x3/5.(5)However,ifacourtintheproceedingawardsthepaymentofsolicitor-clientcosts,thecostsrecoverableundersubsections(2),(3)and (4) are multiplied by 120%.79Costs after proceeding started(1)This section prescribes the legal
professional costs of a claim after aproceeding is
started.(2)The costs are chargeable under the
relevant court scale of costs.(3)However, the costs under subsection (2) do
not include—(a)the cost of work performed before the
proceeding is started; or(b)the cost of work
performed before the proceeding is started thatis performed
again after the proceeding is started.80Outlays(1)In
addition to legal professional costs, the following outlays
incurredby the claimant are allowed—(a)1 hospital report fee for each
hospital that provided treatment forthe worker’s
injury;(b)1reportfeeforeachdoctoringeneralpracticewhoprovidedtreatment for
the worker’s injury;
s
8149s 81WorkCover
Queensland Regulation 1997(c)1medicalspecialist’sreportfeeforeachmedicaldisciplinereasonably
relevant and necessary for the understanding of theworker’s injury;(d)1
report fee of an expert investigating liability, of not more
than$1 000,lessanyproportionofthefeeagreedtobepaidbyWorkCover;(e)Australian Taxation Office or tax agents’
fees for suppling copiesof income tax returns;(f)feeschargedbytheclaimant’spreviousemployersforgivinginformation
necessary for the claimant to complete the notice ofclaim, but not more than $50 for each
employer;(g)fees charged by a mediator in an
amount previously agreed to byWorkCover;(h)filing fees or other necessary charges
incurred in relation to anapplication to the court before a
proceeding is started;(i)reasonablefeesforsundryitemsproperlyincurred,otherthanphotocopying costs.(2)The
fees—(a)areallowableonlyforreportsdisclosedbeforethestartofproceedings; and(b)forsubsection(1)(a)to(c)—arepayableaccordingtotherecommended Australian Medical
Association scale of fees.PART 8—REASONS FOR DECISIONS81Reasons for decisions must address
certain matters—Act, s 489(4)(1)For
section 489(4) of the Act, the reasons must—(a)cite
the provision of the Act under which the decision is made;and(b)state the
evidence considered for the decision; and(c)state the evidence that was accepted or
rejected for the decisionand why it was accepted or rejected;
and
s
8250s 83WorkCover
Queensland Regulation 1997(d)state the
conclusions drawn from the evidence; and(e)disclose the link between the evidence, the
conclusions and therelevant provision of the Act.(2)The reasons must also clearly state
the decision made and be writtenin plain
English.PART 9—AMOUNT OF CALCULATION OF
LIABILITYFOR SELF-INSURERSDivision
1—Outstanding liabilitySubdivision 1—Purpose and application
of div 182Purpose of div 1This division
sets out the process for the calculation of an amount for aself-insurer’s outstanding liability for the
Act, section 116.3983Application of
div 1This division applies to the following
employers—(a)an employer who was licensed as a
self-insurer immediatelybefore 3 March 1999 (a“current self-insurer”);(b)anemployerwholodgedanapplicationtobelicensedasaself-insurer on or before 3 March 1999
(a“current applicant”);(c)anemployerwhoappliestobelicensedasaself-insurerafter3
March 1999 (a“new applicant”).39The Act, section 116 (Self-insurer
replaces WorkCover in liability for injury)
s
8451s 86WorkCover
Queensland Regulation 1997Subdivision 2—Calculation84Appointment of actuary for
calculationWorkCover and the employer must each appoint
an actuary to calculatean amount for the outstanding
liability.85Calculation(1)The
calculation must—(a)be prepared under the actuarial
standard; and(b)apply a central estimate of the
outstanding liability; and(c)asfaraspracticable,bebasedontheemployer’sclaimsexperience from claims incurred before the
employer becomes orbecame a self-insurer; and(d)apply the risk free rate of return;
and(e)include claims administration expenses
of 7% of the outstandingliability; and(f)not
include a prudential margin.(2)For
a new applicant, the calculation must be based on data as at
thelastday(the“assessmentday”)ofthefinancialquarterimmediatelybefore the day
the application for self-insurance is lodged.(3)For
a current self-insurer or a current applicant, the calculation
mustbe based on data as at the last day (also
the“assessment day”) of the
lastfinancial quarter for which data is
available—(a)3monthsbeforethedaytheapplicationforrenewalofself-insurance is lodged; or(b)if the self-insurer or applicant
decides to assume the outstandingliability before
lodging the application for renewal, on the dayWorkCover
receives written notice of the decision.86WorkCover to give actuaries
informationWorkCover must give the actuaries the
information necessary to enabletheactuariestocompletethecalculationwithinthetimementionedinsection 87(3).
s
8752s 87WorkCover
Queensland Regulation 199787Actuarial
report(1)Aftercompletingthecalculation,eachactuarymustprepareanactuarial report on the calculation the
actuary made.(2)The report must—(a)be
prepared under the actuarial standard; and(b)clearly state the key assumptions made for
the calculation andhow the assumptions have been derived,
including—(i)the average amount of claims for
compensation against theemployer; and(ii)theaverageamountofclaimsfordamagesagainsttheemployer; and(iii)claimsanticipatedtohavebeenincurredbytheemployerfor which no
formal claim has been lodged; and(iv)thefrequencyofclaimsforcompensationagainsttheemployer; and(v)the
frequency of claims for damages against the employer;and(vi)thenetamountoftheclaimsafterallowingforfutureinflation
(“inflated value”); and(vii) the net present value of the inflated
value after allowing forincomefromassetssetasidebytheemployertopaytheoutstanding
liability; and(viii)the rate of inflation used; and(c)state the following about the data
used in the calculation—(i)the nature of
the data;(ii)the actuary’s
assessment of its accuracy;(iii)how
the actuary interpreted the data; and(d)state the actuarial model used in the
calculation; and(e)state the results of the calculation;
and(f)state the actuary’s confidence in the
results of the calculation.(3)The actuaries
must complete the calculations and the reports—
s
8853s 90WorkCover
Queensland Regulation 1997(a)for a new
applicant—within 35 days after the day the applicationfor
self-insurance is lodged; or(b)for
a current self-insurer or a current applicant—(i)nolaterthan2monthsbeforethedaytheapplicationforrenewal of self-insurance is lodged;
or(ii)iftheself-insurerorapplicantdecidedtoassumetheoutstandingliabilitybeforelodgingtheapplicationforrenewal,nolaterthan35daysafterthedayWorkCoverreceived written notice of the
decision.88Summary report(1)The
actuaries must jointly prepare a summary report that—(a)includes the individual actuarial
reports; and(b)states how the individual reports
agree or differ.(2)TheactuariesmustgivethecompletedsummaryreporttoWorkCover and the employer—(a)foranewapplicant—within2monthsafterthedaytheapplication for self-insurance is lodged;
or(b)for a current self-insurer or a
current applicant—(i)nolaterthan35daysbeforethedaytheapplicationforrenewal of self-insurance is lodged;
or(ii)iftheself-insurerorapplicantdecidedtoassumetheoutstandingliabilitybeforelodgingtheapplicationforrenewal,nolaterthan2monthsaftertheday WorkCoverreceived written
notice of the decision.89Agreement on
calculationWorkCoverandtheemployermayagreeonthecalculationhavingregard to the summary report.90Reference to actuarial arbiter if no
agreementIfWorkCoverandtheemployercannotagreeonthecalculation,WorkCover must
refer the summary report to the arbiter for decision within14
days after WorkCover is given the summary report.
s
9154s 93WorkCover
Queensland Regulation 199791Arbiter’s
costsThearbiter’scostsindecidingonthecalculationaretobepaidbyWorkCover and the employer in equal
amounts.92Payment of amount for outstanding
liability—new applicant(1)Foranewapplicant,theamountWorkCovermustpayfortheemployer’soutstandingliabilityistheamountagreedtobyWorkCoverand the employer
(the“agreed amount”) or, if there
is no agreement, theamount decided by the arbiter
(the“decided amount”).(2)WorkCover must pay the
employer—(a)75%oftheagreedordecidedamountonthedaythelicencecommences;
and(b)the balance within 1 month after the
day the licence commences.(3)The agreed or
decided amount paid to the employer must be adjustedby
WorkCover’s actuary to take into account—(a)compensationanddamagespaymentsmadebetweentheassessment day and the day the
employer becomes liable for theemployer’s
outstanding liability; and(b)claims lodged
against the employer between the assessment dayandthedaytheemployerbecomesliablefortheemployer’soutstanding
liability.93Election by current self-insurer or
current applicant aboutpayment for outstanding
liability(1)Thissectionappliesiftheemployerisacurrentself-insureroracurrent applicant.(2)The
employer may, by written notice given to WorkCover, elect toaccept—(a)paymentofanamountfortheoutstandingliabilityunconditionally; or(b)an
interim payment of an amount on account of the outstandingliability.(3)The
employer must make the election within 7 days after—(a)WorkCover and the employer agree on
the calculation; or
s
9455s 94WorkCover
Queensland Regulation 1997(b)if there is no
agreement, the employer receives the statement ofthe
arbiter’s decision about the calculation.(4)Iftheemployerelectstoacceptpaymentofanamountundersubsection(2)(a),theamountWorkCovermustpayfortheemployer’soutstanding
liability is the total of—(a)the agreed or
decided calculation; and(b)an amount equal
to 5% of the agreed or decided central estimate.(5)Iftheemployeracceptspaymentofanamountundersubsection (2)(a), no further amount is
payable for the outstanding liability.(6)Iftheemployerelectstoacceptaninterimpaymentundersubsection
(2)(b),anamountfortheoutstandingliabilityisrecalculatedunder subdivision
3.(7)In this section—“agreed”means agreed to by WorkCover and the
employer.“decided”means decided by
the arbiter.94Payment of amount for, or on account
of, outstandingliability—current self-insurer and current
applicant(1)Foracurrentself-insureroracurrentapplicant,WorkCovermustpay the employer,
for or on account of the outstanding liability—(a)75%
of the amount mentioned in section 93(2)(a) or (b) on theday
the licence is renewed; and(b)the
balance within 1 month after the day the licence is renewed.(2)However, if the employer decided to
assume the outstanding liabilitybefore lodging
the application for renewal, WorkCover must pay the wholeof
the amount—(a)within 3 months after the day
WorkCover received written noticeof the decision;
or(b)on a later day agreed to by WorkCover
and the employer.(3)The amount paid to the employer must
be adjusted by WorkCover’sactuary to take into account—(a)compensationanddamagespaymentsmadebetweentheassessment day and the day the
employer becomes liable for theemployer’s
outstanding liability; and
s
9556s 97WorkCover
Queensland Regulation 1997(b)claims lodged
against the employer between the assessment dayandthedaytheemployerbecomesliablefortheemployer’soutstanding
liability.95Transfer of claims informationWorkCover must give the employer claims
information in relation to theemployer’s
outstanding liability—(a)for a new
applicant—before the day the licence commences; or(b)for a current self-insurer or a
current applicant—(i)before the day the licence is renewed;
or(ii)iftheself-insurerorapplicantdecidedtoassumetheoutstandingliabilitybeforelodgingtheapplicationforrenewal,nolaterthanthedaythewholeoftheamountmentioned in
section 93(2)(a) or (b) is paid.Subdivision
3—Recalculation96Purpose of sdiv 3This subdivision
sets out the process for the recalculation of an amountforaself-insurer’soutstandingliabilityiftheself-insurerhasmadeanelection under subdivision 2 to accept an
interim payment on account of theoutstanding
liability.97Application of sdiv 3 for group
employersIf the self-insurer is a group employer,
this subdivision applies only inrelation
to—(a)the members of the group as at the day
the self-insurer becameliableforcompensationanddamagesfortheself-insurer’soutstanding
liability; or(b)if the self-insurer applied, on or
before the day the self-insurerbecameliableforcompensationanddamagesfortheself-insurer’soutstandingliability,forWorkCover’sconsenttochangethegroupmembershiponthelicence—theproposedmembers of the group as at that
day.
s
9857s 100WorkCover
Queensland Regulation 199798Appointment of
actuary for recalculationAttheendof5yearsaftertheself-insurerbecameliableforcompensationanddamagesfortheself-insurer’soutstandingliability,WorkCover and the
self-insurer must each appoint an actuary to recalculatean
amount for the outstanding liability.99Recalculation(1)The
recalculation must—(a)be prepared under the actuarial
standard; and(b)apply a central estimate of the
outstanding liability; and(c)asfaraspracticable,bebasedontheself-insurer’sclaimsexperience from claims incurred before the
self-insurer became aself-insurer; and(d)applythesameriskfreerateofreturnthatwasusedinthecalculation of an amount for the
liability under subdivision 2; and(e)include claims administration expenses of 7%
of the outstandingliability; and(f)not
include a prudential margin; and(g)haveregardtocompensationanddamagespaymentsmadeinrelation to the liability between the day
the self-insurer becameliableforcompensationanddamagesfortheself-insurer’soutstanding
liability and the end of 5 years after that day; and(h)excludeanamountforliabilityinrelationtoachangeintheself-insurer’s membership after the
day the self-insurer becameliableforcompensationanddamagesfortheself-insurer’soutstanding
liability.(2)Therecalculationmustbebasedondataasatthelastday(the“assessment
day”) of the last financial quarter for which
data is availableat the end of 5 years after the self-insurer
became liable for compensationand damages for
the self-insurer’s outstanding liability.100WorkCover to give actuaries
informationWorkCover must give the actuaries the
information necessary to enablethe actuaries to
complete the recalculation within the time mentioned insection 101(3).
s
10158WorkCover Queensland Regulation
1997s 101101Actuarial
report(1)Aftercompletingtherecalculation,eachactuarymustprepareanactuarial report on the calculation the
actuary made.(2)The report must—(a)be
prepared under the actuarial standard; and(b)clearly state the key assumptions made for
the recalculation andhow the assumptions have been derived,
including—(i)the average amount of claims for
compensation against theself-insurer; and(ii)theaverageamountofclaimsfordamagesagainsttheself-insurer; and(iii)claims anticipated to have been incurred by
the self-insurerfor which no formal claim has been lodged;
and(iv)thefrequencyofclaimsforcompensationagainsttheself-insurer; and(v)the
frequency of claims for damages against the self-insurer;and(vi)thenetamountoftheclaimsafterallowingforfutureinflation
(“inflated value”); and(vii) the net present value of the inflated
value as calculated at thesame risk free rate of return that was
used in the calculationof an amount for the liability under
subdivision 2; and(viii)the rate of inflation used; and(c)state the following about the data
used in the recalculation—(i)the nature of
the data;(ii)the actuary’s
assessment of its accuracy;(iii)how
the actuary interpreted the data; and(d)state the actuarial model used in the
recalculation; and(e)state the results of the
recalculation; and(f)state the actuary’s confidence in the
results of the recalculation.(3)The
actuaries must complete the recalculations and the reports
within35daysaftertheendof5yearsaftertheself-insurerbecameliableforcompensation and damages for the
self-insurer’s outstanding liability.
s
10259WorkCover Queensland Regulation
1997s 106102Summary
report(1)The actuaries must jointly prepare a
summary report that—(a)includes the
individual actuarial reports; and(b)states how the individual reports agree or
differ.(2)TheactuariesmustgivethecompletedsummaryreporttoWorkCover and the self-insurer within 2
months after the end of 5 yearsafter the
self-insurer became liable for compensation and damages for
theself-insurer’s outstanding liability.103Agreement on recalculationWorkCover and the self-insurer may agree on
the recalculation havingregard to the summary report.104Reference to actuarial arbiter if no
agreementIf WorkCoverandtheself-insurercannotagreeontherecalculation,WorkCovermustreferthesummaryreporttotheactuarialarbiterfordecision within 14 days after WorkCover is
given the summary report.105Arbiter’s
costsThearbiter’scostsindecidingontherecalculationaretobepaidbyWorkCover and the self-insurer in equal
amounts.106Payment of amount for
recalculation(1)IftheamountagreedtobyWorkCoverandtheself-insurer(the“agreed amount”) or, if there
is no agreement, the amount decided by thearbiter(the“decidedamount”),fortherecalculationismorethantheinterim payment made under subdivision
2 on account of the outstandingliability—(a)theamountWorkCovermustpayfortheself-insurer’soutstanding
liability is the agreed or decided amount; and(b)WorkCover must pay the self-insurer—(i)the difference between the interim
payment and the amountfor the outstanding liability;
and
s
10760WorkCover Queensland Regulation
1997s 107(ii)interestonthedifference,fromthedaythewholeoftheinterimpaymentwaspaid,atthesameriskfreerateofreturn that was used in the
calculation of an amount for theliability under
subdivision 2.(2)If the agreed or decided amount is
less than the interim payment—(a)theamountWorkCovermustpayfortheself-insurer’soutstanding
liability is—(i)the interim payment; less(ii)30% of the
difference between the interim payment and theagreed or
decided amount; and(b)the self-insurer must pay
WorkCover—(i)the difference between the interim
payment and the amountfor the outstanding liability;
and(ii)interestonthedifference,fromthedaythewholeoftheinterimpaymentwaspaid,atthesameriskfreerateofreturn that was used in the
calculation of an amount for theliability under
subdivision 2.(3)WorkCover or the self-insurer must pay
the amount of the differencewithin 28 days
after—(a)WorkCover and the self-insurer agree
on the recalculation; or(b)if there is no
agreement, WorkCover or the self-insurer receivesthe
statement of the arbiter’s decision about the recalculation.(4)Onpaymentoftheamount,nofurtheramountispayablefortheoutstanding liability.Division 2—Total liability and residual
liability107Purpose of div 2This division
sets out the process for the calculation of an amount fortotalliabilityfortheAct,section118A(1),(3),(5)or(7)40orresidual40The
Act, section 118A (Consequences of change in self-insurer’s
membership)
s
10861WorkCover Queensland Regulation
1997s 109liability for the
Act, section 576(2), (4) or (6)41because of a change in aself-insurer’s
membership.108Appointment of actuaryThe
party with whom the liability currently resides (the“old
insurer”)and the party assuming liability
(the“new insurer”) must each
appoint anactuary to calculate an amount for the total
or residual liability.109Calculation(1)The
calculation must—(a)be prepared under the actuarial
standard; and(b)apply a central estimate of the total
or residual liability; and(c)as far as
practicable, be based on the claims experience of theemployer or member of a group employer that
is the subject ofthe transfer of liability; and(d)apply the risk free rate of return;
and(e)includeclaimsadministrationexpensesof7%ofthetotalorresidual liability; and(f)not
include a prudential margin.(2)Thecalculationmustbebasedondataasatthelastday(the“assessment
day”) of the financial quarter immediately
before—(a)for the calculation of total liability
for the Act, section 118A(1),(3),(5)or(7)—thedaytheself-insurerappliestoWorkCoverunder the Act,
section 118 for a change in the group membershipon
the licence; or(b)for the calculation of residual
liability for the Act, section 576(2),(4) or (6)—the
relevant day mentioned in the Act, section 576(3),(5)
or (7).4241The Act, section
576 (Change in self-insurer’s membership)42The
Act, section 576 (Change in self-insurer’s membership)
s
11062WorkCover Queensland Regulation
1997s 111110Parties to give
actuaries informationThe parties must give the actuaries,
in the form approved by WorkCover,theinformationnecessarytoenabletheactuariestocompletethecalculation within the time mentioned in
section 111(3).111Actuarial report(1)Aftercompletingthecalculation,eachactuarymustprepareanactuarial report on the calculation the
actuary made.(2)The report must—(a)be
prepared under the actuarial standard; and(b)clearly state the key assumptions made for
the calculation andhow the assumptions have been derived,
including—(i)the average amount of claims for
compensation against theemployer or member; and(ii)theaverageamountofclaimsfordamagesagainsttheemployer or member; and(iii)claims
anticipated to have been incurred by the employer ormember for which no formal claim has been
lodged; and(iv)thefrequencyofclaimsforcompensationagainsttheemployer or member; and(v)the frequency of claims for damages
against the employer ormember; and(vi)thenetamountoftheclaimsafterallowingforfutureinflation
(“inflated value”); and(vii) the net present value of the inflated
value after allowing forincome from assets set aside by the
employer or member topay the total or residual liability;
and(viii)the rate of inflation used; and(c)state the following about the data
used in the calculation—(i)the nature of
the data;(ii)the actuary’s
assessment of its accuracy;(iii)how
the actuary interpreted the data; and(d)state the actuarial model used in the
calculation; and
s
11263WorkCover Queensland Regulation
1997s 116(e)state the results of the calculation;
and(f)state the actuary’s confidence in the
results of the calculation.(3)The actuaries
must complete the calculations and the reports within35
days after WorkCover approves the application for the change in
theself-insurer’s membership (the“consent day”).112Summary report(1)The
actuaries must jointly prepare a summary report that—(a)includes the individual actuarial
reports; and(b)states how the individual reports
agree or differ.(2)The actuaries must give the completed
summary report to the partieswithin 2 months
after the consent day.113Agreement on
calculationThe parties may agree on the calculation
having regard to the summaryreport.114Reference to actuarial arbiter if no
agreementIf the parties can not agree on the
calculation, the party with whom theliabilitycurrentlyresidesmustreferthesummaryreporttotheactuarialarbiter for decision within 14 days after the
party is given the summaryreport.115Arbiter’s costsThe arbiter’s
costs in deciding on the calculation are to be paid by theparties in equal amounts.116Payment of amount for total or residual
liability(1)The amount the old insurer must pay
the new insurer for the total orresidual
liability is the amount agreed to by them (the“agreed
amount”)or,ifthereisnoagreement,theamountdecidedbythearbiter(the“decided amount”).(2)The old insurer must pay the agreed or
decided amount—
s
11764WorkCover Queensland Regulation
1997s 119(a)within 3 months after the consent day;
or(b)on a later day agreed to by the
parties.(3)Theagreedordecidedamountpaidtothenewinsurermustbeadjusted by the actuary of the old insurer to
take into account—(a)compensationanddamagespaymentsmadebetweentheassessmentdayandthedaythenewinsurerassumesliability;and(b)claimslodgedagainsttheemployerormemberbetweentheassessment day and the day the new
insurer assumes liability.(4)If WorkCover is
neither the old insurer nor the new insurer, the oldinsurer must advise WorkCover of the
following no later than the day totalor residual
liability is paid—(a)the amount of the liability;(b)the day the new insurer assumes
liability;(c)details of the parties and the member
leaving or becoming part ofthe
self-insurer.117Transfer of claims informationThe
old insurer must give the new insurer claims information in
relationto the liability no later than the day the
agreed or decided amount is paid.Division
3—Liability after cancellation of self-insurer’s licence118Purpose of div 3This division
sets out the process for the calculation of an amount for aformer self-insurer’s liability for the Act,
section 129.43119Appointment of
actuaryWorkCover and the former self-insurer must
each appoint an actuary tocalculate an amount for the
liability.43The Act, section 129 (Assessing
liability after cancellation)
s
12065WorkCover Queensland Regulation
1997s 122120Calculation(1)The
calculation must—(a)be prepared under the actuarial
standard; and(b)apply a central estimate of the
liability; and(c)as far as practicable, be based on the
former self-insurer’s claimsexperience;
and(d)apply the risk free rate of return;
and(e)includeclaimsadministrationexpensesof7%oftheliability;and(f)not include a prudential
margin.(2)Thecalculationmustbebasedondataasatthelastday(the“assessment
day”) of the financial quarter immediately
before the day theformer self-insurer’s licence is cancelled
(the“cancellation day”).121Former self-insurer to give actuaries
informationThe former self-insurer must give the
actuaries, in the form approved byWorkCover, the
information necessary to enable the actuaries to completethe
calculation within the time mentioned in section 122(3).122Actuarial report(1)Aftercompletingthecalculation,eachactuarymustprepareanactuarial report on the calculation the
actuary made.(2)The report must—(a)be
prepared under the actuarial standard; and(b)clearly state the key assumptions made for
the calculation andhow the assumptions have been derived,
including—(i)the average amount of claims for
compensation against theformer self-insurer; and(ii)theaverageamountofclaimsfordamagesagainsttheformer self-insurer; and(iii)claimsanticipatedtohavebeenincurredbytheformerself-insurer for
which no formal claim has been lodged; and
s
12366WorkCover Queensland Regulation
1997s 124(iv)the
frequency of claims for compensation against the formerself-insurer; and(v)thefrequencyofclaimsfordamagesagainsttheformerself-insurer;
and(vi)thenetamountoftheclaimsafterallowingforfutureinflation
(“inflated value”); and(vii) the net present value of the inflated
value after allowing forincome from assets set aside by the
former self-insurer topay the liability; and(viii)the rate of inflation used; and(c)state the following about the data
used in the calculation—(i)the nature of
the data;(ii)the actuary’s
assessment of its accuracy;(iii)how
the actuary interpreted the data; and(d)state the actuarial model used in the
calculation; and(e)state the results of the calculation;
and(f)state the actuary’s confidence in the
results of the calculation.(3)The actuaries
must complete the calculations and the reports within35
days after the cancellation day.123Summary report(1)The
actuaries must jointly prepare a summary report that—(a)includes the individual actuarial
reports; and(b)states how the individual reports
agree or differ.(2)TheactuariesmustgivethecompletedsummaryreporttoWorkCoverandtheformerself-insurerwithin2monthsafterthecancellation day.124AgreementWorkCoverandtheformerself-insurermayagreeonthecalculationhaving regard to
the summary report.
s
12567WorkCover Queensland Regulation
1997s 129125Reference to
actuarial arbiter if no agreementIfWorkCoverandtheformerself-insurercannotagreeonthecalculation, the former self-insurer
must refer the summary report to theactuarial arbiter
for decision within 14 days after the former self-insurer isgiven
the summary report.126Arbiter’s costsThearbiter’scostsindecidingonthecalculationaretobepaidbyWorkCover and the former self-insurer
in equal amounts.127Payment of amount for liability(1)Theamounttheformerself-insurermustpayWorkCoverfortheliability is the amount agreed to by
WorkCover and the former self-insurer(the“agreed amount”) or, if there
is no agreement, the amount decided bythe arbiter
(the“decided amount”).(2)The agreed or decided amount paid to
WorkCover must be adjustedby the former self-insurer’s actuary to
take into account—(a)compensationanddamagespaymentsmadebetweentheassessment day and the cancellation
day; and(b)claimslodgedagainsttheformerself-insurerbetweentheassessment day and the cancellation
day.Division 4—Actuarial arbiter128Function of actuarial arbiterThe
function of the actuarial arbiter is to consider the actuarial
reportsand the calculations of an amount for
liability made under this part anddecide on an
amount for the liability.129Appointment of
actuarial arbiter(1)The actuarial arbiter is to be
selected by a selection panel consistingof—(a)2 individuals nominated by WorkCover;
and
s
13068WorkCover Queensland Regulation
1997s 132(b)2individualsnominatedbytheQueenslandWorkers’Compensation Self-Insurers’
Association.(2)The individual selected must be a
Fellow of the Institute of Actuariesor be an
Accredited Member of the Institute.(3)WorkCover must appoint the individual
selected to be the arbiter fora term of not
more than 3 years.(4)Thearbiter’sconditionsofappointmentaretobesetoutinthecontract made between WorkCover and the
arbiter.130Decision of arbiter(1)Afterconsideringtheactuarialreportsandthecalculationsofanamount for the liability by the
actuaries, the arbiter must decide on—(a)the
central estimate for the liability; and(b)an
amount for the liability.(2)An amount for
the liability decided by the arbiter can not be morethan
the higher of the amounts calculated by the actuaries and can not
beless than the lower of the amounts.(3)The arbiter must give a written
statement of the arbiter’s decision andthereasonsforthedecisionwithin21
daysafterthesummaryreportisreferred to the arbiter.131Arbiter’s decision is finalThe
arbiter’s decision is final.PART
10—TRANSITIONAL PROVISION132Transitional
provision for WorkCover Queensland AmendmentRegulation (No.
1) 2001The amendments to this regulation made by
theWorkCover QueenslandAmendmentRegulation(No.1)2001applyonlyinrelationtoaninjuryresulting to a
worker from an event happening after 30 June 2001.
69WorkCover Queensland Regulation
1997SCHEDULE 1ADDITIONAL
PREMIUMsection 8Time of lodgment
of declarationof wagesOnorafter1
Septemberandnotlater than 31
October in 1 calendaryearOnorafter1
Novemberandnotlaterthan30Novemberin1
calendar yearOnorafter1
Decemberandnotlaterthan31
Decemberin1 calendar yearOnorafter1 Januaryinthenextcalendar yearAdditional
premiumThe greater of—(a) 5%ofassessedpremiumfortheperiodofinsurancetowhichthedeclarationrelates;or(b) $5.00The greater
of—(a) 10% of assessed premium fortheperiodofinsurancetowhichthedeclarationrelates;or(b) $10.00The greater
of—(a) 15% of assessed premium fortheperiodofinsurancetowhichthedeclarationrelates;or(b) $15.00The greater
of—(a) 20% of assessed premium fortheperiodofinsurancetowhichthedeclarationrelates,or(b) $20.00.
70WorkCover Queensland Regulation
1997SCHEDULE 2TABLE OF
INJURIESsection 55PART 1—UPPER
EXTREMITY INJURIESDivision 1—Preliminary1Application of pt 1(1)This
part deals with upper extremity injuries.(2)Themaximumlumpsumcompensationpayableforanupperextremity injury is $120 000.(3)To decide a worker’s entitlement from
injury, division 2 shows—(a)the maximum
degree of permanent impairment that may resultfrom the injury;
and(b)themaximumlumpsumcompensationpayablefortheinjury;and(c)the maximum
WRI.2How to use this part of the
table(1)Division 2 lists certain upper
extremity injuries.(2)Injuries are stated in column 2, the
maximum degree of permanentimpairment
resulting from the injury is stated in column 3, the maximumlumpsumcompensationfortheinjuryisstatedincolumn4,andthemaximum WRI is
stated in column 5.(3)Themaximumdegreeofpermanentimpairmentresultingfromaninjuryisstatedasadegreeofpermanentimpairmentoftheupperextremity.(4)Someinjuriesmentionedindivision2aremarkedwithanasterisk (*).
71WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)(5)These injuries may result in the same degree
of maximum permanentimpairment as other injuries mentioned
in the division, but, for historicalreasons,giverisetodifferentamountsofmaximumlumpsumcompensation.(6)Formoreinformationonhowtousethetableofinjuries,seesections 55 and 56 of the regulation.3Interaction between this part and the
AMA guide(1)The degree of permanent impairment
resulting from an injury to anupperextremityisexpressedindivision2asadegreeofpermanentimpairment of the
upper extremity.(2)Even though an injury is not precisely
described under division 2, asimilar injury
often will be.(3)If the injury is more severe than a
particular similar injury, but lessseverethananothersimilarinjury,thedegreeofpermanentimpairmentmust always be
more than the less severe injury, but not as much as themore
severe injury.(4)If an injury to an upper extremity
results in permanent impairmentandtheinjuryisnotmentionedindivision2,thedegreeofpermanentimpairment must
be assessed under the AMA guide.(5)However,theprocessesthatmaybeusedundertheAMAguidecannotresultinaninjurygivingrisetoagreaterdegreeofpermanentimpairment from
the injury than that specified under division 2.(6)Thedegreeofpermanentimpairmentresultingfromtheinjuryassessed under
the AMA guide must be expressed as a degree of permanentimpairment of the upper extremity.(7)The degree of permanent impairment so
expressed is taken to be thedegree of
permanent impairment of the upper extremity for this part.(8)For section 55 of the regulation, the
relevant provision of the AMAguide is chapter
3.
72WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)4Formulas to be used for deciding lump sum
compensation forpermanent impairment(1)The
following formula must be used to work out the amount of
lumpsumcompensationpayableforsingleormultipleinjuriestotheupperextremity—D-----P----I---×-1---0-M--0----L----S---C---(2)However, for a single injury (other than an
injury involving sensoryloss)totheindex,ringorlittlefinger,thefollowingformulamustbeused—D-----P--M--I---D×-----PL---I-S---C---(3)Also, for
multiple injuries where at least 1 injury (other than
sensoryloss)istotheindex,ringorlittlefinger,theamountoflumpsumcompensation payable for the injuries is the
sum of the amounts workedout for each injury under subsection
(1) and (2).(4)In this section—“DPI”means the degree of permanent impairment of
the upper extremityassessedbyaregisteredpersonasresultingfromtheinjuryor,formultiple injuries, the
injuries.“LSC”meansthelumpsumcompensationpayableforthemaximumdegree of permanent impairment for the
injury set out in column 4 ofthe table of
injuries.“MDPI”means the
maximum degree of permanent impairment resultingfrom
the injury or another relevant injury set out in column 3 of
thetable of injuries.“MLSC”meansthemaximumlumpsumcompensationspecifiedinsection 1(2).
73WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)Division 2—Upper
extremity injuriesColumn 1Code No.Column 2InjuryColumn 3Column 4MaximumMaximumdegree oflump sumpermanentcompensationimpairment$Column 5MaximumWRI%11001101110211031104110511061107110811091110111111121113111411151116Fingers and handLoss of thumb .
. . . . . . .Loss of joint of thumb. .Sensorylosstopalmarsurface of thumb
. . . . . .Sensorylossoneitherside of thumb. .
. . . . . . .*Loss of index finger. .*Lossof2jointsofindex finger . . . . . . . . . .*Lossofdistaljointtoindex finger . . . . . . . . . .Sensorylosstopalmarsurface of index
finger. .Sensorylossoneitherside of index
finger . . . .Loss of middle finger. .Lossof2jointsofmiddle finger . . . . . . . . .Lossofdistaljointofmiddle finger . . . . . . . . .Sensorylosstopalmarsurface of
middle fingerSensorylossoneitherside of middle
finger . . .*Loss of ring finger. . . .*Loss of 2 joints of ringfinger . . . . . . . . . . . . . . .3618188181388518138858643 20021 60021
6009 60024 43518
33012 2109 6006
00021 60015 6009
6009 6006 00012
21012 21028.814.414.46.416.2912.228.146.4414.410.46.46.448.148.14
74WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)Column 1Code
No.Column 2InjuryColumn 3Column 4MaximumMaximumdegree oflump sumpermanentcompensationimpairment$1117*Lossofdistaljointofring finger . . . . . . . . . .
.57 3351118Sensorylossoneitherside of ring
finger . . . . .33 6001119Sensorylosstopalmarsurface of ring
finger. . .56 0001120Sensorylossoneitherside of ring
finger . . . . .33 6001121*Loss of little finger . . .812 2101122*Loss of 2 joints of littlefinger . . . . . . . . . . . . . . .612 2101123*Lossofdistaljointoflittle finger. . . . . . . . . .
.57 3351124Sensorylosstopalmarsurface of
little finger . .56 0001125Sensorylossoneitherside of little
finger . . . . .33 6001126Lossofhandorarmbelow the elbow. . . . .
.90108 0001127AggravationofDupuytren’s contracture001128Crushinjurytohandwithmultiplefractures(healedwithnodeformities)butresulting in mild loss ofmotionofallfingerswithextensivescarringand
soft tissue damage.4048 000Column 5MaximumWRI%4.892.442.48.148.144.8942.472032
76WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)Column 1Code
No.Column 2InjuryColumn 3Column 4MaximumMaximumdegree oflump sumpermanentcompensationimpairment$1208Fractureofradiusorulnaorcarpusboneswith
moderate limitationof wrist movements andmild limitation
of elbowmovements. . . . . . . .
. .1619 200Column 5MaximumWRI%12.81300130113021303ElbowMedialorlateralepicondylitisofelbow,non-operatedwithnoresidualsubjectivesymptoms or
signs. . . . .Medialorlateralepicondylitisofelbow,whetheroperatedornon-operated,withresidualsubjectivesymptomsorsignse.g.pain
and tenderness . . . .Injurytoelbowregionresultinginmoderateloss of all
movements . .023102 40037 20001.624.8140014011402Shoulder and armInjury to
shoulder regionresulting in mild loss ofall
movements . . . . . . . .Injury to shoulder regionresultinginmoderateloss of all
movements . .6167 20019
2004.812.8
77WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)Column 1Code
No.Column 2InjuryColumn 3Column 4MaximumMaximumdegree oflump sumpermanentcompensationimpairment$1403Total loss of
function ofshoulder joint. . . . . . .
.6072 0001404Loss
of an arm. . . . . . . .100120 000Column 5MaximumWRI%4880PART 2—LOWER EXTREMITY INJURIESDivision 1—Preliminary1Application of pt 2(1)This
part deals with lower extremity injuries.(2)Themaximumlumpsumcompensationpayableforalowerextremity injury is $112 500.(3)To decide a worker’s entitlement from
injury, division 2 shows—(a)the maximum
degree of permanent impairment that may resultfrom the injury;
and(b)themaximumlumpsumcompensationpayablefortheinjury;and(c)the maximum
WRI.2How to use this part of the
table(1)Division 2 lists certain lower
extremity injuries.(2)Injuries are stated in column 2, the
maximum degree of permanentimpairment
resulting from the injury is stated in column 3, the maximumlumpsumcompensationfortheinjuryisstatedincolumn4,andthemaximum WRI is
stated in column 5.
78WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)(3)Themaximumdegreeofpermanentimpairmentresultingfromaninjuryisstatedasadegreeofpermanentimpairmentofthelowerextremity.(4)Someinjuriesmentionedindivision2aremarkedwithanasterisk (*).(5)These injuries may result in the same degree
of maximum permanentimpairment as other injuries mentioned
in the division, but, for historicalreasons,giverisetodifferentamountsofmaximumlumpsumcompensation.(6)Formoreinformationonhowtousethetableofinjuries,seesections 55 and 56 of the regulation.3Interaction between this part and the
AMA guide(1)The degree of permanent impairment
resulting from an injury to alowerextremityisexpressedindivision2asadegreeofpermanentimpairment of the
lower extremity.(2)Even though an injury is not precisely
described under division 2, asimilar injury
often will be.(3)If the injury is more severe than a
particular similar injury, but lessseverethananothersimilarinjury,thedegreeofpermanentimpairmentmust always be
more than the less severe injury, but not as much as themore
severe injury.(4)If an injury to a lower extremity
results in permanent impairment andtheinjuryisnotmentionedindivision2,thedegreeofpermanentimpairment must
be assessed under the AMA guide.(5)However,theprocessesthatmaybeusedundertheAMAguidecannotresultinaninjurygivingrisetoagreaterdegreeofpermanentimpairment from
the injury than that specified under division 2.(6)Thedegreeofpermanentimpairmentresultingfromtheinjuryassessed under
the AMA guide must be expressed as a degree of permanentimpairment of the lower extremity.(7)The degree of permanent impairment so
expressed is taken to be thedegree of
permanent impairment of the lower extremity for this
part.
79WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)(8)For
section 55 of the regulation, the relevant provision of the
AMAguide is chapter 3.4Formulas to be used for deciding lump sum
compensation forpermanent impairment(1)The
following formula must be used to work out the amount of
lumpsumcompensationpayableforsingleormultipleinjuriestothelowerextremity—D-----P----I---x-1---0-M--0----L----S---C---(2)However, for a
single injury to a toe, the following formula must beused—D-----P--M--I---Dx-----PL---I-S---C---(3)Also, for multiple injuries where at
least 1 injury (but not all injuries)istothetoes,theamountoflumpsumcompensationpayablefortheinjuriesisthesumoftheamountsworkedoutforeachinjuryundersubsection (1)
and (2).(4)Also, for multiple toe injuries, the
formula in subsection (2) must beused, but the
value of LSC is as specified in division 2.(5)In
this section—“DPI”means the degree
of permanent impairment of the lower extremityassessedbyaregisteredpersonasresultingfromtheinjuryor,formultiple injuries, the
injuries.“LSC”meansthelumpsumcompensationpayableforthemaximumdegree of permanent impairment for the
injury set out in column 4 ofthe table of
injuries.“MDPI”means the
maximum degree of permanent impairment resultingfrom
the injury or another relevant injury set out in column 3 of
thetable of injuries.“MLSC”meansthemaximumlumpsumcompensationspecifiedinsection 1(2).
80WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)Division 2—Lower
extremity injuriesColumn 1Code No.Column 2InjuryColumn 3Maximumdegree ofpermanentimpairmentColumn 4Maximumlump sumcompensation$Column 5MaximumWRI%21002101210221032104210521062107210821092110211121122113Toes and foot*Lossofanytoe(otherthan great toe)
. . . . . . . .*Loss of great toe . . . . .*Lossofjointofgreattoe . . . . . .
. . . . . . . . . . .Fractureofanymetatarsal,worstpossibleoutcomee.g.painorlossofweighttransfer. .
. . . . . . . . . . .Mid-foot amputation . . .Loss
of a foot. . . . . . . .*Loss of two
toes (otherthan great toe) of a foot.*Lossofthreetoes(other than great toe) ofa
foot . . . . . . . . . . . . . . .*Loss of four
toes (otherthan great toe) of a foot.*Lossofgreattoeandone other toe of a foot . .*Lossofgreattoeandtwo other toes of a foot .*Lossofgreattoeandthree other toes of a foot*Lossofjointofgreattoe and one
other toe ofa foot . . . . . . . . . . . . . . .2125104563468141618712 21024 43512
2108.1416.298.1411 25050
62570 87515 00017
62520 25030 00037
50045 00015 0007.533.7547.251011.7513.520253010
81WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)Column 1Code
No.Column 2InjuryColumn 3Maximumdegree ofpermanentimpairment2114*Lossofjointofgreattoe and two
other toes ofa foot . . . . . . . . . . . . . . .92115*Lossofjointofgreattoeandthreeothertoesof a foot . . .
. . . . . . . . . .112116*Lossofjointofgreattoe and four
other toes ofa foot . . . . . . . . . . . . . . .132117*Lossofalltoesofafoot. .
. . . . . . . . . . . . . .20Column 4Maximumlump
sumcompensation$17
62520 25022 87550
625Column 5MaximumWRI%11.7513.515.2533.7522002201220222032204AnkleAnkylosisofankleinneutral position . . . . . . .Unstableanklewithligamentousinsufficiency,whetheroperated or non-operatedTotal loss of
function ofanklejointwithankylosisinunfavourableposition,worst possible outcome.Fractureofoscalcis,worst possible outcome.1015622511
2507.516 87511.2569
75028 12546.518.75
84WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)Column 1Code
No.Column 2InjuryColumn 3Maximumdegree ofpermanentimpairment2400Hip
joint and leg2401Mildaggravationofpre-existingdegenerativediseaseinhip joint with subjectivesymptoms,butnosignificantclinicalfindingsotherthandegenerative
changes onX-ray . . . . . . . . . . . . . . .02402Moderatetosevereaggravationoraccelerationofpre-existingdiseaseinhip joint with subjectivesymptoms,butnosignificantclinicalfindingsotherthandegenerative
changes onX-ray . . . . . . . . . . . . . . .72403Injurytohipregionresulting in mild loss ofall
movements . . . . . . . .122404Injurytohipregionresultinginmoderateloss of all
movements . .252405Healed fracture
of femurwithmoderateangulation or deformity.452406Fracture of femoral neck502407Total hip
replacement . .452408Loss of a leg .
. . . . . . . .100Column 4Maximumlump
sumcompensation$07 87513 50028
12550 62556 25050
625112 500Column 5MaximumWRI%05.25918.7533.7537.533.7575
85WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)PART 3—SPECIAL
PROVISION INJURIESDivision 1—Preliminary1Application of pt 3(1)This
part deals with vision and hearing injuries and injury
involvingloss of a breast.(2)The
maximum lump sum compensation payable for a vision injuryunder
this part is $150 000.(3)The maximum lump
sum compensation payable for a hearing injuryunder this part
is $61 095.(4)The maximum lump sum compensation
payable for loss of a breastunder this part
is $45 000.2How to use this part of the
table(1)Division2listscertainvisionandhearinginjuriesandinjuryinvolving loss of
a breast.(2)Vision and hearing injuries and injury
involving loss of a breast arestated in column
2, the maximum lump sum compensation for the injury isstated in column 3, and the maximum WRI is
stated in column 4.(3)Someinjuriesmentionedindivision2aremarkedwithanasterisk (*).(4)Forhistoricalreasons,themaximumlumpsumcompensationpayablefortheseinjuriesmaybehigherrelativetootherinjuriesmentioned in this division.(5)Formoreinformationonhowtousethetableofinjuries,seesection 55 of the regulation.3Interaction between this part and the
assessment guides(1)The lump sum compensation payable for
a vision or hearing injurymentioned in division 2 is the maximum
lump sum compensation payablefor the
injury.
86WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)(2)Ifavisionorhearinginjuryresultsinpermanentimpairmentofvision or hearing and the injury is not
mentioned in division 2, the degreeof permanent
impairment resulting from the injury must be assessed underthe
relevant assessment guide.(3)The degree of
permanent impairment must be expressed as a degreeof
total vision or hearing loss—(a)for
each eye or ear; or(b)if the injury is to both eyes or both
ears—of both eyes or bothears.(4)In
this section—“relevant assessment guide”means—(a)for
a vision injury—the ophthalmologists guide; or(b)for
a hearing injury—the hearing loss tables.4Formula to be used for deciding lump sum
compensation forpermanent impairment(1)The
following formula must be used to work out the amount of
lumpsum compensation payable for a vision or
hearing injury—D-----P----I---x-----L----S---C---100(2)However,formultipleinjuriesinvolvingatleast1ofaninjurytovision, hearing or a breast, the amount
of lump sum compensation payablefor the injuries
is the sum of the amounts worked out for each injury undersubsection (1).(3)In
this section—“DPI”means—(a)for hearing loss from industrial
deafness—the assessed degree ofpermanent
impairment resulting from the injury less 5%;44and(b)foranotherinjuryunderthispart—theassesseddegreeofpermanent impairment resulting from the
injury.44For more information about the 5%
reduction, see section 152 (Entitlements forindustrial
deafness) of the Act.
87WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)“LSC”means the lump sum compensation payable
under this part for theinjury.Division
2—Special provision injuriesColumn 1Code
No.Column 2InjuryColumn 3Maximumlump
sumcompensation$Column 4MaximumWRI%31003101310231033104Vision*Lossofvisionin1eye(corrected
vision). . . . . . . . . .*Totallossofvisionin1eyeresultingfromlossofaneyeball . . . .
. . . . . . . . . . . . . . .Total loss of
vision . . . . . . . . .Totallossofvisionof1eyewithseriousdiminutionofvisionintheothereye(lessthan 10% vision
remaining) . .48 87054 975150
000127 50032.5836.6510085320032013202HearingLoss of hearing
in 1 ear. . . . . .*Binaural hearing loss. . . . . . .30
00061 0952040.7333003301Injury to breast*Loss of
breast. . . . . . . . . . . .45 00030
88WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)PART 4—OTHER
INJURIESDivision 1—Preliminary1Application of pt 4(1)This
part deals with the following injuries (“system
injuries”)—(a)injuries to the
musculo-skeletal system;(b)injuries to the
nervous system;(c)injuries to the respiratory
system;(d)injuries to the cardiovascular
system;(e)injuries to the alimentary
system;(f)injuries to the urinary or
reproductive system;(g)injuries to the
skin.(2)The maximum lump sum compensation
payable for an injury underthis part is $150
000.(3)To decide a workers entitlement from
injury, division 2 shows—(a)the maximum
degree of permanent impairment that may resultfrom the injury;
and(b)themaximumlumpsumcompensationpayablefortheinjury;and(c)the maximum
WRI.2How to use this part of the
table(1)Division 2 lists certain system
injuries.(2)Injuries are stated in column 2, the
maximum degree of permanentimpairment
resulting from the injury is stated in column 3, the maximumlumpsumcompensationfortheinjuryisstatedincolumn4,andthemaximum WRI is
stated in column 5.(3)Themaximumdegreeofpermanentimpairmentresultingfromaninjury is stated as a degree of permanent
impairment of the whole person.
89WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)(4)Someinjuriesmentionedindivision2aremarkedwithanasterisk (*).(5)Theseinjuriesmayresultinthesamedegreeofpermanentimpairment as
other injuries mentioned in the division, but, for
historicalreasons,giverisetodifferentamountsofmaximumlumpsumcompensation.(6)Formoreinformationonhowtousethetableofinjuries,seesections 55 and 56 of the regulation.3Interaction between this part and the
AMA guide(1)The degree of permanent impairment
resulting from a system injuryisexpressedindivision2asadegreeofpermanentimpairmentofthewhole person.(2)Even
though an injury is not precisely described under division 2,
asimilar injury often will be.(3)If the injury is more severe than a
particular similar injury, but lessseverethananothersimilarinjury,thedegreeofpermanentimpairmentmust always be
more than the less severe injury, but not as much as themore
severe injury.(4)If a system injury results in
permanent impairment and the injury isnot mentioned in
division 2, the degree of permanent impairment must beassessed under the AMA guide.(5)However,theprocessesthatmaybeusedundertheAMAguidecannot result in
a system injury giving rise to a greater degree of permanentimpairment from the injury than that
specified under division 2.(6)Thedegreeofpermanentimpairmentresultingfromtheinjuryassessed under
the AMA guide must be expressed as a degree of permanentimpairment of the whole person.(7)The degree of permanent impairment so
expressed is taken to be thedegree of
permanent impairment of the whole person for this part.(8)For section 55 of the regulation, the
relevant provisions of the AMAguide are—(a)for injuries to the cervicothoracic,
thoracolumbar or lumbosacralspine—chapter 3;
and
90WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)(b)for
injuries to the pelvis—chapter 3; and(c)for
injuries to the brain and cranial nerves—chapters 4 and 9;
and(d)for spinal cord injuries—chapters 3
and 4; and(e)for respiratory system
injuries—chapter 5; and(f)for
cardiovascular system injuries—chapter 6; and(g)for
alimentary system injuries—chapter 10; and(h)for
urinary or reproductive system injuries—chapter 11; and(i)for skin injuries—chapter 13.4Formulas to be used for deciding lump
sum compensation forpermanent impairment(1)The
following formula must be used to work out the amount of
lumpsum compensation payable for single or
multiple system injuries—-D----P----I---x-1---0-M--0----L----S---C---(2)However,forlossofsmell,tasteorspeech,acervicalcordinjury(with or without
fracture) or complete paraplegia, the following formulamust
be used—D-----P--M--I---Dx-----PL---I-S---C---(3)Also, for multiple injuries involving at
least 1 injury that is loss ofsmell, taste or
speech, a cervical cord injury or paraplegia, the amount oflump
sum compensation payable for the injuries is the sum of the
amountsworked out for each injury under subsections
(1) and (2).(4)In this section—“DPI”meansthedegreeofpermanentimpairmentofthewholepersonassessedbyaregisteredpersonasresultingfromtheinjuryor,formultiple injuries, the
injuries.“LSC”meansthelumpsumcompensationpayableforthemaximumdegree of permanent impairment for the
injury set out in column 4 ofthe table of
injuries.
91WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)“MDPI”means the maximum degree of permanent
impairment resultingfrom the injury or another relevant
injury set out in column 3 of thetable of
injuries.“MLSC”meansthemaximumlumpsumcompensationspecifiedinsection 1(2).Division 2—System
injuriesColumn 1Code No.Column 2InjuryColumn 3Column 4MaximumMaximumdegree oflump sumpermanentcompensationimpairment$Column 5MaximumWRI%4100Musculo-skeletalsystemCervicothoracic spine4101Hyperextensionmusculo-ligamentousinjurytocervicalspineregionwithsubjectivesymptoms,butnosignificantclinicalfindings . . . . . . . . . . . . .4102Mildaggravationofpre-existingdegenerativediseaseincervicalspinewithsubjectivesymptoms,butnosignificantclinicalfindingsotherthandegenerativechanges on
X-ray. . . . .000000
104WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)PART
5—PRESCRIBED DISFIGUREMENTDivision 1—Preliminary1Application of pt 5(1)This part deals with prescribed
disfigurement.(2)Themaximumlumpsumcompensationpayableforprescribeddisfigurement is
$75 000.(3)To decide a workers entitlement from
injury, division 2 shows—(a)the maximum
degree of permanent impairment that may resultfrom the injury;
and(b)themaximumlumpsumcompensationpayablefortheinjury;and(c)the maximum
WRI.2How to use this part of the
table(1)Division 2 lists prescribed
disfigurements.(2)Prescribeddisfigurementsresultingfrominjuryarestatedincolumn 2,themaximumpercentageofpermanentimpairmentresultingfrom
the disfigurement is stated in column 3,45the
maximum lump sumcompensationforthedisfigurementisstatedincolumn4,andthemaximum WRI is
stated in column 5.45Theactualpercentageofpermanentimpairmentresultingfromtheprescribeddisfigurementmustbeassessedhavingregardtotheseverityoftheprescribeddisfigurement—see
section 155(3) (Entitlements of worker who sustains
prescribeddisfigurement) of the Act.
106WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)Column 1Code
No.Column 2InjuryColumn 3Column 4MaximumMaximumdegree oflump sumpermanentcompensationimpairment$5105Depressedcheek,nasalorfrontalbonesfollowing trauma . . . . . .3526 2505106Loss,orseveredeformity, of
outer ear. .4030 0005107Severe,bilateralgrossfacialdeformityfollowing burns
or othertrauma . . . . . . . . . . . . . .5037 5005108Loss
of entire nose. . . .5037
5005109Gross scarring followingburnstomultiplebodyareas.Someareashealingspontaneouslyandsomerequiringgrafting.Grossscarringattheburnanddonorsites.Outcomeresultinginfragile,dry,crackingskinatgraftsitesnecessitatingtheneedforwearingofspecialgarments.Severecasesresulting in loss of sweatglandsandlackofsweatingleadingtothenecessitytobeinacontinuousairconditioned environment10075
000Column 5MaximumWRI%17.520252550
107WorkCover Queensland Regulation
1997SCHEDULE 2 (continued)PART
6—PSYCHIATRIC OR PSYCHOLOGICALINJURIES1Application of pt 6(1)This part deals with psychiatric or
psychological injuries.(2)The maximum lump
sum compensation payable for a psychiatric orpsychological
injury is $150 000.(3)However,mostinjurieswillentitleaninjuredworkertoalesseramount.2Interaction between this part and the AMA
guide(1)Permanent impairment resulting from a
psychiatric or psychologicalinjury must be
assessed under the AMA guide.(2)Permanent impairment resulting from an
injury must be expressed asa degree of
permanent impairment of the whole person.(3)The
degree of permanent impairment so expressed is taken to be
themaximum degree of permanent impairment for
this part.(4)For section 55 of the regulation, the
relevant provision of the AMAguide is chapter
14.3Formula to be used for deciding lump
sum compensation forpermanent impairment(1)The
following formula must be used to work out the amount of
lumpsum compensation payable for psychiatric or
psychological injuries—-D----P----I---x-1---0-M--0----L----S---C---(2)In this
section—“DPI”means the degree
of permanent impairment assessed by a registeredperson as resulting from the injury.“MLSC”meansthemaximumlumpsumcompensationspecifiedinsection 1(2).
108WorkCover Queensland Regulation
1997SCHEDULE 3GRADUATED SCALE
OF ADDITIONALCOMPENSATION FOR CERTAIN WORKERSsection 591Graduated scale(1)Thisschedulecontainsthegraduatedscaleforadditionalcompensation for
a worker who sustains an injury that results in a WRI of50%
or more.(2)The maximum amount of lump sum
compensation payable under thisschedule is $150
000.2How to use the graduated scale(1)TheWRIcalculatedundersection20146oftheActisshownincolumn 2.(2)AworkerwhosustainsaWRIshownincolumn2isentitledtoadditionallumpsumcompensationintheamountshownforthecorresponding
entry in column 3.GRADUATED SCALEColumn 1Code
No.810081018102Column 2WRI%50515246Section 201
(Calculation of WRI) of the ActColumn 3Additional lumpsum
compensation$5 79011 55017
325
110WorkCover Queensland Regulation
1997SCHEDULE 4GRADUATED SCALE
FOR ADDITIONALCOMPENSATION FOR GRATUITOUS CAREsection 601Graduated scale(1)Thisschedulecontainsthegraduatedscaleforadditionalcompensation for
gratuitous care.(2)The maximum amount of lump sum
compensation payable under thisschedule is $150
000.2How to use this graduated scale(1)TheWRIcalculatedundersection20147oftheActisshownincolumn 2.(2)The
range of dependency assessed under the modified barthel
indexis shown in column 3.(3)In
column 3—•moderate is a modified barthel index
total score of 50-74•severe is a
modified barthel index total score of 25-49•total is a modified barthel index total score
of 0-24.(4)Theworker’sadditionallumpsumcompensationentitlementisshown
for the corresponding entry in column 4.47Section 201 (Calculation of WRI) of the
Act
112WorkCover Queensland Regulation
1997SCHEDULE 5GRADUATED SCALE
OF CARE REQUIRED FORPAYMENT OF CARING ALLOWANCEsection 621Graduated scaleThisschedulecontainsthegraduatedscaleforthepaymentofcaringallowance.2How to use this graduated scale(1)The range of dependency assessed under
the modified barthel indexis shown in column 1.(2)In column 1—•minimal is a modified barthel index total
score of 91-99•mild is a modified barthel index total
score of 75-90•moderate is a modified barthel index
total score of 50-74•severe is a
modified barthel index total score of 25-49•total is a modified barthel index total score
of 0-24.(3)The maximum number of hours of care
required in a week is shownfor the
corresponding entry in column 2.
113WorkCover Queensland Regulation
1997SCHEDULE 5 (continued)GRADUATED
SCALEColumn 1Range of
dependency(modified barthel index)MinimalMildModerateSevereTotalColumn 2Maximum hours of
carerequired in a week<1013.020.023.527.0
114WorkCover Queensland Regulation
1997SCHEDULE 6LEGAL
PROFESSIONAL COSTSsection 78Column APre-proceedingnotification
andnegotiation$2 000Column BCompulsoryconference$135forthefirsthourorpart
of an hour$105foreachadditional
hourorpartofanhourColumn CInvestigation byexpert$270Column DPre-proceedingscourt
applications$400
116WorkCover Queensland Regulation
19974Table of earlier reprintsReprints are issued for both future and past
effective dates.For the most up-to-date tableof
earlier reprints, see the latest reprint.Ifareprintnumberincludesaletterofthealphabet,thereprintwasreleasedinunauthorised, electronic form only.TABLE
OF EARLIER REPRINTSReprintNo.122A2B2CAmendments
includedto SL No. 161 of 1997to SL No. 153 of
1999to SL No. 143 of 2000to SL No. 312 of
2000to SL No. 197 of 2001Effective1
July 19972 July 19991 July
20008 December 20001 July
2001Reprint date1 July
19972 July 19997 July
200015 December 20009 November
20015List of legislationWorkCover Queensland Regulation 1997 SL No.
17made by the Governor in Council on 30
January 1997notfd gaz 31 January 1997 pp 376–8ss
1–2 commenced on date of notificationremaining
provisions commenced 1 February 1997 (see s 2)exp 1 September
2007 (see SIA s 54)Note— An explanatory note only was
preparedamending legislation—WorkCover
Queensland Amendment Regulation (No. 1) 1997 SL No. 161notfd
gaz 20 June 1997 pp 879–82ss 1–2 commenced on date of
notificationremaining provisions commenced on 1 July
1997Note— An explanatory note only was
preparedWorkCover Queensland Amendment Regulation
(No. 1) 1999 SL No. 153notfd gaz 2 July 1999 pp 1223–4s 11
(so far as it inserts new pt 8) commenced 1 July 1999 (see s
2(1))sch commenced 1 July 2000 (see s
2(2))remaining provisions commenced on date of
notificationEmployment, Training and Industrial Relations
Legislation Amendment Regulation(No. 1) 2000 SL
No. 143 pts 1, 4notfd gaz 30 June 2000 pp 736–48ss
1–2 commenced on date of notificationremaining
provisions commenced 1 July 2000 (see s 2)WorkCover
Queensland Amendment Regulation (No. 1) 2000 SL No. 312notfd
gaz 8 December 2000 pp 1374–7ss 4–7 commenced
1 July 2001 (see s 2)remaining provisions commenced on date
of notification
117WorkCover Queensland Regulation
1997WorkCover Queensland Amendment Regulation
(No. 1) 2001 SL No. 197notfd gaz 25 October 2001 pp
645A–645Bss 1–2, 6 commenced on date of
notificationremaining provisions commenced 1 July 2001
(see s 2)Revenue and Other Legislation Amendment
Regulation (No. 2) 2002 SL No. 304 ss 1,10 schnotfd
gaz 22 November 2002 pp 1018–21commenced on date
of notification6List of annotationsThis
reprint has been renumbered—see table of renumbered provisions in
endnote 7.Definitionss 3def“actuarial standard”ins
1999 SL No. 153 s 4def“actuary”ins 1999 SL No.
153 s 4def“arbiter”ins 1999 SL No.
153 s 4def“assessed premium”ins 1997 SL No.
161 s 4amd 1999 SL No. 153 s 3 schdef“central estimate”ins 1999 SL No.
153 s 4def“claim”ins 1999 SL No.
153 s 4def“excess period”ins 1997 SL No.
161 s 4def“financial quarter”ins 1999 SL No.
153 s 4def“further premium”ins 1997 SL No.
161 s 4amd 2000 SL No. 312 s 4def“premium”ins 1997 SL No.
161 s 4(2)def“premium”om 2000 SL No.
312 s 4(1)def“provisional premium”ins
1997 SL No. 161 s 4amd 1999 SL No. 153 s 3 schdef“prudential margin”ins
1999 SL No. 153 s 4def“risk free of return”ins
1999 SL No. 153 s 4Scheme solvency—Act, s 5s 4ins
1997 SL No. 161 s 5amd 1999 SL No. 153 s 5PART 2—EMPLOYER
INSURANCEpt hdgsub 1997 SL No.
161 s 6Division 1—Policies and premium
assessmentsdiv hdgins 1997 SL No.
161 s 6Application for policys 5sub
1997 SL No. 161 s 6Policies and renewalss 6ins
1997 SL No. 161 s 6Assessment of premiums 7ins
1997 SL No. 161 s 6
118WorkCover Queensland Regulation
1997amd 1999 SL No. 153 s 3 sch; 2000 SL No. 143
s 10; 2002 SL No. 304 s 10schDeclaration of
wagess 8ins 1997 SL No. 161 s 6amd
1999 SL No. 153 s 3 schValue of board and lodgings
9ins 1997 SL No. 161 s 6Payment of premium
by instalmentss 10ins 1997 SL No. 161 s 6Additional premium for late payment—Act, ss
65 and 66s 11ins 1997 SL No. 161 s 6Deemed
premium—s 31s 12ins 1997 SL No. 161 s 6sub
2000 SL No. 312 s 5Deemed premium—Act, s 515(2)(a)s
13ins 1997 SL No. 161 s 6amd 1999 SL No.
153 s 6sub 2000 SL No. 312 s 5Cancellation of
policy on ceasing to employ workerss 14ins
1997 SL No. 161 s 6amd 1999 SL No. 153 s 3 schDocuments to be kept—Act, s 469s
15ins 1997 SL No. 161 s 6Division
2—Employer excessdiv hdgins 1997 SL No.
161 s 6Excess period—Act, s 69s 16ins
1997 SL No. 161 s 6Employer’s election to insure against payment
for excess period—Act, s 71s 17ins 1997 SL No.
161 s 6Amount payable to insure against payment for
excess period—Act, s 71s 18ins 1997 SL No.
161 s 6Division 3—Self-ratingdiv hdgins
1997 SL No. 161 s 6om 1999 SL No. 153 s 3 schDefinition for div 3s 19ins
1997 SL No. 161 s 6om 1999 SL No. 153 s 3 schPremium calculation—Act. s 74s
20ins 1997 SL No. 161 s 6om 1999 SL No.
153 s 3 sch
119WorkCover Queensland Regulation
1997Provisional premiums 21ins
1997 SL No. 161 s 6om 1999 SL No. 153 s 3 schAssessed premiums 22ins
1997 SL No. 161 s 6om 1999 SL No. 153 s 3 schAdjustment for liability for prior periods of
insurances 23ins 1997 SL No. 161 s 6om
1999 SL No. 153 s 3 schInterest rates 24ins
1997 SL No. 161 s 6om 1999 SL No. 153 s 3 schTime
for payment of premium and surcharges 25ins
1997 SL No. 161 s 6om 1999 SL No. 153 s 3 schConditions of registration—Act, s 83s
26ins 1997 SL No. 161 s 6om 1999 SL No.
153 s 3 schPremium payable after cancellation of
self-rater’s registration—Act, s 94s 27ins
1997 SL No. 161 s 6om 1999 SL No. 153 s 3 schReduction of amount “A”s 28ins
1997 SL No. 161 s 6om 1999 SL No. 153 s 3 schActuarial procedure—self-raterss
29ins 1997 SL No. 161 s 6om 1999 SL No.
153 s 3 schDivision 4—Self-insurancediv hdgins
1997 SL No. 161 s 6Application fees—Act, s 100s
30ins 1997 SL No. 161 s 6Annual levy—Act, s
111s 31ins 1997 SL No. 161 s 6amd
1999 SL No. 153 s 7sub 2000 SL No. 312 s 6Conditions of
licence—Act, s 112s 32ins 1997 SL No. 161 s 6amd
1999 SL No. 153 s 8; 2000 SL No. 312 s 7Premium payable
after cancellation of self-insurer’s licence—Act, s 125s
33ins 1997 SL No. 161 s 6amd 1999 SL No.
153 s 9
120WorkCover Queensland Regulation
1997Actuarial procedure—self-insurerss
34ins 1997 SL No. 161 s 6PART 3—OTHER
INSURANCESDivision 1—Studentsdiv hdgins
1997 SL No. 161 s 7Insurance of work experience studentss
35amd 1997 SL No. 161 s 8Insurance of
industry placement studentss 36amd 1997 SL No.
161 s 9Division 2—Eligible personsdiv
hdgins 1997 SL No. 161 s 10Proposal for
contract of insurance—Act, s 26s 37ins
1997 SL No. 161 s 10Documents to be kept by eligible
persons 38ins 1997 SL No. 161 s 10amd
1999 SL No. 153 s 10Division 3—Other personsdiv hdgins
1997 SL No. 161 s 10Contracts of insurance for other
personss 39ins 1997 SL No. 161 s 10Division 4—Contracts of insurance
generallydiv hdgins 1997 SL No.
161 s 10Entitlements of persons mentioned in ch 1, pt
4, div 3 subdivs 1, 2 and 4s 40ins 1997 SL No.
161 s 10WorkCover not liable if premium not
paids 41ins 1997 SL No. 161 s 10Duty
to report injurys 42ins 1997 SL No. 161 s 10PART
8—MISCELLANEOUSpt hdgsub 1997 SL No.
161 s 12om R1 (see RA s 7(1)(k))Numbering and
renumbering of regulations 45sub 1997 SL No.
161 s 12om R1 (see RA s 37)PART 9—AMENDMENTS
OF OTHER REGULATIONSpt hdgom 1997 SL No.
161 s 12Consequential amendments in sch 6s
47om 1997 SL No. 161 s 12Calculation of
WRI—Act, s 201s 58amd 2001 SL No. 197 s 4
121WorkCover Queensland Regulation
1997Notice of claim for damages—Act, s 280s
74amd 2001 SL No. 197 s 5Notice of claim
and urgent proceedings—Act, s 280As 74Ains
2001 SL No. 197 s 6Costs—proceeding before industrial
magistrates 75amd 2000 SL No. 312 s 8Who
this division applies tos 76sub 2001 SL No.
197 s 7Costs before proceeding starteds
78amd 1997 SL No. 161 s 11PART 8—REASONS FOR
DECISIONSpt hdgins 1999 SL No.
153 s 11Reasons for decisions must address certain
matters—Act, s 489(4)s 81ins 1999 SL No.
153 s 11PART 9—AMOUNT OF CALCULATION OF LIABILITY FOR
SELF-INSURERSpt hdgins 1999 SL No.
153 s 11Division 1—Outstanding liabilitydiv
hdgins 1999 SL No. 153 s 11Subdivision
1—Purpose and application of div 1sdiv hdgins
1999 SL No. 153 s 11Purpose of div 1s 82ins
1999 SL No. 153 s 11Application of div 1s 83ins
1999 SL No. 153 s 11Subdivision 2—Calculationsdiv hdgins
1999 SL No. 153 s 11Appointment of actuary for calculations
84ins 1999 SL No. 153 s 11Calculations
85ins 1999 SL No. 153 s 11WorkCover to give
actuaries informations 86ins 1999 SL No.
153 s 11Actuarial reports 87ins
1999 SL No. 153 s 11Summary reports 88ins
1999 SL No. 153 s 11Agreement on calculations 89ins
1999 SL No. 153 s 11
122WorkCover Queensland Regulation
1997Reference to actuarial arbiter if no
agreements 90ins 1999 SL No. 153 s 11Arbiter’s costss 91ins
1999 SL No. 153 s 11Payment of amount for outstanding
liability—new applicants 92ins 1999 SL No.
153 s 11Election by current self-insurer or current
applicant about payment for outstandingliabilitys
93ins 1999 SL No. 153 s 11Payment of amount
for, or on account of, outstanding liability—current
self-insurerand current applicants 94ins
1999 SL No. 153 s 11Transfer of claims informations
95ins 1999 SL No. 153 s 11Subdivision
3—Recalculationsdiv hdgins 1999 SL No.
153 s 11Purpose of sdiv 3s 96ins
1999 SL No. 153 s 11Application of sdiv 3 for group
employerss 97ins 1999 SL No. 153 s 11Appointment of actuary for
recalculations 98ins 1999 SL No. 153 s 11Recalculations 99ins
1999 SL No. 153 s 11WorkCover to give actuaries
informations 100ins 1999 SL No. 153 s 11Actuarial reports 101ins
1999 SL No. 153 s 11Summary reports 102ins
1999 SL No. 153 s 11Agreement on recalculations
103ins 1999 SL No. 153 s 11Reference to
actuarial arbiter if no agreements 104ins
1999 SL No. 153 s 11Arbiter’s costss 105ins
1999 SL No. 153 s 11Payment of amount for recalculations
106ins 1999 SL No. 153 s 11Division 2—Total
liability and residual liabilitydiv hdgins
1999 SL No. 153 s 11
123WorkCover Queensland Regulation
1997Purpose of div 2s 107ins
1999 SL No. 153 s 11amd 2000 SL No. 312 s 9Appointment of
actuarys 108ins 1999 SL No. 153 s 11Calculations 109ins
1999 SL No. 153 s 11amd 2000 SL No. 312 s 10Parties to give
actuaries informations 110ins 1999 SL No.
153 s 11Actuarial reports 111ins
1999 SL No. 153 s 11amd 2000 SL No. 312 s 11Summary
reports 112ins 1999 SL No. 153 s 11Agreement on calculations 113ins
1999 SL No. 153 s 11Reference to actuarial arbiter if no
agreements 114ins 1999 SL No. 153 s 11Arbiter’s costss 115ins
1999 SL No. 153 s 11Payment of amount for total or residual
liabilitys 116ins 1999 SL No. 153 s 11Transfer of claims informations
117ins 1999 SL No. 153 s 11Division
3—Liability after cancellation of self-insurer’s licencediv
hdgins 1999 SL No. 153 s 11Purpose of div
3s 118ins 1999 SL No. 153 s 11Appointment of actuarys 119ins
1999 SL No. 153 s 11Calculations 120ins
1999 SL No. 153 s 11Former self-insurer to give actuaries
informations 121ins 1999 SL No. 153 s 11Actuarial reports 122ins
1999 SL No. 153 s 11Summary reports 123ins
1999 SL No. 153 s 11
124WorkCover Queensland Regulation
1997Agreements 124ins
1999 SL No. 153 s 11Reference to actuarial arbiter if no
agreements 125ins 1999 SL No. 153 s 11Arbiter’s costss 126ins
1999 SL No. 153 s 11Payment of amount for liabilitys
127ins 1999 SL No. 153 s 11Division
4—Actuarial arbiterdiv hdgins 1999 SL No.
153 s 11Function of actuarial arbiters
128ins 1999 SL No. 153 s 11Appointment of
actuarial arbiters 129ins 1999 SL No. 153 s 11Decision of arbiters 130ins
1999 SL No. 153 s 11Arbiter’s decision is finals
131ins 1999 SL No. 153 s 11PART
10—TRANSITIONAL PROVISIONpt 10 (s 132)ins 2001 SL No.
197 s 8SCHEDULE 1—ADDITIONAL PREMIUMsub
1997 SL No. 161 s 13SCHEDULE 2—TABLE OF INJURIESPART
1—UPPER EXTREMITY INJURIESDivision 1—PreliminaryApplication of pt 1s 1amd
2001 SL No. 197 s 9(1)Division 2—Upper extremity
injuriesdiv 2sub 2001 SL No. 197 s 9(2)PART
2—LOWER EXTREMITY INJURIESDivision 1—PreliminaryApplication of pt 2s 1amd
2001 SL No. 197 s 9(3)Division 2—Lower extremity
injuriesdiv 2sub 2001 SL No. 197 s 9(4)PART
3—SPECIAL PROVISION INJURIESDivision
1—PreliminaryApplication of pt 3s 1amd
2001 SL No. 197 s 9(5–7)Division 2—Special provision
injuriesdiv 2sub 2001 SL No. 197 s
9(8)